Clinical Observation On Treatment Of Spastic Paralysis After Stroke By Acupuncture At Du Meridian Points Combined With Eight-pulse Intersection Points

Objective:To observe the clinical efficacy and safety of acupuncture on Du Meridian points combined with eight-pulse intersection points in the treatment of spastic paralysis after stroke.Methods:From June to June 2020,random sixty patients with spastic paralysis after stroke were divided into control group(n = 30)and control group(n = 30)and experimental group(n = 30).In the control group,the main points were selected: Shuigou,Neiguan,Sanyinjiao,Jiquan,chize,Weizhong.The experimental group was given acupuncture points: Baihui,Shangxing,Fengfu,Yamen,Houxi,Lieque,Shenmai,Zhaohai;Two after treatment,the Ashworth score,Fugl-Meyer motor function score and Barthel Index score were improved before and after treatment.Results:1.There were significant differences between basic conditions(gender,age,course of disease,modified Ashworth scale,simplified Fugl-Meyer motor function scale,simplified Fugl-Meyer motor function scale,modified Barthel index)and pre-treatment Score(P>0.05);2.Before receiving treatment,all the eligible subjects who met the inclusion criteria signed the informed consent form,and there were no cases of falling off during the treatment;3.Compared with the control group,the effective rate(elbow)of the experimental group was 86.67%,that of the control group was 80.00%,that of the experimental group was 90.00%,that of the control group was 83.33%4.Improved Ashworth grading evaluation: At the end of 2 courses of treatment,the effect of acupuncture at the acupoints of du-shu combined with eight-pulse intersection(elbow and knee joint)on improving muscular tension was better than that of the routine acupuncture group,and there was significant difference between the Treatment Group and the Control Group(P<0.05);5.Comparison of simplified Fugl-Meyer evaluation of motor function: At the end of the first and second course of treatment,the effect of acupuncture at the acupoints of the du-shu combined with the eight-pulse intersection on improving motor function was better than that of the routine acupuncture group,and there was a significant difference between the treatment group and the Control Group(P<0.05),and with the treatment time extension,the treatment effect is better;6.The improved Barthel Index: the patients in the two groups showed improvement in exercise at the end of the first course of treatment,and there was no significant difference between the two groups(P>0.05).At the end of the second course of treatment,there was significant difference between the two groups(P<0.05),both groups can effectively improve the patients’ ability of daily living,and the effect of acupuncture at du-shu acupoints combined with eight-pulse intersection acupoints is better than that of routine acupuncture group;7.Safety comparison: The two groups of patients did not have adverse reactions during treatment,before and after treatment safety indicators were not significantly abnormal.Conclusion:Acupuncture at du-shu and ba-mai-jiao acupoints can effectively improve the symptoms and quality of life of patients with spastic paralysis after stroke,and is safe and effective.