今日药学

2015, v.25(05) 364-365+374

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中药熏蒸配合功能锻炼治疗脑卒中肩手综合征Ⅰ期的临床观察
Clinical Observation of Traditional Chinese Medicine Fumigation Combined with Functional Exercise in Treatment of Shoulder-Hand Syndrome

喻玲玲,邬志雄
YU Lingling,WU Zhixiong

摘要(Abstract):

目的探讨中药熏蒸配合功能锻炼在脑卒中后肩手综合征Ⅰ期的临床疗效。方法将60例肩手综合征患者随机分成2组,熏蒸组采用中药熏蒸加功能锻炼进行治疗,对照组采用功能锻炼治疗,2周为1疗程,治疗前和疗程结束后分别进行相关临床功能评定:简化Fugl-Meyer运动功能量表(FMA)和肩手综合征评估量表(SHSS)。结果治疗前2组各项评分差异无统计学意义;治疗后,2组患者各项指标组内比较及组间比较差异均有统计学意义(P<0.05),熏蒸组改善较对照组明显。结论中药熏蒸配合功能锻炼有效改善中风后肩手综合征患者的上肢疼痛、肿胀和运动功能。
OBJECTIVE To observe the clinical effect of traditional Chinese medicine fumigation combined with functional exercise on the stroke patients with shoulder-hand syndrome. METHODS A total of 60 cases of stroke patients with shoulder-hand syndrome were randomized into 2 groups. All patients were given conventional functional exercise,and patients in the fumigation group were additionally given traditional Chinese medicine fumigation treatment. The treatment course lasted for 2 weeks. Patients of the 2groups were evaluated before treatment and after the whole treatment course. The modified Fugl-Meyer motor function scale( FMA) and the shoulder-hand syndrome scale( SHSS) were evaluated. RESULTS Before the treatment,there was no significant difference between 2 groups,while after the treatment,FMA score and SHSS score were improved significantly( P < 0. 05),and the improvements in the fumigation group were superior. CONCLUSION Traditional Chinese medicine fumigation treatment combined with functional exercise has preferable effect on shoulder-hand syndrome after stoke.

关键词(KeyWords): 肩手综合征Ⅰ期;脑卒中;中药熏蒸;功能锻炼
shoulder-hand syndrome;stoke;traditional Chinese medicine fumigation;functional exercise

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作者(Author): 喻玲玲,邬志雄
YU Lingling,WU Zhixiong

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