经皮神经电刺激联合蜡疗治疗脑卒中复杂性区域疼痛综合征的疗效
孔 雪1） 汤智伟2） 李树香1） 田 咏1） 李传侠1）
1）天津市海河医院，天津 300350 2）华中科技大学同济医学院附属同济医院，湖北 武汉 430030
通信作者：汤智伟
【摘要】 目的 分析经皮神经电刺激联合蜡疗对脑卒中偏瘫患者肩部复杂性区域疼痛综合征的影响。方法 60 例脑卒中病人随机分为实验组 31 例和对照组 29 例，对照组采用常规康复训练，实验组在常规治疗基础上进行经皮神经电性刺激和蜡疗。训练 4 周后，采用疼痛评分（VAS），上肢功能评分Fugl-Meyer（FMA-UE）和日常生活能力 Barthel 指数（MBA）评分对 2 组疗效进行对比。结果 对照组治疗前 VAS 评分（7.7±1.4）分，治疗后为（2.5±1.3）分；实验组治疗前 VAS 评分（7.7±1.4）分，治疗后（1.9±1.2）分； 对照组治疗前 FMA-UE 评分（25.5±7.5）分，治疗后（34.1±7.7）分；实验组治疗前 VAS 评分（24.9±6.3）分，治疗后（35.8±7.9）分；对照组治疗前 MBA（36.6±4.6），治疗后（43.9±3.7）分；实验组治疗前 MBA（38.1±6.2）；治疗后（54.8±7.1）；2 组治疗后 VAS 评分、FMA-UE 评分和 MBA 均较治疗前明显改善（P<0.05），且实验组显著优于对照组（P<0.05）。结论 经皮电刺激联合蜡疗可有效减轻脑卒中偏瘫患者的肩部复杂性区域疼痛综合征的症状，增强上肢运动功能，提高病人的日常活动能力。
【关键词】 经皮神经电刺激；蜡疗；脑卒中；偏瘫；复杂性区域疼痛综合征
【中图分类号】 R743.3 【文献标识码】 A 【文章编号】 1673-5110 （2022） 08-0925-04
Effect of percutaneous nerve electrical stimulation combined with wax therapy on shoulder complex regional pain syndrome in stroke patients with hemiplegi
KONG Xue1） , TANG Zhiwei2） , LI Shuxiang1） , TIAN Yong1） , LI Chuanxia1）
1） Tianjin Haihe Hospital, Tianjin 300350, China; 2） Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Chin
Corresponding author：TANG Zhiwei
【Abstract】 Objective To analyze the effect of percutaneous nerve electrical stimulation combined with wax therapy on shoulder complex regional pain syndrome in stroke patients with hemiplegia. Methods sixty stroke patients were randomly divided into experimental group（31 cases）and control group（29 cases）. The control group was treated with routine rehabilitation training program, and the experimental group was treated with percutaneous nerve electrical stimulation and wax therapy on the basis of routine treatment. After 4 weeks of training, the curative effects of the two groups were compared by pain score（VAS）, upper limb function score, Fugl Meyer （fma-ue）and Barthel Index（MBA）. Results after rehabilitation treatment, VAS, fmaue and MBA scores of the two groups were significantly improved compared with those before treatment（P<0.05）, and the curative effect of the experimental group was significantly better than that of the control group（P<0.05）. Conclusion percutaneous electrical stimulation combined with wax therapy can effectively reduce the symptoms of shoulder complex regional pain syndrome in stroke patients with hemiplegia, improve the motor function of upper limbs and improve the ability of daily activities.
【Key words】 gional pain syndrome Transcutaneous nerve electrical stimulation; Wax therapy; Stroke; Hemiplegia; Complex regional pain syndrome