中药渗透热疗联合康复功能训练在改善中风肩痛症的临床应用
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摘要
目的探讨中药渗透热疗联合康复功能训练在改善中风肩痛症的临床效果。方法将120例中风肩痛症患者按照密封信封法随机均分为对照组与联合组,各60例。对照组采取康复功能训练治疗,联合组采取中药渗透热疗联合康复功能训练治疗,治疗20 d,比较两组临床疗效,肩部疼痛评分、上肢运动功能评分,上肢肌力,日常生活能力的变化情况。结果治疗后,两组临床疗效显著提高,差异有统计学意义(P<0.05);两组肩部疼痛评分、上肢运动功能评分明显降低(P<0.05),且联合组降低幅度更大(P<0.05);两组上肢肌力显著改善(P<0.05),且联合组改善幅度大于对照组(P<0.05);两组患者日常生活能力显著提高(P<0.05),且联合组升高幅度更大(P<0.05)。结论中药渗透热疗联合康复功能训练能够明显提升中风肩痛症患者临床疗效,缓解患者机体疼痛感,加速肢体功能恢复,提高患者上肢肌力与日常生活能力。
Objective To explore the clinical effects of traditional Chinese medicine osmosis thermotherapy combined with rehabilitation function training in improving shoulder pain after stroke. Methods 120 patients with shoulder pain after stroke were randomly and evenly divided into control group(n=60)and combined group(n=60)according to the sealed envelope method. Control group was treated with rehabilitation function training, and combined group was given traditional Chinese medicine osmosis thermotherapy combined with rehabilitation function training, and they were treated for 20 d. The clinical efficacy, shoulder pain score, upper limb motor function score, upper limb muscle strength and daily life ability were compared between the two groups. Results After treatment, the clinical efficacy in the two groups was significantly improved(P<0.05). The scores of shoulder pain and upper limb motor function were significantly decreased in the two groups(P<0.05),and the decreases were greater in combined group(P<0.05). The upper limb muscle strength in the two groups was significantly improved(P<0.05), and the improvement in combined group was greater than that in control group(P<0.05). The daily living ability in the two groups was significantly increased(P<0.05), and the increase was greater in combined group(P<0.05).Conclusion Traditional Chinese medicine osmosis thermotherapy combined with rehabilitation function training can significantly improve the clinical efficacy, relieve the body pain, accelerate the recovery of limb function, and improve the upper limb muscle strength and daily living ability of patients with shoulder pain after stroke.
Objective To explore the clinical effects of traditional Chinese medicine osmosis thermotherapy combined with rehabilitation function training in improving shoulder pain after stroke. Methods 120 patients with shoulder pain after stroke were randomly and evenly divided into control group(n=60)and combined group(n=60)according to the sealed envelope method. Control group was treated with rehabilitation function training, and combined group was given traditional Chinese medicine osmosis thermotherapy combined with rehabilitation function training, and they were treated for 20 d. The clinical efficacy, shoulder pain score, upper limb motor function score, upper limb muscle strength and daily life ability were compared between the two groups. Results After treatment, the clinical efficacy in the two groups was significantly improved(P<0.05). The scores of shoulder pain and upper limb motor function were significantly decreased in the two groups(P<0.05),and the decreases were greater in combined group(P<0.05). The upper limb muscle strength in the two groups was significantly improved(P<0.05), and the improvement in combined group was greater than that in control group(P<0.05). The daily living ability in the two groups was significantly increased(P<0.05), and the increase was greater in combined group(P<0.05).Conclusion Traditional Chinese medicine osmosis thermotherapy combined with rehabilitation function training can significantly improve the clinical efficacy, relieve the body pain, accelerate the recovery of limb function, and improve the upper limb muscle strength and daily living ability of patients with shoulder pain after stroke.
引文
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[11]李晓东.中药冷热交替漩涡浴对脑卒中后肩手综合征患者的疗效观察[J].现代中医临床,2016,23(6):21-24.
[12]张虎.中药湿敷疗法结合醒脑开窍针法治疗脑卒中肩手综合征疗效观察[J].四川中医,2017,35(10):164-167.
[13]李丽,许静,李蕾,等.中药外敷结合针刺治疗中风后肩痛52例[J].中西医结合心脑血管病杂志,2017,15(5):630-632.
[14]李芳,麻潇潇,王莉莉,等.中药渗透热疗联合康复锻炼对脑卒中肩痛症患者疼痛改善的病例观察[J].护理与康复,2017,16(11):1200-1202.
[2]励莉.中风后偏瘫肩痛的防治与康复护理进展[J].中医临床研究,2016,8(1):144-146.
[3]喻腾云,吴艳华,孙寒静,等.缺血性脑卒中中医病因病机的层次关系[J].吉林中医药,2016,36(4):328-331.
[4]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996,19(1):55-56.
[5]中华医学会神经病学分会.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257.
[6]王晓燕,刘占卿,李青丽,等.温阳通络汤中药熏洗法治疗中风后肩手综合征临床疗效观察[J].四川中医,2016,34(7):152-154.
[7]张晓莉,唐朝正,贾杰.中西医治疗脑卒中后肩手综合征现状分析[J].中国康复医学杂志,2015,30(3):294-298.
[8]刘刚翠,阳军,周伟.中药联合康复训练及针灸治疗中风后偏瘫肩痛临床观察[J].陕西中医,2017,38(7):850-851.
[9]何俊,谈雪梅,彭冬祥,等.中药熏蒸与冲击波联合治疗脑卒中后偏瘫肩痛疼痛改善及上肢功能康复疗效观察[J].辽宁中医药大学学报,2018,20(5):125-128.
[10]李蕾,李琳,韦玲,等.锋勾针联合湿热敷治疗血瘀型中风后肩痛的临床观察[J].中国药物与临床,2018,18(4):556-558.
[11]李晓东.中药冷热交替漩涡浴对脑卒中后肩手综合征患者的疗效观察[J].现代中医临床,2016,23(6):21-24.
[12]张虎.中药湿敷疗法结合醒脑开窍针法治疗脑卒中肩手综合征疗效观察[J].四川中医,2017,35(10):164-167.
[13]李丽,许静,李蕾,等.中药外敷结合针刺治疗中风后肩痛52例[J].中西医结合心脑血管病杂志,2017,15(5):630-632.
[14]李芳,麻潇潇,王莉莉,等.中药渗透热疗联合康复锻炼对脑卒中肩痛症患者疼痛改善的病例观察[J].护理与康复,2017,16(11):1200-1202.