刮痧联合四海之腧取穴针刺法治疗中风后 肩手综合征的临床观察

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本文引用：，.刮痧联合四海之腧取穴针刺法治疗中风后肩手综合征的临床观察[J].湖南中医药大学学报，2025，45（4）：674-679.

[关键词]中风；肩手综合征；四海之腧取穴法；刮痧；U-FMA评分；VAS；MBI评分；凝血功能[中图分类号]R246 [文献标志码]B [文章编号]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

脑血管疾病在中老年人群中屡见不鲜，特别是脑卒中，其因脑内血管出血或缺血引发，迅速侵袭脑组织，留下缺氧的阴影。（剩余8139字）