[1]黄菲.针灸结合推拿对脑卒中后肩手综合征功能恢复及预后的影响分析[J].西部中医药,2018,31(09):124-127.
　HUANG Fei.Effects of Acupuncture and Massage on the Prognosis and Functional Recovery of Post-stroke Shoulder-hand Syndrome[J].Western Journal of Traditional Chinese Medicine,2018,31(09):124-127.
点击复制

针灸结合推拿对脑卒中后肩手综合征功能恢复及预后的影响分析()
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年09期
页码:
124-127
栏目:
出版日期:
2018-09-15

文章信息/Info

Title:
Effects of Acupuncture and Massage on the Prognosis and Functional Recovery of Post-stroke Shoulder-hand Syndrome
文章编号:
1004-6852(2018)09-0124-04
作者:
黄菲
湖北省中医院/湖北省中医药研究院，湖北 武汉 430074
Author(s):
HUANG Fei
Hubei Provincial Hospital of TCM/ Hubei Provincial Academy of TCM, Wuhan 430074, China
关键词:
脑卒中; 肩手综合征; 针灸; 推拿
Keywords:
stroke;  shoulder-hand syndrome;  acupuncture;  massage
分类号:
R255.2
文献标志码:
B
摘要:
目的：探讨针灸结合推拿对脑卒中后肩手综合征的功能恢复及预后的影响。方法：将脑卒中后肩手综合征患者320例按照随机数字表法分为对照组和研究组各160例。对照组患者采用常规治疗，研究组患者采用针灸结合推拿综合治疗，疗程均为2个月。分析2组患者临床疗效、简化Fugl-meyer上肢运动功能评分、手部水肿及生活质量评分表（SS-QOL）评分、肩关节活动度，并观察患者不良反应情况。结果：研究组临床总有效率为93.75%，高于对照组的77.50%，差异具有显著性（P＜0.01）；2组患者治疗后SS-QOL评分、Fugl-Meyer评分均较同组治疗前升高，差异具有显著性（P＜0.05）；研究组患者治疗后SS-QOL评分、Fugl-Meyer评分分别为（212.08±16.08)分、(62.06±2.08)分，分别高于对照组的（183.06±14.08)分、(54.06±2.14)分，2组比较差异均有统计学意义（P＜0.05）；2组治疗后上肢疼痛及水肿程度与治疗前比较差异均有统计学意义(P＜0.05)；研究组治疗后上肢疼痛、上肢水肿的评分分别为（2.46±1.41)分、(0.83±0.71)分，均低于对照组的（4.77±2.32)分、(1.87±0.78)分，2组比较差异均有统计学意义（P＜0.05）；2组治疗后肩关节活动度与本组治疗前比较差异有统计学意义(P＜0.05)；研究组治疗后的肩关节活动度评分为（1.86±0.71分）高于对照组的（1.67±0.62)分，组间比较差异有统计学意义（P＜0.05）。结论：针灸结合推拿可改善脑卒中后肩手综合征的功能恢复及预后状况。
Abstract:
Objective: To discuss the effects of acupuncture joined with massage on the prognosis and functional recovery of post-stroke shoulder-hand syndrome. Methods: All 320 patients were randomized into the control group and the experiment group according to random number table method, 160 cases each group, the control group adopted conventional therapy and the experiment group comprehensive therapy of acupuncture and massage, the course was two months. To analyze clinical effects of the patients in both groups, simplified Fugl-meyer upper limb motor function score, hand edema and SS-QOL and shoulder joint activity, and observe the conditions of adverse reaction. Results: Total effective rate of the experiment group was 93.75%, higher than 77.50% of the control group, and the difference was significant (P＜0.01); SS-QOL scores and Fugl-Meyer scores of the patients in both groups after treating raised compared with before treating within the same group, and the difference was significant (P＜0.05); SS-QOL scores and Fugl-Meyer scores of the experiment group after treating were (212.08±16.08) points and(62.06±2.08) points, higher than(183.06±14.08) points and (54.06±2.14) points of the control group, and the difference was statistically significant(P＜0.05); the difference had statistical meaning in the comparisons of upper limb pain and the degrees of edema between before and after treating in both groups(P＜0.05); the scores of upper limb pain and edema of the treatment group after treating were(2.46±1.41) points and(0.83±0.71) points, lower than(4.77±2.32) points and (1.87±0.78) points of the control group, and the difference showed statistical meaning (P＜0.05); the difference was statistically significant in the comparisons of shoulder joint activity between before and after treating between both groups (P＜0.05); the scores of shoulder joint activity of the experiment group after treating were (1.86±0.71) points, higher than (1.67±0.62) points of the control group, and the difference showed statistical meaning (P＜0.05). Conclusion: Acupuncture joined with massage could improve the prognosis and functional recovery of post-stroke shoulder-hand syndrome.

相似文献/References:

[1]刘智斌,牛晓梅,王 渊,等.针刺“新膀胱俞”穴治疗脑卒中后尿潴留疗效观察[J].西部中医药,2013,26(01):100.
　LIU Zhibin,NIU Xiaomei,WANG Yuan,et al.Observation on Therapeutic Effects of Needling“Xin PangGuang Shu"[J].Western Journal of Traditional Chinese Medicine,2013,26(09):100.
[2]李西兄.早期康复介入对急性脑卒中偏瘫患者运动功能的影响[J].西部中医药,2013,26(07):107.
　LI Xixiong.Effects of Early Rehabilitation Intervention on Motor Function of Hemiplegic Patients with Acute Cerebral Apoplexy[J].Western Journal of Traditional Chinese Medicine,2013,26(09):107.
[3]王莉,唐春莲,杨冬梅△.脑卒中患者多重耐药菌感染调查与护理干预[J].西部中医药,2014,27(11):138.
[4]陆霞,石志敏.顺时养生护理措施对脑卒中患者日常生活活动能力的影响[J].西部中医药,2015,28(02):113.
[5]杨春林,巩婷,李清花,等.基于子午流注研究时间护理模式在缺血性脑卒中偏瘫患者康复中的应用[J].西部中医药,2015,28(05):124.
[6]赵红梅,李宝娥,贺艳霞,等.护理干预在脑卒中后吞咽障碍治疗中的应用价值[J].西部中医药,2015,28(06):133.[doi:2015/6/16 0:00:00]
[7]杨琦先,梁程,黄学宽.强肾活血疗法联合拜阿司匹林治疗急性缺血性脑卒中40例[J].西部中医药,2015,28(08):106.
[8]张成新,艾则孜·木沙江.中西医结合卒中单元模式对维、汉两民族急性脑卒中患者血脂、血清内脂素和脂联素的影响[J].西部中医药,2015,28(10):1.
[9]张中华.正交实验优选归芪无糖颗粒剂的水提工艺[J].西部中医药,2015,28(10):56.
[10]彭妤婕,周小琴.中西医结合疗法对缺血性脑卒中患者血液流变学和神经功能的影响[J].西部中医药,2015,28(12):99.
[11]张晓凌,毛忠南.脑卒中后肩手综合征中西医治疗现状[J].西部中医药,2015,28(08):180.
[12]王艺莹,李婧雯,梅紧紧,等.基于CiteSpace知识图谱对肩手综合征研究的可视化分析[J].西部中医药,2024,37(06):89.[doi:10.12174/j.issn.2096-9600.2024.06.21]
　WANG Yiying,LI Jingwen,MEI Jinjin,et al.Visual Analysis of Shoulder-hand Syndrome Research based on CiteSpace Knowledge Graph[J].Western Journal of Traditional Chinese Medicine,2024,37(09):89.[doi:10.12174/j.issn.2096-9600.2024.06.21]

备注/Memo

备注/Memo:
收稿日期：2018-03-29 *基金项目：国家自然科学基金（编号91203656）。 作者简介：黄菲(1983—)，女，硕士学位，主治医师。研究方向：针灸推拿康复。
更新日期/Last Update: 2018-09-15