虎符铜砭刮痧对脑卒中后肩手综合征患者的干预效果

Intervention Effect of Hufu Tongbian Guasha on Patients with Shoulder-Hand Syndrome After Stroke

目的观察虎符铜砭刮痧对脑卒中后肩手综合征患者的干预效果。方法选择2020年8月至2021年8月于漯河市中医院接受治疗的136例脑卒中后肩手综合征患者。以随机数表法将患者分为参照组(68例)和研究组(68例)。给予参照组患者常规康复锻炼,给予研究组患者康复配合虎符铜砭刮痧干预。比较两组干预前后肩关节内收、外展、后伸、前屈活动度及手肿胀程度。分别于干预前后采用肩手综合征评估量表(SHSS)、视觉模拟量表(VAS)、Fugl-Meyer、生活质量综合评定问卷(GQOLI-74)评价患者的肩手损伤程度、疼痛程度、上肢运动功能和生活质量。结果干预后,两组肩关节内收、外展、后伸、前屈活动度升高,研究组肩关节内收、外展、后伸、前屈活动度高于参照组(P<0.05)。干预后,两组SHSS、VAS、肿胀程度评分降低,研究组SHSS、VAS、肿胀程度评分较参照组低(P<0.05)。干预后,两组上肢功能、GQOLI-74评分升高,研究组上肢功能、GQOLI-74评分较参照组高(P<0.05)。结论虎符铜砭刮痧有助于提升脑卒中后肩手综合征患者的肩关节活动功能,缓解患者疼痛,改善肿胀状态,提升患者上肢功能及生活质量。

Objective To observe the intervention effect of Hufu Tongbian Guasha on patients with shoulder-hand syndrome after stroke.Methods From August 2020 to August 2021,136 patients with shoulder-hand syndrome after stroke treated in Luohe Hospital of Traditional Chinese Medicine were selected.The patients were divided into reference group(68 cases)and research group(68 cases)by random number table method.The patients in reference group were given routine rehabilitation exercise,while the patients in research group were gi ven rehabilitation with the intervention of Hufu Tongbian Guasha.The range of motion of adduction,abduction,extension and flexion of shoulder joint and the degree of hand swelling were compared between the two groups before and after intervention.Shoulder-hand syndrome assessment scale(SHSS),visual analogue scale(VAS),Fugl-Meyer and generie quality of life inventory-74(GQOLI-74)were used to evaluate the degree of shoulder-hand injury,pain,upper limb motor function and quality of life of patients before and after the intervention.Results After the intervention,the ranges of motion of adduction,abduction,backward extension and forward flexion of the two groups increased,while the ranges of motion of adduction,abduction,backward extension and forward flexion of research group were higher than those of reference group(P<0.05).After the intervention,the scores of SHSS,VAS and swelling degree of the two groups decreased,while those of research group were lower than those of reference group(P<0.05).After the intervention,the upper limb function and GQOL-74 scores of the two groups increased,while the upper limb function and GQOL-74 scores of research group were higher than those of reference group(P<0.05).Conclusion Hufu Tongbian Guasha is helpful to improve the shoulder joint movement function of pat ients with shoulder-hand syndrome after stroke,relieve the pain of patients,improve the swelling state,and improve the upper limb function and quality of life of patients.