摘要
Abstract
Objective:To explore the efficacy and safety of modified Huangqi Guizhi Wuwu Decoction combined with acupuncture in the treatment of patients with shoulder-hand syndrome after stroke(SHSAS).Methods:A total of 60 SHSAS patients admitted to Yishui County People's Hospital from January to December 2022 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 30 cases in each group.The control group was treated with routine rehabilitation training,the study group was treated with modified Huangqi Guizhi Wuwu Decoction combined with acupuncture on the basis of control group.Both groups were treated for 3 months.The range of motion of shoulder joint,the motor function of upper limb and the incidence of complications were compared between the two groups.Results:After treatment,the mobility of shoulder flexion,extension,internal rotation and external rotation in both groups were bigger than before treatment,and the study group were bigger than the control group,the differences were statistically significant(P＜0.05).After treatment,the Fugl-Meyer Assessment of upper extremity was higher in both groups than before treatment,the study group was higher than the control group,with statistical significance(P＜0.05).The incidence of complications in the study group was 6.67%,which was lower than 26.67%in the control group,the difference was statistically significant(P＜0.05).Conclusion:On the basis of routine rehabilitation training,modified Huangqi Guizhi Wuwu Decoction combined with acupuncture has a remarkable effect in the treatment of SHSAS patients,which can improve the shoulder joint motion and upper limb motor function of patients,and reduce the incidence of complications.关键词
中风后肩手综合征/黄芪桂枝五物汤/针灸/肩关节活动度/上肢运动功能Key words
Shoulder-hand syndrome after stroke/Huangqi Guizhi Wuwu Decoction/Acupuncture/Shoulder joint motion/Upper limb motor function分类
医药卫生
