摘要
目的: 探讨针灸配合康复训练治疗肩手综合征的临床疗效. 方法: 肩手综合征患者80例随机分为两组: 实验组在康复训练的同时给予针灸治疗, 对照组进行康复训练. 结果: 两组治疗后Fugl-Meyer运动功能评分、肩关节疼痛、肩关节活动度、手部肿胀较治疗前均明显改善(P<0.05);治疗后实验组比对照组Fugl-Meyer运动功能评分高13分,肩关节疼痛减少2～3分,肩关节活动度中外展改善最显著,增加54分,手部肿胀减少10 mL,实验组明显优于对照组(P<0.05). 结论: 针灸结合康复训练能进一步缓解肩痛、手肿及增加肩关节活动度,提高上肢运动功能,是治疗肩手综合征的有效方法.
AIM： To investigate the effect of acupuncture combined with rehabilitation exercise on patients with shoulder-hand syndrome （SHS）. METHODS： Eighty cases with SHS were randomly divided into 2 groups： the control group treated only with rehabilitation exercise and the treatment group with both rehabilitation exercise and acupuncture. RESULTS： Compared with those before treatment, the conditions of the patients were significantly improved in many ways, such as Fugl-Meyer grade, pain in shoulder joints, activity of shoulder joints and swelling of the hands （P〈0.0.5）. The Fugl-Meyer grade of the treatment group was higher by 13 than that of the control group. Compared with data of control group, the scores of shoulder joint pain in treatment group reduced by 2 - 3, abduction on activity of shoulder joints increased by .54 and swelling of the hands reduced by 10 mL. Compared with those in the control group, the treatment group was significantly improved in all the conditions mentioned above （ P 〈 0.0.5 ）. CONCLUSION： Acupuncture associated with rehabilitation exercise can relieve the pain in the shoulder and the swelling of the hand, improve the activity of the shoulder joints and the movement function of the upper limbs, so it is an effective method of treating SHS.
出处
《第四军医大学学报》
北大核心
2005年第24期2295-2297,共3页
Journal of the Fourth Military Medical University
关键词
针灸
反射性交感神经营养障碍
康复
acupuncture
reflex sympathetic dystrophy
rehabilitation
