Observation Of The Clinical Efficacy Of Treating Apoplexy Hemiplegia With Reducing And Reinforcing Manipulations By Lifting And Inserting The Needle

Objective:To observe the clinical efficacy of treating apoplexy hemiplegia with reducing and reinforcing manipulations by lifting and inserting the needle and to discuss initially its mechanism so as to explore the clinical treatment approach that has acknowledged effect and is easy to use.Methods:According to the diagnostic criteria and inclusion criteria,60 stroke patients with apoplexy hemiplegia were selected and were randomly divided into treatment group and control group,with 30 cases in each group. The treatment group were treated with reducing and reinforcing manipulations by lifting and inserting the needle while the control group were treated by electro-acupuncture.For both groups,the same acupoints were chosen and the treatment frequency was five times a week,one time each day.After a rest for two days,the treatment continued and the total treatment duration was two weeks.Efficacy evaluation was conducted after two weeks' treatment according to the《stroke diagnosis and efficacy evaluation criteria》("second-generation standard"),the standards for scoring the degree of neurological deficit of stroke patients as well as Barthel Index scale which was modified from activities of daily living(ADL).Results:After treatment,comparing the overall effects of the two groups by Ridit test,the difference was statistically significant(P＜0.05),indicating that the treatment group had better effect than electro-acupuncture group; For patients in both groups,their clinical neurological deficits and activities of daily living had been significantly improved after treatment, compared with each other,by independent samples t test,the difference was statistically significant(P＜0.05);for patients in each group,comparing their clinical neurological deficits and activities of daily living before and after the treatment,by paired t test,the differences were statistically significant(P＜0.05);indicating the treatment group had better effect than the control group.Conclusion:Both reducing and reinforcing manipulations by lifting and inserting the needle and electro-acupuncture have remarkable effect in treating apoplexy hemiplegia patients.Both methods can improve symptoms of the degree of neurological deficit and enhance their activities of daily living. After treatment,the overall efficacy of the treatment group was better than the control group and the treatment group had a more obvious improvement in neurological deficits and activities of daily living.Comparing the two groups with each other,the difference was statistically significant.