| 引用本文:王志恒，周奎龙，梁志杰，张慧婷，宋阳杰，杨晓敏，向栋国.针刺、药熨联合悬吊运动疗法干预脑卒中后肩手综合征Ⅰ期的临床观察[J].世界中医药,2020,(18):. |
|
| 针刺、药熨联合悬吊运动疗法干预脑卒中后肩手综合征Ⅰ期的临床观察 |
| The Clinical Effect of Acupuncture,Hot Medicinal Compress Therapy Combined with Sling Exercise Therapy for the Treatment of StageⅠShoulder-Hand Syndrome after Stroke |
| 投稿时间：2020-03-28 |
| DOI：10.3969/j.issn.1673-7202.2020.18.028 |
| 中文关键词: 针刺 药熨 悬吊运动疗法 脑卒中 肩-手综合征 上肢肿痛 功能恢复 上肢静脉血流速度 血清中相关因子水平 |
| English Keywords:Acupuncture Hot medicinal compress therapy Sling exercise therapy Stroke Shoulder-hand syndrome Swelling pain of the upper limbs Functional recovery Velocity of blood flow in upper extremity vein Serum levels of related factors |
| 基金项目:河北省科技支撑计划项目(11276168);河北省中医药管理局计划课题(2020547) |
|
| 摘要点击次数: 311 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的:观察针刺、药熨联合悬吊运动疗法干预脑卒中后肩手综合征Ⅰ期上肢肿痛的疗效。方法:选取2018年2月至2019年8月邢台市人民医院收治的脑卒中后肩手综合征Ⅰ期上肢肿痛患者86例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组43例。对照组给予常规康复功能训练;观察组给予针刺、药熨联合悬吊运动疗法干预。比较2组患者的治疗效果、上肢疼痛程度、日常生活能力、上肢运动功能,测定上肢周径变化、上肢静脉血流速度、血清中相关因子含量。结果:观察组、对照组的有效率分别为90.70%(39/43)、72.09%(31/43),以观察组疗效更好(P<0.05);治疗后,观察组VAS评分显著低于对照组,观察组上肢疼痛减轻更明显,患侧上肢周径减少更明显,上肢MBI、FMA评分更高,肘正中静脉、桡静脉、腋静脉的PSV显著高于对照组,内径、血清中P物质、BK水平显著低于对照组(P<0.05);CGRP水平显著高于对照组(P<0.05)。结论:针刺、药熨联合悬吊运动疗法更利于缓解患者上肢肩、手关节的肿痛,提高日常生活能力,原因可能与改善上肢静脉血流、调控血清中SP、CGRP、BK水平有关。 |
| English Summary: |
| To observe The clinical effect of acupuncture,hot medicinal compress therapy combined with sling exercise therapy for the treatment of stageⅠshoulder-hand syndrome after stroke with upper limb swelling pain.Methods:A total of 86 stageⅠshoulder-hand syndrome after stroke with upper limb swelling pain patients admitted to Xingtai People's Hospital from February 2018 to August 2019 were selected and were randomly divided into control group and observation group according to the random number table method,with 43 cases in each group.The control group was given routine rehabilitation training; the observation group was given acupuncture,hot medicinal compress therapy combined with sling exercise therapy.The treatment effect,the degree of upper extremity pain,the ability of daily living,and the upper extremity motor function of the two groups were compared,and the changes in the circumference of the upper extremity,the venous blood flow velocity of the upper extremity,and the content of related factors in the serum were measured.Results:The effective rates of the observation group and the control group were 90.70% (39/43) and 72.09% (31/43),respectively.The observation group had a better effect (P<0.05); after treatment,the VAS score in the observation group was significantly lower than the control group,the pain of the upper extremity was more significantly reduced,the circumference of the affected upper extremity decreased more significantly,and the MBI and FMA scores of the upper extremity were higher.The PSV of median cubital vein,radial vein,and axillary vein were significantly higher than those of the control group.The inner diameter,substance P and BK levels in serum were significantly lower than those of the control group(P<0.05); the CGRP level was significantly higher than the control group (P<0.05).Conclusion:Acupuncture,hot medicinal compress therapy combined with sling exercise therapy is more conducive to alleviating the swelling pain of the upper extremity shoulder and hand joints,and improving the ability of daily living.The reason may be related to improving the venous blood flow of the upper extremities and regulating the levels of SP,CGRP and BK in the serum. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
