中医特色疗法对脑卒中后肩手综合征患者的影响  

Effects of TCM-featured Therapy on the Patients with Post-stroke Shoulder-hand Syndrome

作　　者：王芳[1] 史文莉[1] 史英萍 WANG Fang;SHI Wenli;SHI Yingping(The First Teaching Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院,新疆乌鲁木齐830054

出　　处：《西部中医药》2025年第2期149-152,共4页Western Journal of Traditional Chinese Medicine

基　　金：新疆维吾尔自治区自然科学基金(2018D01C210)。

摘　　要：目的:研究中医特色疗法对脑卒中后肩手综合征(shoulder-hand syndrome,SHS)患者日常生活能力、上肢运动功能的影响。方法:将80例脑卒中后SHS患者按照随机数字表法分为研究组和对照组,每组40例。给予对照组常规干预,研究组在对照组基础上给予中药外敷、中药熏蒸、点穴按摩、温灸、刺络等中医特色疗法,比较两组干预效果。结果:干预后两组患者VAS评分均低于干预前(P<0.05),且研究组降低更明显(P<0.05);研究组总有效率[95.0%(38/40)]高于对照组[80.0%(32/40)](P<0.05);干预后两组患者运动功能评分量表评分、Barthel指数评分均高于干预前(P<0.05),且研究组升高更明显(P<0.05)。结论:中医特色疗法可改善脑卒中后SHS患者的日常生活能力和上肢运动功能,降低疼痛程度,提高干预效果。Objective:To study the influence of TCM-featured therapy on activities of daily living(ADL)and upper limb motor function of patients with post-stroke shoulder hand syndrome(SHS).Methods:Eighty patients suffering post-stroke shoulder hand syndrome were allocated to the study group and the control group according to random number table method with 40 cases in each group.The control group accepted routine intervention,and the study group adopted TCM-featured therapy including external application of herbs,herbal fumigation,acupressure,warm moxibustion(Chinese medicine)and bloodletting therapy on the foundation of the control group,to compare the intervention effects between the two groups.Results:VAS scores of the patients after the intervention were lower than these before the intervention(P<0.05),and the decrease of the study group was more apparent(P<0.05);total effective rate of the study group was[95.0%(38/40)],higher than[80.0%(32/40)]of the control group(P<0.05);after the intervention,motor function rating scale(MFRS)socres and Barthel index(BI)scores were higher than these before the intervention(P<0.05),and the increase of the study group was more evident(P<0.05).Conclusion:TCM-featured therapy could improve ADL and upper limb motor function of patients with post-stroke shoulder hand syndrome,mitigate pain degrees and improve intervention effects.

关 键 词：肩手综合征 脑卒中 中医特色疗法 日常生活能力 上肢运动功能 

分 类 号：R248.1[医药卫生—中医临床基础]