循经感传扶阳灸对老年缺血性脑卒中恢复期痉挛性偏瘫的影响  

Effect of Yang-supplementing Moxibustion of Propagated Sensation Along Meridian on Spastic Hemiplegia Treatment in Elderly Patients with Ischemic Stroke at Convalescence

作　　者：屈玉华 范润平[2] 王红艳 陈凤鸣 QU Yuhua;FAN Runping;WANG Hongyan;CHEN Fengming(School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan Province,China;Department of Anorectum,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan Province,China;Scientific Research Office,Sichuan Nursing Vocational College,Chengdu 610100,Sichuan Province,China)

机构地区：[1]成都中医药大学护理学院,四川成都610075 [2]成都中医药大学附属医院肛肠科,四川成都610075 [3]四川护理职业学院科研处,四川成都610100

出　　处：《军事护理》2023年第10期1-4,共4页MILITARY NURSING

基　　金：国家重点研发计划项目(2018YFC2002402);四川省干部保健科研课题(川干研2021-503)。

摘　　要：目的探讨循经感传扶阳灸对老年缺血性脑卒中恢复期患者痉挛性偏瘫的影响,为改善其生活质量提供临床依据。方法2021年4月至2022年8月,采用便利抽样法选择某院住院治疗的痉挛性偏瘫患者120例为研究对象。以随机数字表法将其分为A组(对照组)、B组(传统灸法组)、C组(循经感传扶阳组),各组均40例,治疗8周。采用改良Ashworth量表(modified Ashworth scale,MAS)、综合痉挛量表(compopsite spasticity scale,CSS)、四肢简化Fugl-Meyer运动功能评分(Fugl-Meyer assessment scale,FMA)、改良Barthel指数评定量表(modified Barthel index,MBI)比较各组患者治疗前、治疗4周及8周后肢体的痉挛程度、运动功能、日常生活活动能力,并观察其安全性。结果干预第4及8周时,三组患者各项评分均优于干预前,差异均有统计学意义(均P<0.05)。各项得分的干预主效应及交互效应有统计学意义(均P<0.05),且时间效应亦均有统计学意义(均P<0.05)。3组患者治疗部位皮肤均无异常。结论循经感传扶阳灸可缓解脑卒中患者肢体痉挛程度,提高运动能力,值得推广。Objective To explore the effects of Yang-supplementing Moxibustion of Propagated Sensation along Meridian on spastic hemiplegia in elderly patients with ischemic stroke at convalescence,and to provide clinical basis for improving the quality of life.Methods From April 2021 to August 2022,120 patients with spastic hemiplegia who were hospitalized in a hospital were selected as the research objects by the convenience sampling method.According to the random number table method,the patients were divided into group A(control group),group B(traditional moxibustion group)and group C(Yang-supplementing Moxibustion of Propagated Sensation along Meridian group),40 cases in each group,and the treatment was given for 8 weeks.The modified Ashworth Scale(MAS),Compopsite Spasticity Scale(CSS),and Fugl-Meyer Assessment Scale(FMA)and modified Barthel Index(MBI)were used to compare the degree of limb spasticity,motor function and activities of daily living of the 3 groups before treatment,4 weeks and 8 weeks after treatment,and to observe the safety.Results At the 4th and 8th week of intervention,the scores were better than those before intervention,and the differences were statistically significant(all P<0.05).The main effect and interaction effect of intervention in the scores were statistically significant(all P<0.05),and the time effect was also statistically significant(all P<0.05).The skin at the treatment area of patients in the 3 groups was normal.Conclusion Yang-supplementing Moxibustion of Propagated Sensation along Meridian for spastic hemiplegia in stroke patients can relieve limb spasticity and improve motor ability in stroke patients,which is worthy of promotion.

关 键 词：循经感传 扶阳灸 缺血性脑卒中 痉挛性偏瘫 

分 类 号：R473.54[医药卫生—护理学]