目的 观察体外冲击波联合常规综合康复疗法对脑卒中后肩手综合症患者上肢功能及生活质量的影响。方法 将80例 患者随机分为治疗组和对照组，每组40例，对照组采用常规综合康复疗法治疗，治疗组采用体外冲击波联合常规康 复疗法治疗，4周后观察两组治疗效果。结果 治疗组康复治疗总有效率90%，对照组72.5%，两组之间存在显著性差 异(P<0.05)；两组经康复治疗后，Fugl-Meyer评分和SS-QOL评分显著上升，VAS评分显著降低，且治疗后治疗组上 升或下降幅度显著高于对照组，差异具有统计学意义(P<0.05)。结论 体外冲击波联合综合康复疗法可显著改善脑 卒中后肩手综合症症状，改善上肢功能和疼痛症状，提高患者生活质量，治疗总有效率高，值得临床推荐。

Objective To study the effect of extracorporeal shock wave combined with routine comprehensive rehabilitation therapy on upper extremity function and life quality of patients with shoulder-hand syndrome after stroke. Methods A total of 80 patients were randomly divided into control group (40 cases) and treatment group (40 cases). Both groups were given routine comprehensive rehabilitation therapy, besides, the treatment group accepted additional extracorporeal shock wave. Four weeks after treatment, their curative effects were observed and compared. Results After treatment, the total effective rate in the treatment group was 90% which was higher than that in the control group, and their difference was statistically significant (P<0.05), the Fugl-Meyer score and SS-QOL score were significantly increased in both groups, the VAS score was significantly decreased in the two groups, the range of increase or decrease in the treatment group was higher than that in the control group, and their difference was statistically significant (P<0.05). Conclusion Extracorporeal shock wave combined with comprehensive rehabilitation therapy, which has higher total effective rate, can significantly improve not only the symptoms of shoulder-hand syndrome after stroke, upper extremity function and pain symptoms, but also life quality of patients. Thus, it is worthy of clinical application.