温通刮痧疗法治疗中风后肩手综合征的临床研究  

Clinical Study on Warming and Activating Scrapping to Congestion Therapy for Shoulder-hand Syndrome in Patients after Stroke

作　　者：刘跟莉[1,2] 师帅[1,2] 刘亚[1,3] 井鑫鑫[1,2] 韩萌萌 刘爽 LIU Gen-Li;SHI Shuai;LIU Ya;JING Xin-Xin;HAN Meng-Meng;LIU Shuang(Heilongiang University of Chinese Medicine,Harbin 150040 Heilongiang,China;The Second Hospital Afliated to Heilongjiang Universily of Chinese Medicine,Harbin 150001 Heilongjiang,China;Depl.of Nursing,The Firset Hospital Afliated to Heilongjiang University of Chinese Medicine,Harbin 150040 Heilongjiang,,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第二医院针灸科,黑龙江哈尔滨150001 [3]黑龙江中医药大学附属第一医院护理教研室,黑龙江哈尔滨150040

出　　处：《广州中医药大学学报》2021年第6期1186-1190,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：黑龙江省自然科学基金资助项目(编号:QC2018114);黑龙江省教育教学改革基金资助项目(编号:SXY20190622)。

摘　　要：【目的】观察温通刮痧疗法治疗中风后肩手综合征的临床疗效。【方法】将60例中风后肩手综合征患者随机分为观察组和对照组,每组各30例。2组患者均接受中风病的中西医基础治疗,对照组给予健康宣教,观察组在对照组的基础上给予温通刮痧疗法治疗,每日1次,每次30 min,连续治疗4周。治疗4周后,观察2组患者治疗前后视觉模拟量表(VAS)评分、上肢运动功能Fugl-Meyer评分(FMA)以及改良Barthel指数评定量表(MBI)评分的变化情况,并评价2组的临床疗效。【结果】(1)治疗后,2组患者的VAS评分、FMA评分及MBI评分均明显改善(P<0.05),且观察组在改善VAS评分、FMA评分及MBI评分方面均明显优于对照组,差异有统计学意义(P<0.05)。(2)观察组总有效率为93.33%(28/30),对照组为76.67%(23/30)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】温通刮痧疗法治疗中风后肩手综合征,能明显减轻患者肩关节疼痛的症状,改善患者上肢运动功能和日常生活活动能力,从而提高患者生活质量,疗效显著。Objective To observe the clinical therapeutic effect of warming and activating scrapping to congestion therapy for shoulder-hand syndrome in patients after stroke. Methods Sixty patients with post-stroke shoulder-hand syndrome were randomly divided into observation group and control group, 30 cases in each group. Both groups of patients received basic Chinese and Western medicine treatment for stroke,additionally,the control group received healthy propaganda and education, and the observation group received warming and activating scrapping to congestion on the base of the treatment of the control group,once a day,30 minutes every time,the treatment lasting 4 continuous weeks. After 4 weeks of treatment, the changes in Visual Analog Scale(VAS)score,simplified upper limb motor function Fugl-Meyer(FMA)score and modified Barthel index(MBI)score were observed in the two groups before and after treatment, and the clinical efficacy of the two groups was evaluated. Results(1)After treatment, the VAS, FMA, MBI scores were significantly improved in the two groups(P < 0.05),and the improvement in VAS,FMA,MBI scores of the observation group was significantly superior to that of the control group,the difference being statistically significant(P < 0.05).(2)The total effective rate in the observation group was 93.33%(28/30),and that in the control group was 76.67%(23/30). The clinical efficacy of the observation group was superior to that of the control group, the difference being statistically significant(P < 0.05). Conclusion Warming and activating scrapping to congestion therapy is effective for treatment of patients with shoulder-hand syndrome after stroke,which can significantly alleviate shoulder pain symptoms,improve upper limb motor function and activities of daily living,thus to promote life quality of the patients.

关 键 词：温通刮痧 中风 肩手综合征 临床研究 生活质量 

分 类 号：R246.9[医药卫生—针灸推拿学]