华夏医学2024,Vol.37Issue(6) :148-153.DOI:10.19296/j.cnki.1008-2409.2024-06-023

艾灸对卒中后认知障碍患者神经功能和血管性危险因素的影响

Effects of moxibustion on neurological function and vascular risk factors of patients with post stroke cognitive impairment

林茜 修火琴 陈梓琼 涂淑贞 刘芳
华夏医学2024,Vol.37Issue(6) :148-153.DOI:10.19296/j.cnki.1008-2409.2024-06-023

艾灸对卒中后认知障碍患者神经功能和血管性危险因素的影响

Effects of moxibustion on neurological function and vascular risk factors of patients with post stroke cognitive impairment

林茜 1修火琴 2陈梓琼 2涂淑贞 2刘芳2
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作者信息

  • 1. 福建中医药大学附属康复医院言语治疗部,福州 350003;福建省康复技术重点实验室,福州 350003
  • 2. 福建中医药大学护理学院,福州 350122
  • 折叠

摘要

目的 观察艾灸对卒中后认知障碍(PSCI)患者神经功能和血管性危险因素的干预效果.方法 共纳入PSCI患者104 例,随机分为艾灸组52 例和对照组 52 例.对照组接受常规的治疗、康复与护理,艾灸组在对照组基础上进行艾灸,每日 1 次,每周 5 次,共治疗 4 周.比较两组干预前后神经功能(NIHSS)、认知功能(MoCA-ChiFZ)、高血压例数、血糖(FBG)和血脂(TC、TG、HDL-C、LDL-C)水平.结果 最终艾灸组 47 例,对照组48 例完成研究.两组干预后NIHSS、MoCA-ChiFZ、FBG、TG水平降低,高血压例数减少,LDL-C水平升高,与干预前比较,差异均具有统计学意义(P<0.05).干预后,与对照组比较,艾灸组NIHSS、MoCA-ChiFZ、FBG及TG水平更低,HDL-C水平更高,差异均具有统计学意义(P<0.05).结论 艾灸可改善PSCI患者的神经功能和认知功能,控制血脂水平,且安全性较好.

Abstract

Objective To observe the effect of moxibustion on neurological function and vascular risk factors of patients diagnosed with post-stroke cognitive impairment(PSCI).Methods 104 patients diagnosed with PSCI were enrolled in this study and were subsequently randomized into the moxa stick moxibustion group(52 patients)and the control group(52 patients).The patients control group were received a routine treatment plan,including conventional drug therapy,rehabilitation therapy,and nursing care,and the in the moxa stick moxibustion group were received moxa stick moxibustion added to the intervention of the conrtol group,once a day,5 times each week,lasted 4 weeks.Neurological status(NIHSS),Chinese Fuzhou version of Montreal cognitive assessment scale(MoCA-ChiFZ),number of cases of hypertension,fasting blood glucose(FBG)and blood lipid(TC、TG、HDL-C、LDL-C)were compared before and after intervention.Results Finally,47 cases in the moxa stick moxibustion group and 48 cases in the control group accomplished this research.After intervention,in two group,the NIHSS,MoCA-ChiFZ,FBG,TG,and the number of cases with hypertension were all decreased compared to before intervention,while LDL-C was increased compared to before intervention,with statistically significant differences(P<0.05).After a four-week intervention period,the levels of the NIHSS,MoCA-ChiFZ,FBG and TG were significantly reduced,HDL-C levels were significantly elevated in the moxibustion group compared to the contral group,all differences were statistically significant(P<0.05).Conclusion Moxibustion ameliorates neurological and cognition function,and decreases the level of blood lipids in PSCI patients,and has good safety.

关键词

艾灸/脑卒中/神经功能/血压/空腹血糖/血脂

Key words

moxibustion/stroke/neurological status/blood pressure/fasting blood glucose/fasting blood blood lipid

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出版年

2024
华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
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