| Objective1、To discuss the clinical effects of herbal fumigation and steaming therapy combined with box-moxibustion on neurological function for stroke patients with limb dysfunction.2、To discuss the clinical effects of herbal fumigation and steaming therapy combined with box-moxibustion on motor function of limbs for stroke patients with limb dysfunction.3、To discuss the clinical effects of herbal fumigation and steaming therapy combined with box-moxibustion on activities of daily life for stroke patients with limb dysfunction.4、To discuss the clinical effects of herbal fumigation and steaming therapy combined with box-moxibustion on quality of life for stroke patients with limb dysfunction.5、To discuss the clinical effects of herbal fumigation and steaming therapy combined with box-moxibustion on muscle strength and secondary complications for stroke patients with limb dysfunction.6、To discuss the therapeutic mechanism of herbal fumigation and steaming therapy combined with box-moxibustion for stroke patients with limb dysfunction.Methods1、Adopting experimental methods of multicente、random and control for this research, total of249stroke patients in recovery stage who meeting the inclusion criteria were selected from affiliated hospital of Chengdu University of TCM、Chinese Medicine hospital of Mianyang and Chinese Medicine hospital of Ziyang from July2012to March2013.The subjects were divided into control group、box-moxibustion group and herbal fumigation and steaming therapy combined with box-moxibustion group randomly, each group included83cases.2、Interventions:patients of the three groups were treated according to the conventional neurological treatment and rehabilitation care, The control group were provided nursing as in routine, which was established by the State Administration of Traditional Chinese Medicine in2006. The box-moxibustion group:added box-moxibustion to the nursing of control group, once a day for30days. The herbal fumigation and steaming therapy combined with box-moxibustion group:added herbal fumigation and steaming therapy combined with box-moxibustion to the nursing of control group, once a day for30days.3. Information collection:information were collected by specially trained group members, effect indicators were evaluated first into the group and after one month of nursing interventions.(1) general information:including name, gender, age, nation, occupation, marital status, education degree, TCM types, western medicine diagnosis, type of lesions, paralysis of limbs,etc.(2) effective indicators:CSS、FMA、BI、SF-36、 the incidence of secondary complications、muscle strength were included.Statistical analysis all data have been made statistical analysis with SPSS17.0.Results1、Baseline data:there were no significant differences statistically of three groups in the aspect of age, gender, TCM types, western medicine diagnosis, etc (P>0.05) There were no significant differences statistically of three groups in the aspect of CSS、FMA、BI、SF-36、muscle strength、the incidence of secondary complications before nursing intervention(P>0.05), baseline data were consistent and comparable.2、Comparison of CSS:eath group compared the CSS of before and after the intervention for a month within the group, the differences of CSS were statistically significant (P<0.05). The differences of CSS between the three groups were statistically significant (P<0.05). According to LSD multiple comparison:the differences of CSS between each two groups were statistically significant (P<0.05).3、Comparison of FMA:eath group compared the FMA of before and after the intervention within the group, the differences of FMA were statistically significant (P <0.05). After the intervention for a month, the differences of FMA between the three groups were statistically significant (P<0.05). According to LSD multiple comparison:the differences of FMA between each two groups were statistically significant (P<0.05).4、Comparison of BI:eath. group compared the BI of before and after the intervention within the group, the differences of BI were statistically significant (P<0.05). After the intervention for a month, the differences of BI between the three groups were statistically significant (P<0.05). According to LSD multiple comparison:the differences of BI between each two groups were statistically significant (P<0.05).5、Comparison of each dimension of SF-36:eath group compared the SF-36of before and after the intervention within the group:there were no significant differences statistically (P>0.05) in the dimensions of role-physical (RP), role-emotional (RE) and bodily pain(BP) of the control group, and there were significant differences statistically (P<0.05) in the other five dimensions. There were significant differences statistically (P<0.05) in all the dimensions between the three groups after nursing interventions for a month. According to LSD multiple comparison:compared to the control group, there were significant differences statistically (P<0.05) of the other two groups; there were no significant differences statistically (P>0.05) in the dimension of social functioning(SF) between box-moxibustion group and herbal fumigation and steaming therapy combined with box-moxibustion group, and there were significant differences statistically (P<0.05) in the other seven dimensions.6、Comparison of secondary complications:eath group compared the secondary complications of before and after the intervention for a month within the group:there were no significant differences statistically (P>0.05) of the control group; there were no significant differences statistically (P>0.05) in the aspect of foot drop of the box-moxibustion group, and there were significant differences statistically (P<0.05) in the other aspects; there were significant differences statistically (P<0.05) in all the five aspects of the herbal fumigation and steaming therapy combined with box-moxibustion group. There were no significant differences statistically (P>0.05) between the three groups in the aspect of foot inversion, and there were significant differences statistically (P<0.05) between the three groups in the aspects of shoulder subluxation、shoulder-hand syndrome、foot drop and joint contractures. Using Bonferroni test level adjustment method to compare the four secondary complications multiple, α’=0.05/3=0.017:there were significant differences statistically (P<0.017) between the control group and the box-moxibustion group; there were significant differences statistically (P<0.017) between the control group and the herbal fumigation and steaming therapy combined with box-moxibustion group; there were no significant differences statistically (P>0.017) between the box-moxibustion group and the herbal fumigation and steaming therapy combined with box-moxibustion group.7、Strength assessment:eath group compared the strength assessment of before and after the intervention for a month within the group:there were no significant differences statistically (P>0.05) of the control group; there were significant differences statistically (P<0.05) of the other two groups. there were significant differences statistically (P<0.05) between three groups. Using Bonferroni test level adjustment method to compare the four secondary complications multiple, α’=0.05/3=0.017:there were significant differences statistically (P<0.017) between the control group and the box-moxibustion group; there were significant differences statistically (P<0.017) between the control group and the herbal fumigation and steaming therapy combined with box-moxibustion group; there were no significant differences statistically(P>0.017)between the box-moxibustion group and the herbal fumigation and steaming therapy combined with box-moxibustion group.Conclusions1、The herbal fumigation and steaming therapy combined with box-moxibustion can improve neurological deficits for stroke patients with limb dysfunction. The box-moxibustion group and the herbal fumigation and steaming therapy combined with box-moxibustion group are better than the control group. The herbal fumigation and steaming therapy combined with box-moxibustion group is better than the box-moxibustion group.2、The herbal fumigation and steaming therapy combined with box-moxibustion can improve motor function for stroke patients with limb dysfunction. The box-moxibustion group and the herbal fumigation and steaming therapy combined with box-moxibustion group are better than the control group. The herbal fumigation and steaming therapy combined with box-moxibustion group is better than the box-moxibustion group. 3、The herbal fumigation and steaming therapy combined with box-moxibustion can improve activities of daily living for stroke patients with limb dysfunction.The box-moxibustion group and the herbal fumigation and steaming therapy combined with box-moxibustion group are better than the control group. The herbal fumigation and steaming therapy combined with box-moxibustion group is better than the box-moxibustion group.4、The herbal fumigation and steaming therapy combined with box-moxibustion can improve the quality of life for stroke patients with limb dysfunction. The box-moxibustion group and the herbal fumigation and steaming therapy combined with box-moxibustion group are better than the control group. The herbal fumigation and steaming therapy combined with box-moxibustion group is better than the box-moxibustion group except the social function(SF).5、The herbal fumigation and steaming therapy combined with box-moxibustion can reduce the incidences of secondary complications for stroke patients with limb dysfunction. The box-moxibustion group and the herbal fumigation and steaming therapy combined with box-moxibustion group are better than the control group,but the herbal fumigation and steaming therapy can not improve the efficacy of the box-moxibustion.6、The herbal fumigation and steaming therapy combined with box-moxibustion can improve muscle strength for stroke patients with limb dysfunction. The box-moxibustion group and the herbal fumigation and steaming therapy combined with box-moxibustion group are better than the control group,but the herbal fumigation and steaming therapy can not improve the efficacy of the box-moxibustion. |
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