Effects of moxibustion at Yongquan (KI 1) on cognition function and lower limb motor function in patients with post-stroke cognitive impairment of kidney essence deficiency

YE Yan-sheng; YANG Qing-tang; ZHU Ding-yu; DENG Kai-xiang; LIN Hui-juan; ZHANG Xin; JI Ting; ZHUO Meng-zhen; ZHANG Yu-mao

doi:10.13703/j.0255-2930.20221104-k0001

您当前的位置：

首页 >

文章列表页 >

Effects of moxibustion at Yongquan (KI 1) on cognition function and lower limb motor function in patients with post-stroke cognitive impairment of kidney essence deficiency

Clinical Research | 更新时间：2024-06-03

- Effects of moxibustion at Yongquan (KI 1) on cognition function and lower limb motor function in patients with post-stroke cognitive impairment of kidney essence deficiency
- Chinese Acupuncture & Moxibustion Vol. 43, Issue 9, Pages: 1018-1022(2023)
- 作者机构：
  
  1.福建医科大学附属南平第一医院中医康复科，南平353000
  2.福建中医药大学附属第二人民医院针灸科
  3.福建省南平市第三医院/福建医科大学公共卫生学院教学基地精神科
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20221104-k0001
  CLC： R 246.6
- Received：04 November 2022，
  
  Online First：30 May 2023，
  
  Published：12 September 2023
- 稿件说明：
移动端阅览
叶炎生,杨庆镗,朱定钰等.涌泉灸对肾精亏虚型卒中后认知障碍患者认知功能及下肢运动功能的影响[J].中国针灸,2023,43(09):1018-1022.

YE Yan-sheng,YANG Qing-tang,ZHU Ding-yu,et al.Effects of moxibustion at Yongquan (KI 1) on cognition function and lower limb motor function in patients with post-stroke cognitive impairment of kidney essence deficiency[J].Chinese Acupuncture & Moxibustion,2023,43(09):1018-1022.
叶炎生,杨庆镗,朱定钰等.涌泉灸对肾精亏虚型卒中后认知障碍患者认知功能及下肢运动功能的影响[J].中国针灸,2023,43(09):1018-1022. DOI： 10.13703/j.0255-2930.20221104-k0001.

YE Yan-sheng,YANG Qing-tang,ZHU Ding-yu,et al.Effects of moxibustion at Yongquan (KI 1) on cognition function and lower limb motor function in patients with post-stroke cognitive impairment of kidney essence deficiency[J].Chinese Acupuncture & Moxibustion,2023,43(09):1018-1022. DOI： 10.13703/j.0255-2930.20221104-k0001.

摘要

目的

观察涌泉灸对肾精亏虚型卒中后认知障碍（PSCI）患者认知功能、下肢运动功能的影响。

方法

将84例肾精亏虚型PSCI患者随机分为观察组和对照组，每组42例，各脱落1例。对照组采用药物、电针、康复训练和重复经颅磁刺激（rTMS）治疗，观察组在对照组治疗基础上联合艾灸双侧涌泉穴治疗。两组治疗均每日1次，每周5 d、休息2 d，连续治疗4周。于治疗前后观察两组患者蒙特利尔认知评估量表（MoCA）、简易精神状态检查量表（MMSE）、Fugl-Meyer下肢运动功能评定量表（FMA-LE）、Berg平衡量表（BBS）、功能独立性评定量表（FIM）、修订版跌倒效能量表（MFES）、中医证候积分量表（SDSVD）评分。

结果

治疗后，两组患者MoCA、MMSE、FMA-LE、BBS、FIM、MFES评分均较治疗前提高（

0.05），观察组高于对照组（

0.05）；两组患者SDSVD 评分较治疗前降低（

0.05），观察组低于对照组（

0.05）。

结论

涌泉灸能改善肾精亏虚型PSCI患者认知功能，提高下肢运动及平衡功能，降低跌倒的风险，提升生活质量。

Abstract

Objective

To observe the effects of moxibustion at Yongquan（KI 1） on the cognitive function and lower limb motor function in patients with post-stroke cognitive impairment of kidney essence deficiency.

Methods

Eighty-four patients with post-stroke cognitive impairment of kidney essence deficiency were randomly divided into an observation group（42 cases，1 case dropped off）and a control group（42 cases，1 case dropped off）.The control group was treated with medication，electroacupuncture，rehabilitation training and repetitive transcranial magnetic stimulation（rTMS）；on the basis of the treatment as the control group，moxibustion at bilateral Yongquan（KI 1）was adopted in the observation group.Both groups were treated once a day，5 days a week with 2-day interval，4 weeks were required. The Montreal cognitive assessment (MoCA) score

mini-mental state examination (MMSE) score

Fugl-Meyer assessment-lower extremity (FMA-LE) score

Berg balance scale (BBS) score

functional independence measure (FIM) score

modified fall efficacy scale (MFES) score and scale for the differentiation of syndromes of vascular dementia (SDSVD) score before and after treatment were observed in the two groups.

Results

After treatment，the MoCA

MMSE

FMA-LE

BBS

FIM and MFES scores were higher than those before treatment in both groups (

0.05)

and the scores in the observation group were higher than those in the control group (

0.05). After treatment，the SDSVD scores were lower than those before treatment in both groups (

0.05)

and the SDSVD score in the observation group was lower than that in the control group (

0.05).

Conclusion

Moxibustion at Yongquan（KI 1） can improve the cognitive function and motor and balance function of lower limbs in patients with post-stroke cognitive impairment of kidney essence deficiency，reduce the risk of fall and improve the quality of life.

关键词

Keywords

references

恽晓平 . 认知康复的发展方向与趋势 [J ] . 中国康复理论与实践 , 2016 , 22 ( 5 ): 497 - 498 .

Casolla B , Caparros F , Cordonnier C , et al . Biological and imaging predictors of cognitive impairment after stroke: a systematic review [J ] . J Neurol , 2019 , 266 ( 11 ): 2593 - 2604 .

刘娜 , 宋园园 , 谷岩梅 . 脑卒中认知干预研究现状 [J ] . 护理研究 , 2018 , 32 ( 16 ): 2494 - 2497 .

吴毅 . 重复经颅磁刺激在脑卒中康复中的临床应用与作用机制的研究进展 [J ] . 中国康复医学杂志 , 2023 , 38 ( 2 ): 147 - 150 .

杨珊莉 , 蔡素芳 , 吴静怡 , 等 . 中西医结合康复临床实践指南·认知障碍 [J ] . 康复学报 , 2020 , 30 ( 5 ): 343 - 348 .

中华医学会神经病学分会 , 中华医学会神经病学分会脑血管病学组 . 中国急性缺血性脑卒中诊治指南2018 [J ] . 中华神经科杂志 , 2018 , 51 ( 9 ): 666 - 682 .

汪凯 , 董强 , 郁金泰 , 等 . 卒中后认知障碍管理专家共识2021 [J ] . 中国卒中杂志 , 2021 , 16 ( 4 ): 376 - 389 .

田金洲 , 韩明向 , 涂晋文 , 等 . 血管性痴呆的诊断、辨证及疗效判定标准 [J ] . 北京中医药大学学报 , 2000 , 23 ( 5 ): 16 - 24 .

中国脑血管病防治指南编写委员会 . 中国脑血管病防治指南:试行版 [M ] . 北京 : 人民卫生出版社 , 2007 .

石学敏 . 针灸学 [M ] . 北京 : 中国中医药出版社 , 2017 .

章薇 , 娄必丹 , 李金香 , 等 . 中医康复临床实践指南·缺血性脑卒中(脑梗死) [J ] . 康复学报 , 2021 , 31 ( 6 ): 437 - 447 .

Nasreddine ZS , Phillips NA , Bédirian V , et al . The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment [J ] . J Am Geriatr Soc , 2005 , 53 ( 4 ): 695 - 699 .

Folstein MF , Folstein SE , McHugh PR . "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician [J ] . J Psychiatr Res , 1975 , 12 ( 3 ): 189 - 198 .

刘颖 . 中文版国际跌倒效能感量表的改良和信效度评价 [D ] . 上海 : 上海体育学院 , 2021 .

Mijajlović MD , Pavlović A , Brainin M , et al . Post-stroke dementia - a comprehensive review [J ] . BMC Med , 2017 , 15 ( 1 ): 11 .

郝文雪 , 李瑞青 , 胡延超 , 等 . 2010-2019年卒中后认知障碍相关研究的可视化分析 [J ] . 中国全科医学 , 2021 , 24 ( 6 ): 759 - 764 .

国家卫生健康委办公厅 . 血管性认知障碍的诊疗规范(2020年版) [J ] . 全科医学临床与教育 , 2021 , 19 ( 3 ): 197 - 199 .

李沁 , 肖端 , 徐亚林 . 脑卒中后认知障碍的静息态功能磁共振成像研究进展 [J ] . 中国康复医学杂志 , 2022 , 37 ( 6 ): 850 - 854 .

郭春蕾 , 王磊 , 孙继飞 , 等 . 非药物疗法治疗轻度认知障碍的临床研究进展 [J ] . 世界科学技术-中医药现代化 , 2022 , 24 ( 3 ): 918 - 924 .

王岩 , 白艳杰 , 张铭 , 等 . 艾灸督脉对肾精亏虚型卒中后轻度认知障碍患者认知功能和中医症状的临床疗效研究 [J ] . 中国全科医学 , 2022 , 25 ( 12 ): 1487 - 1492 .

李飞 , 蔡荣林 , 吴生兵 , 等 . 电针“涌泉”“中冲”穴对血管性痴呆大鼠事件相关电位P300的影响 [J ] . 针刺研究 , 2013 , 38 ( 4 ): 281 - 285 .

王珩 , 杨雪 , 刘月姣 . 涌泉穴为主温针灸治疗血管性痴呆(肾精亏虚证)的疗效及对患者认知功能、血清IL-8、TNF-α、Livin水平的影响 [J ] . 四川中医 , 2021 , 39 ( 12 ): 207 - 210 .

孙赫楠 , 朱曼迪 , 张威 . 针灸百会、涌泉穴治疗阿尔茨海默病对血浆乙酰胆碱、β-淀粉样蛋白的影响 [J ] . 世界中医药 , 2018 , 13 ( 11 ): 2855 - 2857,2861 .

霍新慧 , 赵百孝 , 周钰 , 等 . 艾灸配合康复治疗对中风后下肢痉挛状态的影响 [J ] . 上海针灸杂志 , 2014 , 33 ( 2 ): 105 - 107 .

林润 , 罗菁 , 许明珠 , 等 . 不同针灸方法治疗缺血性卒中下肢功能障碍疗效的系统评价 [J ] . 中国康复医学杂志 , 2023 , 38 ( 1 ): 87 - 94 .

佘琛 , 王佳 , 邹玲 , 等 . 大鼠“太冲”“涌泉”穴皮肤组织中淋巴管的显微结构研究 [J ] . 针刺研究 , 2020 , 45 ( 9 ): 731 - 734,761 .

Montero-Odasso M , Speechley M . Falls in cognitively impaired older adults: implications for risk assessment and prevention [J ] . J Am Geriatr Soc , 2018 , 66 ( 2 ): 367 - 375 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

GAO Xiyan's clinical experience in treating Ménière's disease with penetrating moxibustion at Baihui (GV20)

Herbal cake-separated moxibustion at Baliao acupoints for erectile dysfunction with kidney deficiency and blood stasis: a randomized controlled trial

The "sensation-efficacy" relationship of moxibustion from the perspective of the "Three Phases of moxibustion sensation"

Clinical effect of indirect moxibustion with Taiyi moxa stick in treatment of back myofascitis: a randomized controlled trial

Thinking on the application of reinforcing and reducing techniques of moxibustion in the staged differentiation and treatment of prostate cancer

Related Author

DONG Li

LI Yun

CHU Wenming

GAO Ling

GAO Xiyan

ZHANG Boyu

SUN Zixue

LI Pengchao

Related Institution

College of Acupuncture-Moxibustion and Tuina, Henan University of CM

Third Affiliated Hospital of Henan University of CM

Institute of Acupuncture-Moxibustion, Henan University of CM

Department of Andrology and Reproduction Medicine, Henan Provincial Hospital of TCM, Second Affiliated Hospital of Henan University of CM

School of Acupuncture-Moxibustion and Tuina, Shandong University of TCM

⁰