| Objective:According to the evaluation of the improvement status of the post-ischemic stroke patients’ muscle strength of lower limbs,motor function and living ability in early stage by implementing the "Xing Nao-Kai Qiao" acupuncture,"Xing Nao-Kai Qiao" acupuncture combined with Physical Therapy and sham acupuncture with Physical Therapy.Observed the clinical effect of "Xing Nao-Kai Qiao" acupuncture on the motor dysfunction of the lower extremity of the post-ischemic stroke patients in the middle and acute stage,so as to provide some ideas to further optimize the relevant treatment plan in the future.Method:This study has 60 patients with lower extremity motor dysfunction in acute stage of ischemic stroke who matched the inclusion criteria were randomly divided into experimental group,control group 1 and control group 2,20 cases in each group.The three groups were treated with routine basic medicine for stroke.On this basis,the experimental group was treated with "Xing Nao-Kai Qiao" acupuncture,the control group 1 was treated with "Xing Nao-Kai Qiao" acupuncture combined with Pt therapy,and the control group 2 was treated with sham acupuncture combined with Pt therapy.The three groups were treated 3times a week for 6 weeks,18 times in total,30 minutes each time(PT: 30 minutes Pt treatment scheme was implemented immediately after acupuncture).The patients were assessed with simplified Fugl-Meyer assessment(s FMA),unarmed muscle strength grading(MMT)and simplified stroke impact scale(SIS-16)before treatment,3 weeks and 6 weeks after treatment,and the evaluation indexes were statistically analyzed.Result:1 Baseline comparisonThe all baseline data among all the patients in three groups before therapy: age,gender,course of disease,muscle strength,s FMA score,MMT score and sis-16 score was no significant difference(P > 0.05).There are all comparable.2 Comparison of s FMA-L scoresIntra group comparison: the s FMA-L score of all the three groups were higher than that before treatment and there are all statistically significant(P < 0.01).The comparison between the groups: the s FMA-L score of the experimental group was lower than that of the control group 1 and higher than that of the control group 2 after 3 weeks treatment,and the difference between the three groups were statistically significant(P < 0.01).There was significant difference(P < 0.01)between the control group 1 and the control group2 in the s FMA-L score,and there was no significant difference between the experimental group and the control group 2(P > 0.05).After 6 weeks of treatment,the s FMA-L score of the control group 1 was higher than that of the experimental group and the control group 2.The difference between the s FMA-L score of control group 1 and the s FMA-L score of experimental group and control group 2 was statistically significant(P < 0.01).The score of the experimental group was higher than that of the control group 2,and the difference between two groups were statistically significant(P < 0.05).3 Comparison of MMT scoresAfter 6 weeks’ treatment,the muscle strength of lower limbs of all three groups’ patients has all increased from before therapy.The difference was statistically significant(P < 0.05)in the three groups.After 6 weeks of treatment,there was no significant difference between the muscle strength of lower limbs between three groups(P > 0.05).4 Comparison of SIS-16 scoresIntra group comparison: after 3 weeks and 6 weeks of treatment,the sis-16 scores of all three groups are increased,and the differences were statistically significant(P < 0.01).Inter group comparison: after 3 weeks of treatment,the sis-16 scores of the three groups had no statistically significant difference(P > 0.05);after 6 weeks of treatment,the sis-16 scores of the control group 1 and the experimental group were higher than those of the control group 2.There was significant difference between groups(P < 0.01,P < 0.05).The sis-16 score of the control group 1 was higher than that of the experimental group,and there was no significant difference between the two groups(P > 0.05).5 Comparison of clinical efficacyAfter 6 weeks of treatment,in the experimental group,the total effective rate was 90%,and the markedly effective rate was 70.00%;in the control group 1,the total effective rate was95%,and the markedly effective rate was 90.00%;in the control group 2,the total effective rate was 75%,and the markedly effective rate was 20.00%.After statistical analysis,there was significant difference among the three groups(P < 0.001).There was no significant difference between experimental group and control group 1(P > 0.05),but there was significant difference between experimental group and control group 2,and between control group 1 and control group 2(P < 0.01,P < 0.01).Conclusion:1."Xing Nao-Kai Qiao" acupuncture and "Xing Nao-Kai Qiao" acupuncture combined with Pt therapy can both effectively improve the post-ischemic stroke patients’ motor function and life quality.2."Xing Nao-Kai Qiao" acupuncture combined with Pt therapy is better than "Xing Nao-Kai Qiao" acupuncture or sham acupuncture combined with Pt therapy in improving lower limb motor function and life quality of post-ischemic stroke patients. |
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