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针刺联合药透治疗卒中后肩手综合征临床观察

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目的 研究针刺联合药透治疗卒中后肩手综合征(SHS)的临床效果.方法 选取天津市河东区上杭路街社区卫生服务中心门诊2020年1月-2022年10月诊治的卒中后SHS患者80例,依据治疗方法差异性均分为两组,各40例.单纯予以常规康复治疗的为对照组,康复治疗基础上增加针刺联合药透治疗的为观察组.治疗结束后对两组患者的治疗效果,Fugl-Meyer运动功能评估量表(FMA)、视觉模拟量表(VAS)和日常生活活动能力量表(ADL)评分进行统计和总结.结果 治疗后两组FMA、VAS和ADL评分较治疗前差异均有统计学意义(P<0.05);且观察组FMA、ADL评分明显高于对照组,VAS评分低于对照组(P<0.05).观察组总有效率95.0%(38/40)明显优于对照组的75.0%(30/40)(P<0.05).结论 针刺联合药透治疗卒中后SHS效果明显优于单独常规康复治疗.
Acupuncture Combined with Medication Penetration in the Treatment of Shoulder Hand Syndrome after Stroke
Objective To study the clinical effect of acupuncture combined with medication penetration therapy in the treatment of shoulder hand syndrome after stroke.Methods A total of 80 patients with post-stroke shoulder hand syndrome diagnosed and treated in Community Health Service Center of Shanghang Road Street in Hedong District from January 2020 to October 2022 were selected and divided into two groups based on the differences in treatment methods.The control group consisted of 40 patients who received routine rehabilitation treatment alone,while the observation group consisted of 40 patients who received acupuncture combined with medication penetration treatment on the basis of rehabilitation treatment.After treatment,the treatment effects,FMA,VAS,and ADL scores of the two groups of patients were statistically analyzed and summarized.Results After treatment,FMA,VAS and ADL scores were significantly different between the two groups compared with those before treatment(P<0.05).FMA and ADL scores in the obser-vation group were significantly higher than those in the control group,and VAS scores were lower than those in the control group(P<0.05).The total effective rate of the observation group was 95.0%(38/40),which was significantly higher than that of 75.0%(30/40)in the control group(P<0.05).Conclusion Acupuncture combined with medication penetration therapy has a significant synergistic effect on the treatment of shoulder hand syndrome after stroke compared to routine rehabilitation training.

arthralgia syndromeshoulder hand syndromeacupuncture therapymedication penetration therapy

张娟、刘明、赵学东、王子潇

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天津市河东区上杭路街社区卫生服务中心中医科,天津 300171

痹证 肩手综合征 针刺疗法 中医药透疗法

2025

中国中医药现代远程教育
世中联(北京)远程教育科技发展中心

中国中医药现代远程教育

影响因子:0.531
ISSN:1672-2779
年,卷(期):2025.23(1)