摘要
目的观察火龙罐联合重复经颅磁刺激治疗脑卒中后疲劳的临床效果。方法开展前瞻性随机对照研究,选取2023年6月至2024年10月西安市中医医院收治的60例脑卒中后疲劳患者,随机数字表法分为观察组和对照组,每组30例。观察组中男18例,女12例,年龄(65.26±3.58)岁,病程(3.43±0.41)个月;脑梗死19例,脑出血11例。对照组中男16例、女14例,年龄(64.67±4.01)岁,病程(3.48±0.39)个月;脑梗死18例,脑出血12例。对照组采用重复经颅磁刺激治疗(每次治疗20 min,每天1次,每周5次,每周间隔2 d,共治疗4周),观察组在对照组基础上加用火龙罐(每次治疗30 min,每周3次,每周间隔2 d,共治疗4周)治疗。比较两组患者治疗前和治疗4周后的疲劳严重程度量表(FSS)、匹兹堡睡眠指数量表(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、脑卒中生活质量量表(SS-QOL)、改良Barthel指数评定量表(MBI)评分变化。采用独立样本t检验、配对t检验和χ^(2)检验进行统计比较。结果治疗4周后,观察组患者的FSS、PSQI、SAS、SDS、SS-QOL、MBI评分分别为(11.54±0.52、6.89±1.46、47.23±3.57、48.21±4.34、25.21±3.15、74.67±8.37)分,对照组分别为(14.25±0.85、9.83±1.67、53.36±4.85、53.31±4.46、19.04±2.13、71.27±9.43)分,两组比较差异均有统计学意义(均P<0.05)。结论火龙罐联合重复经颅磁刺激治疗,能显著缓解脑卒中后疲劳患者的疲劳程度,改善焦虑抑郁情绪及睡眠质量,提高生活质量。
Objective To observe the clinical effect of Fire Dragon Cupping combined with repetitive transcranial magnetic stimulation for patients with post-stroke fatigue.Methods A prospective randomized controlled study was conducted on 60 patients with post-stroke fatigue treated at Xi'an Hospital of Traditional Chinese Medicine from June 2023 to October 2024.They were divided into an observation group a control group by the random number table method,with 30 cases in each group.In the observation group,there were 18 males and 12 females;they were(65.26±3.58)years old;the disease duration was(3.43±0.41)months;there were 19 cases of cerebral infarction and 11 cases of cerebral hemorrhage.In the control group,there were 16 males and 14 females;they were(64.67±4.01)years old;the disease duration was(3.48±0.39)months;there were 18 cases of cerebral infarction and 12 cases of hemorrhage.The control group were treated with repetitive transcranial magnetic stimulation,20 min per time,once per day,5 times per week,with 2 d between two weeks,for 4 weeks;in addition,the observation group were treated with the Fire Dragon Cupping,30 min per time,one per day,3 times per week,with 2 d between two weeks,for 4 weeks.The scores of the Fatigue Severity Scale(FSS),Pittsburgh Sleep Quality Index(PSQI),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Stroke-Specific Quality of Life(SS-QOL),and Modified Barthel Index(MBI)were compared between the two groups before the treatment and after 4 weeks'treatment.The independent sample t test,paired t test,andχ^(2) test were used for the statistical comparisons.Results After 4 weeks'treatment,the scores of FSS,PSQI,SAS,SDS,SS-QOL,and MBI in the observation group were 11.54±0.52,6.89±1.46,47.23±3.57,48.21±4.34,25.21±3.15,and 74.67±8.37,and the scores in the control group 14.25±0.85,9.83±1.67,53.36±4.85,53.31±4.46,19.04±2.13,and 71.27±9.43,respectively,with statistical differences between the two groups(all P<0.05).Conclusion Fire Dragon Cupping combined with repetitive transcranial magnetic stimulation for patients with post-stroke fatigue can alleviate their fatigue,and improve their anxiety,depression,sleep quality,and quality of life.
作者
梁妙婷
曹文君
王英
刘翠
靳云霞
Liang Miaoting;Cao Wenjun;Wang Ying;Liu Cui;Jin Yuxia(Department of Neurology,Xi'an Hospital of Traditional Chinese Medicine,Xi'an 710021,China)
出处
《国际医药卫生导报》
2025年第12期1959-1963,共5页
International Medicine and Health Guidance News
基金
陕西省重点研发计划(2023SF-188)
陕西省中医药管理局重点科研项目(2021-01-22-007)。
关键词
脑卒中
火龙罐
重复经颅磁刺激
脑卒中后疲劳
Stroke
Fire Dragon Cupping
Repetitive transcranial magnetic stimulation
Post-stroke fatigue
