[1]陈荣群,何乾超,李雪连,等.辨证中药熏蒸疗法结合康复治疗对脑梗死后早期肩-手综合征的疗效[J].大众科技,2020,22(04):56-58.
　The Curative Effect of Traditional Chinese Medicine Fumigation TherapyCombinated with Rehabilitation on Early Shoulder-Hnd Syndrome afterCerebral Infarction[J].Popular Science & Technology,2020,22(04):56-58.
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辨证中药熏蒸疗法结合康复治疗对脑梗死后早期肩-手综合征的疗效()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
22
期数:
2020年04
页码:
56-58
栏目:
医药与卫生
出版日期:
2020-04-20

文章信息/Info

Title:
The Curative Effect of Traditional Chinese Medicine Fumigation TherapyCombinated with Rehabilitation on Early Shoulder-Hnd Syndrome afterCerebral Infarction
作者:
陈荣群;  何乾超;  李雪连;  滕秋月;  唐琳芳;  周小琳
（广西中医药大学第一附属医院，广西 南宁 530001）
关键词:
辨证论治; 中药熏蒸疗法; 脑梗死; 肩-手综合征
Keywords:
syndrome differentiation and treatment;  traditional Chinese medicine fumigation therapy;  cerebral infarction; shoulder-hand syndrome
文献标志码:
A
摘要:
目的：评估辨证中药熏蒸疗法对脑梗死后早期肩-手综合征（shoulder-hand syndrome，SHS）的疗效。方法：脑梗死后早期 SHS 患者 126 例随机分入治疗组和对照组，每组各 63 例，对照组进行基础治疗和康复治疗，治疗组在此基础上进行辨证中药熏蒸疗法，采用患肢 Fugl-Meyer 评分评估运动功能，视觉模拟评分（visual analog scale，VAS）、painDETECT 问卷积分评估疼痛程度，肿胀前臂周径差积分评估患肢肿胀程度，并评估辨证中药熏蒸疗法结合康复治疗对脑梗死后早期 SHS 的总疗效。结果：经过 4 周治疗后，中药熏蒸疗法结合康复治疗对脑梗死后早期 SHS 总有效率达 86.88%。与对照组相比，治疗组患者患肢 Fugl-Meyer 评分增加、VAS、painDETECT 问卷积分、肿胀前臂周径差积分均下降，差异具有统计学意义（P＜0.05或 P＜0.01）。结论：辨证中药熏蒸疗法结合康复治疗对脑梗死后早期 SHS 有较好的疗效，并且副作用较小。
Abstract:
Objective: To evaluate the therapeutic effect of fumigation therapy of TCM based on syndrome differentiation on shoulderhand syndrome (SHS) in early stage after cerebral infarction. Methods: 126 patients with SHS in the early stage after cerebral infarctionwere randomly divided into the treatment group and the control group, 63 in each group and the control group on the basis of treatment andrehabilitation treatment, treatment group on the basis of traditional Chinese medicine fumigation therapy, syndrome differentiation withlimb Fugl - Meyer score evaluation function, visual analogue scale (visual analog scale, VAS), integral painDETECT questionnaireevaluation degree of pain, swelling of the forearm radius zhou integral evaluation of limb swelling degree, and to assess syndrome afterChinese medicine fumigation therapy combined with rehabilitation therapy for cerebral infarction in the early general curative effect ofSHS. Results: The total effective rate of rehabilitation combinated with dialectic fumigation and steaming therapy of traditional Chinesemedicine on early SHS after cerebral infarction is 86.88% after 4 weeks treatment. Compared to patients in control group, the score ofFugl-Meyer of affected limb was increased, the score of VAS、painDETECT and integral value of difference of forearm circumference weredownregulated after treatment, the difference was statistically significant（P＜0.05 or P＜0.01）. Conclusion: TCM fumigation combinedwith rehabilitation therapy has a better effect on early SHS after cerebral infarction, and has less side effects.

参考文献/References:

[1] 张爱香. 中风后偏瘫肢体肿胀中西医影响因素的临床研究[D]. 福州: 福建中医药大学，2016.[2] 马达，孔林，李娟娟. 中药熏洗治疗脑卒中肩手综合征临床疗效分析[J]. 中医临床研究，2017(17): 68-69.[3] 谭璐璐，陈兴华. “通络Ⅰ方”辨证取穴烫熨治疗脑梗死后肩手综合征Ⅰ期临床疗效[J]. 辽宁中医杂志，2015，42(3): 526-528.[4] 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南 2014[J]. 中华神经科杂志，2015，48(4): 246-257.[5] 何乾超，蔡卓冶，蔡伦，等. 药线点灸结合运动疗法对脑卒中后早期肩-手综合征的疗效[J]. 中国康复医学杂志，2013，28(8): 773-774.[6] 贾爱明，艾群，刘耘，等. 中药联合针刺治疗脑卒中后肩手综合征的疗效观察[J]. 大连医科大学学报，2013，35(3): 264-267.[7] 张幻真.“靳三针”理论指导针刺治疗卒中后偏侧肢体肿胀的临床研究[D]. 广州: 广州中医药大学，2016.[8] 朱明跃，徐俊峰，杨丽华. 脑卒中偏瘫后肩痛发病机制分析和治疗进展[J]. 中国疼痛医学杂志，2014，20(10):745-747.

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备注/Memo

备注/Memo:
【收稿日期】2020-02-05【基金项目】广西壮族自治区卫生厅课题（Z2016662）；广西壮族自治区卫计委临床重点专科建设资助项目。【作者简介】陈荣群（1964－），女，广西中医药大学第一附属医院副主任护师，研究方向为脑血管病临床护理研究。【通信作者】何乾超，供职于广西中医药大学第一附属医院。
更新日期/Last Update: 2020-08-03