电针联合上肢康复训练治疗脑卒中后Ⅰ期肩手综合征临床研究
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R246.6

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嘉兴市科技计划项目(2022AY30029)


Clinical Study on Electroacupuncture Combined with Upper Limb Rehabilitation Training for Post-stroke Stage I Shoulder-Hand Syndrome
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    摘要:

    目的:观察电针联合上肢康复训练治疗脑卒中后Ⅰ期肩手综合征的临床效果。方法:80例脑卒中 后Ⅰ期肩手综合征患者按照随机数字表法分为对照组和观察组各40例。对照组接受常规的上肢康复训练,观 察组在对照组基础上采用电针治疗,2组均进行30 d治疗。比较2组临床治疗效果,比较2组治疗前后简化 Fugl-Meyer上肢运动功能评分(FMA)、肩手综合征评估量表(SHSS)、疼痛数字评分法(NRS) 以及症状(活 动受限、肿胀程度) 评分。结果:治疗后,观察组总有效率92.50%,高于对照组75.00%(P<0.05)。2组治疗 后NRS、SHSS、症状(活动受限、肿胀程度) 评分均较治疗前降低(P<0.05),FMA评分升高(P<0.05);观 察组治疗后NRS、SHSS、症状(活动受限、肿胀程度) 评分均低于对照组(P<0.05),FMA评分高于对照 组(P<0.05)。结论:电针联合上肢康复训练能够改善脑卒中后Ⅰ期肩手综合征患者的患肢功能,减轻疼痛, 缓解临床症状,治疗效果显著。

    Abstract:

    Abstract: Objective: To observe the clinical effect of electroacupuncture combined with upper limb rehabilitation training on post-stroke stage I shoulder-hand syndrome after cerebral apoplexy. Methods: Eighty patients with post-stroke stage I shoulder-hand syndrome were randomly divided into a control group and an observation group, with 40 participants in each group. The control group received conventional upper limb rehabilitation training, while the observation group received additional electroacupuncture treatment alongside the same training as the control group. Both groups underwent a 30-day treatment period. The clinical therapeutic effects were compared, and the pre- and posttreatment scores of simplified Fugl-Meyer Assessment for Upper Extremity (FMA), Shoulder Hand Syndrome Scale (SHSS), Numerical Rating Scale (NRS) for pain, and symptom scores (range of motion limitation,swelling degree) were compared. Results:After treatment,the total effective rate was 92.50% in the observation group,higher than that of 75.00% in the control group (P<0.05). After treatment,the scores of NRS,SHSS and symptoms (limitation of movement and swelling degree) in the two groups were decreased when compared with those before treatment,and FMA scores were increased (P<0.05);the scores of NRS, SHSS and symptoms (limitation of movement, and swelling degree) in the observation group were lower than those in the control group (P<0.05),and the FMA score was higher than that in the control group (P<0.05). Conclusion: Electroacupuncture combined with upper limb rehabilitation training can improve the function of the affected limb,alleviate pain,and relieve clinical symptoms in patients with post-stroke stage I shoulder-hand syndrome,the therapeutic effect is significant.

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张臻杰,陶林花,马小晴,曾明,朱美红.电针联合上肢康复训练治疗脑卒中后Ⅰ期肩手综合征临床研究[J].新中医,2024,56(7):125-128

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  • 在线发布日期: 2024-04-11
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