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目的探讨脑卒中偏瘫病人肩痛的病因和有效的康复治疗方案。方法将７３例病人随机分成２组，对照组３６例采用中药外敷＋ＴＤＰ照射和针刺治疗；综合治疗组 ３７例除上述方法外还进行推拿和运动疗法治疗。结果经治疗 ５～６个疗程，患者肩痛程度分级和患肢活动功能的评定综合组优于对照组Ｐ＜０．０５差异有显著性。结论中药湿热敷、针刺、推拿和运动疗法是脑卒中病人肩痛康复的有效治疗方案。
Objective To investigate the etiology and effective rehabilitation treatment of shoulder pain in stroke patients with hemiplegia. Methods Totally 73 patients were randomly divided into 2 groups. 36 patients in the control group were treated with traditional Chinese medicine plus TDP irradiation and acupuncture. In addition to the above methods, 37 patients in the comprehensive treatment group were also treated with massage and exercise therapy. Results After 5 to 6 courses of treatment, the grading of shoulder pain and the function of limb movement in the comprehensive group were better than those in the control group (P <0.05). Conclusion The traditional Chinese medicine damp-heat compress, acupuncture, massage and exercise therapy is an effective treatment for stroke patients with shoulder pain rehabilitation.