| Objective:The subject was divided into groups by random grouping,and the control group was treated with simple rehabilitation exercise,and the treatment group was treated with acupuncture combined with rehabilitation exercise.The clinical efficacy of the two groups before and after 10 days and 3 weeks after treatment was observed.The purpose is to clarify the clinical efficacy of acupuncture combined with rehabilitation exercise in the treatment of Shoulder-hand syndrome after stroke,so as to find a safe and effective treatment for Shoulder-hand syndrome after stroke.Methods:Methods 60 cases of Shoulder-hand syndrome after stroke were randomly divided into treatment group(acupuncture plus rehabilitation exercise group)and control group(pure rehabilitation group),30 cases in each group.The control group received rehabilitation training,including centripetal winding of fingers and wrist,cushion and soft pillow,ice therapy,self assistance training and passive auxiliary training for 3weeks.The treatment group was treated with acupuncture on the basis of rehabilitation training.The treatment group was treated for 30 minutes each time,and the sense of needle was tolerated by the patient.The treatment group was treated with acupuncture 6times a week for 3 weeks.60 patients before treatment,10 days and 3 weeks after receiving activities of daily living(ADL),simplified Fugl-Meyer motor assessment(FMA),visual analogue scale(VAS)assessment.Through the treatment before,during and after the evaluation,we observed the recovery of the upper extremities between the two groups,and compared the efficacy of the two treatments at different stages and the advantages and disadvantages of the two treatments.Results:(1)Activities of daily living(ADL): after 10 days of treatment,the ADL score of two groups before treatment were improved,there was significant difference(P<0.01);after 3 weeks of treatment,ADL scores of the two groups before treatment were significantly increased,there was significant difference(P<0.01);for 10 days ADL scores between the two groups,the treatment group than in the control group had no obvious score improved,no significant difference(P>0.05),after 3 weeks of treatment,the treatment group were significantly higher than those in the control group,there was significant difference(P<0.01).(2)SimplifiedFugl-Meyer motor assessment(FMA): after 10 days of treatment,the FMA score of two groups before treatment were significantly improved,there was significant difference(P<0.01);after 3 weeks of treatment,two groups of FMA score were significantly improved,there was significant difference(P<0.01);10 days of treatment between the two groups of FMA score of P<0.05,treatment of 3 the week after the FMA score between the two groups of P<0.01,there were significant differences.(3)The visual analogue scale(VAS): after 10 days of treatment,reduce the VAS score of treatment group than before treatment,there was significant difference(P<0.01),the control group decreased VAS score before treatment,there was significant difference(P<0.05);after 3 weeks of treatment,VAS scores of the two groups before treatment were significantly difference(P<0.01)between the two groups;10 days and 3 weeks after treatment,the treatment group than the control group pain improved obviously(P<0.05),there was significant difference.(4)The effective number and effective number of the treatment group were significantly higher than that of the control group.The total effective rate of the treatment group was 96.67%,and the total effective rate of the control group was 70%.The total effective rate of the treatment group was significantly better than that of the control group.Conclusions:(1)From three points of view,10 days after treatment,acupuncture combined with rehabilitation exercise and simple rehabilitation exercise can improve the scale score.Among them,acupuncture combined with rehabilitation exercise therapy in FMA and VAS has better curative effect than simple rehabilitation exercise,while in ADL,the curative effect of the two treatments is not obvious.(2)With the extension of treatment time,acupuncture combined with rehabilitation exercise and simple rehabilitation exercise can improve the motor function and relieve pain of patients with Shoulder-hand syndrome after stroke.The two treatment methods can improve the motor function of patients with Shoulder-hand syndrome after stroke.(3)Compared with the simple rehabilitation therapy,acupuncture combined with rehabilitation exercise therapy is more effective in the treatment of post apoplectic Shoulder-hand syndrome. |
PDF Full Text Request