雷火灸法治疗脑卒中后疲劳的临床疗效研究  

Effect of Thunderbolt Moxibustion on Post-stroke Fatigue

作　　者：赖晓玲[1] 陈斌[2] 陈麟[2] 

机构地区：[1]福州总医院中医理疗科,福州350025 [2]福建省立医院康复科,福州350001

出　　处：《世界中医药》2016年第8期1582-1585,共4页World Chinese Medicine

基　　金：福建省卫生厅2013-2015年度福建省中医药科研项目计划书"扶正补土"针灸治疗废用性腓肠肌萎缩的临床研究(编号:wzzh201302)

摘　　要：目的:观察雷火灸神阙、足三里对卒中后疲劳的临床疗效。方法:纳入脑卒中后疲劳患者共73例,随机分为2组,治疗组(n=40)和对照组(n=33)。2组患者均接受常规传统康复训练,而治疗组则在此基础上予以雷火灸神阙、双侧足三里穴,1次/d,共计15 d。使用疲劳严重程度量表(Fatigue Severity Scale,FSS)、个人疲劳强度(Checklist Individual Strength,CIS)和疲劳影响量表(Fatigue Consequance Sub-scale,FIS)对2组患者治疗前后的疲劳情况进行评估。结果:治疗后,治疗组在FSS、CIS及FIS的评分均有不同程度的降低,具有统计学意义(P<0.05);对照组的FIS评分也较治疗前降低,具有统计学意义(P<0.05),但是FSS、CIS的评分均数虽较治疗前降低,但无统计学意义(P>0.05)。组间比较显示,治疗组在治疗后的FSS、CIS及FIS的评分均较对照组有统计学意义(P<0.05)。结论:采用雷火灸神阙和足三里能够降低脑卒中后疲劳程度,改善个人疲劳状况,同时能减低疲劳对于患者生活的影响。Objective：To observe the effecicacy of Thunderbolt moxibustion of Shenque and Zusanli acupoints on post-stroke fatigue.Methods：A total of 73 cases of fatigue after stroke patients were randomly divided into two groups：the treatment group（ n =40） and he control group（ n = 40）.All patients received conventional rehabilitation training routine.The treatment group received thunderbolt moxibustion on Shenque and Zusanli acupoints once a day,for 15 days.Using labor Severity Scale（ FSS）,personal fatigue strength（ CIS） and fatigue Impact Scale（ FIS） to evaluate fatigue condition before and after treatment.Results：After treatment,the treatment group showed lower scores in FSS,CIS,and FIS scores with significant difference to the control group（ P〈0.05）.FIS scores in the control group were lower than those before treatment,with a statistical significance（ P〈0.05）,while no statistical differences were seen in FSS,CIS ratings（ P〉0.05）.Comparison between groups showed that there are significant difference exist in FSS,CIS and FIS scores than the control（ P〈0.05）.Conclusion：Thunderbolt moxibustion of Shenque and Zusanli acupoints can reduce the degree of fatigue after stroke,improve personal fatigue situation,and reduce the negative effect for the patient.

关 键 词：雷火灸 脑卒中后疲劳 神阙 足三里 

分 类 号：R245[医药卫生—针灸推拿学]