The Study Of A Randomized Controlled Study On The Treatment Of Spastic Paralysis After Stroke On The Therapy Of Zhuang Linemedcine Moxibustion

Stroke,which is ranked as one of the three greatest diseases of relapse rate,death rate and disability,has been a hot topic in the medical field and society.According to statistics,China’s new stroke patients each year80% of patients in the onset of 3 weeks will appear muscle tension.In recent years,with the improvement of social and economic level,our living habits and diet structure is also changing,stroke risk factors such as hypertension,obesity,hyperlipidemia,and so the proportion of increasing,also makes the onset of age tends to young,the proportion of the incidence of gradually climbing.After apoplexy spastic hemiplegia has the influence to the patient’s work ability,the life quality,the mental state and so on,but at present the domestic and foreign medical profession has no special treatment method to the Spastic hemiplegia,therefore seeks one kind of short time,the quick effect treatment way is the Chinese and Western medicine profession common research direction.Apoplexy is a common disease in acupuncture ward and also a dominant one,this article aims to provide a new method for clinical treatment of spastic hemiplegia after apoplexy with acupuncture therapy.ObjectiveTo observe the short term effect of acupuncture and moxibustion on spastic hemiplegia,and to analyze the degree of spasm,the degree of neurologic impairment and the life ability of the patients after the stroke,and to study the effects of the bar-moxibustion on the patients with spasticity.In order to evaluate the therapeutic effect of this therapy on the treatment of apoplectic spastic hemiplegia,we can provide a reference for the clinical selection and optimization.Methods60 patients with post-stroke were randomly divided into treatment group and control group in 30 cases.In the control group,the traditional acupuncture treatment was treated by TCM syndrome differentiation,and the course is 28 days.Both groups are evaluated by stroke scale(NIHSS),Clinical Spasm Index(CSI),improved Ashworth spasm rating scale,improved Barthel index score before and after treatment.The data are statistically analyzed to observe whether linemedicine moxibustion therapy can enhance the curative effect.Results1 Evaluation of neurological impairment(Stroke scale(NIHSS): Both groups were treated with a higher score than before,and both treatments improved the stroke score.There was no significant gap between the two groups.2 Clinical spasticity Index(CSI): Both groups were treated with better scores than before,and the comparison between the group showed that the linemedicine moxibustion group isbetter than the acupuncture group.3 Assessment of the level of limb spasm(improved Ashworth spasm rating scale): The two groups of patients after the treatment of the score were better than before,and the comparison between the group showed that the linemedicine moxibustion group isbetter than the acupuncture group.4 Daily life Competency Assessment(improved Barthel index scoring method(ADL)): Both groups were treated with better scores than before,and both treatments improved the daily life of the patients.But there was no obvious difference between the two groups.Conclusion1 Linemedicine moxibustion therapy can effectively improve the patient’s side spasticity,can effectively reduce the degree of neurological impairment,thus improving the patient’s daily life ability.2 It is better than conventional acupuncture therapy to remit the muscular tension of the patients with spastic hemiplegia after apoplexy by the method of linemedicine moxibustion.