雷火灸与普通艾条灸治疗脑卒中后认知障碍疗效对比研究  

Comparative Study on Effects of Thunder-Fire Moxibustion and Ordinary Moxa Stick Moxibustion for Post-Stroke Cognitive Impairment

作　　者：刘芳[1] 修火琴 陈梓琼 高姗 邱莉 LIU Fang;XIU Huoqin;CHEN Ziqiong;GAO Shan;QIU Li(College of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350122,China)

机构地区：[1]福建中医药大学护理学院,福建福州350122

出　　处：《新中医》2025年第4期128-133,共6页New Chinese Medicine

基　　金：福建省自然科学基金面上项目(2021J01946);福建中医药大学护理学科开放课题(XHL2022005)。

摘　　要：目的:对比分析雷火灸与普通艾条灸对脑卒中后认知障碍(PSCI)患者神经功能、认知功能、日常生活活动能力及血清同型半胱氨酸(Hcy)水平的影响。方法:选取2023年5—11月福建中医药大学附属康复医院收治的104例PSCI患者,使用计算机随机分为雷火灸组和艾条灸组,每组52例。2组均给予常规治疗、康复与护理,在此基础上选取百会、神庭,艾条灸组采用普通艾条灸治疗,雷火灸组则采用雷火灸治疗,2组均治疗4周。比较2组治疗前后美国国立卫生院卒中量表(NIHSS)、蒙特利尔认知评估量表(MoCA)、改良Barthel指数(MBI)评分及血清Hcy水平。结果:治疗后,2组NIHSS评分、血清Hcy水平均较治疗前降低,雷火灸组NIHSS评分低于艾条灸组,差异均有统计学意义(P<0.05);2组MoCA各维度评分及总分均较治疗前升高,雷火灸组视空间与执行能力、注意、延迟回忆评分及总分均高于艾条灸组,差异均有统计学意义(P<0.05);2组MBI评分均较治疗前升高,雷火灸组MBI评分高于艾条灸组,差异均有统计学意义(P<0.05)。治疗后,2组命名、语言、抽象、定向力评分及血清Hcy水平比较,差异均无统计学意义(P>0.05)。结论:上述2种灸法均能改善PSCI患者的神经功能、认知功能及日常生活活动能力,但雷火灸的疗效优于普通艾条灸,2种灸法均可降低血清Hcy水平,疗效相当。Objective:To conduct a comparative analysis on the effects of thunder-fire moxibustion and ordinary moxa stick moxibustion on neurological function,cognitive function,daily living activity ability,and serum homocysteine(Hcy)levels in patients with post-stroke cognitive impairment(PSCI).Methods:A total of 104 PSCI patients admitted to Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from May to November 2023 were randomly divided into two groups by computer:the thunder-fire moxibustion group and the moxa stick moxibustion group,with 52 patients in each group.Both groups received routine treatment,rehabilitation,and care.Based on this,Baihui(DU 20)point and Shenting(DU 24)point were selected.The moxa stick moxibustion group was treated with ordinary moxa stick moxibustion,while the thunder-fire moxibustion group was treated with thunder-fire moxibustion.Both groups were treated for four weeks.Compared the National Institutes of Health Stroke Scale(NIHSS),Montreal Cognitive Assessment(MoCA)and Modified Barthel Index(MBI)scores and serum Hcy levels between the two groups before and after treatment.Results:After treatment,NIHSS scores and serum Hcy levels in the two groups were decreased when compared with those before treatment,and the NIHSS score in the thunder-fire moxibustion group was lower than that in the moxa stick moxibustion group,differences being significant(P<0.05).The scores and total scores of all dimensions of MoCA in both groups were increased when compared with those before treatment,and the visual space and executive ability,attention,and delayed recall scores and total scores in the thunder-fire moxibustion group were higher than those in the moxa stick moxibustion group,differences being significant(P<0.05).Both groups showed an increase in MBI scores when compared with those before treatment,with the thunder-fire moxibustion group having a higher MBI score than the moxa stick moxibustion group,differences being significant(P<0.05).After treatment,there was n

关 键 词：脑卒中 认知障碍 雷火灸 神经功能 认知功能 日常生活活动能力 同型半胱氨酸 

分 类 号：R255.2[医药卫生—中医内科学] R246.6[医药卫生—中医学]