雷火灸法治疗脑卒中后疲劳的临床疗效研究

目的:观察雷火灸神阙、足三里对卒中后疲劳的临床疗效。方法:纳入脑卒中后疲劳患者共73例,随机分为2组,治疗组(n=40)和对照组(n=33)。2组患者均接受常规传统康复训练,而治疗组则在此基础上予以雷火灸神阙、双侧足三里穴,1次/d,共计15 d。使用疲劳严重程度量表(Fatigue Severity Scale,FSS)、个人疲劳强度(Checklist Individual Strength,CIS)和疲劳影响量表(Fatigue Consequance Sub-scale,FIS)对2组患者治疗前后的疲劳情况进行评估。结果:治疗后,治疗组在FSS、CIS及FIS的评分均有不同程度的降低,具有统计学意义(P0.05);对照组的FIS评分也较治疗前降低,具有统计学意义(P0.05),但是FSS、CIS的评分均数虽较治疗前降低,但无统计学意义(P0.05)。组间比较显示,治疗组在治疗后的FSS、CIS及FIS的评分均较对照组有统计学意义(P0.05)。结论:采用雷火灸神阙和足三里能够降低脑卒中后疲劳程度,改善个人疲劳状况,同时能减低疲劳对于患者生活的影响。

Effect of Thunderbolt Moxibustion on Post-stroke Fatigue

To observe the effecicacy of Thunderbolt moxibustion of Shenque and Zusanli acupoints on post-stroke fatigue.Methods:A total of 73 cases of fatigue after stroke patients were randomly divided into two groups:the treatment group (n=40) and he control group (n=40).All patients received conventional rehabilitation training routine.The treatment group received thunderbolt moxibustion on Shenque and Zusanli acupoints once a day,for 15 days.Using labor Severity Scale (FSS),personal fatigue strength (CIS) and fatigue Impact Scale (FIS) to evaluate fatigue condition before and after treatment.Results:After treatment,the treatment group showed lower scores in FSS,CIS,and FIS scores with significant difference to the control group(P<0.05).FIS scores in the control group were lower than those before treatment,with a statistical significance (P<0.05),while no statistical differences were seen in FSS,CIS ratings (P>0.05).Comparison between groups showed that there are significant difference exist in FSS,CIS and FIS scores than the control (P<0.05).Conclusion:Thunderbolt moxibustion of Shenque and Zusanli acupoints can reduce the degree of fatigue after stroke,improve personal fatigue situation,and reduce the negative effect for the patient.