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目的：观察中药冷热交替漩涡浴结合康复训练治疗脑卒中后肩手综合征（SHS）的临床疗效。方法选取2012年12月—2014年12月唐山市丰润区中医医院收治的 SHS I 期的脑卒中患者70例，随机分为对照组和治疗组，每组35例。对照组接受常规治疗并给予康复训练，治疗组同时给予温度分别为40℃与12℃的中药泡洗液交替漩涡浸泡患手，2次／d，30 min ／次，共4周，比较2组患者的总体疗效、视觉模拟评分（VAS）、Fugl-Meyer 量表评分、Barthel 指数（BI）、改良 Ash-worth 量表分级情况（MAS）、中指近节指间关节被动屈曲活动范围及脑卒中专用生活质量量表（SS-QOL）评分。结果治疗后，治疗组总有效率明显高于对照组（P ＜0．05）；2组患者治疗后比较，治疗组患者 VAS 评分与 MAS 分级级别显著减小，Fugl-Meyer 量表评分、BI 量表评分、中指近节指间关节被动屈曲活动范围及 SS-QOL 量表评分均显著增加，差异均具有统计学意义（P ＜0．05）。结论中药冷热交替漩涡浴结合康复训练治疗脑卒中后 SHS，疗效显著，能有效缓解疼痛，改善患者运动功能及手指关节活动范围，提高日常生活能力与生活质量。“,”Objective To investigate the clinical efficacy of traditional Chinese medicine combined with alternating cooling and heating whirlpool bath on patients with shoulder-hand syndrome (SHS)after stroke.Methods 70 cases of SHS in stage I after stroke in the Chinese Medicine Hospital of Fengrun District of Tangshan City from December,2012 to December,2014 were randomly divided into control group (n =35)and treatment group (n =35).The control group received comprehensive rehabilitation training including exercise therapy,and the treatment group received traditional Chinese medicine com-bined with alternating cooling (12 ℃)and heating (40 ℃)whirlpool bath treatment 30 minutes every time in addition,twice a day for 4 weeks.The total effective rates,Visual Analogue Scale (VAS),Fugl-Meyer assessment,Barthel index (BI),modified Ashworth Scale (MAS),passive flexion range of the interphalangeal joint in close section of the middle finger and Stroke-Specific Quality of Life (SS-QOL) were compared.Results The total effective rate of treatment group was significantly higher than control group (P <0.05).Compared with the control group,the values of Fugl-Meyer assessment,BI,pas-sive flexion range of the interphalangeal joint in close section of the middle finger and SS-QOL were higher in treatment group (P <0.05 ),and the VAS and MAS were lower in treatment group(P < 0.05).Conclusion Traditional Chinese medicine combined with alternating cooling and heating whirl-pool bath for patients with SHS in stage I after stroke has significant clinical effect.It can effectively at-tenuate pain and improve motor function and range of finger joint activity,as well as the ability and quali-ty of daily life.