艾灸足三里穴缓解卒中后疲劳的临床研究

发布时间：2018-05-30 15:01

本文选题：卒中后疲劳 + 中风　；参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:本研究通过艾灸足三里穴对卒中后疲劳患者进行干预,通过疲劳程度及安全性指标的监测,客观评价艾灸足三里穴干预卒中后疲劳患者的临床疗效及安全性,探讨艾灸在卒中后疲劳患者中的应用效果,为缓解卒中后疲劳患者的疲劳程度,提供一种简便、安全、廉价、有效的方法,为其临床应用提供依据。方法:根据脑卒中及卒中后疲劳的诊断标准,收集2015年12月～2016年9月在广东省中医院康复科住院的脑卒中后遗症期患者60例,采用随机数字表法随机分为观察组和对照组。对照组患者给予常规治疗与护理,观察组患者在常规治疗和护理的基础上,给予艾灸疗法。艾灸方法采用温和灸,高度3-5cm,每次每穴10分钟,每日1次,连续治疗6天,休息1天。共治疗2周,12次。干预前后采用多维疲劳问卷(MFI-20)、疲劳严重度量表(FSS)及卒中专用生活质量量表精力部分(SS-QOL-E)量表进行评分;并记录不良反应以对艾灸法在卒中后疲劳患者中的临床疗效进行安全性评价。疗程结束后,数据采用SPSS 17.0统计软件进行分析,以P0.05为有显著性差异。结果:1.本研究共纳入卒中后疲劳患者60例,其中观察组31例,对照组29例。研究期间观察组患者脱落3例,其中1例因住院期间突发肛周脓肿转科治疗,无法继续干预而脱落;1例因拒绝配合治疗而脱落;1例因住院期间病情好转要求出院无法完成干预疗程而脱落;其余患者均按要求完成了整个试验及观察指标的评估。对照组患者均按要求完成了整个试验及观察指标的评估。最终,本研究实际纳入病例共57例,其中观察组28例,对照组29例。干预前,两组在性别、年龄、职业、婚姻状况、文化程度、计费类型、卒中类型、卒中部位、中医证型、病程、既往史、疲劳程度、卒中后生活质量等基线上均获得平衡(均P0.05),差异无统计学意义,具有可比性。2.在疲劳程度方面,两组疲劳评分(包括MFI-20评分、FSS疲劳评分)在干预前及干预后第6、12日天均呈下降趋势,且观察组两种疲劳评分下降趋势优于对照组。两组的疲劳评分在干预后第6、12天组间的比较,差异均有统计学意义(均P0.05)。两组的MFI-20评分在干预前及干预后第6、12天组内前后的比较,差异均有统计学意义(均P0.05)。两组MFI-20量表评分差值(干预后第3天-干预前)的比较,差异有统计学意义(P0.05),在MFI-20量表评分差值(干预后第12天与干预后第6天)比较,差异无统计学意义(P0.05)。两组FSS(干预后第6天-干预前)疲劳评分差值、FSS(干预后第12天-干预后第6天)疲劳评分差值的比较,差异均有统计学意义(均P0.05)。安全性评价方面,进行艾灸治疗的28例患者,局部皮肤完好,未出现烫伤、水泡、溃破、等现象;及其他明显不适或不良反应。结论:1.艾灸足三里穴可以缓解卒中后疲劳患者的临床症状,减轻患者的疲劳程度,改善患者疲劳症状。2.艾灸足三里穴可改善卒中后疲劳患者的生活质量,有助于控制病情进展,增强患者恢复健康的信心。3.艾灸疗法操作简单方便,效果安全可靠,值得临床推广应用。
[Abstract]:Objective: To investigate the clinical efficacy and safety of moxibustion at Zusanli (moxibustion) Zusanli (moxibustion) at Zusanli (Zusanli), through the intervention of moxibustion at Zusanli (Zusanli) and the monitoring of fatigue and safety indicators, and to explore the effect of moxibustion on the fatigue patients after stroke to alleviate fatigue after stroke. To provide a simple, safe, inexpensive and effective method to provide a basis for its clinical application. Methods: according to the diagnostic criteria of stroke and post stroke fatigue, 60 patients with post-stroke sequelae hospitalized in rehabilitation department of Guangdong Province Traditional Chinese Medical Hospital from December 2015 to September 2016 were randomly divided into an observation group and a random digital table. The control group was given routine treatment and nursing. The patients in the observation group were treated with Moxibustion on the basis of conventional treatment and nursing. Moxibustion was treated with mild moxibustion, high 3-5cm, 10 minutes per point each time, 1 times a day, 6 days of continuous treatment and 1 days of rest. A total of 2 weeks and 12 times were treated with a multidimensional fatigue questionnaire (MFI-20) before and after intervention. The severe scale (FSS) and the apoplexy specific quality of life scale (SS-QOL-E) scale were scored, and the adverse reactions were recorded to evaluate the clinical efficacy of Moxibustion in patients with post-stroke fatigue. After the course of treatment, the data were analyzed with SPSS 17 statistical software, with a significant difference in P0.05. Results: 1. studies 60 cases of post-stroke fatigue were included, of which 31 cases in the observation group and 29 cases in the control group. During the study, 3 cases were dropped out of the observation group, of which 1 cases were lost because of the sudden anal abscess in the hospital during the hospitalization, and the 1 cases fell off because of the refusal to cooperate with the treatment. The 1 cases were discharged from the hospital during the period of residence and were unable to complete the intervention course. The whole test and observation index were completed according to the requirements of the control group. Finally, 57 cases were included in this study, including 28 in the observation group and 29 in the control group. Before the intervention, the two groups were in sex, age, occupation, marital status, and educational level. Billing type, stroke type, stroke location, TCM syndrome, history, history, fatigue, and quality of life after stroke were all balanced (P0.05), with no statistically significant difference, with comparable.2. in the degree of fatigue, two groups of fatigue scores (including MFI-20 score, FSS fatigue score) before and after 6,12 day after the intervention. The decline trend of the two types of fatigue scores in the observation group was better than that of the control group. The difference of the two groups was statistically significant (P0.05). The MFI-20 scores of the two groups were statistically significant (P0.05) before and after the intervention in the 6,12 day group (all P0.05). Two groups of MFI- were statistically significant (P0.05). The difference between the score of the 20 scale (third days after the intervention) was statistically significant (P0.05). There was no significant difference in the difference between the score of the MFI-20 scale (twelfth days after the intervention and sixth days after the intervention). The two group of FSS (sixth days before intervention), the difference in fatigue score, and the fatigue evaluation of FSS (twelfth days of dry prognosis, sixth days after the dry prognosis) The difference was statistically significant (all P0.05). In the safety evaluation, 28 patients with moxibustion were treated with moxibustion, without scald, blister, break and other phenomena, and other obvious discomfort or adverse reactions. Conclusion: 1. moxibustion at Zusanli can relieve the clinical symptoms of patients with post stroke fatigue and relieve the patients. The degree of fatigue and improvement of patients' fatigue symptoms.2. moxibustion Zusanli can improve the quality of life of patients with post stroke fatigue, help to control the progress of the patients, and enhance the confidence of the patients to restore their health..3. moxibustion therapy is simple and convenient, the effect is safe and reliable, and it is worthy of clinical application.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R248.9

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