铜砭刮痧技术在肩痹患者康复治疗中的应用研究——一项随机对照临床实验研究

A Study on the Application of Copper Gua Sha Technique in the Rehabilitation Treatment of Patients with Shoulder Stiffness—A Randomised Controlled Clinical Trial Study

摘要: 目的：探讨铜砭刮痧技术在肩痹患者康复治疗中的临床疗效及安全性，为中医外治法在骨伤康复领域的推广应用提供科学依据。方法：采用随机对照临床试验设计，选取2024年12月至2025年12月在张家界市中医医院骨伤一科就诊的肩痹患者40例，随机分为观察组和对照组各20例。对照组给予常规康复治疗，观察组在对照组基础上加用铜砭刮痧治疗，每周2次，连续治疗4周。采用视觉模拟评分法(VAS)评估疼痛程度，Constant-Murley肩关节功能评分量表(CMS)评估肩关节功能，量角器测量肩关节活动度，并记录临床疗效及不良反应。结果：治疗后，两组VAS评分均较治疗前显著下降(P < 0.01)，且观察组治疗后VAS评分显著低于对照组(P < 0.001)。两组Constant-Murley总分及各维度评分均较治疗前显著提高(P < 0.01)，且观察组治疗后总分显著高于对照组(P < 0.001)。观察组治疗后肩关节前屈、外展、后伸活动度均显著优于对照组(P < 0.05)。观察组总有效率为95.0%，对照组为75.0%，组间比较差异有统计学意义(P < 0.05)。两组均未出现严重不良反应。结论：铜砭刮痧技术能有效缓解肩痹患者的疼痛症状，改善肩关节功能及活动度，且安全性良好，值得在临床康复治疗中推广应用。

Abstract: Objective: To investigate the clinical efficacy and safety of copper scraping therapy in the rehabilitation treatment of shoulder bi syndrome patients, thereby providing scientific evidence for the promotion and application of traditional Chinese external therapies in orthopaedic rehabilitation. Methods: A randomised controlled clinical trial design was employed. Forty patients with shoulder bi syndrome treated at the Orthopaedic Department I of Zhangjiajie Traditional Chinese Medicine Hospital between December 2024 and December 2025 were randomly allocated to an observation group and a control group (20 patients each). The control group received conventional rehabilitation therapy, while the observation group additionally underwent copper scraping therapy twice weekly for four consecutive weeks. Pain intensity was assessed using the Visual Analogue Scale (VAS), shoulder function was evaluated via the Constant-Murley Shoulder Function Score (CMS), and shoulder range of motion was measured with a goniometer. Clinical efficacy and adverse reactions were recorded. Results: Post-treatment VAS scores decreased significantly in both groups compared with pre-treatment levels (P < 0.01). The observation group exhibited significantly lower VAS scores than the control group post-treatment (P < 0.001). Both groups demonstrated significant improvements in total Constant-Murley scores and all subscale scores compared with pre-treatment levels (P < 0.01), with the observation group exhibiting significantly higher total scores than the control group post-treatment (P < 0.001). Post-treatment shoulder flexion, abduction, and extension ranges of motion were significantly superior in the observation group compared with the control group (P < 0.05). The overall efficacy rate was 95.0% in the observation group versus 75.0% in the control group, with a statistically significant intergroup difference (P < 0.05). No serious adverse reactions occurred in either group. Conclusion: Copper-scraping cupping therapy effectively alleviates pain symptoms in patients with shoulder bi, improves shoulder joint function and range of motion, and demonstrates good safety. It warrants promotion for application in clinical rehabilitation treatment.