[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].

Q3 Medicine
Jia-Xin Cai, Mei-Qing Huang, Wen-Qiang Zhou, Yu-Ping Liu, Zhen-Mei Ling
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引用次数: 0

Abstract

Objectives: 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.

Conclusions: 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.

【轻灸九纬穴(CV15)对脑卒中合并肺部感染患者康复后膈肌及体位控制能力的影响:随机对照试验】。
目的:观察轻灸九纬穴(CV15)对脑卒中合并肺部感染患者康复后膈膜超声参数及体位控制能力的影响。方法:80例患者随机分为对照组(40例,退出5例)和实验组(40例,退出4例)。对照组给予康复训练、常规内科及针灸治疗,实验组在对照组的基础上,在CV15处用艾条轻度灸,每次15分钟,每天1次,每周5次,共4周。治疗前后分别用肌肉骨骼超声测量静呼吸和深呼吸时膈肌厚度(DT)、膈肌增厚分数(DTF)、膈肌偏移(DE)和膈肌收缩速度(DCV)。分别在治疗前、治疗后2周和治疗后4周对患者进行躯干损伤量表(TIS)和脑卒中幸存者体位评估量表(PASS)评分。结果:与治疗前同组比较,轻度灸CV15可有效改善脑卒中合并肺部感染患者恢复后的DTF、深呼吸时DE、静息呼吸和深呼吸时DCV,提高患者的体位控制能力。
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来源期刊
针刺研究
针刺研究 Medicine-Medicine (all)
CiteScore
1.30
自引率
0.00%
发文量
0
期刊介绍: Acupuncture Research was founded in 1976. It is an acupuncture academic journal supervised by the State Administration of Traditional Chinese Medicine, co-sponsored by the Institute of Acupuncture of the China Academy of Chinese Medical Sciences and the Chinese Acupuncture Association. This journal is characterized by "basic experimental research as the main focus, taking into account clinical research and reporting". It is the only journal in my country that focuses on reporting the mechanism of action of acupuncture. The journal has been changed to a monthly journal since 2018, published on the 25th of each month, and printed in full color. The manuscript acceptance rate is about 10%, and provincial and above funded projects account for about 80% of the total published papers, reflecting the latest scientific research results in the acupuncture field and has a high academic level. Main columns: mechanism discussion, clinical research, acupuncture anesthesia, meridians and acupoints, theoretical discussion, ideas and methods, literature research, etc.
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