首页|康复训练联合毫火针治疗中风后肩手综合征Ⅰ期患者的效果

康复训练联合毫火针治疗中风后肩手综合征Ⅰ期患者的效果

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目的 比较分析康复训练联合毫火针治疗与单纯康复训练对中风后肩手综合征(shoulder-hand syndrome after stroke,SHSAS)Ⅰ期患者的影响.方法 选取 2020 年 4 月—2022 年 6月福能集团总医院收治的 104 例SHSAS Ⅰ期患者,随机分为2 组,对照组给予康复训练治疗,联合组给予康复训练联合毫火针治疗,比较 2 组临床治疗效果.结果 联合组临床总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,联合组上肢水肿改善情况优于对照组,差异有统计学意义(P<0.05);联合组中医证候积分、肩手综合征评分低于对照组,运动功能评分高于对照组,前屈、外展、内旋、后伸活动度大于对照组,腋静脉内径、肘正中静脉内径小于对照组,腋静脉最大血流速度(peak systolic velocity,PSV)、肘正中静脉PSV大于对照组,差异有统计学意义(P<0.05).结论 康复训练联合毫火针治疗SHSAS Ⅰ期患者相较于康复训练单纯治疗的临床效果更加显著,并能有效改善临床症状,缓解水肿,恢复肩关节活动度、运动功能,调节上肢静脉血流动力学.
Effect of Rehabilitation Training Combined With Milli-Fire Needle in the Treatment of StageⅠ Patients With Shoulder-Hand Syndrome After Stroke
Objective To compare and analyze the effects of rehabilitation training combined with milli-fire needle therapy and rehabilitation training alone on stageⅠ patients with shoulder-hand syndrome after stroke(SHSAS).Methods A total of 104 cases of SHSAS stage Ⅰ patients admitted to Funeng Group General Hospital from April 2020 to June 2022 were selected and randomly divided into two groups.The control group was given rehabilitation training treatment,and the combined group was given rehabilitation training combined with milli-fire needle treatment.The clinical treatment effect of the two groups was compared.Results The total effective rate of the combined group was higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,the improvement of upper limb edema in the combination group was better than that in the control group,the difference was statistically significant(P<0.05).Traditional Chinese medicine syndrome score,shoulder and hand syndrome score in the combination group were lower than control group,motor function score was higher than the control group,anterior flexion,abduction,internal rotation and posterior extension activity were higher than the control group,inner diameter of axillary vein and medial cubital vein were lower than the control group,peak systolic velocity(PSV)of axillary vein and median cubital vein PSV were higher than the control group,the differences were statistically significant(P<0.05).Conclusion The clinical effect of rehabilitation training combined with milli-fire needle on SHSAS stageⅠpatients is more significant than that of rehabilitation training alone,and can effectively improve clinical symptoms,relieve edema,restore shoulder motion and motor function,and adjust the venous blood flow mechanics of upper limbs.

milli-fire needlerehabilitation trainingstrokeshoulder-hand syndromehemodynamicmotor function

吴婷、游立澄

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福能集团总医院康复科,福建 福州 350000

毫火针 康复训练 中风 肩手综合征 血流动力 运动功能

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(3)
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