脑卒中论文：脑卒中肩手综合征针刺运动疗法

1、【中文摘要】观察针刺结合运动疗法治疗脑卒中后肩手综合征的临床疗效,探讨针刺结合运动疗法对脑卒中后肩手综合征的治疗作用。将前来黑龙江中医药大学附属第一医院就诊的符合纳入标准的60例患者随机分为两组：针刺结合运动疗法组（治疗组）及单纯运动疗法组（对照组）。治疗组30例以针刺结合运动疗法为主；对照组30例以运动疗法为主。两组疗程均为三周，在治疗前后分别采用简式Fugl-Meyer运动功能评分及疼痛-目测比评定法（VAS）、水肿的分级评分与ADL日常生活功能量表等来评定两组在上肢运动功能、疼痛及生活功能等的变化进行评分，并根据分数评定疗效。所有数据经SPSS16.0软件包处理，治疗三周后两组均有较好的

2、治疗效果。治疗前，治疗组与对照组上肢的Fugl-Meyer运动功能评分、ADL日常生活功能量表评分、疼痛与水肿的目测比评分，经组间比较p0.05,无显著性差异,具有可比性。治疗后，治疗组与对照组均提高了上肢的Fugl-Meyer运动功能评分与ADL日常生活功能量表评分，也均降低了疼痛及水肿的目测比评分，两组间比较pv0.05。说明，两种治疗方法对肩一手综合征的临床症状均有改善，但治疗组疗效明显优于对照组疗效。1、针刺结合运动疗法治疗脑卒中后肩手综合征有较好的临床疗效。【英文摘要】：Toobservetheeffectofacupuncturecombinedwiththerapeuticexe

3、rcisetotreattheShoulder-HandSyndrome(SHS)afterstroke.TostudythetherapeuticeffectsofacupuncturecombinedwiththerapeuticexerciseonSHSafterstrokeandtosupplytheevidenceofitsclinicalapplication.Methods:lnthepatientscomingtoHeilongjiangUniversityofTraditionalChineseMedicinefirsthospital,select60patientstha

4、tmeettheinclusioncriteria.The60patientsadoptssmallsampleconfrontationtesttodividethepatientsintotreatmentgroup(EG)andcontrolgroup(CG).3Ocasesineachgroups.Twogroupsofpatientsbothapplytreatmentforbasicdisease.Patientsinthetreatmentgroupweretreatedwithbothacupunctureandtherapeuticexercise.Patientsinthe

5、controlgroupweretreatedonlywiththerapeuticexercise.Thecourseswerethreeweeks.Scoresofupperlimbmovementfunction,pain,edemaanddailyactivitiesofthetwogroupsbeforeandaftertreatmentareevaluatedbyFugl-MeyerMotorFunctionAssessment,visualanaloguescales(VAS)andactivitiesofdailyliving(ADL)foranalysisofthetreat

6、menteffectiveness.Results:AIIdatawereprocessedbySPSS16.0package.ThescoresofthetwogroupsabouttheupperlimbFugl-Meyermotorfunctionscoresandthevisualmeasurementscoresonpainandedemaisnosignificantdifferencebeforethetreatment,p0.05.ThetwogroupsbothimprovetheupperlimbFugl-Meyermotorfunctionscores,andbothde

7、creasethevisualmeasurementscoresonpainandedema,p0.05.Therefore,thetwotherapeuticmethodscanbothamelioratetheclinicalsymptomsofhand-shouldersyndrome,butthetherapygroupobviouslyhaveanadvantagetothecontrolgroup.Conclusions:1.AcupuncturecombinedwiththerapeuticexercisetotreattheShoulder-HandSyndrome(SHS)a

8、fterstrokeshasabetterclinicaleffect.2.Theacupuncturecombinedwiththerapeuticexercisegroupwasmoreeffectivethantherapeuticexercisegroup.【关键词】脑卒中肩手综合征针刺运动疗法【英文关键词】StrokeShoulder-handSyndromeAcupunctureTherapeuticexercise【目录】针刺结合运动疗法治疗脑卒中后肩手综合征的临床研究中文摘要4-5ABSTRACTS前言7-8文献综述8-251现代医学对脑卒中后肩手综合征的认识8-161.1脑卒中后肩手综合征的概念及意义81.2流行病学与转归8-91.3发病机制9-121.4临床诊断与分期12-131.5现代医学对