基于中医正护法理论的药膳调护联合雷火灸治疗脑卒中后疲劳的疗效研究

Study on the efficacy of traditional Chinese medicine positive protection theory based medicated diet combined with thunder-fire moxibustion on post-stroke fatigue

目的探讨基于中医正护法理论的药膳调护联合雷火灸治疗脑卒中后疲劳的临床疗效。方法63例脑卒中后疲劳患者,采用随机数字表法分为对照组(31例)和观察组(32例)。对照组给予常规康复干预措施,观察组在对照组基础上增加基于中医正护法理论的药膳调护联合雷火灸治疗。比较两组患者疲劳严重程度量表(FSS)、Fugl-Meyer运动功能评定量表(FMA)、日常生活活动能力指数(MBI)评分。结果治疗前,两组FSS评分比较差异无统计学意义(P>0.05);治疗后,两组FSS评分均低于治疗前,且观察组FSS评分(4.78±0.56)分低于对照组的(5.53±0.32)分,差异有统计学意义(P<0.05)。治疗前,两组FMA评分比较差异无统计学意义(P>0.05);治疗后,两组FMA评分均高于治疗前,且观察组FMA评分(93.43±2.63)分高于对照组的(91.87±2.98)分,差异有统计学意义(P<0.05)。治疗前,两组MBI评分比较差异无统计学意义(P>0.05);治疗后,两组MBI评分均高于治疗前,且观察组MBI评分(91.21±5.43)分高于对照组的(86.57±5.01)分,差异有统计学意义(P<0.05)。结论基于中医正护法理论的药膳调护联合雷火灸对改善脑卒中后疲劳患者的疲劳症状及运动功能效果显著,从而提高患者的生活自理能力,值得临床推广应用。

Objective To discuss the clinical efficacy of traditional Chinese medicine positive protection theory based medicated diet combined with thunder-fire moxibustion on post-stroke fatigue.Methods A total of 63 patients with post-stroke fatigue were divided into control group(31 cases)and observation group(32 cases)according to the random numerical table.The control group received conventional rehabilitation intervention measures,and the observation group received traditional Chinese medicine positive protection theory based medicated diet combined with thunder-fire moxibustion.The Fatigue Severity Scale(FSS)score,Fugl-Meyer Motor Assessment(FMA)score and modified Barthel Index(MBI)were compared between the two groups.Results Before treatment,there was no statistically significant difference in FSS score between the two groups(P>0.05).After treatment,FSS score of both groups was lower than that of this group before treatment;FSS score of(4.78±0.56)points of the observation group was lower than that of(5.53±0.32)points of the control group;the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in FMA score between the two groups(P>0.05).After treatment,FMA scores in both groups were higher than those before treatment in this group;and FMA score of(93.43±2.63)points in the observation group were higher than that of(91.87±2.98)points in the control group;the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in MBI score between the two groups(P>0.05).After treatment,the MBI score of the two groups was higher than that of this group before treatment;the MBI score of(91.21±5.43)points of the observation group was higher than that of(86.57±5.01)points of the control group;the differences were statistically significant(P<0.05).Conclusion The clinical application of traditional Chinese medicine positive protection theory based medical diet combined with moxibustion is effective in improving the fatigue symptoms and motor functions of post-stroke fatigue patients,thus improving the patients'activities of daily living,which is worthy of clinical promotion and application.