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| Clinical Effects of Timing Herbal Foment on Qi-Deficiency and Blood Stasis Patients with Post-stroke Shoulder-hand Syndrome (Stage Ⅰ) |
| ZHANG Zhu-ping, ZHONG Wen, PANG Lin,et al |
| The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350003 |
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Abstract 【Objective】 To observe the clinical effects of timing herbal foment in the treatment of patients with Qi-deficiency and blood stasis type of post-stroke shoulder-hand syndrome (stage Ⅰ). 【Methods】 A total of 80 patients with post-stroke shoulder-hand syndrome in stage I who were admitted to the Department of Encephalopathy in our hospital from May 2020 to October 2021.They were selected and randomly divided into the observation group and the control group, with 40 cases in each group. The control group was treated with routine nursing and rehabilitation training. The observation group was treated with timing herbal foment in addition to the control group. After continuous observation for 3 weeks, modified Fugl Meyer upper limb motor function score (FMA), the Changhai pain scale and activities of daily living score of the two groups were compared. 【Results】 Compared the effects of treatment in the two groups before treatment, the FMA score increased and the Changhai pain scale decreased after treatment; And the differences were significant (P<0.05). There was no difference in FMA and Changhai Pain Scale scores between the two groups before treatment (P>0.05).After treatment, the FMA score of the observation group was higher than that of the control group, while the score of Changhai pain sacle was lower than that of the control group. There were significant difference (P<0.05). The total clinical effective rate of the observation group was higher than that of the control group (P<0.05). During the treatment, no adverse reactions such as rash, itching, blisters, and ulceration occurred in the two groups of patients. 【Conclusion】 Timing herbal foment can effectively improve the limb motor function and reduce pain in patients with Qi-deficiency and blood stasis type of post-stroke shoulder-hand syndrome (stage Ⅰ). Thus, it improves the clinical efficacy, which is suitable for clinical comprehensive treatment.
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Received: 15 August 2022
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[1] 南登昆.康复医学[M].第3版.北京:人民卫生出版社,2004:208.
[2] 孔凡娥,王楠,郑遵成.脑卒中后肩手综合征的康复研究进展[J].中国医学创新,2020,34(17):164-167.
[3] 苏梦,闫岚,孟晓晨,等.中医外治法治疗中风后肩手综合征临床研究进展[J].西部中医药,2022,35(2):149-152.
[4] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):246-257.
[5] 张通.脑卒中的功能障碍与康复[M].北京:科学技术文献出版社,2006:100.
[6] 王玉龙.康复功能评定学[M].北京:人民卫生出版社,2008:457-460.
[7] 陆小英,赵存凤,张婷婷,等.“长海痛尺”在疼痛评估中的应用[J].解放军护理杂志,2003,20(4):6-7.
[8] 王茂斌.脑卒中的康复医疗[M].北京:中国科学技术出版社,2006:241.
[9] 李会娟,丁淑强.中西医治疗肩手综合征研究进展[J].中西医结合心脑血管病杂志,2020,18(15):2442-2446.
[10] 王郭梅.中药熏蒸结合手法治疗脑卒中后肩手综合征临床观察[J].光明中医,2021,36(13):2109-2111.
[11] 过灵香,倪伟,祈芳,等.中药治疗肩手综合征中医辨证分型及用药规律分析[J].中医药导报,2015,21(14):7-9.
[12] 江月卿,钟雯,程晓丹.子午流注择时中药熏洗治疗脑卒中肩手综合征效果观察[J].中外医学研究,2021,19(15):161-163. |
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2023, Vol. 40 
