中医药临床杂志2024，Vol.36Issue(7)：1366-1369,4.DOI:10.16448/j.cjtcm.2024.0735
桂枝乌苓方加减内服外熨法治疗中风后痰瘀阻络型肩手综合征的临床观察
Clinical Observation on the Treatment of Post-stroke Shoulder-hand Syndrome of Phlegm and Blood Stasis Blocking Collaterals with Guizhi Wuling Recipe and External Ironing
摘要
Abstract
Objective:To observe the clinical effect of Guizhi Wuling decoction plus internal and external ironing in the treatment of shoulder-hand syndrome of phlegm and blood stasis type after stroke.Methods:A total of 60 patients diagnosed with shoulder-hand syndrome of phlegm and blood stasis type after stroke were selected as the observa-tion subjects and randomly divided into a control group and an observation group.Both groups received conventional treatment,and the observation group was treated with Guizhi Wuling decoction plus internal and external ironing for 4 weeks.The changes of pain scale(VAS),upper limb function scale(FMA),daily activity scale(MBI)and TCM symp-tom score of the two groups before and after treatment were evaluated.Results:The comparison of VAS,FMA,MBI and TCM symptom score before and after treatment between the observation group and the control group was P=0.000＜0.05.The scores of the observation group were better than those of the control group,indicating that both groups tended to improve,and the improvement of the observation group was more obvious than that of the control group.The treat-ment was effective in both groups.The total effective rate of the observation group was 93.33％,which was significantly higher than that of the control group(73.33％),and the difference was statistically significant(P＜0.05).Conclusion:On the basis of conventional treatment,the Guizhi Wuling decoction plus or minus internal and external ironing method can improve the efficacy,relieve pain,and improve upper limb function and daily activities in patients with post-stroke phlegm and blood stasis type shoulder-hand syndrome.关键词
桂枝乌苓方加减内服外熨法/中风/肩手综合征/疼痛/上肢功能/日常活动能力Key words
Guizhi Wuling decoction plus or minus internal and external ironing method/Stroke/Shoulder-hand syndrome/Pain/Upper limb function/Daily activities分类
医药卫生引用本文复制引用
李燕清,郑金书..桂枝乌苓方加减内服外熨法治疗中风后痰瘀阻络型肩手综合征的临床观察[J].中医药临床杂志,2024,36(7):1366-1369,4.基金项目
安徽中医药大学临床科研项目(2023LCCZ05) （2023LCCZ05）
滁州市中医药学会科研计划项目(2021XH05) （2021XH05）
