腦卒中論文：腦卒中肩手綜合征針刺運(yùn)動(dòng)療法

1、【中文摘要】觀察針刺結(jié)合運(yùn)動(dòng)療法治療腦卒中后肩手綜合征的臨床療效,探討針刺結(jié)合運(yùn)動(dòng)療法對(duì)腦卒中后肩手綜合征的治療作用。將前來黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院就診的符合納入標(biāo)準(zhǔn)的60例患者隨機(jī)分為兩組：針刺結(jié)合運(yùn)動(dòng)療法組（治療組）及單純運(yùn)動(dòng)療法組（對(duì)照組）。治療組30例以針刺結(jié)合運(yùn)動(dòng)療法為主；對(duì)照組30例以運(yùn)動(dòng)療法為主。兩組療程均為三周，在治療前后分別采用簡(jiǎn)式Fugl-Meyer運(yùn)動(dòng)功能評(píng)分及疼痛-目測(cè)比評(píng)定法（VAS）、水腫的分級(jí)評(píng)分與ADL日常生活功能量表等來評(píng)定兩組在上肢運(yùn)動(dòng)功能、疼痛及生活功能等的變化進(jìn)行評(píng)分，并根據(jù)分?jǐn)?shù)評(píng)定療效。所有數(shù)據(jù)經(jīng)SPSS16.0軟件包處理，治療三周后兩組均有較好的

2、治療效果。治療前，治療組與對(duì)照組上肢的Fugl-Meyer運(yùn)動(dòng)功能評(píng)分、ADL日常生活功能量表評(píng)分、疼痛與水腫的目測(cè)比評(píng)分，經(jīng)組間比較p0.05,無顯著性差異,具有可比性。治療后，治療組與對(duì)照組均提高了上肢的Fugl-Meyer運(yùn)動(dòng)功能評(píng)分與ADL日常生活功能量表評(píng)分，也均降低了疼痛及水腫的目測(cè)比評(píng)分，兩組間比較pv0.05。說明，兩種治療方法對(duì)肩一手綜合征的臨床癥狀均有改善，但治療組療效明顯優(yōu)于對(duì)照組療效。1、針刺結(jié)合運(yùn)動(dòng)療法治療腦卒中后肩手綜合征有較好的臨床療效?！居⑽恼浚篢oobservetheeffectofacupuncturecombinedwiththerapeuticexe

3、rcisetotreattheShoulder-HandSyndrome(SHS)afterstroke.TostudythetherapeuticeffectsofacupuncturecombinedwiththerapeuticexerciseonSHSafterstrokeandtosupplytheevidenceofitsclinicalapplication.Methods:lnthepatientscomingtoHeilongjiangUniversityofTraditionalChineseMedicinefirsthospital,select60patientstha

4、tmeettheinclusioncriteria.The60patientsadoptssmallsampleconfrontationtesttodividethepatientsintotreatmentgroup(EG)andcontrolgroup(CG).3Ocasesineachgroups.Twogroupsofpatientsbothapplytreatmentforbasicdisease.Patientsinthetreatmentgroupweretreatedwithbothacupunctureandtherapeuticexercise.Patientsinthe

5、controlgroupweretreatedonlywiththerapeuticexercise.Thecourseswerethreeweeks.Scoresofupperlimbmovementfunction,pain,edemaanddailyactivitiesofthetwogroupsbeforeandaftertreatmentareevaluatedbyFugl-MeyerMotorFunctionAssessment,visualanaloguescales(VAS)andactivitiesofdailyliving(ADL)foranalysisofthetreat

6、menteffectiveness.Results:AIIdatawereprocessedbySPSS16.0package.ThescoresofthetwogroupsabouttheupperlimbFugl-Meyermotorfunctionscoresandthevisualmeasurementscoresonpainandedemaisnosignificantdifferencebeforethetreatment,p0.05.ThetwogroupsbothimprovetheupperlimbFugl-Meyermotorfunctionscores,andbothde

7、creasethevisualmeasurementscoresonpainandedema,p0.05.Therefore,thetwotherapeuticmethodscanbothamelioratetheclinicalsymptomsofhand-shouldersyndrome,butthetherapygroupobviouslyhaveanadvantagetothecontrolgroup.Conclusions:1.AcupuncturecombinedwiththerapeuticexercisetotreattheShoulder-HandSyndrome(SHS)a

8、fterstrokeshasabetterclinicaleffect.2.Theacupuncturecombinedwiththerapeuticexercisegroupwasmoreeffectivethantherapeuticexercisegroup.【關(guān)鍵詞】腦卒中肩手綜合征針刺運(yùn)動(dòng)療法【英文關(guān)鍵詞】StrokeShoulder-handSyndromeAcupunctureTherapeuticexercise【目錄】針刺結(jié)合運(yùn)動(dòng)療法治療腦卒中后肩手綜合征的臨床研究中文摘要4-5ABSTRACTS前言7-8文獻(xiàn)綜述8-251現(xiàn)代醫(yī)學(xué)對(duì)腦卒中后肩手綜合征的認(rèn)識(shí)8-161.1腦卒中后肩手綜合征的概念及意義81.2流行病學(xué)與轉(zhuǎn)歸8-91.3發(fā)病機(jī)制9-121.4臨床診斷與分期12-131.5現(xiàn)代醫(yī)學(xué)對(duì)