世界中医药

作者	单位
邱志新1，窦荣花1，郝有志1，郑建彪1，庞伟1，刘同龙2	1 沧州市中西医结合医院脑病二科，沧州，061001； 2 河北省泊头市中医院，泊头，061001

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中文摘要:

目的：分析研究红花化瘀汤结合针刺治疗中风后肩手综合征的临床疗效及安全性。方法：选取120例中风后肩手综合征患者作为研究对象，在患者知情同意下根据治疗方法的不同将其分为A、B、C 3组，A组采用红花化瘀汤结合针刺治疗，B组单针刺治疗，C组单用红花化瘀汤治疗；比较3组患者治疗前后偏瘫上肢运动功能、肩关节疼痛、生活质量评分及不良反应。结果：治疗后A组前后偏瘫上肢运动功能、生活质量评分均显著高于治疗前及B、C 2组（P<0.01），肩关节疼痛评分均显著低于治疗前及B、C 2组（P<0.01）；不良反应均显著低于B、C 2组（P<0.05）。结论：红花化瘀汤结合针刺能显著改善中风后肩手综合征患者前后偏瘫上肢运动功能及生活质量，降低肩关节疼痛，且不良反应少，安全性高，值得推广应用。

English Summary:

To study the clinical efficacy of and safety of Honghua Huayu Decoction (Safflower and Blood Stasis Decoction) combined with acupuncture in treating shoulder-hand syndrome after stroke. Methods: A hundred and twenty patients with shoulder hand syndrome after stroke were included as study subjects. After signing the informed consents, patients were randomly divided into three groups, namely Group A, B and C. Patients in group A were treated with Honghua Huayu Decoction combined with acupuncture, patients in group B only received acupuncture treatment, while patients in group C were only treated with Honghua Huayu Decoction. Movement of attacked upper limb, shoulder pain, quality of life scores and adverse reactions were observed among the three groups before and after the treatment. Results: After treatment, movement of attacked upper limb and quality of life in patients of group A were significantly improved compared with those before the treatment, as well as those in the group B and C (P<0.01). Shoulder pain scores were significantly lower than those before treatment and those of group B and C (P<0.01). Adverse reactions were significantly fewer in group, compared with group B and C (P<0.05). Conclusion: Honghua Huayu Decoction combined acupuncture may significantly improve the movement of attacked upper limb and quality of life in patients with shoulder hand syndrome after stroke, relieving shoulder pain with few and mild adverse reactions and high safety, which is worthy of wide application.

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