雷火灸治疗脑卒中后并发症研究进展  

Research Progress of Thunder⁃Fire Moxibustion in the Treatment of Post⁃Stroke Complications

作　　者：苏强 徐瑞瑞[1] 于若凡 姚婷婷[1] 宋晓东 宋佳苧 SU Qiang;XU Ruirui;YU Ruofan;YAO Tingting;SONG Xiaodong;SONG Jianing(The Second Affiliated Hospital of Bengbu Medical University,Bengbu,Anhui,China,233000;Bengbu Medical University,Bengbu,Anhui,China,233030)

机构地区：[1]蚌埠医学院第二附属医院,安徽蚌埠233000 [2]蚌埠医学院,安徽蚌埠233030

出　　处：《河南中医》2024年第5期764-770,共7页Henan Traditional Chinese Medicine

基　　金：安徽省中医药传承创新科研项目(2020zcyb18);蚌埠医学院自然科学重点项目(2021byzd203,2021byzd209);安徽省高等学校自然科学研究重点项目(2023AH051948)。

摘　　要：雷火灸的特点是火力猛、药力峻、渗透力强、灸疗面广,常用于治疗脑卒中后上肢功能障碍、脑卒中后认知功能障碍、脑卒中后吞咽障碍、脑卒中后睡眠障碍、脑卒中后二便障碍、脑卒中后呼吸功能障碍、脑卒中后其他并发症等。雷火灸研究过程中存在一些问题:关于雷火灸的临床研究报道,多是联合研究较多,独立开展研究较少;目前,已开展了较多关于脑卒中及其并发症的研究,但仍有部分问题并未涉及;总体研究样本量较少,部分研究并未按严格随机双盲对照方案设计进行;临床研究开展较多,且多是临床观察,基础研究涉及较少。为了使雷火灸疗法能更好地应用于脑卒中及其并发症的临床诊疗中,建议在以下几个方面加大努力:加大对雷火灸独立疗法的研究,以明确其临床疗效;进一步拓展雷火灸应用于脑卒中的临床诊疗范围,填补部分领域的研究空白,如肺功能康复、神经源性肠道功能障碍等;加大临床研究样本量,严格按随机双盲对照研究设计,增大临床研究结果的可信度;大力开展雷火灸基础研究,探究其作用机理,为了解其作用机制提供充分的数据支持。Thunder⁃fire moxibustion is characterized by fierce firepower,strong drug force,strong penetration and wide moxibustion range treatment.It is often used to treat upper limb dysfunction,cognitive dysfunction,dysphagia,sleep disorder,stool disorder,respiratory dys⁃function and other complications after stroke.However,there are some problems in the research of thunder⁃fire moxibustion:The clinical research reports on thunder⁃fire moxibustion is mostly joint research,and few independent research.At present,more research on stroke and its complications have been carried out,but some problems have not been involved.The overall sample size of the related research is limited,and some research has not been carried out according to the strict randomized double⁃blind controlled scheme design.There is numerous clinical research,most of which is clinical observations,and little basic research.In order to make thunder⁃fire moxibustion therapy better applied in the clinical diagnosis and treatment of stroke and its complications,it is suggested to strengthen efforts in the following aspects:To increase the research on the independent therapy of thunder⁃fire moxibustion so as to accurately verify its clinical efficacy;to further expand the scope of clinical diagnosis and treatment of thunder⁃fire moxibustion in stroke,and fill in the research gaps in some areas,such as pulmonary function rehabilitation,neurogenic intestinal dysfunction,etc.;to increase the sample size of clinical research,strictly follow the design of randomized double⁃blind controlled research,and enlarge the credibility of clinical research re⁃sults;to vigorously carry out basic research on thunder⁃fire moxibustion,explore its mechanism of action,and provide sufficient data sup⁃port for understanding its mechanism of action.

关 键 词：脑卒中后并发症 雷火灸 上肢功能障碍 认知功能障碍 吞咽障碍 睡眠障碍 二便障碍 呼吸功能障碍 

分 类 号：R255.2[医药卫生—中医内科学]