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目的:观察针刺放血联合康复训练治疗脑卒中后肩手综合征的效果.方法:将62例脑卒中后肩手综合征(1期)患者分为治疗组(针刺放血+康复训练)和对照组(康复训练),每组各31例.两组均采用疼痛视觉模拟评分(VAS)、肿胀评分、简式Fugl-Meyer运动功能评分(上肢)(FMA)进行治疗前后患侧上肢疼痛、肿胀及运动功能的评价,并观察两组的疗效.结果:入院治疗第20天治疗组评分优于对照组同时段评分(P＜0.05),两组治疗前后的评分比较,差异均有统计学意义(P＜0.05).结论:针刺放血联合康复训练与单独康复训练对改善脑卒中后肩手综合征症状均有效,但针刺放血组明显优于康复训练组.“,”Objective:To observe the effect of acupunctue bloodletting and rehabilitation training on the shoulder-hand syndrome after stroke.Methods:The 62 patients of the shoulder-hand syndrome after stroke (phase I) were divided into the treatment group (acupuncture bloodletting and rehabilitation training) and control group (rehabilitation training),31 cases in each.The upper limb pain,swelling and motor function were evaluated by visual analogue scale (VAS),swelling scores and short Fugl-Meyer movement function score (upper)(FMA),as well as the curative effect.Results:The treatment group showed superior scores than the control group at the same period after 20 days (P＜0.05).The scores of the two groups before and after treatment were statistically significant (P＜0.05).Conclusion:Both the acupuncture bloodletting combined rehabilitation training and rehabilitation training can effectively improve the shoulder-hand syndrome after stroke,while the effect of the acupuncture bloodletting group is superior to the effect of the rehabilitation training group.