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A clinical study on acupuncture in combination with routine rehabilitation therapy for early pain recovery of post-stroke shoulder-hand syndrome

机译:针刺配合常规康复治疗中风后肩手综合征早期疼痛的临床研究

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摘要

The clinical effect of acupuncture in combination with rehabilitation therapy for post-stroke shoulder-hand syndrome (SHS) was explored. Patients (178) with post-stroke SHS who received treatment in the Dalian Second Hospital from March 2012 to March 2016 were included in this study. The patients were divided into experimental group (89 cases) and control group (89 cases). Patients in the control group received rehabilitation therapy, while those in the treatment group received acupuncture treatment in addition to rehabilitation therapy. Visual analogue scale (VAS) was applied to assess the pain degree of patients. Fugl-Meyer assessment (FMA), functional comprehensive assessment (FCA) and assessment of quality of life (QoL) were used to evaluate rehabilitation condition of the patients. Early pain relief, rehabilitation of upper extremity motor function and improvement of QoL after treatment were compared between the two groups. The scores of VAS, FMA, FCA and QoL showed obvious differences between the two groups after treatment (P<0.05). The scores of the experimental group were significantly better than those of the control group, and the improvement in upper extremity motor function of the patients in the experimental group was better than that of the patients in the control group. The total effective rate of the patients in the experimental group was higher than that of control group (P<0.05). The effect in improving the upper extremity motor function of the patients in the experimental group was better than that of control group. The scores of QoL of the patients in the experimental group were better than that of the patients in the control group (P<0.05). In conclusion, acupuncture in combination with rehabilitation therapy can improve early pain and rehabilitation significantly and enhance QoL for patients with post-stroke SHS, which is worthy of being widely used in clinical practice.
机译:探讨了针灸结合康复治疗中风后肩手综合征(SHS)的临床效果。这项研究纳入了2012年3月至2016年3月在大连第二医院接受治疗的卒中后SHS患者(178)。将患者分为实验组(89例)和对照组(89例)。对照组的患者接受康复治疗,而治疗组的患者除接受康复治疗外还接受针灸治疗。视觉模拟量表(VAS)用于评估患者的疼痛程度。应用Fugl-Meyer评估(FMA),功能综合评估(FCA)和生活质量评估(QoL)评估患者的康复状况。比较两组的早期疼痛缓解,上肢运动功能的康复和治疗后QoL的改善。治疗后两组VAS,FMA,FCA,QoL评分差异有统计学意义(P <0.05)。实验组的得分明显优于对照组,实验组患者的上肢运动功能改善明显优于对照组。实验组总有效率高于对照组(P <0.05)。实验组患者改善上肢运动功能的效果优于对照组。实验组患者的QoL评分优于对照组(P <0.05)。总之,针刺配合康复治疗可以显着改善卒中后SHS患者的早期疼痛和康复,并提高QoL,值得在临床实践中广泛使用。

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