首页|中药熏蒸联合肩三针温针灸在中风后肩手综合征患者中的应用效果

中药熏蒸联合肩三针温针灸在中风后肩手综合征患者中的应用效果

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目的:探讨中药熏蒸联合肩三针温针灸在中风后肩手综合征(SHS)患者中的应用效果。方法:选取 2017 年1 月—2020 年 12 月赤水市中医医院收治的 100 例中风后SHS患者。根据随机数表法将其分为对照组和观察组,各 50 例。对照组给予康复训练,观察组在对照组基础上给予中药熏蒸联合肩三针温针灸。比较两组干预前后疼痛情况、上肢运动功能、日常生活能力、中医症状积分、生活质量。结果:干预后,观察组视觉模拟评分法(VAS)评分低于对照组,Fugl-Meyer(FMA)量表、巴氏量表(BI)评分均高于对照组,差异有统计学意义(P<0。05)。干预后,观察组肩部疼痛、屈伸不利、偏身麻木、手指肿胀评分均低于对照组,差异有统计学意义(P<0。05)。干预后,观察组生理、心理、社会、环境评分均高于对照组,差异有统计学意义(P<0。05)。结论:中药熏蒸联合肩三针温针灸可减轻中风后SHS患者患肢疼痛,加快运动功能恢复,降低中医症状积分,改善生活质量。
Application Effect of Chinese Medicine Fumigation Combined with Shoulder Three Needles Warm Acupuncture in Patients with Post-stroke Shoulder and Hand Syndrome
Objective:To study the application effect of Chinese medicine fumigation combined with shoulder three needles warm acupuncture in patients with post-stroke shoulder and hand syndrome(SHS).Method:A total of 100 patients with post-stroke SHS treated in Chishui City Hospital of Traditional Chinese Medicine from January 2017 to December 2020 were selected.They were divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was given rehabilitation training,and the observation group was given Chinese medicine fumigation combined with shoulder three needles warm acupuncture on the basis of the control group.Pain condition,upper limb motor function,daily living ability,traditional Chinese medicine symptom score and quality of life before and after intervention were compared between the two groups.Result:After intervention,the visual analogue scale(VAS)score of the observation group was lower than that of the control group,and the scores of Fugl-Meyer(FMA)scale and Barthel index(BI)were higher than those of the control group,the differences were statistically significant(P<0.05).After intervention,the scores of shoulder pain,unfavorable flexion and extension,hemianesthesia and finger swelling in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the physiological,psychological,social and environmental scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Chinese medicine fumigation combined with shoulder three needles warm acupuncture can reduce the affected limbs pain of patients with post-stroke SHS,accelerate the recovery of motor function,reduce the score of TCM symptoms,and improve the quality of life.

Post-stroke shoulder and hand syndromeChinese medicine fumigationShoulder three needlesWarm acupunctureAffected limb swelling and painMotor function

李明强

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赤水市中医医院 贵州 赤水 564700

中风后肩手综合征 中药熏蒸 肩三针 温针灸 患肢肿痛 运动功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(15)
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