不同时程温和灸对中风后肩痛患者肩髃穴热敏化现象影响

Effects of Different Durations of Mild Moxibustion on Point Jianyu Thermosensitization in Post-stroke Shoulder Pain Patients

目的观察不同时程温和灸对中风后肩痛患者肩髃穴热敏化现象影响。方法将36例患者随机分入长时程温灸组、短时程温灸组,每组18例,分别给予肩髃穴长、短时程温和灸,通过患者日记的方式观察热敏化现象表现形式、持续时间及其他主观感受。结果肩髃穴是中风后肩痛患者出现的热敏点之一,通过温和灸可诱发其热敏化现象;艾灸时程是诱发热敏化现象的重要因素,并与热敏化现象持续时间相关,长时程温和灸热敏化出现率明显高于其他组,热敏化现象持续时间也较长。结论 20 min温和灸能够较好地引发热敏化现象。

Objective To investigate the effects of different durations of mild moxibustion on point Jianyu（LI15） thermosensitization in post-stroke patients.Methods Thirty-six patients were randomly allocated to long-and short-duration mild moxibustion groups,18 cases each.Long and short durations of mild moxibustion were separately performed on point Jianyu.The thermosensitive form and duration and other subjective sensations were examined by the patient＇s diary.Results Point Jianyu was one of thermosensitive spots in the patients with post-stroke shoulder pain.Mild moxibustion could induce its thermosensitization.The duration of moxibustion was an important factor in inducing the thermosensitization and related to the duration of thermosensitization.The thermosensitization rate was higher and the duration of thermosensitization was longer in the long-duration mild moxibustion group than in the other group.Conclusion Twenty-minute mild moxibustion can better induce the thermosensitization.