热敏灸疗法为主治疗中风后疲劳的临床研究

Clinical Observation of Thermal Moxibustion for Treatment of Post-stroke Fatigue

【目的】观察热敏灸疗法为主治疗中风后疲劳的临床疗效。【方法】将纳入研究的66例患者分为治疗组和对照组各33例,治疗组给予热敏灸疗法+康复综合训练+中药辨证治疗,对照组给予康复综合训练+中药辨证治疗,2组疗程均为4周。观察2组治疗前后疲劳严重程度量表(FSS)和中风生存质量量表(SS-QOL)中精神力部分的评分变化情况。【结果】治疗后,2组FSS评分显著降低,SS-QOL中精神力评分显著提高,与治疗前比较差异均有统计学意义(P<0.01),且治疗组的改善作用均优于对照组(P<0.01)。【结论】使用热敏灸疗法为主治疗中风后疲劳具有较好疗效,其疗效优于单纯使用康复综合训练加中药辨证治疗的对照组。

Objective To observe the clinical effect of thermal moxibustion for treatment of post-stroke patients with fatigue. Methods A total of 66 patients were equally randomized into treatment group and control group. The treatment group was given thermal moxibustion, comprehensive rehabilitation training and oral use of Chinese herbal medicine, and the control group was given comprehensive rehabilitation training and oral use of Chinese herbal medicine. The treatment lasted 4 weeks. Before and after treatment we evaluated the scores of the Fatigue Severity Scale （FSS） and the scores of mentality dimension in Stroke-specific Quality of Life Survival Scale （SS-QQL） . Results After treatment, FSS scores were decreased, and the scores of SS-QOL mentality dimension were increased in both groups （P〈0.01 compared with those before treatment）, and the effect in the treatment group was superior to that in the control group （P〈0.01） . Conclusion The comprehensive therapy of thermal moxibustion, rehabilitation training and oral use of Chinese herbal medicine shows better effect than that of the combination of rehabilitation training and oral use of Chinese herbal medicine for the treatment of post-stroke fatigue patients.