Clinical Research On Needle Warming Moxibustion Treatment Of Spastic Paralysis After Stroke

ObjectiveTo observe the clinical curative effect and safety of treating spastic paralysis after stroke by warming needle moxibustion, and discuss its mechanism initially so as to explore a therapeutic method which has definite effect and is easy to be operated.MethodsAccording to the inclusion criteria,60 patients of spastic paralysis after stroke were selected by randomly divided into treatment group and control group, with 30 cases in each group. The treatment group were treated by warming needle moxibustion, while the control group were treated by the therapy of routine acupuncture. With the same acupoints, the patients of the two groups were treated once a day for 10 days continously, and were treated continiously after 2 days, which last 22 days. Spastic degrees, daily life ability, motor function level of the two groups patients were assessed by using modified Ashworth spastic rating, clinic spastic ityindex(CSI), Barthel's ADL indexes and brief Fugl-Meyer assessment methods before and after treatment.ResultsSpastic state, daily life ability and motor function level of both groups were improved after 22 days treatment, and has statistical significance comepared to those before treatment. The clinic spastic ityindex(CSI) of the treatment group were gramaticdecline and has statistical significance compared to that before treatment (P<0.05). The improvement of spastic state, clinic spastic ityindex and motor function level of the treatment group were superior to the control group, the difference was statistically significant (P<0.05).The Barthel's ADL indexes had no significant improvement in both groups, and the difference was not statistically significant (P>0.05). No patient in the tw(?) groups had obviously adverse reaction.ConclusionsThe spastic state of patients can be reduced and the ability of daily life and motor function of patients can be improved by warming needle moxibustion, all of that are better than traditional acupuncture,especially in reducing spastic state and improve motor function.