穴位艾灸改善中风患者生活自理能力的临床研究.docVIP

精品论文 参考文献 穴位艾灸改善中风患者生活自理能力的临床研究 吴洁1 刘杨1 陈春梅1 王艳1 黄桂香1 赵毅2 罗羽（通讯作者）3 　　（1.达州市中心医院 神经内科 四川 达州 635000）； 　　（2.达州市中心医院 康复理疗科 四川 达州 635000）； 　　（3.第三军医大学护理学院 重庆 400038） 　　【摘 要】目的：探索穴位艾灸对中风患者生活自理能力改善的临床效果。方法：将 67例中风患者随机分为艾灸组（32例）和对照组（35例）。艾灸组入院次日开始艾灸双侧足三里和内关穴，每日1次，每次每穴灸10 min，持续21天；除对照组无穴位艾灸外，两组的主要药物治疗、专科护理措施基本一致。两组入院0、7、14、21 d分别进行Barthel指数评分进行统计学分析（SPASS 18.0）。结果：两组入院时Barthel指数评分无明显差异（Pgt;0.05）；14 d起艾灸组的评分显著高于对照组（P lt; 0.05），且随着时间推移差别更加明显（Plt; 0.01）。结论：穴位艾灸有利于中风患者神经功能恢复，提升生活自理能力，值得推广。 　　【关键词】脑中风；自理能力；穴位艾灸；足三里穴；内关穴 　　【中图分类号】R255.2 【文献标识码】B 【文章编号】1003-5028（2015）7-0132-02 　　Clinical study on the self-care ability improvement of stroke patients by moxibustion 　　Wu Jie1，Liu Yang 1, Chen Chunmei 1, Wang Yan1，Huang Guixiang1， Zhao Yi2，Luo Yu3 　　（1.Neurological Department，Dazhou Central Hospital） 　　（2.Department of Physical Therapy and Rehabilitation，Dazhou Central Hospital，Dazhou Sichuan）（3.Corresponding author, School of Nursing,Third Military Medical University） 　　【Abstract】Objective：To explore the clinical effect on stroke patients with self-care ability improved by moxibustion. Methods：67 cases of stroke were randomly divided into the moxibustion treatment group (32 cases) and control group (35 cases). The moxibustion group started to be treated at bilateral Zusanli and Neiguan acupoint with moxibustion on the next day after hospitalization, 1 times a day, 10 min each time each point, lasting 21 days. Except moxibustion treatment in control group, there was broad agreement on the main drug treatment and nursing in two groups.Barthel index scores of all patients were carried out on 0, 7, 14, 21 d after hospitalization and then statistical analysis. Results：On admission, there is no significant difference between the two groups in Barthel index score. However, The Barthel index scores were significantly higher in moxibustion group than in that of control group on 14 and 21 d (P lt; 0.05，Plt; 0.01). Conclusions：Moxibustion on Neiguan and Zusanli acupoint