CAJ | 학술논문

目的：探讨针刺联合康复训练治疗肩手综合征的临床疗效。方法：将80例肩手综合征患者随机分为对照组和观察组各40例，对照组给予康复训练治疗，观察组给予针刺联合康复训练治疗，两个疗程后对比治疗结果。结果：观察组总有效率92.50％优于对照组总有效率72.50％，差异有统计学意义（P＜0.05）；两组VAS、FMA评分均较治疗前提高，但观察组均提高更为明显，差异均有统计学意义（P＜0.05）。结论：针刺联合康复训练治疗脑卒中后肩手综合征，通络止痛、醒脑开窍，可明显缓解疼痛，改善肢体功能，临床疗效优异，值得临床进一步研究推广。
목적：탐토침자연합강복훈련치료견수종합정적림상료효。방법：장80례견수종합정환자수궤분위대조조화관찰조각40례，대조조급여강복훈련치료，관찰조급여침자연합강복훈련치료，량개료정후대비치료결과。결과：관찰조총유효솔92.50％우우대조조총유효솔72.50％，차이유통계학의의（P＜0.05）；량조VAS、FMA평분균교치료전제고，단관찰조균제고경위명현，차이균유통계학의의（P＜0.05）。결론：침자연합강복훈련치료뇌졸중후견수종합정，통락지통、성뇌개규，가명현완해동통，개선지체공능，림상료효우이，치득림상진일보연구추엄。
Objective:This is a clinical research on acupuncture combined with rehabilitation training in the treatment of shoulder -hand syndrome .Methods:Eighty cases of shoulder-hand syndrome patients were randomly divided into control group and observation group , control group was given rehabilitation training , and observation group was given acupuncture combined with rehabilitation training , com-pare efficacy after 2 courses.Results:Observation group’s total effective rate =92.5%, control group =72.5% (P<0.05); both groups’ VAS, FMA scores increased compared with before treatment , the tendency was more notable in observation group P<0.05). Conclusion:Acupuncture combined with rehabilitation training can remove obstruction in collaterals , relieve pain , refresh mind and open orifices .When treating shoulder-hand syndrome after stroke , the combined therapy can relieve pain and improve physical function , therefore it’s recommended to be used in clinic.