[1]王万宏,孙文玉,毕鸿雁,等.通元药灸联合常规康复训练治疗脑卒中后肩痛30例临床观察[J].甘肃中医药大学学报,2018,35(06):73-76.[doi:10.16841/j.issn1003-8450.2018.06.16]
 WANG Wanhong,SUN Wenyu,BI Hongyan,et al.Clinical observation on 30 cases of shoulder pain after stroke treated by Tongyuan medicinal moxibustion combined with conventional rehabilitation training[J].Journal of Gansu University of Chinese Medicine,2018,35(06):73-76.[doi:10.16841/j.issn1003-8450.2018.06.16]
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通元药灸联合常规康复训练治疗脑卒中后肩痛30例临床观察
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
35卷
期数:
2018年06期
页码:
73-76
栏目:
针灸推拿
出版日期:
2018-12-25

文章信息/Info

Title:
Clinical observation on 30 cases of shoulder pain after stroke treated by Tongyuan medicinal moxibustion combined with conventional rehabilitation training
作者:
王万宏 孙文玉 毕鸿雁 徐朦婷 陈玉萧 郝世杰
山东中医药大学附属医院康复科, 山东 济南 250014
Author(s):
WANG Wanhong SUN Wenyu BI Hongyan XU Mengting CHEN Yuxiao HAO Shijie
Rehabilitation Department, Affiliated Hospital of Shandong University of TCM, Ji’nan, Shandong, 250014, China
关键词:
肩痛脑卒中通元药灸常规康复训练视觉模拟评分法评分Fugl-Meyer运动功能量表评分改良Barthel指数临床疗效
Keywords:
shoulder painstrokeTongyuan medicinal moxibustionroutine rehabilitation trainingvisual analogue scale (VAS) scoresFugl-Meyer assessment (FMA) scoresmodified Barthel index (MBI)clinical efficacy
分类号:
R246.1
DOI:
10.16841/j.issn1003-8450.2018.06.16
摘要:
目的 观察通元药灸联合常规康复训练治疗脑卒中后肩痛的临床疗效。方法 将60例脑卒中后肩痛患者采用随机数字表法分为治疗组和对照组,各30例。对照组予常规康复训练,治疗组在对照组治疗方法的基础上联合通元药灸治疗。1次/d,30 min/次,每周治疗5次,10次为1个疗程,治疗3个疗程后比较2组的临床疗效及治疗前后的视觉模拟评分法(VAS)评分、Fugl-Meyer评估量表(FMA)评分及改良Barthel指数(MBI)。结果 对照组总有效率为73.33%,治疗组为90.00%,2组比较差异有统计学意义(P<0.05);治疗后2组VAS评分明显降低,FMA评分及MBI明显升高,与同组治疗前比较差异均有统计学意义(P<0.05),且治疗组对各项指标的改善作用明显优于对照组,2组治疗后比较差异均有统计学意义(P<0.05)。结论 在常规康复训练的基础上联合通元药灸治疗脑卒中后肩痛疗效确切,能明显改善患者的临床症状,促进患者整体功能的恢复,值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of Tongyuan medicinal moxibustion combined with conventional rehabilitation training in the treatment of shoulder pain after stroke. Methods Sixty patients with shoulder pain after stroke were divided into treatment group and control group according to random number table, with 30 in each. The control group was given conventional rehabilitation training, and the treatment group was given Tongyuan medicinal moxibustion on the basis of the control group. Once a day, 30 min per time, 5 times per week, 10 times constitute one course of treatment. After 3 courses of treatment, the clinical efficacy, visual analogue scale (VAS) scores, Fugl-Meyer assessment (FMA) scores and modified Barthel index (MBI) before and after treatment of the 2 groups were compared. Results The total effective rate of the control group was 73.33%, that of the treatment group was 90.00%, there was statistically significant difference between the 2 groups (P<0.05). After treatment, the VAS scores decreased significantly, while the FMA scores and MBI increased significantly in the 2 groups, there were statistically significant differences compared with the same group before treatment (P<0.05). Moreover, the improvement in various indicators of the treatment group was superior to that of the control group, there were statistically significant differences between the two groups after treatment (P<0.05). Conclusion It has significant curative effects to treat shoulder pain after stroke with conventional rehabilitation training combined with Tongyuan medicinal moxibustion. It can significantly improve the clinical symptoms of the patients, and promote the recovery of overall function of them, which is worthy of clinical promotion and application.

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备注/Memo

备注/Memo:
收稿日期:2018-02-28。
基金项目:国家中医药管理局科技司中医康复能力规范化建设项目(鲁财社[2016]47号)。
作者简介:王万宏(1989-),男,在读硕士研究生。研究方向:神经损伤与腰背痛康复的临床与基础研究。
通信作者:毕鸿雁(1967-),女,主任医师,医学硕士,主要从事神经损伤与腰背痛康复的临床与基础研究。E-mail:hongyan-bi@163.com
更新日期/Last Update: 1900-01-01