| 高俊丽,俱西驰,李定安,仲 健,张明秀.康复训练、针灸联合丹参川芎嗪穴位注射对脑梗死患者肩手综合征的影响[J].,2017,17(27):5267-5270 |
| 康复训练、针灸联合丹参川芎嗪穴位注射对脑梗死患者肩手综合征的影响 |
| Impact of Rehabilitation Training, Acupuncture-moxibustion Combined with Danshen Chuanxiongqin Acupoint Injection on the Patients with Shoulder-hand Syndrome after Cerebral Infarction |
| 投稿时间：2017-03-01 修订日期：2017-03-28 |
| DOI：10.13241/j.cnki.pmb.2017.27.016 |
| 中文关键词: 脑梗死 肩手综合征 丹参川穹嗪 康复训练 针灸 |
| 英文关键词: Cerebral infarction Shoulder-hand syndrome Acupoint injection Danshen Chuanxiongqin Rehabilitation training Acupuncture and moxibustion |
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| 中文摘要: |
| 摘要 目的：探讨康复训练、针灸联合丹参川穹嗪穴位注射对脑梗死患者肩手综合征的影响。方法：选取2014年3月至2016年3月于我院诊治的脑梗死后肩手综合征(SHS)患者82例，随机平均分为A、B组各41例。A组患者予综合药物治疗、针灸及康复训练，B组在A组基础上给予丹参川穹嗪穴位注射治疗。分析比较两组患者治疗前后的上肢运动功能评分(FMA)、数字疼痛评分(NRS)、肩关节肿胀程度、肩关节活动度(ROM)、神经功能缺损评分(CNFDS)、日常生活活动能力(MBI)和生活质量评分(WHOQOL)。结果：治疗后，两组患者的NRS评分、肩关节肿胀程度、上肢CNFDS评分均较治疗前显著降低，上肢FMA评分、MBI、WHOQOL评分、各个范围ROM均明显增加，且B组以上指标较A组改善更明显(P<0.05)。结论：康复训练、针灸联合丹参川穹嗪穴位注射治疗脑梗死后肩手综合征疗效显著优于药物、针灸治疗及康复训练。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the impact of rehabilitation training, acupuncture-moxibustion combined with Danshen Chuanx- iongqin acupoint injection on the patients with shoulder-hand syndrome(SHS) after cerebral infarction(CI). Methods: 82 patients with SHS after CI from March 2014 to March 2016 in our hospital were randomly divided into the group A and the group B (n=41). Patients in the group A received comprehensive drug therapy, acupuncture and rehabilitation training, the group B was given Danshen Chuanx- iongqin acupoint injection therapy based on the group A. Before and after treatment, the upper limb movement function score (FMA), digital pain score (NRS), the degree of swelling in the shoulder joint, shoulder joint of motion (ROM), and neural function defect scale (CNFDS), daily life activities ability (MBI) and quality of life scores (WHOQOL) of patients in two groups were compared and analyzed. Results: After treatment, the scores of NRS, shoulder swelling, upper extremity CNFDS were significantly higher than those before treat- ment, the ROM, while the upper extremity FMA, MBI and WHOQOL of both groups were significantly decreased(P<0.05), these index improved more significantly in group A than those of group B(P<0.05). Conclusion: Rehabilitation training, acupuncture-moxibustion combined with Danshen Chuanxiongqin acupoint injection was more effective in the treatment of SHS after cerebral infarction than reha- bilitation training and acupuncture-moxibustion. |
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