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针药配合功能训练治疗中风后肩手综合征临床观察

黄奏琴 裴建 王伟明 宋毅 韩振翔 宋燕文 杨臻 张慎 沈利荣

上海针灸杂志Issue(6):511-514,4.
上海针灸杂志Issue(6):511-514,4.DOI:10.13460/j.issn.1005-0957.2015.06.0511

针药配合功能训练治疗中风后肩手综合征临床观察

Clinical Observation of Acupuncture plus Medicine and Function Training for Post-stroke Shoulder-hand Syndrome

黄奏琴 1裴建 2王伟明 1宋毅 3韩振翔 1宋燕文 4杨臻 3张慎 3沈利荣3

作者信息

  • 1. 上海中医药大学附属龙华医院,上海 200032
  • 2. 上海市浦东新区中医医院,上海 201299
  • 3. 上海市浦东新区中医医院,上海 201299
  • 4. 上海市第七人民医院,上海 200137
  • 折叠

摘要

Abstract

Objective To observe the clinical efficacy of acupuncture plus medicine and function training in treating post-stroke shoulder-hand syndrome. Method Sixty patients with post-stroke shoulder-hand syndrome were randomized into a treatment group of 30 cases and a control group of 30 cases. The treatment group was intervened by acupuncture plus medicine and functional training, while the control group was only by functional training. Before and after intervention, the hand swelling degree, Visual Analogue Scale (VAS), shoulder joint motion scale, Fugl-Meyer Assessment (FMA) scale were used to measure the swelling and pain of hand, motion of shoulder, and motor function of upper limb. Result After intervention, the swelling and pain of hand, motion range of shoulder and motor function of upper limb were significantly improved in both groups (P<0.01), and the improvements in the treatment group were more significant than that in the control group (P<0.05). Conclusion Acupuncture plus medicine and function training can enhance the efficacy in treating post-stroke shoulder-hand syndrome, superior to pure function training.

关键词

中风后遗症/肩手综合征/针药并用/功能训练/反射性交感神经营养不良/电针/拔罐

Key words

Poststroke syndrome/Shoulder-hand syndrome/Acupuncture medication combined/Functional training/Reflex sympathetic dystrophy syndrome

分类

医药卫生

引用本文复制引用

黄奏琴,裴建,王伟明,宋毅,韩振翔,宋燕文,杨臻,张慎,沈利荣..针药配合功能训练治疗中风后肩手综合征临床观察[J].上海针灸杂志,2015,(6):511-514,4.

基金项目

国家中医药管理局重点学科建设项目(GJZYJZJ-2010) (GJZYJZJ-2010)

上海市卫生局海派中医流派传承研究基地项目(ZYSNXD-CC-HPGC-JD-004) (ZYSNXD-CC-HPGC-JD-004)

上海市浦东新区卫生和计划生育委员会科技发展专项基金项目(PW2013A-41) (PW2013A-41)

上海市中医医疗机构综合治疗工作(ZY3-FWMS-2-1010) (ZY3-FWMS-2-1010)

上海针灸杂志

1005-0957

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