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虎符铜砭刮痧对脑卒中后肩手综合征的临床疗效

Clinical Effect of Hufu Copper Scraping on Shoulder-Hand Syndrome after Stroke.

作者信息

He Lianyi, Chen Xinyu, Zhang Yuejuan

机构信息

Department of Cadre Health Care, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China.

Department of Cardiovascular Medicine, The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China.

出版信息

Emerg Med Int. 2022 Aug 25;2022:9165141. doi: 10.1155/2022/9165141. eCollection 2022.

Abstract

OBJECTIVE

To explore the clinical effect of Hufu copper scraping on shoulder-hand syndrome after stroke.

METHODS

A total of 60 patients with shoulder-hand syndrome after stroke admitted to the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine were enrolled between January 2020 and June 2021. According to the random number table method, they were divided into the control group ( = 30) and the intervention group ( = 30). The control group was given routine rehabilitation intervention, while the intervention group was additionally given Hufu copper scraping. The intervention effect, occurrence of adverse reactions during the intervention, pain, swelling degree of affected hands, serum calcitonin gene-related peptide (CGRP), substance P (SP), and Barthel index before and after 2 months of intervention were compared between the two groups.

RESULTS

After intervention, the total response rate of the intervention group was significantly higher than that of the control group (96.67% 80.00%) ( < 0.05). After intervention, the score of the visual analogue scale (VAS) and water displacement in the intervention group were lower than those in the control group ( < 0.05). After intervention, levels of CGRP and SP in the intervention group were lower than those in the control group, while the Barthel index was higher compared to the control group ( < 0.05).

CONCLUSION

The intervention effect of Hufu copper scraping is good, which can promote the recovery of related symptoms, relieve pain and swelling of affected hands, downregulate levels of disease-promoting markers, and accelerate recovery of related function in patients with shoulder-hand syndrome after stroke.

摘要

目的

探讨虎符铜砭刮痧对脑卒中后肩手综合征的临床疗效。

方法

选取2020年1月至2021年6月在湖南中医药大学第一附属医院收治的60例脑卒中后肩手综合征患者。按照随机数字表法,将其分为对照组(n = 30)和干预组(n = 30)。对照组给予常规康复干预,干预组在此基础上给予虎符铜砭刮痧。比较两组干预效果、干预期间不良反应发生情况、疼痛程度、患手肿胀程度、干预2个月前后血清降钙素基因相关肽(CGRP)、P物质(SP)及Barthel指数。

结果

干预后,干预组总有效率显著高于对照组(96.67% 对80.00%)(P < 0.05)。干预后,干预组视觉模拟评分法(VAS)评分及水置换量低于对照组(P < 0.05)。干预后,干预组CGRP、SP水平低于对照组,而Barthel指数高于对照组(P < 0.05)。

结论

虎符铜砭刮痧干预效果良好,可促进相关症状恢复,缓解患手疼痛和肿胀,下调促病标志物水平,加速脑卒中后肩手综合征患者相关功能恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a10/9436584/1fc9b900e8da/EMI2022-9165141.001.jpg

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