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目的:观察中西医结合康复治疗中风后并发肩手综合征(SHS)的临床疗效。方法:将40例患者进行中西医结合康复治疗,治疗前后采用Fugl—Meyer运动功能量表(上肢部分)评定患侧上肢的运动功能,视觉模拟评分法(VAS)评定患侧肩痛,改良的Barthel指数评定日常生活活动能力。结果:治疗后Fugl—Meyer运动功能评分、改良的Barthel指数均较治疗前提高,视觉模拟类比评分(VAS)较治疗前降低,差异均有显著性意义。结论:中西医结合康复治疗SHS可有效缓解疼痛,促进患肢运动功能及日常生活能力的恢复。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of stroke complicated by shoulder-hand syndrome (SHS) after stroke. Methods: Forty patients were treated with Integrative Chinese and Western Medicine (TCM). The motor function of upper limbs was evaluated by Fugl-Meyer Motor Function Scale (upper limbs) before and after treatment. The visual analogue scale (VAS) Barthel index to assess daily living activity. Results: After treatment, the scores of Fugl-Meyer motor function and modified Barthel index were higher than those before treatment. The visual analog scale score (VAS) was lower than before treatment, and the difference was significant. Conclusion: Integrative Chinese and Western medicine treatment of SHS can effectively relieve pain and promote limb motor function and daily living ability recovery.