针刺研究2025，Vol.50Issue(4)：426-432,7.DOI:10.13702/j.1000-0607.20240659
温和灸鸠尾对卒中合并肺部感染痊愈后患者膈肌及姿势控制能力的影响:随机对照试验
Effect of mild moxibustion at Jiuwei(CV15)on the diaphragm and postural control ability of patients after recovery from stroke complicated with pulmonary infection:a randomized controlled trial
摘要
Abstract
Objective To observe the effect of mild moxibustion at Jiuwei(CV15)on the ultrasonic parameters of the diaphragm and postural control ability of patients after recovery from stroke complicated with pulmonary infection.Methods Eighty patients were randomly divided into control group(40 cases,with 5 cases dropped out)and experimental group(40 cases,with 4 cases dropped out).The control group was given rehabilitation training,routine internal medicine and acupuncture treatments,while the experimental group was given mild moxibustion at CV15 with moxa sticks on the basis of the control group,15 minutes each time,once a day,5 times a week for a total of 4 weeks.Before and after treatment,the diaphragm thickness(DT),the diaphragm thickening fraction(DTF),the diaphragm excursion(DE)and the diaphragm contraction velocity(DCV)during quiet breathing and deep breathing were measured by musculoskeletal ultrasound,respectively.The trunk impairment scale(TIS)and the postural assessment scale for stroke survivors(PASS)scores of the patients were evaluated before treatment,2 weeks after treatment,and 4 weeks after treatment.Results Compared with the same group before treatment,the DTF was increased(P<0.05),the DE during quiet breathing and deep breathing both increased(P<0.05),the DCV during deep breathing increased(P<0.05)after treatment,and the TIS and PASS scores increased(P<0.05)2 weeks and 4 weeks after treatment of patients in both groups;the DT increased(P<0.05),and the DCV during quiet breathing increased(P<0.05)of patients in the experimental group.Compared with the control group at the same time point,the DTF increased(P<0.05),the DCV during quiet breathing increased(P<0.05),the DE and DCV during deep breathing both increased(P<0.05)after treatment,and the TIS and PASS scores increased(P<0.05)4 weeks after treatment of patients in the experimental group.Conclusion Mild moxibustion at CV15 can effectively improve the DTF,DE during deep breathing,and DCV during quiet breathing and deep breathing of patients recovered from stroke complicated with pulmonary infection,and improve the postural control ability of patients.关键词
温和灸/鸠尾/中风/肺部感染/膈肌/姿势控制能力Key words
Mild moxibustion/Jiuwei(CV15)/Stroke/Pulmonary infection/Diaphragm/Postural control ability引用本文复制引用
蔡嘉鑫,黄梅清,周文强,刘羽萍,凌珍美..温和灸鸠尾对卒中合并肺部感染痊愈后患者膈肌及姿势控制能力的影响:随机对照试验[J].针刺研究,2025,50(4):426-432,7.基金项目
福建省泉州市科技计划项目(No.2022NS030) （No.2022NS030）
