乳香外洗方联合肢体功能锻炼治疗脑梗死后SHS 临床观察
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广州市医药卫生科技项目(No :20152A011013)


Therapeutic significance of frankincense lotion prescription plus limb exercises in treatment of shoulder hand syndrome after cerebral infarction
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    摘要:

    目的 探讨乳香外洗方联合肢体功能锻炼治疗脑梗死后肩手综合征(SHS)的疗效。方法 选取脑 梗死后SHS 患者64 例,按信封法随机分为联合组和对照组,每组各32 例。两组均给予神经内科常规治疗 和肢体功能锻炼,连续治疗14 d。联合组行乳香外洗方患肢熏蒸治疗,25 min/ 次,1 次/d,连续治疗14 d ; 对照组行热水患肢熏蒸治疗,25 min/ 次,1 次/d,连续治疗14 d。比较评价两组疗效、治疗前后简式Fugl- Meyer 法运动功能评分(FMA)、Ashworth 痉挛评分、上肢关节疼痛视觉模拟评分(VAS)及脑梗死专用生 活质量量表(SS-QOL)。统计比较两组满意度和不良反应发生情况。结果 与对照组比较,联合组治疗有效率、 患者满意度、治疗1 和2 周FMA 及SS-QOL 均提高,治疗1 和2 周Ashworth 痉挛评分与VAS 降低(P < 0.05);与治疗前比较,联合组治疗1 和2 周FMA 与SS-QOL 均提高,治疗1 和2 周Ashworth 痉挛评分与VAS 降低; 对照组治疗2 周FMA 和SS-QOL 均提高,治疗2 周Ashworth 痉挛评分和VAS 降低(P <0.05)。两组不良反应 发生率比较差异无统计学意义(P >0.05)。结论 乳香外洗方联合肢体功能锻炼治疗脑梗死后SHS 疗效良好, 可有效缓解疼痛并改善患者肢体功能、生存质量及满意度,且安全性良好,值得临床推广。

    Abstract:

    Objective To investigate the therapeutic effect of frankincense lotion prescription plus limbexercisein treatment of shoulder hand syndrome after cerebral infarction. Methods A total of 64 patients with shoulder hand syndrome after cerebral infarction were involved in this study and received standard treatment plus limb exercise. Patientswere randomly divided into 2 groups: Lotion group in which patients received frankincense lotion prescription (n = 32) and control group in which patients received hot water treatment (n = 32). After 25 minutes for one time, once per day and 14 consecutive days, curative efficacy, simplified Fugl-Meyer method of movement function score (FMA), Ashworth score, upper limb spasm pain visual analogue scale (VAS) and stroke specific quality of life scale (SS-QOL) of two groups were evaluated. Satisfaction rate and adverse events were recorded. Results Patients in Lotion group who received lotion treatment for 1 or 2 weeks both had increased FMA score and SS-QOL score and decreased Ashworth score and VAS score when compared with that prior to any treatments. Patients in control group who received lotion treatment for at least 2 weeks experienced the similar improvement when compared with that prior to treatments. Curative efficacy, patient satisfaction, FMA score and SS-QOL score increased while Ashworth score and VAS score decreased significantly after 1 week or 2 weeks of lotion treatment compared with the control group (P < 0.05). No significant difference in the adverse reactions between the two groups were observed (P > 0.05). Conclusion Frankincense lotion prescription combined with limb functional exercises have promisingcurative effect in patients with shoulder hand syndrome after cerebral infarction, in addition to better satisfaction and safety.

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刘青,黄德弘,黄坚红,王成银,许幸仪,翁旭亮,何子意.乳香外洗方联合肢体功能锻炼治疗脑梗死后SHS 临床观察[J].中国现代医学杂志,2018,(12):74-78

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  • 收稿日期:2017-08-08
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  • 在线发布日期: 2018-04-30
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