激光杂志
激光雜誌
격광잡지
LASER JOURNAL
2014年
2期
67-68
,共2页
激光%穴位贴%康复训练%脑卒中%肩手综合征%疗效
激光%穴位貼%康複訓練%腦卒中%肩手綜閤徵%療效
격광%혈위첩%강복훈련%뇌졸중%견수종합정%료효
laser%Sticking%Rehabilitation training%Stroke%Shoulder hand syndrome%The curative effect
目的：观察激光穴照并穴位贴敷联合康复训练对脑卒中后肩手综合征的疗效影响。方法：将108例脑卒中后肩手综合征患者随机分为观察组和对照组，各54例。对照组采取康复训练；观察组在康复训练的基础上配合激光穴照并穴位贴敷治疗，治疗时间为4周。在治疗前后分别对两组采用目测类比评分法(VAS)、Barthel(BI)指数、改良的Fulg- Meyer(FMA)法评定患侧上肢手指水肿、疼痛程度、关节活动范围、日常生活活动能力( ADL)及上肢运动功能，评定其临床疗效。结果：两组治疗后偏瘫侧水肿、肩痛、关节活动度、Barthel指数及FMA- Meyer 评分较治疗前均有显著改善(P<0.05)，观察组明显好于对照组(P<0.05)，且观察组临床疗效总有效率（96.30%）显著优于对照组(74.07%)， P<0.05。结论：激光穴照并穴位贴敷联合康复训练对脑卒中后肩手综合征疗效显著。
目的：觀察激光穴照併穴位貼敷聯閤康複訓練對腦卒中後肩手綜閤徵的療效影響。方法：將108例腦卒中後肩手綜閤徵患者隨機分為觀察組和對照組，各54例。對照組採取康複訓練；觀察組在康複訓練的基礎上配閤激光穴照併穴位貼敷治療，治療時間為4週。在治療前後分彆對兩組採用目測類比評分法(VAS)、Barthel(BI)指數、改良的Fulg- Meyer(FMA)法評定患側上肢手指水腫、疼痛程度、關節活動範圍、日常生活活動能力( ADL)及上肢運動功能，評定其臨床療效。結果：兩組治療後偏癱側水腫、肩痛、關節活動度、Barthel指數及FMA- Meyer 評分較治療前均有顯著改善(P<0.05)，觀察組明顯好于對照組(P<0.05)，且觀察組臨床療效總有效率（96.30%）顯著優于對照組(74.07%)， P<0.05。結論：激光穴照併穴位貼敷聯閤康複訓練對腦卒中後肩手綜閤徵療效顯著。
목적：관찰격광혈조병혈위첩부연합강복훈련대뇌졸중후견수종합정적료효영향。방법：장108례뇌졸중후견수종합정환자수궤분위관찰조화대조조，각54례。대조조채취강복훈련；관찰조재강복훈련적기출상배합격광혈조병혈위첩부치료，치료시간위4주。재치료전후분별대량조채용목측류비평분법(VAS)、Barthel(BI)지수、개량적Fulg- Meyer(FMA)법평정환측상지수지수종、동통정도、관절활동범위、일상생활활동능력( ADL)급상지운동공능，평정기림상료효。결과：량조치료후편탄측수종、견통、관절활동도、Barthel지수급FMA- Meyer 평분교치료전균유현저개선(P<0.05)，관찰조명현호우대조조(P<0.05)，차관찰조림상료효총유효솔（96.30%）현저우우대조조(74.07%)， P<0.05。결론：격광혈조병혈위첩부연합강복훈련대뇌졸중후견수종합정료효현저。
Objective:To observe the laser acupuncture point according to joint rehabilitation training and acupoints were applied to the curative effect of shoulder hand syndrome after stroke. Methods: 108 patients with shoulder hand syndrome after stroke were randomly divided into observation group and control group, 54 cases each. The control group take the rehabilitation training;Observa-tion group on the basis of rehabilitation training and laser acupuncture point according to the acupoint sticking therapy, treatment time is 4 weeks. Respectively on two groups before and after therapy by using visual analog score (VAS), Barthel index (BI), improved Fulg- Meyer (FMA) method to assess degree of lateral upper limb edema, finger pain, joint activities, active ability of daily life (ADL) and upper limb movement function and assess its clinical curative effect. Results: Two groups after treatment of hemiplegia side, edema, shoulder pain, joint mobility Barthel index and FMA- Meyer scores were significantly improved than before treatment (P<0.05), the observation group is much better than the control group (P<0.05), and the clinical curative effect of observation group total effective rate (96.30%) were significantly better than the control group (74.07%), P<0.05). Conclusion:Laser acupuncture point and meridians to stick apply joint rehabilitation training has a good effect on shoulder hand syndrome after stroke.
