CAJ | 학술논문

目的：研究社区中老年人艾灸足三里、涌泉穴预防中风病的效果，探索适应社区情况的特色中医适宜技术治未病的发展之路．方法：选择本社区2012-01/2013-12400例符合条件的中风高危自愿者作为研究对象．采用分层数字随机法分为两组，对照组给予常规干预，研究组在此基础上给予艾灸足三里、涌泉穴，采用《中医体质评分与判定》对干预前后体质评分进行比较，并观察干预后12个月内两组梗死性和出血性中风的发病率和致残率．结果：研究组干预后各项评分明显低于干预前，低于对照组，两组比较差异具有显著性（P ＜0．05）．研究组在12个月内中风发生率为1．5％，对照组中风发生率4％，两组比较差异无显著性（P ＞0．05）．但研究组致残致死率明显低于对照组，两组比较差异具有显著性（P ＜0．05）．结论：艾灸足三里、涌泉穴可以纠正社区中老年人的偏颇体质，从根本上去除病因，从而达到预防的目的．
목적：연구사구중노년인애구족삼리、용천혈예방중풍병적효과，탐색괄응사구정황적특색중의괄의기술치미병적발전지로．방법：선택본사구2012-01/2013-12400례부합조건적중풍고위자원자작위연구대상．채용분층수자수궤법분위량조，대조조급여상규간예，연구조재차기출상급여애구족삼리、용천혈，채용《중의체질평분여판정》대간예전후체질평분진행비교，병관찰간예후12개월내량조경사성화출혈성중풍적발병솔화치잔솔．결과：연구조간예후각항평분명현저우간예전，저우대조조，량조비교차이구유현저성（P ＜0．05）．연구조재12개월내중풍발생솔위1．5％，대조조중풍발생솔4％，량조비교차이무현저성（P ＞0．05）．단연구조치잔치사솔명현저우대조조，량조비교차이구유현저성（P ＜0．05）．결론：애구족삼리、용천혈가이규정사구중노년인적편파체질，종근본상거제병인，종이체도예방적목적．
AIM:To study the effect of moxibustion for zusanli, yongquan point in preventing elderly stroke in community,and ex-plore the way which fits to development of TCM special character-istics to treat illnesses in community.METHODS:Choosing 400 cases eligible stroke volunteers as research object in this commu-nity from January 201 1 to December 2012.The object was divided into two groups by stratified random sampling,the control group was given conventional intervention,the study group was given moxibustion for zusanli and yongquan point at that basis.Compa-ring the physical score by TCM physical score and judgement be-fore and after intervention,and observing the morbidity and disa-bility of infarcted and hemorrhagic stroke after intervention 12 months period.RESULTS:In study group,the score of all items after intervention was significantly lower than before,lower than the control group,the difference had significance (P<0.05 ). The morbidity of stroke was 1.5% within 12 months,while the morbidity of control group was 4%, there was no significant difference (P>0.05).But the disability of study group was low-er than the control group,with no significant difference (P<0. 05).CONCLUSION:Moxibustion for zusanli,yongquan point could improve the physical of elderly people in community,and remove the causes fundamentally,then achieve the purpose of prevention.