自拟方辅助康复功能锻炼治疗卒中后肩手综合征疗效观察

田 青  杨 霞

（喀什地区第一人民医院，新疆  喀什，844000）

中图分类号：R255.2       文献标识码：A    文章编号：1674-7860（2016）18-0050-03   证型：BDG

【摘  要】目的：探讨自拟方辅助康复功能锻炼治疗卒中后肩手综合征临床效果。方法：研究对象选取我院2013年5月—2015年5月收治卒中后肩手综合征患者110例，以随机抽签法分为对照组（55例）和治疗组（55例），分别采用康复锻炼单用治疗和在此基础上加用自拟方辅助治疗；比较两组患者近期疗效，治疗前后NRS评分和Fugl-Meyer评分等。结果：治疗组患者近期疗效显著优于对照组，差异有统计学意义（P＞0.05）；治疗组患者治疗后NRS评分和Fugl-Meyer评分均显著优于对照组、治疗前，差异有统计学意义（P＜0.05）。结论：自拟方辅助康复功能锻炼治疗卒中后肩手综合征可显著改善症状体征，降低疼痛程度，并有助于加快肢体运动功能恢复进程。

【关键词】中医；康复锻炼；卒中；肩手综合征

【Abstract】Objective:Toinvestigate the clinical effects of self-made prescription assisted withrehabilitation exercise in treating shoulder-hand syndrome after stroke.Methods: 110 patients with shoulder-hand syndrome after stroke treated in ourhospital from May 2013 to May 2015 were selected and randomLy divided into twogroups, the control group (55 patients) received rehabilitation exercise whilethe treatment group (55 patients) received self-made prescription assisted withrehabilitation exercise; and the clinical effects for short-term, NRS scoresand Fugl-Meyer scores before and after treatment of both groups were compared.Results:The clinical effects forshort-term of treatment group was significantly better than that of the controlgroup, the difference was statistically significant (P<0.05). After treatment, the NRS scores and Fugl-Meyer scoresof the treatment group was significantly better than that of the control groupand that before treatment, the difference was statistically significant (P<0.05). Conclusion: Self-madeprescription assisted with rehabilitation exercise could significantly improvethe clinical symptoms and signs in treating shoulder-hand syndrome after stroke,it could reduce the pain degree and help to accelerate the recovery process oflimb motor function.

【Keywords】TCM; Rehabilitation exercise; Stroke; Shoulder-handsyndrome

doi:10.3969/j.issn.1674-7860.2016.18.022