首页|艾灸通里、大钟穴联合康复训练对脑卒中患者血清hs-CRP及认知功能的影响

艾灸通里、大钟穴联合康复训练对脑卒中患者血清hs-CRP及认知功能的影响

Effect of Moxibustion Tongli and Dazhong Combined Rehabilitation Training on Serum hs-CRP and Cognitive Function after Stroke

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目的:探讨艾灸通里、大钟穴联合康复训练对脑卒中患者血清超敏C反应蛋白(hs-CRP)水平、认知功能的影响.方法:选择2020-07-2022-06本院接诊的康复期脑卒中患者90例,按照随机数表法将其分为对照组和研究组,各45例.两组均接受康复训练,对照组患者给予口服尼莫地平片,研究组患者在对照组基础上艾灸通里、大钟穴.对比分析两组患者治疗前后血清hs-CRP、简易智力状态检查表(MMSE量表)评分、长谷川痴呆量表(HDS量表)评分、肌张力的变化和组间差异.结果:治疗前,两组患者血清hs-CRP水平、认知功能MMSE评分、智力HDS评分、肌张力评分对比差异无统计学意义(P>0.05);治疗后,两组患者血清hs-CRP水平、肌张力评分均降低,认知功能MMSE评分、智力HDS评分均升高,但研究组较对照组降低/升高更为明显(P均<0.05或P<0.01).结论:艾灸通里、大钟穴联合康复训练治疗可有效减轻脑卒中恢复期患者的炎性反应,改善患者认知功能,促进患者生活能力恢复.
Objective:To investigate the effects of moxibustion Tongli and Dazhong combined rehabilitation training on serum high-sensitivity C-reactive protein(hs-CRP)and cognitive function after stroke.Method:90 cases of stroke patients from July 2020 to June 2022 were included in the study,and were randomly divided into control group and study group,with 45 cases in each group.Both groups received rehabilitation training.Patients in the control group were given oral nimodipine tablets,while patients in the study group were given moxibustion at Tongli and Dazhong points on the basis of the control group.The serum hs-CRP,mental state,intelligence state,muscle tension and daily living ability of the two groups were compared and analyzed before and after intervention.Results:After intervention,the serum hs-CRP level and muscle tension score of the two groups were decreased,but the de-crease was more obvious in the study group,and the difference was statistically significant(P<0.05 or P<0.01).After intervention,the MMSE score of cognitive function and HDS score of intelligence in two groups were higher than before intervention,and the study group was higher than the control group,the difference was statistically sig-nificant(P<0.05 or P<0.01).Conclusion:Moxibustion Tongli and Dazhong combined with rehabilitation training can effectively reduce the inflammatory response of stroke patients,improve the cognitive function and intellectual state of patients,and promote the recovery of patients' life ability.

MoxibustionCerebral apoplexyCognitive

王翠芳、李慧芳、朱红云、洪锋

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安徽省亳州市人民医院针灸科,亳州 236800

艾灸 脑卒中 认知功能

安徽省卫生健康委员会科研项目

AHWJ2022c033

2024

微循环学杂志
武汉大学人民医院,中国病理生理学会微循环专业委员会

微循环学杂志

CSTPCD
影响因子:0.969
ISSN:1005-1740
年,卷(期):2024.34(1)
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