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目的:比较肩三针结合康复疗法与单纯康复治疗脑卒中后肩-手综合征的疗效差异。方法:将64例患者随机分为肩三针结合康复组(治疗组)、康复组(对照组)各32例。采用上肢运动功能、疼痛、关节活动度等指标判断其28 d后的临床疗效。结果:治疗组总有效率为96.16%,明显优于对照组的77.42%(P<0.05);肩三针结合康复能够明显改善患者的上肢运动功能、上肢疼痛及关节活动度,与单纯康复比较,差异均有统计学意义(P<0.05)。结论:肩三针结合康复治疗脑卒中后肩-手综合征可有效缓解肢体疼痛症状,促进患肢运动功能的恢复。
Objective: To compare the curative effects of shoulder-three-needle combined rehabilitation therapy and simple rehabilitation on shoulder-hand syndrome after stroke. Methods: Sixty-four patients were randomly divided into three groups (treatment group) and the rehabilitation group (control group), 32 cases each. The clinical efficacy of upper limbs was evaluated after 28 days by using the indexes of upper extremity motor function, pain and joint activity. Results: The total effective rate in the treatment group was 96.16%, which was significantly better than that in the control group (77.42%, P <0.05). The combination of shoulder and three-needle rehabilitation could significantly improve the upper limbs’ motor function, upper limb pain and joint mobility, , The differences were statistically significant (P <0.05). Conclusion: Shoulder three-needle combined with rehabilitation for shoulder-hand syndrome after stroke can effectively relieve the symptoms of limb pain and promote the recovery of limb motor function.