手三阳循经平刺联合刺络拔罐治疗脑卒中后肩手综合征的临床观察

Treatment of Post-Stroke Shoulder-Hand Syndrome with Flat Puncture of the Three Yang Meridians of Hand Combined with Pricking Blood Cupping

摘要: 目的：观察手三阳循经平刺联合刺络拔罐治疗脑卒中后肩手综合征的疗效。方法：90例患者随机分为治疗组、对照1组、对照2组，每组各30例。治疗组采用手三阳循经平刺联合刺络拔罐法，对照1组采用手三阳循经平刺法，对照2组采用刺络拔罐法。结果：治疗后的三组患者，VAS评分均呈现下降趋势，且治疗组 < 对照1组 < 对照2组(P < 0.05)；肿胀程度评分均呈现下降趋势，且治疗组 < 对照2组 < 对照1组(P < 0.05)；上肢运动功能(FMA)、改良Barthel指数均呈现上升趋势，且治疗组 > 对照1组 > 对照2组(P < 0.05)。结论：手三阳循经平刺联合刺络拔罐治疗脑卒中后肩手综合征效果良好。

Abstract: Objective: To observe the efficacy of Shousanyang (Three Yang Meridians of Hand) transmeridian shallow needling combined with pricking blood cupping in the treatment of post-stroke shoulder-hand syndrome. Methods: Ninety patients were randomly divided into a treatment group, a control group 1, and a control group 2, with 30 cases in each group. The treatment group received Shousanyang transmeridian shallow needling combined with pricking blood cupping; control group 1 received Shousanyang transmeridian shallow needling alone; control group 2 received pricking blood cupping alone. Results: After treatment, the Visual Analogue Scale (VAS) scores of all three groups decreased, with the treatment group < control group 1 < control group 2 (P < 0.05); the swelling degree scores of all groups decreased, with the treatment group < control group 2 < control group 1 (P < 0.05); the Fugl-Meyer Assessment (FMA) for upper limb motor function and Modified Barthel Index (MBI) of all groups increased, with the treatment group > control group 1 > control group 2 (P < 0.05). Conclusion: Shousanyang transmeridian shallow needling combined with pricking blood cupping has a good therapeutic effect on post-stroke shoulder-hand syndrome.