热敏灸治疗老年原发性肌少症及老年脑卒中后继发性肌少症的临床研究

Clinical study on the treatment of primary sarcopenia in the elderly and secondary sarcopenia after stroke with heat sensitive moxibustion

目的探讨热敏灸在治疗老年原发性肌少症、老年脑卒中后继发性肌少症患者中的应用价值。方法选取2018年7月至2022年7月江西省人民医院/南昌医学院第一附属医院收治的80例老年原发性肌少症、老年脑卒中后继发性肌少症患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组40例。对照组采用常规康复治疗,观察组在对照组基础上采用热敏灸治疗,两组均治疗3个月。比较两组四肢骨骼肌指数(ASMI)、肌肉活动功能、手臂最大握力、血液流变学。结果观察组治疗后的ASMI、简易体能状况量表(SPPB)评分、手臂最大握力高于对照组,全血黏度高切、全血黏度低切、血浆黏度(PV)、红细胞压积(PCV)低于对照组,差异有统计学意义(P<0.05)。结论热敏灸应用于老年原发性肌少症、老年脑卒中后继发性肌少症患者中可调节机体血液流变学,提高其四肢骨骼肌肉质量及手臂握力,改善肌肉活动功能,临床应用价值更高。

Objective To explore the application value of heat sensitive moxibustion in the treatment of elderly patients with primary sarcopenia and secondary sarcopenia after stroke.Methods A total of 80 elderly patients with primary sarcopenia and secondary sarcopenia after stroke admitted to Jiangxi Provincial People's Hospital,the First Affiliated Hospital of Nan-chang Medical College from July 2018 to July 2022 were selected as the research subjects,they were divided into control group and observation group using the random number table method,with 40 cases in each group.The control group re-ceived routine rehabilitation treatment,while the observation group received thermal moxibustion treatment on the basis of the control group.Both groups were treated for 3 months.The appendicular skeletal muscle mass index(ASMI),muscle ac-tivity function,arm maximum grip strength,and hemorheology of the two groups were compared.Results The ASMI,short physical performance battery(SPPB)score and maximum arm grip strength of the observation group after treatment were higher than those of the control group,while whole blood viscosity high shear,whole blood viscosity low shear,plasma vis-cosity(PV)and packed cell volume(PCV)were lower than those of the control group,with statistically significant differ-ences(P<0.05).Conclusion The application of heat sensitive moxibustion in elderly patients with primary myopenia and elderly patients with secondary myopenia after stroke can adjust the body hemorheology,improve the skeletal muscle quali-ty of their limbs and the grip strength of their arms,improve the function of muscle activity,and has higher clinical applica-tion value.