隔姜灸改善脑卒中患者下肢血流速度的临床研究  

Clinical Study on Ginger-partitioned Moxibustion in Improving Blood Flow Velocity in Lower Limbs of Post-stroke Patients

作　　者：张雪[1] 胡彦群[2] 赵蕊[1] 

机构地区：[1]北京市第二医院,北京100031 [2]卫生部北京医院,北京100730

出　　处：《上海针灸杂志》2015年第5期406-408,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：北京市西城区科技新星项目(209-43)

摘　　要：目的观察隔姜灸治疗对脑卒中患者肢体血液回流速度的临床疗效。方法将90例脑卒中患者随机分为治疗组和对照组,每组45例。治疗组采用隔姜灸治疗,对照组采用单纯针刺治疗。两组治疗前后分别测量下肢静脉血液回流速度,并观察美国国立卫生研究院卒中量表(NIHSS)评分及修订的巴氏指数(MBI)评分。结果治疗组治疗4星期后Vmax与同组治疗前比较,差异具有统计学意义(P<0.05)。治疗组治疗4星期后Vmax与对照组比较,差异具有统计学意义(P<0.05)。治疗组治疗4星期后NIHSS评分及MBI评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗4星期后MBI评分与对照组比较,差异具有统计学意义(P<0.05)。结论隔姜灸能提高脑卒中患者肢体静脉血液回流速度,改善血液循环,提高生活能力。Objective To observe the clinical efficacy of ginger-partitioned moxibustion in improving blood flow velocity in lower limbs of post-stroke patients.Methods Ninety post-stroke patients were randomized into a treatment group and a control group, 45 in each group. The treatment group was intervened by ginger-partitioned moxibustion, while the control group was by conventional acupuncture. Before and after intervention, the blood flow velocity in lower limbs, National Institute of Health Stroke Scale （NIHSS） and modified Barthel Index （MBI） were evaluated.Results After 4-week treatment, the maximum blood flow velocity （Vmax） was significantly changed in the treatment group （P〈0.05）, and there was a significant difference in comparing the Vmax between the two groups after intervention （P〈0.05）; the NIHSS and MBI scores were significantly changed after intervention in the treatment group （P〈0.05）, and there was a significant difference in comparing MBI score between the two groups after intervention （P〈0.05）.Conclusions Ginger-partitioned moxibustion can accelerate the blood flow velocity in lower limbs of the post-stroke patients, improve blood circulation and the activities of life.

关 键 词：针灸疗法 隔姜灸 血流速度 巴氏指数 中风后遗症 偏瘫 灸法 

分 类 号：R246.6[医药卫生—针灸推拿学]