| Purpose:To investigate the effect of stroke promoting moxibustion on cardiopulmonary endurance of patients with ischemic stroke in the recovery period,and to explore the clinical value of stroke promoting moxibustion on the decline of cardiopulmonary endurance.Methods:According to the inclusion criteria and exclusion criteria,60 stroke recovery patients in the Department of Neurology and acupuncture of the second hospital of traditional Chinese medicine of Jiangsu Province from February 2019 to January 2020 were collected and randomly divided into observation group and control group by SPSS.Both groups were given routine treatment in Acupuncture Department to control blood pressure,blood sugar,blood lipid and symptomatic treatment,control basic diseases and prevent complications.Patients in the control group were given acupuncture rehabilitation treatment,while those in the observation group were given stroke promoting moxibustion intervention.Apoplectic promoting moxibustion selected Zusanli,Shenque,Baihui three points for suspension moxibustion,5 times a week,2 days off,a total of two weeks,10 times.Before and after the intervention,six minute walking test,polar heart rate maximum oxygen uptake test,multi-dimensional fatigue questionnaire(MFI-20),fatigue severity scale(FSS),ADL evaluation scale(modified Barthel)were conducted.Finally,according to the six minute walking distance,the maximum oxygen uptake value to evaluate the clinical efficacy.Adverse reactions during treatment were recorded for safety evaluation.After the treatment,the data were analyzed by SPSS 21.0 statistical software,with P<0.05 as the significant difference.Results:1.In this study,60 patients were included in the recovery period of ischemic stroke,30 in the observation group and 30 in the control group.During the study period,one patient in the observation group was discharged in advance due to the problem of hospitalization cost.The rest completed the test and evaluation of each observation index,including 29 cases in the observation group and 30 cases in the control group.Before the intervention,the two groups were balanced at the baseline of gender,age,occupation,education level,course of disease,resting heart rate,respiration,blood pressure,admission random blood sugar,grip strength(all>0.05),the difference was not statistically significant and comparable.In terms of cardiopulmonary endurance,the 6-minute walking distance in the observation group increased significantly before and after the intervention(P<0.05),and the walking distance in the control group was lower than that before the intervention(P<0.1).The Borg score of the observation group decreased significantly after the intervention(P<0.05),but there was no significant change in the control group(P>0.05).After the course of treatment,the observation group can effectively improve the walking distance and Borg score of the 6-minute walking test,and effectively improve the cardiopulmonary endurance of patients with ischemic stroke in the recovery period.At the end of the course,there was a significant difference between the two groups(P<0.05).The difference between the two groups was statistically significant(P<0.05).Significantly better than the observation group.2.Fatigue degree:After the course of treatment,MFI-20 score and FSS score in the observation group were significantly different(P<0.05),but there was no significant difference in the control group(P>0.05).The difference between the two groups was statistically significant(P<0.05),and the score in the control group was significantly higher than that in the observation group(the lower the better).After intervention,the observation group was better than the control group in improving fatigue.3.After the end of the total course of treatment,there was a significant difference between the two groups(P<0.05);after the end of the total course of treatment,the improvement of the score in the observation group was more significant.After the intervention,the observation group can effectively improve the ability of daily living activities of patients after stroke.4.In terms of safety evaluation,29 patients who were treated with moxibustion for promoting the passage of apoplexy did not have any adverse reactions,no allergy,scald,skin rupture and other phenomena.Conclusion:1.Stroke promoting moxibustion can improve the cardiopulmonary endurance of the patients in the recovery period of ischemic stroke,enhance their disease resistance constitution,and help to reduce the risk of stroke recurrence.2.Stroke promoting moxibustion can improve the fatigue degree and the ability of daily life activities of the patients in the recovery period of ischemic stroke,help to improve the quality of life of the patients,control the progress of the disease,and enhance the confidence of the patients in the recovery of health.3.This experimental study shows that stroke promoting moxibustion is safe and reliable for the recovery of cardiopulmonary endurance,physical and mental state and quality of life of patients with ischemic stroke in the recovery period,and can be popularized in clinical practice. |
