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中医外治法在丘脑卒中后肩痛患者康复治疗中的效果

李昌柳 吴潇潇 刘华春 董奎 黄东挺 廖德发

广西医学2025,Vol.47Issue(6):836-840,5.
广西医学2025,Vol.47Issue(6):836-840,5.DOI:10.11675/j.issn.0253-4304.2025.06.10

中医外治法在丘脑卒中后肩痛患者康复治疗中的效果

Effect of external therapy of Traditional Chinese Medicine in the rehabilitation of patients with shoulder pain after thalamic stroke

李昌柳 1吴潇潇 1刘华春 1董奎 1黄东挺 2廖德发3

作者信息

  • 1. 广西壮族自治区江滨医院物理治疗科,广西 南宁市 530021
  • 2. 广西壮族自治区江滨医院广西名中医工作室,广西 南宁市 530021
  • 3. 广西壮族自治区江滨医院骨与关节康复科,广西 南宁市 530021
  • 折叠

摘要

Abstract

Objective To explore the effect of external therapy of Traditional Chinese Medicine in the rehabilitation of patients with shoulder pain after thalamic stroke.Methods One hundred patients with shoulder pain after thalamic stroke were selected as the research subjects,and they were randomly divided into control group or observation group,with 50 cases in each group.Patients in the control group were treated with routine rehabilitation methods,based on which the observation group received external therapy of Traditional Chinese Medicine for treatment.Patients in both groups were treated for 30 days.Visual analogue scale(VAS)score for shoulder joint pain,range of motion of shoulder joint(flexion,abduction,external rotation)were compared between the two groups before treatment,and 7,15,and 30 days after treatment.The clinical efficacy was compared between patients of the two groups after 30 days of treatment.Results There were statistically significant differences in VAS score for shoulder joint pain,range of motion of shoulder joint flexion and external rotation between the two groups(P<0.05).The VAS score for shoulder joint pain in the two groups tended to decrease with time,and the range of motion of shoulder joint flexion,abduction and external rotation tended to increase with time(P<0.05).There was an interaction effect between grouping and time of the aforementioned indices(P<0.05).The VAS score for shoulder joint pain in the observation group was lower than that in the control group,while the range of motion of shoulder joint flexion and external rotation were larger than those in the control group 7,15 and 30 days after treatment,and the range of motion of shoulder joint abduction was larger than that in the control group 15 and 30 days after treatment(P<0.05).The overall effective rate in the observation group was higher than that in the control group(P<0.05).Conclusion On the basis of routine rehabilitation therapy,Traditional Chinese Medicine external therapy is significantly effective in the treatment of patients with shoulder pain after thalamic stroke,which can effectively improve the symptoms of shoulder joint pain and promote the recovery of shoulder joint function.

关键词

丘脑卒中/肩痛/中医药疗法/外治法/疗效

Key words

Thalamic stroke/Shoulder pain/Traditional Chinese Medicine therapy/External therapy/Efficacy

分类

医药卫生

引用本文复制引用

李昌柳,吴潇潇,刘华春,董奎,黄东挺,廖德发..中医外治法在丘脑卒中后肩痛患者康复治疗中的效果[J].广西医学,2025,47(6):836-840,5.

基金项目

广西科学研究与技术开发计划项目(桂科攻14124003-6) (桂科攻14124003-6)

广西壮族自治区卫生厅中医药科技专项(GZPT13-44) (GZPT13-44)

广西壮族自治区中医药管理局自筹经费科研课题(GXZYA20240274) (GXZYA20240274)

广西医学

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