电针配合穴位注射治疗脑出血后肩-手综合征临床观察
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R743.34

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甘肃省中医药管理局课题(GZK-2015-66)


Clinical Observation on Electroacu puncture Combined with Point Injection for Shoulder-hand Syndrome after Cerebral Hemorrhage
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    摘要:

    目的:观察电针配合穴位注射治疗脑出血后肩-手综合征(SHS)的临床疗效,及对患者上肢功能恢复、日常生活能力的影响。方法:选取96例脑出血后SHS患者,按随机数字表法分为对照组40例和治疗组56例。2组均给予常规西药治疗及康复训练,对照组在此基础上加用中频理疗,治疗组则加用电针及穴位注射。对比分析2组综合疗效,观察患者上肢功能的恢复情况及日常生活能力的改善情况。结果:治疗组总有效率91.1%,对照组总有效率70.0%,2组比较,差异有统计学意义( P <0.05)。治疗后,2组Fugl-Meyer运动功能评分法(FMA)及Barthel指数(BI)评分均较治疗前上升,视觉模拟评分法(VAS)评分均较治疗前下降,差异均有统计学意义( P <0.05);治疗组FMA及BI评分均高于对照组,VAS评分低于对照组,差异均有统计学意义( P <0.05)。治疗后,2组肩关节前屈、后伸、外展、内收、外旋度均较治疗前增大,差异均有统计学意义( P <0.05);治疗组肩关节前屈、后伸、外展、内收、外旋度均大于对照组,差异均有统计学意义( P <0.05)。结论:电针配合穴位注射治疗脑出血后SHS疗效确切,可有效改善患者的上肢功能和提高生活能力。

    Abstract:

    Objective:To observe the curative effect of the therapy of electroacu puncture combined with point injection for shoulder-hand syndrome(SHS)after cerebral hemorrhage and its effect on recovery of upper limb function and daily living ability.Methods:Selected 96 cases of patients with SHS after cerebral hemorrhage and divided theminto the control group and the treatment group according to the randomnumber table method,40 cases and 56 cases in the two groups respectively.The two groups were given routine western medicine treatment and rehabilitation training.The controlgroup was additionally treated with intermediate frequency therapy,and the treatment group was additionally treated with electroacupuncture combined with point injection.Compared and analyzed the comprehensive therapeutic effect in the two groups,and observed the recovery of upper limb function and improvement of daily living ability of patients.Results:The totaleffective rate was 91.1%in the treatment group and 70.0%in the controlgroup,the difference being significant( P <0.05).After treatment,scores of the Fugl-Meyer assessment(FMA)scale and scores of Barthel index(BI)in the two groups were all increased when compared with those before treatment while scores of visual analogue scale(VAS)were decreased,differences being significant( P <0.05).The scores of FMA and BI in the treatment group was higher than those in the control group,and the VAS score was lower than that in the control group,differences being significant(P < 0.05).After treatment,degrees of anteflexion,posterior extension,abduction,adduction and external rotation by shoulder joint in the two groups were all increased when compared with those before treatment,differences being significant(P < 0.05).Degrees of the above indexes in the treatment group were larger than those in the control group,the difference being significant( P <0.05).Conclusion:The therapy of electroacupuncture combined with point injection has clear effect in treating SHS after cerebral hemorrhage,which can effectively improve the upper limb function of patients and improve their living ability.

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王东雁,吴河山,王建宇,陈振刚,王丽娜,尚晓莉,李辉,陈军龙,王明.电针配合穴位注射治疗脑出血后肩-手综合征临床观察[J].新中医,2018,50(7):182-185

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  • 在线发布日期: 2018-07-09
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