Clinical Study Of Medicinal Thread Moxibustion For Treatment Of Spastic Paralysis Of Upper Limbs After Stroke

Objective Distinguish the transformations of modified Ashworth grade,simplified Fugl-Meyer score and ADL score of upper limb cramps paralysis sick persons after stroke with medicated thread moxibustion,explore the effect of medicated thread moxibustion on upper limb cramps paralysis after stroke,and expanden the treatment methods.MethodThis study choosed 60 patients with upper limb cramps after stroke in the Rehabilitation Department of the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine from 2020.1 to 2020.12.The study divided them into a treatment group and a control group with 30 cases each according to a random number table.Both groups received medical therapy and rehabilitation as basic treatment.And give the control group acupuncture and body acupuncture.The acupuncture choosed the upper1/5 segment and middle 2/5 segment of the parietotemporal anterior slanting line and the parietotemporal posterior slanting line,and the top and side 2 lines;the body acupuncture choosed Quchi,Waiguan,Hegu and Jing points;acupuncture in the treatment group was the same as the control group,and the body acupuncture was replaced to medicated thread moxibustion,and the acupoint selection was as same as the control group.The treatment was carried out once a day,with 1 rest day for 6days.The study was lasted 4 weeks of treatment.Evaluated respectively the score of before and after treatment of MAS,simplified Fugl-Meyer and ADL of the upper limbs of the patients,and evaluated clinical efficacy.Result1.The two groups of patients had no statistical difference in,age,gender,stroke nature and course of disease(P>0.05),so they can be compared.There was no significant difference in score of MAS,SFMA(upper limb part),and ADL between the two groups before treatment(P>0.05),so they can be compared..2.The score of MAS,SFMA(upper limb part),and ADL of the two groups before and after treatment were significantly different(P<0.01).After treatment,the two groups had significant differences in score of MAS,SFMA(upper limb part),and ADL(P<0.05).The difference between score of MAS,SFMA(upper limb part),and ADL before and after treatment in the treatment group was significantly higher than that in the control group(P<0.01).3.After treatment,5 people were markedly effective,14 people were effective,10 people were improved,and 1 person was ineffective.The total effective rate was 96.67%.In the control group,3 people were markedly effective,8 people were effective,15 people were improved,and 4 people were ineffective.The total effective rate was It is 86.67%.The efficacy of the two groups was significantly different(P<0.05).Conclusion1.Both medicated thread moxibustion and acupuncture can effectively cut down the level of spasticity,improve upper limb motor function,and enhance the ability of daily living,and medicated thread moxibustion has better clinical effects than acupuncture in reducing the level of cramps and improving upper limb activity ability.2.Medicinal thread moxibustion is a convenient,inexpensive,and safe treatment method,which is more appropriate for grassroots promotion and application.