引用本文:徐培栋,何星锦,杨 焕,王君义,毛忠南.肌内效贴联合徒手淋巴引流术治疗脑卒中后肩手综合征患者的疗效观察[J].中国临床新医学,2020,13(4):367-370.
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肌内效贴联合徒手淋巴引流术治疗脑卒中后肩手综合征患者的疗效观察
徐培栋,何星锦,杨 焕,王君义,毛忠南
730000 兰州,甘肃中医药大学附属医院康复医学科
摘要:
[摘要] 目的 观察肌内效贴联合徒手淋巴引流术治疗脑卒中后肩手综合征患者的疗效,为临床治疗提供参考。方法 选择2018-04~2019-07该院收治的脑卒中后肩手综合征患者57例,随机分为对照组(27例)和观察组(30例)。对照组在常规康复训练的基础上给予徒手淋巴引流手法治疗,观察组在对照组的基础上给予肌内效贴治疗。比较两组治疗前后的视觉模拟评分法(VAS)评分、双手体积差和Fugl-Meyer上肢功能量表(FMA-UE)评分情况。结果 治疗前两组VAS评分、双手体积差及FMA-UE评分比较差异无统计学意义(P>0.05)。治疗后观察组VAS评分、双手体积差均显著低于对照组(P<0.05),而FMA-UE评分显著高于对照组(P<0.05)。结论 肌内效贴联合徒手淋巴引流术可以改善脑卒中后肩手综合征患者的肿胀及疼痛症状,促进患者上肢功能恢复,值得在临床中应用。
关键词:  脑卒中  肩手综合征  徒手淋巴引流术  肌内效贴
DOI:10.3969/j.issn.1674-3806.2020.04.11
分类号:R 743
基金项目:甘肃省2019年度重点人才项目(编号:甘组通字[2019]39号)
Therapeutic effect of kinesiology taping combined with manual lymphatic drainage on patients with shoulder-hand syndrome after stroke
XU Pei-dong, HE Xing-jin, YANG Huan, et al.
Department of Rehabilitation Medicine, Affiliated Hospital of Gansu University of Chinese Medicine, Lanzhou 730000, China
Abstract:
[Abstract] Objective To investigate the therapeutic effect of kinesiology taping combined with manual lymphatic drainage on patients with shoulder-hand syndrome after stroke and provide theoretical basis for clinical treatment. Methods Fifty-seven patients with shoulder-hand syndrome after stroke in our hospital from April 2018 to July 2019 were selected and randomly divided into control group(27 cases) and observation group(30 cases). The control group was treated with manual lymphatic drainage therapy on the basis of conventional rehabilitation training, and the observation group was treated with the same treatment as the control group plus kinesiology taping. The Visual Analogue Scale(VAS) scores, volume difference of both hands, and Fugl-Meyer Index of Upper Extremity(FMA-UE) scores were compared between the two groups before and after treatment. Results Before treatment, there were no significant differences in the VAS scores, volume difference of both hands and the FMA-UE scores between the two groups(P>0.05). After treatment, the VAS scores and volume difference of both hands in the observation group were significantly lower than those in the control group(P<0.05), and the FMA-UE scores in the observation group were significantly higher than those in the control group(P<0.05). Conclusion Kinesiology taping combined with manual lymphatic drainage can relieve the swelling and pain of the patients with shoulder-hand syndrome after stroke, and promote the recovery of upper limb function in the patients, which is worthy of clinical application.
Key words:  Stroke  Shoulder-hand syndrome  Manual lymphatic drainage  Kinesiology taping