艾灸联合耳穴埋豆治疗缺血性脑卒中

Moxibustion Combined with Auricular Acupoint Pressing Method Intervention in Treating Ischemic Stroke

目的:探讨艾灸联合耳穴埋豆治疗缺血性脑卒中患者的临床疗效。方法:将缺血性脑卒中110例患者,按照治疗方式不同分为对照组(54例)和观察组(56例)。对照组患者行常规西药治疗联合康复训练,观察组于常规治疗、康复训练基础上,给予艾灸联合耳穴埋豆治疗。对比两组患者神经功能和运动功能恢复情况。结果:治疗3个月后,观察组肢体运动功能(Fugel-Meyer,FMA)评分明显高于对照组,美国国立卫生研究院卒中量表(National Institute of health stroke scale,NIHSS)评分明显低于对照组,差异有统计学意义(P<0.01);观察组Barthel指数、生活满意度评分(satisfaction with life scale,SWLS)和健康调查简表(the MOS item short from health survey,SF-36)分值明显高于对照组(P<0.05),吞咽功能评分明显低于对照组(P<0.05);观察组血清血管内皮生长因子(vascular endothelial growth factor,VEGF)和碱性成纤维细胞生长因子(basic fibroblast growth factor,bF GF)水平明显高于对照组,差异有统计学意义(P<0.05)。结论:艾灸联合耳穴埋豆能有效改善缺血性脑卒中患者后期神经运动功能,吞咽功能和生活自理能力,提高预后生活质量。

Objective:To explore the clinical efficacy of moxibustion combined with ear-buried beans for the treatment of patients with ischemic stroke.Methods:110 patients with ischemic stroke were divided into control group(54 cases)and observation group(56 cases)according to different treatment methods.Patients in the control group were treated with conventional Western medicine combined with rehabilitation training.The observation group was given moxibustion combined with auricular acupoint pressing method on the basis of conventional therapy and rehabilitation training.The recovery of nerve function and motor function between the two groups was compared.Results:After 3 months of treatment,the Fugel-Meyer(FMA)score of the observation group was significantly higher than that of the control group,and the National Institute of Health stroke scale(NIHSS)score was significantly lower than that of the control group.Group(P<0.01);Barthel index,satisfaction with life scale(SWLS),and the MOS item short from health survey(SF-36)scores in the observation group was significantly higher than that of the control group(P<0.05),and the swallowing function score was significantly lower than the control group(P<0.05).The levels of serum,vascular endothelial growth factor(VEGF)and basic fibroblast growth factor(bF GF)was significantly higher than that of the control group(P<0.05),respectively.Conclusion:Moxibustion combined with auricular acupoint pressing method can effectively improve the neuromotor function,swallowing function and self-care ability of patients with ischemic stroke as well as improving patients’quality of life.