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目的:观察针刺配合康复训练治疗缺血性脑卒中后早期肩手综合征的临床疗效。方法:将 60 例患者随机分为观察组和对照组,每组 30 例。观察组给予针刺加康复训练治疗,对照组单纯进行康复训练。治疗 3 个疗程后比较两组患者视觉模拟评分(Visual Analogue Scale,VAS)、Fugl-Meyer上肢运动功能评分(Fugl-MeyerAssessment Scale, FMA)及临床疗效。结果:与本组治疗前比较,两组患者治疗后VAS评分、FMA评分均明显改善,治疗前后比较差异均有统计学意义(P<0.05 或P<0.01)。治疗后,观察组VAS评分、FMA评分与对照组比较差异有统计学意义(P<0.05)。观察组总有效率 86.7%,对照组总有效率 63.3%,两组患者总有效率差异有统计学意义(P<0.05)。结论:针刺结合康复训练治疗缺血性脑卒中后早期肩手综合征的疗效优于单纯康复训练。
Objective: To observe the clinical effect of acupuncture combined with rehabilitation training on shoulder shoulder syndrome after ischemic stroke. Methods: 60 patients were randomly divided into observation group and control group, 30 cases in each group. The observation group was given acupuncture and rehabilitation training, while the control group was rehabilitated only. Visual acuity scale (VAS), Fugl-MeyerAsymetrical Scale (FMA) and clinical curative effect were compared between the three groups after three courses of treatment. Results: Compared with before treatment, VAS score and FMA score of both groups were significantly improved after treatment, and the difference was statistically significant before and after treatment (P <0.05 or P <0.01). After treatment, the VAS scores and FMA scores in the observation group were significantly different from those in the control group (P <0.05). The total effective rate was 86.7% in the observation group and 63.3% in the control group. The total effective rate of the two groups was statistically significant (P <0.05). Conclusion: Acupuncture combined with rehabilitation training for early shoulder shoulder syndrome after ischemic stroke is more effective than simple rehabilitation training.