ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-06-016 中医学研究 2025, (06)

枕部艾灸在治疗气虚血瘀型缺血性卒中的疗效观察

贵州省仁怀市中医院

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摘要

摘要:目的 探讨枕部艾灸在治疗气虚血瘀型缺血性卒中的疗效。方法 选择仁怀市中医院脑病科住院的气虚血瘀型缺血性脑卒中患者 60 例,纳入时间为 2023 年 11 月至 2025 年 5 月,按照计算机分组法分为对照组 30 例给予常规治疗和穴位按摩,治疗组 30 例给予常规治疗和枕部艾灸,观察两组临床疗效、神经功能、日常生活能力、 安全性。结果 治疗组总有效率(96.67%)高于对照组(76.67%)(P<0.05)。治疗后,与对照组相比,治疗组美 国国立卫生研究院卒中量表(NIHSS)评分明显更低,改良巴氏指数评定表(MBI)评分更高(P<0.05)。治疗期间, 两组不良事件发生率比较差异无统计学意义(P>0.05)。结论 与穴位按摩相比,在常规治疗基础上加用枕部艾灸可显著提升气虚血瘀型缺血性卒中患者的临床疗效,改善神经功能缺损并提高日常生活能力,且未增加不良事件风险。

Abstract

Abstract: Objective To explore the therapeutic effect of occipital moxibustion in the treatment of Qi Deficiency and Blood Stasis Type ischemic stroke. Methods Sixty patients with Qi Deficiency and Blood Stasis Type ischemic stroke who were hospitalized in the Department of Neurology of Renhuai Hospital of Traditional Chinese Medicine were selected. The inclusion period was from November 2023 to May 2025. According to the computer grouping method, they were divided into the control group of 30 cases who received conventional treatment and acupoint massage, and the treatment group of 30 cases who received conventional treatment and occipital moxibustion. Observe the clinical efficacy, neurological function, activities of daily living and safety of the two groups. Results The total effective rate of the treatment group (96.67%) was higher than that of the control group (76.67%) (P<0.05). After treatment, compared with the control group, the national institutes of health stroke scale (NIHSS) score of the treatment group was significantly lower and the modified barthel index (MBI) score was higher (P<0.05). During treatment, there was no statistically significant difference in the incidence of adverse events between the two groups (P>0.05). Conclusion Compared with acupoint massage, adding occipital moxibustion to conventional treatment can significantly improve the clinical efficacy of patients with ischemic stroke due to Qi Deficiency and Blood Stasis Type, alleviate neurological deficits, and increase daily living abilities, without increasing the risk of adverse events.

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[1]卢俊,李春梅,丁大丽.枕部艾灸在治疗气虚血瘀型缺血性卒中的疗效观察[J],2025,01(06):.