CAJ | 학술논문

[目的]探讨BILT治疗仪（大力神雀啄灸）对脑卒中偏瘫康复治疗的应用效果及作用机理。[方法]将70例脑卒中患者按就诊先后顺序分为治疗组和对照组各35例，所有入选患者在继续给予相关神经内科药物及运动康复治疗的基础上，治疗组采用BILT治疗仪治疗，对照组采用艾条雀啄灸治疗，取穴相同。1个月为1个疗程，3个疗程后统计疗效。两组患者在治疗前及治疗3个月后采用Fugl-Meyer评分量表评价患者运动功能变化，采用Barthel指数评价患者治疗前后日常生活能力的变化，并对两组患者治疗前后血液流变学变化进行比较。[结果]治疗3个月后，治疗组患者的Fugl-Meyer评分、Barthel指数较对照组明显提高，差异有统计学意义（P<0.05)。同样，治疗组的全血高切粘度、全血低切粘度以及红细胞比容较对照组明显减低，差异有统计学意义（P<0.05）。[结论]BILT治疗仪对脑卒中偏瘫康复治疗疗效确切，其作用机理可能与BILT治疗仪和微循环节律一致的脉动红外线能提高红外线的生物利用度、减低患者的血液粘度、增加脑部血液供应有关。
[목적]탐토BILT치료의（대력신작탁구）대뇌졸중편탄강복치료적응용효과급작용궤리。[방법]장70례뇌졸중환자안취진선후순서분위치료조화대조조각35례，소유입선환자재계속급여상관신경내과약물급운동강복치료적기출상，치료조채용BILT치료의치료，대조조채용애조작탁구치료，취혈상동。1개월위1개료정，3개료정후통계료효。량조환자재치료전급치료3개월후채용Fugl-Meyer평분량표평개환자운동공능변화，채용Barthel지수평개환자치료전후일상생활능력적변화，병대량조환자치료전후혈액류변학변화진행비교。[결과]치료3개월후，치료조환자적Fugl-Meyer평분、Barthel지수교대조조명현제고，차이유통계학의의（P<0.05)。동양，치료조적전혈고절점도、전혈저절점도이급홍세포비용교대조조명현감저，차이유통계학의의（P<0.05）。[결론]BILT치료의대뇌졸중편탄강복치료료효학절，기작용궤리가능여BILT치료의화미순배절률일치적맥동홍외선능제고홍외선적생물이용도、감저환자적혈액점도、증가뇌부혈액공응유관。
[Objective]To study the effect and mechanism of BILT treatment instrument(Hercules sparrow-pecking moxibustion) to the stroke patients with hemiplegia. [Method]70 patients who met the inclusion criteria were divided into two groups: the treatment group and the control group. Patients in the two groups were given the routine internal medicine treatment and rehabilitation.The treatment group was treated by modified sparrow-pecking moxibustion with BILT treatment instrument, while the control group by traditional sparrow-pecking moxibustion with moxa stick.Both the groups were chosen the same acupoint, one month constituted a course of treatment, clinical efficacy was evaluated after 3 months. To compare the motor function with Fugl-Meyer Assessment(FMA), ADL(activties of daily living) with the Barthel index, and the changing of hemorheology between the two groups before and after the treatment. [Results] The score of FMA, MBI in the treating group improved more obviously than the control group after the treatment, there was statistical significance. The whole blood high shear viscosity, low shear viscosity and hematocrit of treatment group were lower than the control group, the difference with statistical significance. [Conclusion] There were actual therapeutic effects of BILT instrument for the rehabilitation of stroke patients, which might be because its infrared consistent with the microcirculation rhythms pulse, could increase the bioavailability of infrared, and reduce blood viscosity in patients, and then increase the supply of blood to the brain.