Clinical Study on Heat-sensitive Moxibustion in Preventing Bedsores after Ischemic Stroke / 上海针灸杂志

ABSTRACT

Objective To observe the clinical efficacy of heat-sensitive moxibustion in preventing bedsores after ischemic stroke. Method A hundred ischemic stroke patients were randomized into a treatment group and a control group, 50 cases each. The control group was intervened by ordinary nursing care, while the treatment group additionally received heat-sensitive moxibustion. Norton scale and hemodynamics [whole blood viscosity (low-shear, mid-shear and high-shear), hematocrit and erythrocyte sedimentation rate (ESR)] of the two groups were observed before and after the treatment, and the occurrences of bedsores in the two groups were compared. Result After the intervention, Norton scale and hemodynamic indexes were significantly changed in both groups (P<0.05). Norton scale and hemodynamic indexes in the treatment group were significantly different from those in the control group after the intervention (P<0.05). The occurrence rate of bedsores was 8.0％ in the treatment group versus 24.0％ in the control group, and the between-group difference was statistically significant (P<0.05). Conclusion Heat-sensitive moxibustion can effectively reduce the risk and occurrence of bedsores in ischemic stroke patients, and its mechanism is possibly related to the improvement of hemodynamics.