保健医学研究与实践2026，Vol.23Issue(2)：49-55,7.DOI:10.11986/j.issn.1673-873X.2026.02.07
桂枝新加汤加味联合电针治疗脑卒中后肩手综合征Ⅰ期的临床疗效
Clinical efficacy of Modified Guizhi Xinjia Decoction combined with electroacupuncture in the treatment of stage Ⅰ shoulder-hand syndrome after stroke
摘要
Abstract
Objective To investigate the clinical efficacy of Modified Guizhi Xinjia Decoction combined with electroacupunc-ture in the treatment of stage I shoulder-hand syndrome(SHS)after stroke,so as to provide a reference for clinical treat-ment.Methods A total of 60 patients with stage I SHS admitted to the inpatient department of the Department of Rehabili-tation Medicine,Youyang Hospital,The First Affiliated Hospital of Chongqing Medical University,from April 2024 to March 2025,were selected as the study participants.Patients were randomly divided into a treatment group and a control group using a random number table,with 30 cases in each group.Patients in the control group received electroacupuncture intervention,while patients in the treatment group received Modified Guizhi Xinjia Decoction orally in addition to the treat-ment administered to the control group.The Shoulder-Hand Syndrome Scale(SHSS),Short-Form McGill Pain Question-naire(SF-MPQ),simplified Fugl-Meyer Assessment(FMA)scores,as well as liver and kidney function-related indicators and high-sensitivity C-reactive protein levels,were compared between the two groups before treatment and after treatment(at 28 days of treatment).Results Before treatment,there was no statistically significant difference in SHSS scores be-tween the two groups(P>0.05).After treatment,SHSS scores in both groups were lower than those before treatment,and the score in the treatment group was lower than that in the control group,with statistically significant differences(P<0.05).Before treatment,there were no statistically significant differences in Pain Rating Index(PRI),Visual Analog Scale(VAS),and Present Pain Intensity(PPI)scores between the two groups(P>0.05).After treatment,PRI,VAS,and PPI scores in both groups were lower than those before treatment,and the scores in the treatment group were lower than those in the control group,with statistically significant differences(P<0.05).Before treatment,there was no statistically significant difference in FMA scores between the two groups(P>0.05).After treatment,the FMA score in the treatment group was higher than that before treatment and higher than that in the control group,with statistically significant differ-ences(P<0.05).No statistically significant differences were found in liver and kidney function-related indicators and high-sensitivity C-reactive protein levels between the two groups before and after treatment(P>0.05).In the control group,there were 2 cases of local subcutaneous hemorrhage at the acupuncture site;in the treatment group,there was 1 case of in-creased stool frequency,both of which resolved spontaneously without affecting treatment.Conclusion Electroacupuncture combined with Modified Guizhi Xinjia Decoction demonstrates marked efficacy in the treatment of stage I SHS,effectively alleviating pain and edema,and improving motor function of the affected upper limb in patients with stage I SHS,with a fa-vorable safety profile,warranting clinical promotion and application.关键词
桂枝新加汤加味/电针/脑卒中后肩手综合征Ⅰ期Key words
Modified Guizhi Xinjia Decoction/Electroacupuncture/Stage Ⅰ shoulder-hand syndrome after stroke分类
医药卫生引用本文复制引用
何珊珊,张卓平,刘宏玲,张敏,吴绍发,何彧砚,涂林芬,曾团平,代小芳,陈杭,杨玉莹..桂枝新加汤加味联合电针治疗脑卒中后肩手综合征Ⅰ期的临床疗效[J].保健医学研究与实践,2026,23(2):49-55,7.基金项目
重庆市卫生健康委科研项目(2024WSJK165). （2024WSJK165）
