六字诀对气虚血瘀型脑卒中后疲劳患者的影响

关键词：六字诀  脑卒中  疲劳  肺功能  气虚血瘀

Keywords:Liuzijue  post-stroke  fatigue  pulmonary function  Qi deficiency syndrome and blood stasis

摘要：

      摘要 目的：观察六字诀对气虚血瘀型脑卒中后疲劳的治疗效果及肺功能的影响。 方法：选取2022年3月—2023年3月在福建中医药大学附属康复医院住院的气虚血瘀型脑卒中后疲劳患者68例，按照随机数字表法分为治疗组（n=34）和对照组（n=34）。对照组采用常规康复治疗与常规呼吸治疗，治疗组采用常规康复治疗与六字诀，30min/次，5次/周，共12周。评估治疗前后两组患者的疲劳严重度量表评分（FSS）、气虚、血瘀证候要素诊断量表评分、肺活量（VC）、用力肺活量（FVC）、呼气流量峰值（PEF）、最大通气量（MVV）。 结果：治疗12周后，治疗组FSS评分与气虚、血瘀证候要素诊断量表评分治疗前后均有显著性差异（P＜0.05），相较于对照组显著改善（P＜0.05）；两组患者VC、FVC、PEF、MVV治疗前后均有显著性差异（P＜0.05），且治疗组的改善程度更加明显。 结论：六字诀应用于气虚血瘀型脑卒中后疲劳患者中，能够更好地改善患者的疲劳评分与气虚血瘀证候评分，同时提高了患者的肺功能水平，可进行临床应用。

Abstract:

      Abstract Objective：To observe the effect of Liuzijue on post-stroke fatigue patients with the type of Qi deficiency and blood stasis and the effect of pulmonary function. Method：From March 2022 to March 2023， a total of 68 post-stroke fatigue patients with Qi deficiency and blood stasis who were hospitalized in the Affiliated Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine and met the criteria were selected，the patients were divided into therapy group （n=34） and control group （n=34） according to random number table. The control group was treated with conventional rehabilitation combined with conventional respiratory therapy， the therapy group was treated with conventional rehabilitation combined with Liuzijue，30 minutes/time，5 times/week， a total of 12 weeks. The fatigue severity scale score（FSS）， Qi Deficiency Syndrome and Blood Stasis factor diagnostic scale score， vital capacity（VC）， forced vital capacity（FVC）， peak expiratory flow（PEF），and maximal voluntary ventilation（MVV） were assessed in both groups before and after treatment. Result：After 12 weeks of treatment，the FSS scores and the Qi deficiency syndrome and blood stasis factor diagnostic scale score exhibited significant differences in the therapy group compared with those before treatment（P<0.05），and significant improvement compared with those in the control group（P<0.05）. The significant differences were found in the VC、FVC、PEF and MVV of both two groups between before and after treatment（P＜0.05），and the degree of improvement was more pronounced in the therapy group. Conclusion：The Liuzijue applied to post-stroke fatigue patients with Qi deficiency and blood stasis can better improve the fatigue score and Qi deficiency syndrome and blood stasis score， as well as improve the level of pulmonary function of patients， which is worthy of clinical application.