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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:针灸与常规康复治疗术后患者术后肩综合征的临床研究

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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 (P0.05). 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 (P0.05). 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 (P0.05). 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:探讨了针灸与中风后肩综合征(SHS)结合康复治疗的临床疗效。患者(178年)与2012年3月至2016年3月从2012年3月收到大连第二医院治疗的后卒中SHS被列入了本研究。将患者分为实验组(89例)和对照组(89例)。对照组患者接受了康复治疗,而治疗组中的那些除了康复治疗外还接受针灸治疗。应用视觉模拟量表(VAS)评估患者的疼痛程度。 Fugl-Meyer评估(FMA),功能综合评估(FCA)和对生活质量评估(QOL)评估患者的康复状况。在两组之间比较了早期疼痛,恢复上肢电机功能和QoL的改善。 VAS,FMA,FCA和QOL的分数显示治疗后两组之间的明显差异(P <0.05)。实验组的分数明显优于对照组的那些,实验组患者的上肢电机功能的改善优于对照组的患者。实验组患者的总有效率高于对照组(P <0.05)。改善实验组患者上肢电机功能的效果优于对照组。实验组患者的QoL的评分优于对照组中的患者(P <0.05)。总之,针灸与康复治疗组合可以显着改善早期疼痛和康复,并为中风后患者提高QoL,这值得广泛用于临床实践。

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