Meta-analysis Of Warm Acupuncture Combined With Rehabilitation Traning In The Treatment Of Shoulder-hand Syndrome After Stroke

ObjectiveNowadays,the society is advanced and developed.It is an era of knowledge explosion.Human beings actively promote and improve the quality of life of individuals and families.Material enjoyment constantly demands high-quality living standards.Indulge in eating,drinking,playing,music,and pursuing stimulating and indulging life modes,or busy with Working hard,enduring invisible pressure,neglecting health,in today’s urban diseases,the chance of stroke is gradually increasing,the incidence rate is not easy to be detected,not only affects human life and health,but also affects the suffering of patients and family members,resulting in high mortality risk.Another common complication after the onset of stroke patients is Shoulder-Hand Syndrome,SHS shoulder syndrome[J].The main clinical manifestations include:pain in the shoulder or joints of the affected limb,limbs,pain in the joints,fever of the skin,limited function of the wrist,severe atrophy of the hand and muscles of the limbs,if the patient is negligently observed,Delayed treatment of the disease can develop into a muscle contracture deformity,resulting in lifetime disuse.It can also affect the patient’s effective upper limb function,positional shifting and balance,leading to varying degrees of disability.One of the more common sequelae after stroke is the shoulder-hand syndrome.It belongs to the category of "stagnation syndrome" of Chinese medicine.Modern medicine is called Reflex Sympathetic Dustrophy,RSD.Its performance is:it is difficult to detect when it is ill,and it is easy to delay the progress of the disease.Serious people can cause lifelong waste.In the motherland medicine,modern medicine believes that a variety of different treatments are often used to cope with shoulder-hand syndrome.At present,there is no clear incentive for the cause,pathogenesis and pathogenesis of the disease.The department of modern medicine mainly focuses on anti-inflammatory and analgesic drugs,but the effect is not satisfactory.Western medicine with large side effects can damage health.In addition,sympathetic ganglion block,because of the cost of sorghum treatment,symptoms may not be completely cured,and it is easy to cause risks.Traditional Chinese medicine comes from the syndrome differentiation and treatment of "sickness syndrome",which is mainly to promote the treatment of blood circulation,phlegm and warming meridians:From the syndrome differentiation of traditional Chinese medicine,the prescription of Chinese traditional Chinese medicine decoction is mainly to relieve pain and regulate qi and blood.Solid Chinese medicine pays more attention to regulating the overall qi and yin and yang,although it will have a certain degree of effect,but it can not effectively alleviate the pain of patients.The clinical application of acupuncture treatment has the effect of regulating the qi and blood as a whole,promoting local dredging of the meridians,and treating the local and the whole.It can relieve pain in time,and the operation is light and safe and stable.It is a green therapy.Now I have consulted a large amount of literature,which has proved that clinically,the characteristics of traditional Chinese medicine acupuncture therapy are effective.In the academic expression,these documents are still slightly less standardized,less rigorous,and less necessary for comparison and ideal conditions of sample data.Therefore,it is difficult to make acupuncture therapy clinically evaluated,and it is not widely recognized,and it is difficult to exert its advantages.In view of this,through the meta-analysis method of modern evidence-based medicine,the reliable objective evaluation of Chinese medicine acupuncture therapy is sufficient to prove the clinical application of acupuncture treatment technology and standard acupuncture treatment methods,and provide accurate and effective analysis results,which is beneficial to the work.Used by clinical medical practitioners in the future.MethodsThe clinical research literature on acupuncture treatment and post-stroke shoulder-hand syndrome has been collected in the past 10 years.Summarize and discuss it to improve the clinical efficacy of warm acupuncture combined with rehabilitation training and simple rehabilitation exercise training.A relatively objective evaluation.This search study was conducted from 2009 to 2018,published in various domestic,different types of acupuncture treatments in the treatment of clinical treatment of post-stroke shoulder-shoulder syndrome literature.In order to further evaluate and analyze warm acupuncture therapy and evaluate the efficacy of various methods in the treatment of shoulder-hand syndrome,a meta-analysis method was adopted to analyze the clinical literature of the acupuncture combined with rehabilitation training in the treatment of this disease.According to the randomized controlled trial report,a total of 156 were selected for screening and analyzed using the Review Manager 5.3 software system.The analysis results were applied to the subgroup analysis,and the final reliability data was obtained.ResultsStatistical results:Warm acupuncture and electroacupuncture are the most extensive.In the search literature,it was found that the number of electroacupuncture treatments was small,and the data lacked credibility and support points.In view of this,I plan to analyze the application of"warm acupuncture combined with rehabilitation training”in the treatment of post-stroke shoulder-hand syndrome,as well as its clinical efficacy and mechanism,and use the ideal data analysis report results.After summarizing the results of all literature analyses,a total of 11 documents were entered into the Meta meta-analysis,and the quality of each document was first judged by Jadad.A total of 998 cases were accumulated in 11 articles,of which 501 cases were treated with warm acupuncture combined with rehabilitation training.In the case of different treatment interventions,the experimental group and the control group were compared for efficacy comparison.According to the literature used in 11 articles,the results of data analysis showed that the efficacy of warm acupuncture combined with rehabilitation training was 3.59[2.25,5.72]P<0.00001,which was statistically significant.ConclusionStudies have found that patients with acupuncture syndrome after stroke with warm acupuncture have improved limbs,pain,swelling and activity,and obtained good results.In the meta-analysis report,it is sufficient to prove that warm acupuncture combined with rehabilitation training therapy can help improve the patient’s condition,and is superior to simple rehabilitation exercise training in terms of limb movement and pain.The most stable and effective.The combination of warm acupuncture and rehabilitation training is effective,and it is superior to the treatment of rehabilitation and simple exercise training.Allow patients to be safe and stable during the course of treatment,relieve pain,and effectively improve the patient’s comprehensive functional training in various aspects in the future.Simple rehabilitation exercise training can not fully cooperate with the patient’s condition,the effect is less stable during the course of treatment,and the pain in the affected area is relieved.Warm acupuncture combined with rehabilitation training to treat this disease is satisfactory.This study is available to today’s medical practitioners,and inspires clinical thinking in the future.As an effective basis and a variety of treatment methods,it is worth promoting.