Clinical Observation Of Hui Needling At Meridian-Muscle Nodes On Shoulder-Hand Syndrome Phase Ⅰ After Stroke

ObjectiveThis study aims to observe the clinical effect of Hui needling at Meridian-muscle Nodes in the treatment of shoulder-hand syndrome phase I after stroke through rigorous scientific design and standardize operation,and compared with traditional acupuncture,then explore the machanism of Hui needling at Meridian-muscle Nodes,for provide theoretical support of Hui needling at meridian-muscle nodes on shoulder-hand syndrome phase I after stroke.MethodsThis study included 74 patients with shoulder hand syndrome phase I after stroke in the randomized controlled study.They were divided evenly to the traditional acupuncture group and the Hui needling at meridian-muscle nodes group.3 cases fell off in the Hui needling at meridian-muscle nodes group,3 cases fell off in the traditional acupuncture group.So eventually the traditional acupuncture group included in 34 cases when the Hui needling at meridian-muscle nodes group included in 34 cases.The loss rates were 8.11%respectively.On the basis of routine treatment,rehabilitation training and routine acupuncture,the Hui needling at meridian-muscle nodes group was given the treatment of searching and Hui needling the Meridian-muscle Nodes at Meridian-muscle of hand Yang and hand Yin.The traditional acupuncture group was given the treatment of needling point Jianyu,Quchi,Waiguan,Hegu,Jianliao,Jianzhen.Both groups of acupuncture treatment for 1 time everyday in six consecutive days for one course,Sunday rest,treatment course 2 weeks.Before and after the treatment,the visual analogue scale(VAS),simplified FuglMeyer motor function scale(FMA),the upper limb swelling score and clinical efficacy were recorded and compared by SPSS 23.0 software.Results1.The VAS score:Before the treatment,there was no significant difference in the VAS score between two groups(P>0.05).After the treatment,the VAS scores between the traditional acupuncture group and the Hui needling at meridian-muscle nodes group showed significant differences(P<0.05).Compared with the traditional acupuncture group,the difference before and after treatment was also statistically significant(P<0.05),indicating that the easing of pain was more obvious at the Hui needling at meridian-muscle nodes group.2.The upper limb swelling score:Before the treatment,there was no significant difference in the upper limb swelling score between two groups(P>0.05).After the treatment,the upper limb swelling scores between the traditional acupuncture group and the Hui needling at meridian-muscle nodes group showed significant differences(P<0.05).Compared with the traditional acupuncture group,the difference before and after treatment was also statistically significant(P<0.05).It showed that the Hui needling at meridianmuscle nodes group is more effective in reducing upper limb swelling.3.The FMA score:Before the treatment,there was no significant difference in the FMA score between two groups(P>0.05).After the treatment,there were significant differences in the FMA score between the traditional acupuncture group and the Hui needling at meridian-muscle nodes group(P<0.05),Compared with the traditional acupuncture group,the difference before and after treatment was also statistically significant(P<0.05),indicating that the Hui needling at meridian-muscle nodes group had a more significant effect on improving the motor function of the affected limb.4.The clinical efficacy:After 2 weeks of treatment,the total effective rate was 88.24%in the Hui needling at meridian-muscle nodes group,included 8 cured cases,12 markedly effective cases,10 effective cases and 4 ineffective cases.In the traditional acupuncture group,the total effective rate was 73.53%,included 4 cured cases,7 markedly effective cases,14 effective cases and 9 ineffective cases.Compared with the traditional method group,the clinical efficacy of the the Hui needling at meridian-muscle nodes group was significantly different(P<0.05).It can be inferred that both groups had good clinical efficacy after 2 weeks of treatment,but the clinical efficacy of the group using the Hui needling at meridian-muscle nodes was better.ConclusionResearch shows that compared with the traditional method group,the group using the Hui needling at meridian-muscle nodes showed more significant effect on easing of pain,reducing upper limb swelling,improving the motor function of the affected limb,and better clinical efficacy.Therefore,the Hui needling at meridian-muscle nodes for treating shoulder-hand syndrome phase I after stroke is better than traditional method.