文献类型：期刊文献

中文题名：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

英文题名：Therapeutic effect of kinesiology taping combined with manual lymphatic drainage on patients with shoulder-hand syndrome after stroke

作者：徐培栋[1];何星锦[1];杨焕[1];王君义[1];毛忠南[1]

第一作者：徐培栋

机构：[1]甘肃中医药大学附属医院康复医学科,兰州730000

第一机构：甘肃中医药大学第二附属医院

年份：2020

卷号：13

期号：4

起止页码：367

中文期刊名：中国临床新医学

外文期刊名：CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基金：甘肃省2019年度重点人才项目(编号:甘组通字[2019]39号)。

语种：中文

中文关键词：脑卒中;肩手综合征;徒手淋巴引流术;肌内效贴

外文关键词：Stroke;Shoulder-hand syndrome;Manual lymphatic drainage;Kinesiology taping

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。
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.