热敏灸预防缺血性脑卒中所致压疮的临床研究

Clinical Study on Heat-sensitive Moxibustion in Preventing Bedsores after Ischemic Stroke

目的观察热敏灸预防缺血性脑卒中所致压疮的临床效果。方法将100例缺血性脑卒中患者随机分为治疗组和对照组,每组50例。对照组给予常规护理,治疗组在对照组基础上采用热敏灸干预。观察两组干预前后Norton评分及血流动力学各项指标[全血黏度(低切、中切、高切)、红细胞压积及血沉]的变化情况,并比较两组压疮发生情况。结果两组干预后Norton评分及血流动力学各项指标与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组干预后Norton评分及血流动力学各项指标与对照组比较,差异均具有统计学意义(P<0.05)。治疗组干预后压疮发生率为8.0%,对照组为24.0%,两组比较差异具有统计学意义(P<0.05)。结论热敏灸能有效降低缺血性脑卒中患者压疮风险和压疮发生率,其机制可能与改善血流动力学有关。

Objective To observe the clinical efficacy of heat-sensitive moxibustion in preventing bedsores after ischemic stroke.Method A hundred ischemic stroke patients were randomized into a treatment group and a control group,50cases each.The control group was intervened by ordinary nursing care,while the treatment group additionally received heat-sensitive moxibustion.Norton scale and hemodynamics[whole blood viscosity(low-shear,mid-shear and high-shear),hematocrit and erythrocyte sedimentation rate(ESR)]of the two groups were observed before and after the treatment,and the occurrences of bedsores in the two groups were compared.Result After the intervention,Norton scale and hemodynamic indexes were significantly changed in both groups(P<0.05).Norton scale and hemodynamic indexes in the treatment group were significantly different from those in the control group after the intervention(P<0.05).The occurrence rate of bedsores was8.0%in the treatment group versus24.0%in the control group,and the between-group difference was statistically significant(P<0.05).Conclusion Heat-sensitive moxibustion can effectively reduce the risk and occurrence of bedsores in ischemic stroke patients,and its mechanism is possibly related to the improvement of hemodynamics.