徒手淋巴引流结合“8”字绷带包扎法治疗肩手综合征的疗效
詹丽倩1） 李巍伟2） 许梦雅2）
1）郑州大学第一附属医院，河南 郑州 450052
2）郑州大学第二附属医院，河南 郑州 450000
通信作者：詹丽倩
【摘要】 目的 对比观察徒手淋巴引流结合“8”字绷带包扎法治疗脑卒中后肩手综合征（SHS）的临床疗效。方法 选取 2021-01—12 郑州大学第一附属医院康复科脑卒中后肩手综合征患者 40 例，随机分为实验组和对照组各 20 例，2 组患者均接受常规的康复治疗，实验组在常规康复治疗的基础上进行徒手淋巴引流结合“8”字绷带包扎技术的治疗，1 周治疗 6 次，连续治疗 4 周。患者治疗前和治疗 4 周后均由同一康复治疗师进行评估，采用上肢周径、视觉模拟评分法（VAS）、简化 Fugl-Meyer 运动功能评分量表（FMA）、改良 Barthel 指数分别评定患者的水肿程度、疼痛、上肢运动功能，用改良 Barthel 指数积分法（MBI）评定日常生活活动能力（ADL）。结果 治疗 4 周后，2 组患者疼痛程度及水肿、上肢运动功能和日常生活活动能力均较治疗前改善（均 P＜0.05），且实验组优于对照组（P＜0.05）。结论 徒手淋巴引流结合“8”字绷带包扎技术能更好地改善肩手综合征患者的疼痛程度及水肿，提高上肢运动功能以及日常生活活动能力，且方法操作简单、无创，具有一定的临床应用价值。
【关键词】 肩手综合征；徒手淋巴引流；“8”字绷带包扎法
【中图分类号】 R473.74 【文献标识码】 A 【文章编号】 1673-5110 （2022） 05-0599-04
基金项目：河南省科技厅科技攻关项目 （编号：182102310191）
DOI：10.12083/SYSJ.220422
Curative effect of free-hand lymphatic drainage combined with“8”bandage in the treatment of shoulder-hand syndrome
ZHAN Liqian1） ，LI Weiwei2） ，XU Mengya2）
1）The First Affiliated Hospital of Zhengzhou University，Zhengzhou 450052，China
2）The Second Affiliated Hospital of Zhengzhou University，Zhengzhou 450000，China
Corresponding author：ZHAN Liqian
【Abstract】 Objective To compare and observe the clinical therapeutic effect of freehand lymphatic drainage combined with“8”bandage in the treatment of post-stroke shoulder-hand syndrome（SHS）. Methods A total of 40 patients with post-stroke shoulder-hand syndrome in the Rehabilitation Department of the First Affiliated Hospital of Zhengzhou University from January 2021 to December 2021 were selected and randomly divided into the experimental group and the control group，20 cases in each group. Both groups received routine rehabilitation. Treatment，the experimental group was treated with manual lymphatic drainage combined with“8” bandage technology on the basis of conventional rehabilitation treatment，6 times a week，and continuous treatment for 4 weeks. The patients were evaluated by the same rehabilitation therapist before treatment and after 4 weeks of treatment. Upper limb circumference，visual analogue scale（VAS），simplified Fugl-Meyer motor function scale （FMA），and modified Barthel index were used to evaluate the degree of edema of patients.，pain，upper extremity motor function，and the modified Barthel Index（MBI）was used to evaluate the activities of daily living（ADL）. Results After 4 weeks of treatment，the pain level，edema，upper limb motor function and activities of daily living in the two groups were improved compared with those before treatment（all P<0.05），and the experimental group was better than the control group （P<0.05）. Conclusion Free-hand lymphatic drainage combined with “8” bandage technology can better improve pain and edema in patients with shoulder-hand syndrome，improve upper limb motor function and activities of daily living，and the method is simple and non-invasive，and has certain clinical applications Value，worthy of promotion and application.
【Key words】 Shoulder-hand syndrome；Manual lymphatic drainage；“8”bandage method
