A Clinical Observation on Heat-Sensitive Moxibustion for 30 Cases of Stroke

XIE Hongwu; CHEN Rixin; FU Yong; XIA Leixiang; HUANG Weiyun; XIONG Jun; JIAO Lin; ZHANG Bo

doi:10.13288/j.11-2166/r.2013.12.011

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A Clinical Observation on Heat-Sensitive Moxibustion for 30 Cases of Stroke

更新时间：2021-11-17

- A Clinical Observation on Heat-Sensitive Moxibustion for 30 Cases of Stroke
- Journal of Traditional Chinese Medicine Vol. 54, Issue 12, Pages: 1021-1024(2013)
- 作者机构：
  
  江西中医学院附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2013.12.011
  CLC： R246.6
- Published：2013
- 稿件说明：
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[1]谢洪武,陈日新,付勇,夏雷翔,黄蔚云,熊俊,焦琳,张波.热敏灸治疗脑卒中30例临床观察[J].中医杂志,2013,54(12):1021-1024.

XIE Hongwu, CHEN Rixin, FU Yong, et al. A Clinical Observation on Heat-Sensitive Moxibustion for 30 Cases of Stroke[J]. Journal of Traditional Chinese Medicine2013, 54(12): 1021-1024.
[1]谢洪武,陈日新,付勇,夏雷翔,黄蔚云,熊俊,焦琳,张波.热敏灸治疗脑卒中30例临床观察[J].中医杂志,2013,54(12):1021-1024. DOI： 10.13288/j.11-2166/r.2013.12.011.

XIE Hongwu, CHEN Rixin, FU Yong, et al. A Clinical Observation on Heat-Sensitive Moxibustion for 30 Cases of Stroke[J]. Journal of Traditional Chinese Medicine2013, 54(12): 1021-1024. DOI： 10.13288/j.11-2166/r.2013.12.011.

摘要

目的观察热敏灸治疗脑卒中的临床疗效。方法将60例脑卒中患者随机分为热敏灸组和对照组各30例。热敏灸组给予热敏灸及神经内科常规治疗

对照组给予神经内科常规治疗

1周为1个疗程

连续治疗4个疗程。治疗前及治疗后4周末、6周末采用Fugl-Meyer运动功能评分法（FMA）、巴塞尔指数（BI）、脑卒中专用生活质量量表（SS-QOL）进行评分

随访3、6个月末观察病死/残疾率、复发率

并比较两组临床疗效。结果热敏灸组临床总有效率为93.33%

对照组为83.33%

热敏灸组总有效率明显高于对照组（P<0.05）。治疗后4周、6周

两组患者FMA、BI、SS-QOL评分均较治疗前明显升高（P<0.05）

治疗后6周热敏灸组FMA、BI评分较治疗后4周明显升高（P<0.05）

对照组SS-QOL评分较治疗后4周明显升高（P<0.05）

热敏灸组FMA、BI评分较对照组明显升高（P<0.05）。结论热敏灸能明显改善脑卒中患者的肢体运动功能和日常生活活动能力

疗效确切。

Abstract

Objective To observe the therapeutic effect of heat-sensitive moxibustion for stroke. Methods Totally 60 cases of stroke were randomized into the heat-sensitive moxibustion group and control group

with 30 in each. Both groups were given the conventional treatment. The heat-sensitive moxibustion group was added with heat-sensitive moxibustion. One treatment course lasted for 5 days and the treatment lasted for four consecutive courses. The scores of Fugl-Meyer assessment （FMA）

Barthel index （BI） and stroke-specific quality of life （SS-QOL） were recorded before treatment

4 weeks after treatment and 6 weeks after discharge. The mortality/disability and recurrence rate at the end of 3 and 6 months in the follow-up were observed. The comprehensive therapeutic effect was evaluated. Results The total effective rate of the heat-sensitive moxibustion group and control group was 93.33% and 83.33% respectively

with a significant difference between groups （P<0.05）. There was no significant difference between groups in the scores of FMA

BI and SS-QOL before treatment （P>0.05）. The scores of FMA

BI and SS-QOL were significantly increased in both groups after 4-week treatment （P<0.05）

with no significant difference between groups （P>0.05）. The scores of FMA

BI and SS-QOL were significantly increased in both groups after 6-week treatment （P<0.05）. Comparing with after 4-week treatment

the scores of FMA and BI were significantly increased in the heat-sensitive moxibustion group after 6-week treatment （P<0.05）. Comparing with after 4-week treatment

the SS-QOL score was significantly increased in the control group after 6-week treatment （P<0.05）. Comparing with the control group

the scores of FMA and BI were significantly increased in the heat-sensitive moxibustion group after 6-month treatment （P<0.05）. Conclusion The heat-sensitive moxibustion is effective for stroke and can improve the motor function and activity of daily living.

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