| 摘要: |
| 目的：观察通络涤痰汤联合康复训练治疗脑卒中后肩手综合征（SHS） 的临床疗效。方法：选取190 例脑卒中后SHS 患者，按随机数字表法分为对照组和观察组，每组95 例。对照组给予常规药物结合康复训练治疗，观察组在对照组基础上加用通络涤痰汤治疗，2 组均连续治疗4 周。观察2 组治疗前后简化Fugl-Meyer 运动功能评分表（FMA） 评分、视觉模拟评分法（VAS） 评分、简化巴氏指数量表（BI） 评分、SHS 评分及中医证候评分的变化，比较2 组临床疗效。结果：治疗后，观察组FMA 及BI 评分均较治疗前升高，且均高于对照组；VAS、SHS 及中医证候评分均较治疗前降低，且均低于对照组，差异均有统计学意义（P＜0.05）。观察组与对照组总有效率分别为92.63%、81.05%，2 组比较，差异有统计学意义（P＜0.05）。结论：通络涤痰汤联合康复训练治疗脑卒中后SHS，能够明显缓解患者患肢疼痛，提高其上肢运动功能和日常生活能力。 |
| 关键词: 脑卒中后肩手综合征 通络涤痰汤 康复训练 疼痛 上肢运动功能 日常生活能力 |
| DOI： |
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| 基金项目: |
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| Clinical Study on Tongluo Ditan Tang Combined with Rehabilitation Training forShoulder-Hand Syndrome After Stroke |
| YE Su,YANG Guifen,JIN Jiye,SHOU Yizhou,HUANG Chuchu |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract： Objective： To observe the clinical effect of Tongluo Ditan tang combined with rehabilitation training for
shoulder-hand syndrome(SHS) after stroke. Methods：A total of 190 cases of SHS after stroke patients were divided into the
control group and the observation group according to the random number table method，95 cases in each group. The control
group was given routine medicine combined with rehabilitation training，and the observation group was additionally treated
with Tongluo Ditan tang based on the treatment of the control group. Both groups were treated for four weeks. Before and
after treatment， the changes in the scores of short- form Fugl- Meyer Assessment(FMA)， Visual Analogue Scale(VAS)，
simplified Barthel index(BI)，SHS and Chinese medicine syndromes in the two groups were observed. The clinical effect in the
two groups was compared. Results： After treatment， the scores of FMA and BI in the observation group were increased
when compared with those before treatment， and the scores were higher than those in the control group； the scores of
VAS， SHS and Chinese medicine syndromes in the observation group were decreased when compared with those before
treatment， and the scores were lower than those in the control group， differences being significant(P＜0.05). The total
effective rate was 92.63% in the observation group and 81.05% in the control group， the difference being significant(P＜
0.05). Conclusion： The therapy of Tongluo Ditan tang combined with rehabilitation training in treating SHS after stroke can
significantly relieve pain of the affected limb and improve upper limb function and activity of daily living. |
| Key words: Keywords： Shoulder- hand syndrome after stroke Tongluo Ditan tang Rehabilitation training Pain Upper limb
function Activity of daily living |
