摘要
目的观察温针灸联合镜像疗法治疗老年脑卒中后肩手综合征患者的临床效果。方法选取2020年4月至2021年10月宝鸡市中心医院收治的76例老年脑卒中后肩手综合征患者作为研究对象,按随机单双数法将其分为对照组和研究组各38例。对照组患者予以常规治疗,研究组患者在常规治疗的基础上予以温针灸联合镜像疗法治疗。治疗4周后,比较两组患者的临床治疗效果及治疗前后的视觉模拟评分法(VAS)、患肢手部肿胀程度、Fugl-Meyer运动功能评分量表(FMA)和改良Barthel指数(MBI)评分。结果研究组患者的临床治疗总有效率为94.74%,明显高于对照组的76.32%,差异有统计学意义(P<0.05);治疗4周后,两组患者的VAS评分、患肢手部肿胀程度均明显低于治疗前,FMA评分、MBI评分均明显高于治疗前;且研究组患者的VAS评分、患肢手部肿胀程度分别为(1.83±0.36)分、(50.46±8.07)mL,明显低于对照组的(4.07±0.63)分、(67.83±9.22)mL,FMA、MBI评分分别为(42.23±8.76)分、(66.71±13.08)分,明显高于对照组的(31.84±6.09)分、(48.66±10.31)分,差异均有统计学意义(P<0.05)。结论温针灸联合镜像疗法治疗老年脑卒中后肩手综合征,能明显减轻患者的疼痛程度及手部肿胀程度,有效促进运动功能恢复和日常生活能力提高,临床应用效果显著。
Objective To observe the clinical effect of warm acupuncture and moxibustion combined with mir-ror therapy on elderly patients with shoulder-hand syndrome after cerebral apoplexy.Methods A total of 76 elderly pa-tients with shoulder-hand syndrome after cerebral apoplexy admitted to Baoji Central Hospital from April 2020 to Octo-ber 2021 were selected as the research objects.According to the random odd and even number method,they were divid-ed into the control group and the study group,with 38 cases in each group.Patients in the control group was given rou-tine treatment,and patients in the study group were given warm acupuncture and moxibustion combined with mirror ther-apy on the basis of routine treatment.After 4 weeks of treatment,the clinical treatment effect,visual analogue scale(VAS),hand swelling degree of affected limb,Fugl-Meyer motor function scale(FMA),and modified Barthel index(MBI)scores before and after treatment were compared between the two groups.Results The total effective rate of the study group was 94.74%,which was significantly higher than 76.32%of the control group(P<0.05).After 4 weeks of treatment,the VAS score,hand swelling degree of affected limb in the two groups were significantly lower than those be-fore treatment,and the FMA score and MBI score were significantly higher than those before treatment;the VAS score,the degree of swelling of the affected limb in the patients in the study group were(1.83±0.36)points,(50.46±8.07)mL,which were significantly lower than(4.07±0.63)points,(67.83±9.22)mL in the control group,and FMA and MBI scores were(42.23±8.76)points,(66.71±13.08)points,which were significantly higher than(31.84±6.09)points,(48.66±10.31)points in the control group;the differences were statistically significant(P<0.05).Conclusion Warm acupuncture and moxi-bustion combined with mirror therapy in the treatment of shoulder and hand syndrome after stroke in elderly patients can significantly reduce the degree of pain and hand swelling,effectively promote the recovery of motor function and im-prove the ability of daily living,with remarkable clinical application effect.
作者
苟平平
魏小利
潘慧滢
GOU Ping-ping;WEI Xiao-li;PAN Hui-ying(Department of Rehabilitation Medicine,Baoji Central Hospital,Baoji 721000,Shaanxi,CHINA;Department of Traditional Chinese Medicine Acupuncture and Moxibustion,Baoji Central Hospital,Baoji 721000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2023年第11期1556-1559,共4页
Hainan Medical Journal
关键词
脑卒中
肩手综合征
温针灸
镜像疗法
运动功能
日常生活能力
Stroke
Shoulder-hand syndrome
Warm acupuncture
Mirror therapy
Motor function
Ability of daily living
