Title:热敏灸疗法在脑卒中后肩手综合征患者康复中的应用效果分析
卷期:2024年22卷20期
作者:邓徐英
九江市中医医院脑病2科及针灸2科（332000）江西九江
Author(s):Deng Xuying
Department 2 of Encephalopathy and Department 2 of Acupuncture and Moxibustion, Jiujiang Hospital of Traditional Chinese Medicine (332000), Jiujiang, Jiangxi
关键词脑卒中；肩手综合征；热敏灸疗法；康复训练；肿胀程度
Keywords: Stroke; Shoulder hand syndrome; Heat sensitive moxibustion therapy; rehabilitation training; Swelling degree
摘要:目的 探讨热敏灸疗法在脑卒中后肩手综合征（RSD）康复中的应用效果。方法 按随机数字表法将2019年2月-2021年2月我院收治的88例脑卒中后RSD患者分为两组，各44例。对照组予以康复训练干预，观察组加用热敏灸疗法干预，持续干预4周。比较两组康复情况、生活质量。结果 观察组干预后水肿评分、疼痛评分较对照组低，上肢FMA评分较对照组高，有统计学差异（P＜0.05）；观察组干预后身体功能、情感功能、心理状态、社会功能评分较对照组高，有统计学差异（P＜0.05）。结论 热敏灸疗法可降低脑卒中后RSD患者手部肿胀程度，在减轻患者疼痛方面具有较好的应用效果，能够促进上肢功能恢复，提升其生活质量。
AbstractTo investigate the effect of heat sensitive moxibustion on the rehabilitation of shoulder hand syndrome (RSD) after stroke. Methods 88 patients with RSD after stroke in our hospital from February 2019 to February 2021 were divided into two groups according to the random number table, 44 patients in each group. The control group was given rehabilitation training intervention, and the observation group was given heat sensitive moxibustion intervention for 4 weeks. The rehabilitation and quality of life of the two groups were compared. Results After intervention, the edema score and pain score of the observation group were lower than those of the control group, and the FMA score of the upper limb was higher than those of the control group, with statistical difference (P<0.05); After intervention, the scores of physical function, emotional function, psychological state and social function in the observation group were higher than those in the control group (P<0.05). Conclusion Heat sensitive moxibustion can reduce the degree of hand swelling in patients with RSD after stroke, and has a good application effect in relieving patients' pain. It can promote the recovery of upper limb function and improve their quality of life.
脑卒中病情严重、进展迅速，可损伤患者脑神经功能，若治疗不及时，则可遗留不同程度后遗症，降低患者生活质量。肩手综合征（RSD）为脑卒中后常见后遗症，以手部突然浮肿、肩关节疼痛为特征，使得手功能受限，患者自理能力大幅下降[1-2]。目前，临床对于脑卒中后RSD多以康复训练为主，通过循序渐进的康复措施，可帮助患者解除手功能受限，减轻浮肿、疼痛症状。但RSD病情复杂，单纯康复训练见效慢，不利于患者病情恢复。
