| Objective:To observe the effect of stroke promoting moxibustion on VEF in patients with ischemic stroke in convalescent stage by intervening stroke promoting moxibustion,and explore the mechanism,so as to explore the value of stroke promoting moxibustion in improving VEF injury after ischemic stroke.Methods:according to the inclusion criteria 60 patients with ischemic stroke in convalescence were randomly divided into treatment group and control group by SPSS.The control group was given acupuncture intervention,and the treatment group was given stroke promoting moxibustion on the basis of acupuncture.Once a day from Monday to Friday,no acupuncture intervention on Saturday and Sunday,10 times a course of treatment,a total of 2 courses of treatment Before and after treatment,the relevant indicators were detected and the required scale was evaluated.Test indexes:FMD,ET-1,eNOS;score scale:NIHSS,ADL Rating Scale.At the end of treatment,spss19.0 was used to sort out and analyze the collected clinical data.Finally,through the observation and analysis of data changes and differences,the conclusion was drawn,with P<0.05 as significant difference.Result:1.A total of 60 patients with ischemic stroke were included in this study.30 cases in the treatment group and the same number in the control group.Before the intervention,the baseline data of gender,age and course of disease of the two groups were balanced and comparable(P>0.05).2.FMD level detection:after the course of treatment,the FMD score of the treatment group was significantly increased(P<0.05),the control group had no significant difference(P>0.05).It is suggested that within the courses of treatment,stroke promoting moxibustion may be more effective in improving FMD score and VEF of patients with ischemic stroke in convalescence.A comparative analysis of the FMD data and related data in the treatment group revealed that:within a 4-week course of treatment,Stroke Promoting Moxibustion+Acupuncture may be able to improve endothelial function and reduce the risk of stroke recurrence;normalize the internal diameter of the brachial artery in a calm state and reduce the risk of artery-related disease;and reduce the vascular resistance index and reduce the risk of stenosis or embolism.3.Translated with www.DeepL.com/Translator(free version)4.ET-1 detection:after the course of treatment,the ET-1 data in the two groups were compared,the ET-1 in the treatment group was significantly decreased(P<0.05),the control group had no significant difference(P>0.05);the ET-1 in the treatment group was more significantly decreased(P<0.05).It is suggested that within the courses of treatment,stroke promoting moxibustion has better effect on ET-1 decrease in patients with ischemic stroke in convalescence.5.eNOS detection:after the course of treatment,the eNOS data in the two groups were compared,the treatment group eNOS increased significantly(P<0.05),the control group had no significant difference(P>0.05);the treatment group eNOS increased more significantly(P<0.05).It is suggested that within the courses of treatment,stroke promoting moxibustion has a better effect on the increase of eNOS protein expression in patients with ischemic stroke at recovery stage.6.NIHSS scale:after the course of treatment,the NIHSS score of the two groups was decreased significantly(P<0.01);the score of the treatment group decreased more significantly(P<0.1).It is suggested that within the courses of treatment,stroke promoting moxibustion is more effective in improving neurological function of patients with ischemic stroke in convalescence.7.ADL scale:after the course of treatment,the ADL score of the two groups was significantly increased(P<0.01);the score of the treatment group was significantly higher(P<0.1).It is suggested that within the courses of treatment,stroke promoting moxibustion is more effective in improving the activities of daily living and self-care ability of patients with ischemic stroke in recovery period.8.Safety evaluation:there were no adverse reactions,allergies,scalds,skin ulcers and other phenomena in 30 patients treated with stroke promoting moxibustion.Conclusion:1.Stroke promoting moxibustion can improve the VEF in patients with ischemic stroke in recovery period,to a certain extent,it can also reduce the risk of vascular abnormalities,which is worthy of clinical application.2.Stroke promoting moxibustion can repair the neurological deficit,improve the quality of life and independent activity ability of patients with ischemic stroke in recovery period.3.Improving the VEF of patients with ischemic stroke in recovery stage may be one of the mechanisms of stroke promoting moxibustion in the treatment of ischemic stroke. |
