摘要
目的:观察八邪透刺配合系统康复训练治疗中风偏瘫后肩手综合征的临床效果。方法:将中风偏瘫后肩手综合征患者178例按随机数字表法分为研究组、对照组各89例,对照组予系统康复训练治疗,研究组在对照组基础上予八邪透刺法治疗,观察并记录2组患者上肢肿胀、疼痛及患肢损伤程度评分、上肢运动功能、神经功能及相关生活能力评分、SF-36生存质量评分,比较2组临床疗效。结果:研究组治疗后上肢肿胀程度评分、视觉模拟(VAS)评分、肩手综合征评估量表(SHSS)评分、上肢神经功能缺损量表(NDS)评分低于对照组,治疗后简化上肢Fugl-Meyer运动功能量表(FMA)评分、日常生活活动量表(ADL)评分、SF-36生存质量评分高于对照组,差异具有统计学意义(P<0.05);总有效率对照组为77.5%,低于研究组的94.4%,差异具有统计学意义(P<0.05)。结论:八邪透刺配合系统康复训练能够减轻中风偏瘫后肩手综合征患者上肢肿胀、疼痛等临床症状,减轻患肢损伤,促进患者运动功能及神经功能恢复,提高日常生活能力和生存质量,临床疗效优于单纯系统康复训练。
Objective: To observe clinical effects of penetration needling at Baxie(Extra 28) combined with systematic rehabilitation training in the treatment for shoulder-hand syndrome after hemiplegia. Methods: All 178 patients were assigned into the study group and the control group according to random number table method, 89 cases each group, the control group were given systematic rehabilitation training, and the study group penetration needling at Baxie, to observe and record swelling, pain and damage degree scores of the affected limb in both groups, upper limb motor function, neurological function and the related living ability scores, SF-36 scores, and compare clinical effects between both groups. Results: The study group was lower than the control group in the scores of swelling degree, VAS scores, shoulder-hand syndrome scores(SHSS) and NDS of upper limb, after treating, higher than the control group in FMA scores, ADL scores and the scores of different items in SF-36, and the difference showed statistical meaning (P<0.05), Total effective rate of the control group was 77.5%, lower than 94.4% of the study group, and the difference was statistically significant (P<0.05). Conclusion: Penetration needling at Baxie combined with systematic rehabilitation training in the treatment for shoulder-hand syndrome after hemiplegia could relieve clinical symptoms including upper limb swelling, pain and others, mitigate the damage of the affected limb, promote motor function and neurological function recovery of the patients, raise ADL and quality of life, its effects are superior to only systematic rehabilitation training.
作者
林碧玉
LIN Biyu(Department of Acupuncture and Rehabilitation,Hainan Provincial Hospital of TCM,Haikou 570203,China)
出处
《西部中医药》
2019年第5期108-112,共5页
Western Journal of Traditional Chinese Medicine
基金
国家自然科学基金(编号81660823)
关键词
肩手综合征
中风偏瘫
八邪透刺
系统康复训练
shoulder-hand syndrome
hemiplegia
penetration needling at Baxie
systematic rehabilitation training
