[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.
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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()
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《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.

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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