刮痧聯(lián)合四海之腧取穴針刺法治療中風(fēng)后 肩手綜合征的臨床觀察

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本文引用：，.刮痧聯(lián)合四海之腧取穴針刺法治療中風(fēng)后肩手綜合征的臨床觀察[J].湖南中醫(yī)藥大學(xué)學(xué)報(bào)，2025，45（4）：674-679.

[關(guān)鍵詞]中風(fēng)；肩手綜合征；四海之腧取穴法；刮痧；U-FMA評(píng)分；VAS；MBI評(píng)分；凝血功能[中圖分類號(hào)]R246 [文獻(xiàn)標(biāo)志碼]B [文章編號(hào)]doi：10.3969/j.issn.1674-070X.2025.04.013

[Abstract]Objective Toevaluate theclinical efcacyof guashacombined withacupunctureatpoints coresponding to the fourseasforpost-strokeshoulder-handsyndrome （SHS）.Methods Sixtypatientswith post-stroke SHSintheDepartmentof Acupuncture-moxibustionandRehabiltationatNingxiang HospitalofTraditional ChineseMedicinewererandomlydividedintothe control group （ n =30，treated with acupuncture at points corresponding to the four seas） and the treatment group （ n =30，treated with guashacombined withacupunctureat pointscoesponding tothefourseas）.Thefollowingresultswerecomparedbetweenthetwo groupsofpatientsbeforeandafertreatmentrespectively：theupperFugl-Meyerasessment （U-FMA）score，thevisualanalogue scale（VAS）scoreforpainintensitythemodifiedBarthelindex（MBscore，theswellngegreeinheafecedhandndthe coagulationfunction-relatedindicators.ResultsAfterthetreatment，thescoresofU-FMAandMBIinbothgroupswerehigherhan those before treatment （ P? 0.05）.After the treatment， the scores of U-FMA andMBI，as well as the PI of the treatment group were higher than those of the control group （ P?0.05 ），while the swelling degree inthe back of the hand and the FIB levels of the treatment group were lower than those of the control group （ Pe 0.05 ）. Conclusion The combination of guasha and acupuncture at points corresponding to thefourseascanimprovethefunctionoftheafectedlimb，aleviatepain，andrelieveclinicalsymptomsinpost-strokeSHS patients，with a better clinical efficacy than employing the latter therapy alone.

[Keywords]stroke；shoulder-handsyndrome;selectionof thepointscoresponding tothe fourseas；guasha;U-FMA score;VAS; MBI score; coagulation function

腦血管疾病在中老年人群中屢見不鮮，特別是腦卒中，其因腦內(nèi)血管出血或缺血引發(fā)，迅速侵襲腦組織，留下缺氧的陰影。（剩余8139字）