刘一潼

摘要：目的 观察脑卒中后肩手综合征选择中医康复方法的临床效果。方法 病例均筛选自本院收治的脑卒中后肩手综合征患者，总计纳入80例。以随机双盲法前瞻分组，各40例。对照组选择常规西药并针灸方案，观察组在对照组基础上联合中医康复方法，对比临床康复效果。结果 观察组康复有效率、患者关节活动度及生活质量评分均高于对照组（P<0.05）。结论 脑卒中后肩手综合征选择中医康复方法，可提升康复效率及关节活动度，改善患者生活质量，应用价值高。

关键词：脑卒中;肩手综合征;中医康复方法;效果观察

[Abstract]Objective To observe the clinical effect of TCM rehabilitation on shoulder hand syndrome after stroke. Methods 80 patients with shoulder hand syndrome after stroke were selected from our hospital. They were randomly divided into two groups，40 cases in each group. The control group was treated with conventional western medicine and acupuncture，while the observation group was treated with traditional Chinese medicine rehabilitation on the basis of the control group. Results the effective rate of rehabilitation，range of motion and quality of life scores of the observation group were higher than those of the control group（P < 0.05）. Conclusion TCM rehabilitation can improve the rehabilitation efficiency and joint range of motion，and improve the quality of life of patients with shoulder hand syndrome after stroke.

[Key words]stroke;Shoulder hand syndrome;Rehabilitation methods of traditional Chinese medicine;Effect observation

脑卒中为临床常见脑血管疾病，是由于脑血管堵塞或者破裂导致的血液回流障碍疾病，疾病的危害在于可引发局部脑组织损伤，导致患者出现头晕、肢体麻木，半身不遂等症状，严重的还伴有肺部感染、消化道出血以及急性肾功能衰竭并发症【1】。临床中最为常见的为反射性交感神经营养不良综合征（简称肩手综合征）。患侧肩部疼痛，无法正常活动，患侧手部存在疼痛、肿胀继续发展可导致手部肌肉萎缩或是发生痉挛畸形。临床中常用药物及中医针灸进行康复，相关研究证实【2】，中医康复方法用于并发症改善具有积极效果。本次研究中针对脑卒中肩手综合征在常规治疗同时联合中医康复方法，观察及分析对康复效果的影响。现报道如下。

1 资料与方法

1.1 一般资料

病例均筛选自本院2019年12月-2020年10月收治的脑卒中后肩手综合征患者，总计纳入80例。……