针刺联合常规康复治疗对脑卒中后肩手综合征早期疼痛恢复的临床研究
A clinical study on acupuncture in combination with routine rehabilitation therapy for early pain recovery of post-stroke shoulder-hand syndrome.
作者信息
Zheng Jinling, Wu Qinglian, Wang Lu, Guo Ting
机构信息
Department of Traditional Chinese Medical Rehabilitation, The Second Hospital of Dalian Medical University, Dalian, Liaoning 116000, P.R. China.
Department of Nursing, The Second Hospital of Dalian Medical University, Dalian, Liaoning 116031, P.R. China.
出版信息
Exp Ther Med. 2018 Feb;15(2):2049-2053. doi: 10.3892/etm.2017.5659. Epub 2017 Dec 18.
The clinical effect of acupuncture in combination with rehabilitation therapy for post-stroke shoulder-hand syndrome (SHS) was explored. Patients (178) with post-stroke SHS who received treatment in the Dalian Second Hospital from March 2012 to March 2016 were included in this study. The patients were divided into experimental group (89 cases) and control group (89 cases). Patients in the control group received rehabilitation therapy, while those in the treatment group received acupuncture treatment in addition to rehabilitation therapy. Visual analogue scale (VAS) was applied to assess the pain degree of patients. Fugl-Meyer assessment (FMA), functional comprehensive assessment (FCA) and assessment of quality of life (QoL) were used to evaluate rehabilitation condition of the patients. Early pain relief, rehabilitation of upper extremity motor function and improvement of QoL after treatment were compared between the two groups. The scores of VAS, FMA, FCA and QoL showed obvious differences between the two groups after treatment (P<0.05). The scores of the experimental group were significantly better than those of the control group, and the improvement in upper extremity motor function of the patients in the experimental group was better than that of the patients in the control group. The total effective rate of the patients in the experimental group was higher than that of control group (P<0.05). The effect in improving the upper extremity motor function of the patients in the experimental group was better than that of control group. The scores of QoL of the patients in the experimental group were better than that of the patients in the control group (P<0.05). In conclusion, acupuncture in combination with rehabilitation therapy can improve early pain and rehabilitation significantly and enhance QoL for patients with post-stroke SHS, which is worthy of being widely used in clinical practice.
探讨针刺联合康复治疗对脑卒中后肩手综合征（SHS）的临床疗效。选取2012年3月至2016年3月在大连市第二医院接受治疗的178例脑卒中后SHS患者纳入本研究。将患者分为实验组（89例）和对照组（89例）。对照组患者接受康复治疗，治疗组患者在康复治疗基础上还接受针刺治疗。采用视觉模拟评分法（VAS）评估患者疼痛程度。采用Fugl-Meyer评估法（FMA）、功能综合评估法（FCA）和生活质量评估法（QoL）评价患者康复情况。比较两组治疗后早期疼痛缓解情况、上肢运动功能康复情况及生活质量改善情况。两组治疗后VAS、FMA、FCA及QoL评分比较差异有统计学意义（P<0.05）。实验组评分明显优于对照组，实验组患者上肢运动功能改善情况优于对照组。实验组患者总有效率高于对照组（P<0.05）。实验组患者在上肢运动功能改善方面的效果优于对照组。实验组患者QoL评分优于对照组（P<0.05）。综上所述，针刺联合康复治疗可显著改善脑卒中后SHS患者的早期疼痛及康复情况，提高患者生活质量，值得临床广泛应用。
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