Clinical Observation Of The Treatment Of Ataxia After Cerebral Infarction By Rows Acupuncture At Three Meridians In Occipital Region Combined With Triple Warmer Acupuncture

Objective:To observe the clinical effect of rows acupuncture at three meridians in occipital region combined with triple warmer acupuncture on ataxia after cerebral infarction which comparing with merely using rows acupuncture at three meridians in occipital region,we try to find a new method which improve the acupuncture treatment of ataxia after cerebral infarction,and enhance the efficacy.Methods:1.Subjects:According to the inclusion criteria and exclusion criteria of the study and the result of pre-test prescription,a total of 62 patients from the 10^th department of acupuncture in First Teaching Hospital of Tianjin University of Traditional Chinese Medicine were divided into the treatment group and the control group by the random number table and the blind method.On the basis of a ratio of 1:1,each group has 31 patients.2.Therapy Method:By the reference of Guidelines for the Prevention and Treatment of Cerebrovascular Diseases in China and Science of Acupuncture&Moxibustion,all patients had an individualized therapeutic plan,including drugs and basic acupuncture.On this basis,patients of the treatment group were treated by rows acupuncture at three meridians in occipital region combined with triple warmer acupuncture,whereas the control group merely toke the measure of rows acupuncture at three meridians in occipital region.At 4-weeks treatment,all the patients were treated once a day and rested on Sunday in every week.3.Obvervation Index:The main index of curative effect is based on the score of International Cooperative Ataxia Rating Scale（ICARS）,and the score of Modified Barthel Index（MBI）is regarded as the secondary index.4.Statistical Method:The data analysis relies on the software of SPSS26.0.Results:During the treatment,only 1 patient fell off in the treatment group.In the end,61 patients completed the study,including 30 patients in the treatment group and 31 patients in the control group.There were no acupuncture-related adverse events in the process of the treatment.1.There were no statistically significant differences between the treatment group and the control group in gender,age,course of disease,past medical history,personal history,the pre-treatment scores of ICARS and MBI,and other baseline data（P>0.050）,which had comparability.2.After treatments,ICARS scores of the two groups were lower than scores of pre-treatment（P<0.010）.By comparing the scores difference of pre-and post-treatment,the treatment group had statistically significant differences than control group（P<0.010）,which had greater scores difference.Specifically,the scores of ICARS can be divided into 4 parts:the disorders of post&gait,dynamic function,aphasis and eye dyskinesia,and the scores of two groups had significantly reduced than the pre-treatment in each part（P<0.010）.Based on each score difference comparison of four parts in pre-and post-treatment,the treatment group had statistically significant differences than control group（P<0.050）in disorders of post&gait and dynamic function,which had greater scores difference.However,the two groups had no significant differences in aphasis and eye dyskinesia（P>0.050）.3.After treatments,MBI scores of the two groups were higher than scores of pre-treatment（P<0.010）.By comparing the scores difference of pre-and post-treatment,the treatment group had greater statistically significant differences than control group（P<0.010）,which had greater scores difference.Conclusion:1.The two acupuncture therapies all have improvements in symptoms of ataxia and activities of daily living for patients with ataxia after cerebral infarction.In three aspects,including disorders of post&gait,dynamic function and activities of daily living,the curative effect of rows acupuncture at three meridians in occipital region combined with triple warmer acupuncture are superior to the method of simple rows acupuncture at three meridians in occipital region.Nevertheless,the two groups had the similar efficacy in aphasis and eye dyskinesia.2.The method of rows acupuncture at three meridians in occipital region combined with triple warmer acupuncture can improve motor function and activities of daily living for patients with ataxia after cerebral infarction.Meanwhile,it has rarely adverse reactions and worthy of clinical application and studying deeply.