温通穴位灸刮疗法治疗脑卒中后肩手综合征疗效观察  

Effect of Warm-unblocking Therapy Using Moving Cupping and Acupoints Moxibustion in Stroke Patients with Shoulder-hand Syndrome

作　　者：倪斐琳[1] 陈改平[1] 徐慧[1] 邱凤梅 侯群[1] NI Fei-lin;CHEN Gai-ping;XU Hui;QIU Feng-mei;HOU Qun(Neurology Department,The First Hospital Affiliated to Zhejiang Chinese Medicine University,Hangzhou,310006)

机构地区：[1]浙江中医药大学附属第一医院神经内科,杭州310006

出　　处：《中国中西医结合杂志》2021年第4期456-460,共5页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：浙江省中医药卫生科技计划基金项目(No.2017ZA050)。

摘　　要：目的观察温通穴位灸刮疗法对脑卒中肩手综合征患者上肢运动功能的疗效。方法将63例脑卒中肩手综合征患者按随机数字表法分为两组,对照组31例、观察组32例,两组均予对症治疗和康复训练,观察组取肩髃、肩醪、曲池、外关、合谷穴予温通穴位灸刮疗法。治疗1、2、4周后,通过比较两组患者疼痛评分、患侧手背周径肿胀评定、Fugl-Meyer上肢运动功能量表及牛津残障量表评分(OHS)来评价患者的疗效。结果与对照组比较,治疗1、2及4周后观察组疼痛评分、患侧手背肿胀程度评分降低(P<0.001);治疗4周后Fugl-Meyer上肢运动功能评分升高(P<0.05),OHS评分降低(P=0.008)。结论温通穴位灸刮疗法在短期内可有效改善患肢疼痛和肿胀症状,远期观察可进一步促进脑梗死后肩手综合征患者上肢运动功能康复,降低残障级别,提高患者的自护能力。Objective To study the effect of warm-unblocking therapy using moving cupping with acupoints moxibustion on upper limb function in stroke patients with shoulder-hand syndrome.Methods A total of 63 stroke patients with shoulder-hand syndrome were enrolled and assigned to two groups by random digit table,31 cases in the control group and 32 cases in the observation group.All cases were given routine treatment and rehabilitation training.In addition,patients in the observation group received warm-unblocking therapy using moving cupping with moxibustion at JianYu(LI15),Jianliao(SJ14),Quchi(LI11),Waiguan(SJ5)and Hegu(LI4)acupoints.At the time point of 1,2 and 4 weeks after the intervention,the effects were evaluated by pain scores,hand swelling scores,Fugl-Meyer Assessment Scale and Oxford Handicap Scale.Results At the time of 1,2 and 4 weeks after the intervention,the pain scores and hand swelling scores were significantly decreased in observation group than the control group(P<0.001).Compared with the control group,the score of Fugl-Meyer Assessment Scale in the observation group significantly elevated(P<0.05),and score of Oxford Handicap Scale decreased(P=0.008)at 4 weeks.Conclusions Warm-unblocking therapy using moving cupping with acupoints moxibustion can alleviate pain and swelling of upper limbs in stroke patients.It can also effectively promote the rehabilitation of upper limbs motor function in patients with shoulder-hand syndrome after stroke,and improve the self-care ability.

关 键 词：脑卒中 温通疗法 艾灸 刮痧 肩手综合征 上肢功能 

分 类 号：R246.6[医药卫生—针灸推拿学]