Clinical Research Of Acupuncture At Stellate Ganglion In The Treatment Of Post-stroke Shoulder-hand Syndrome

ObjectiveTo compare the difference in the clinical efficacy on post-stroke shoulder-hand syndrome between acupuncture at Stellate ganglion combined with conventional acupuncture, rehabilitation training and conventional acupuncture with rehabilitation training.Methods60 cases of post-stroke shoulder-hand syndrome (stage I) were randomly divided into an observation group(30 cases) and the control group (30 cases). The observation group received acupuncture at stellate ganglion, conventional acupuncture, rehabilitation training, the control group received the same conventional acupuncture with rehabilitation training as the observation group. The points of conventional acupuncture belong hemiplegia side, such as Jianyu(LI 15), Jianliao(SJ 14), Jianzhen(SI 9), Jianqian(extra-meridian points), Quchi(LI 11), Waiguan(SJ 5), Hegu(LI 4). the acupuncture treatment in both groups were once every day, Six days for a course, after the end of a course, take a day, a total of two courses of treatment. To evaluation the changes of clinical symptoms, pain, motor function of upper limb, daily life activity before and after treatment in the two groups by the syndromes total score, the visual analogue scale(VAS), the Fugl-Meyer scale(FMA), the Barthel index.ResultsAfter treatment, syndromes total score, VAS score lower than before treatment (P<0.01), in which the observation group than the control group decreased significantly (P<0.01, P<0.05); FMA score than before treatment increased (P<0.01), in which the observation group than in the control group increased significantly (P<0.01), Barthel index scores in both groups increased significantly (P<0.01), but difference between two groups was no statistically significant difference; the total effective rate in both groups are 100%(P=0.01), but the efficiency rate in observation group is 73.33%(22/30), which is higher than 26.67%(8/30) in the control group.ConclusionAcupuncture at stellate ganglion combined with conventional acupuncture, rehabilitation training achieves a satisfactory efficacy on post-stroke shoulder-hand syndrome, more advanced than the conventional acupuncture with rehabilitation training.