Study On The Standardization Of Jin's 3-Needle Therapy In The Treatment Of Hemiplegia After Cerebral Infarction

Objective:To investigate the effect of Neural function Deficient Scale(NDS), Functional Comprehensive Assessment(FCA),simplified Fugl-Meyer assessment(FMA) and Activities of Daily Living(ADL),that is Barthel Index(BI) in treatment of hemiplegia after cerebral infarction using Jin' 3-Needl therapy.To standardize point' s selection,acupuncture point of view, depth,stimulating methods of Jin' s 3-Needl in the treatment of hemiplegia after cerebral infarction,to promote the standardization and the standardization of Jin' s 3-Needle.Method:120 cases met the diagnostic criteria for cerebral infarction,the incidence in 2 weeks -3 months in patients with hemiplegia,in accordance with the ratio of 1:1:1,were randomly divided into Jin' s 3-Needl group of 40 patients,the rehabilitation group of 40 cases and the Jin' s 3-Needl combination rehabilitation group of 40 cases.The drug therapy in the 3 groups is based on reference to "China's disease prevention and treatment of brain Guide"(Ministry of Health Disease Control Division of Neurology Institute of the Chinese Medical Association,2005) program to control blood pressure, blood sugar,regulate blood lipids,to give thanks aspirin to prevent platelet gathered Citicoline given to nutrition nerves,symptomatic treatment,and prevent complications.Treatment methods:(1) flaccid paralysis:Jin' s 3-needle group:the main point:the temporal three-needle,hand 3-needle,foot needle 3-needle.Distribution points:the numbness of the mouth plus the skew 3-needle;language disadvantage,difficulty swallowing plus tongue 3-needle. points with differentiation:liver-yang violence:Taichong;wind and phlegm blocking channel:Fenglong;Qi deficiency and blood stasis:Zusanli;pneumatic deficiency:Taixi.Acupuncture points are all the way to regulate the parameters such as the method of acupuncture,stimulation and the times moving needles and so on.Rehabilitation groups:The rehabilitation training program mainly based on "rehabilitation medicine"(the third edition) published by People's Health Publishing House.Operation include:displaying good limb; joint passive motion to prevent joint contracture and deformation;bed activities;up training;bridge movement;excited about the promotion of practices such as use of a joint response to the common movement,sensory stimulation(tapping,squeezing ) induced by active exercise.Jin's 3-needle plus rehabilitation groups:the treatment including the treatment of Jin' s 3-needle and rehabilitation treatment at the same time,the specific method as above.(2)spastic paralysis:Jin' 3-needle group:Selection:temporal three needles,Luan 3-needles in upper limb and lower limbs,distribution points: plus tongue 3-needle;the numbness of the mouth plus the skew 3-needle;severe spastic wrist plus wrist 3-needle;ankle varus plus ankle 3-needl e;upper and lower limb plasticity can not be extended plus Kai 3-needle.finger and toe swelling increases Eight-xie and Eight-feng.Points with differentiation are as above.Acupuncture points are all the way to regulate the parameters such as the method of acupuncture,stimulation and the times moving needles and so on.Rehabilitation groups:operations,including:ease muscle tension; sitting balance training;sit converter station;orthostatic balance training; walk training;training in upper limb control.Jin' 3-needle therapy plus rehabilitation group:the treatment including the treatment of Jin' s 3-needle and rehabilitation treatment at the same time,the specific method as above. The method is as above.Treatment were 28 days,rehabilitation and acupuncture treatment 5 times a week,rest two days to continue treatment,a total of four weeks treatment;conventional drug therapy is 28 days.Results:1.Changes in NDSThe scale of three groups after treatment of 14 days and 28 days 1 were significantly different than those before treatment(P <0.05 and P <0.01). The scale of three groups before treatment,14 days after treatment were no significant difference among groups(P>0.05),the NDS of Jin' 3-needle plus rehabilitation group is obvious light in the rehabilitation group(P<0.05) after treatment of 28 days between the three groups comparisons,there is no significant differences between Jin' s 3-needle group and respectively rehabilitation group,Jin' 3-needle plus rehabilitation group(P>0.05). three sets of data analysis using parallel contour:F =2.322,P=0.048 <0.05, note the outline of the three groups are not similar between groups(parallel), or three sets of ratings changes in time trends are different,from the three sets of contours can be clearly seen that the NDS of Jin' 3-needle plus rehabilitation group is the best improvement in functional impairment,then Jin' s 3-Needle group.2.Changes in Limb simplified FMAThe FM score of three groups after treatment of 14 days and 28 days were significantly different(P<0.05 and P<0.01) than those in the upper limbs before treatment.There is no significant difference among the three groups before treatment,and after 14 days treatment.The score of Jin' s 3-needle plus rehabilitation group is better than the rehabilitation group(P<0.05), but there is no no significant differences between Jin' s 3-needle group and respectively rehabilitation group,Jin' 3-needle plus rehabilitation group(P>0.05).three sets of data analysis using parallel contour:F = 8.940, P= 0.000<0.01,note the outline of the three groups are not similar between groups(parallel),or three sets of ratings changes in time trends are different,from the three sets of contours can be clearly seen that the FM score of Jin' 3-needle plus rehabilitation group is the best improvement in functional impairment after 28 days treatment.The FMA score of three groups after treatment of 14 days and 28 days were significantly different(P<0.05 and P<0.01)than those in the lower limbs before treatment.There is no significant difference among the three groups before treatment,and after 14 days treatment.The score of Jin' s 3-needle plus rehabilitation group is better than the rehabilitation group(P<0.05), but there is no significant differences between Jin' s 3-needle group and respectively rehabilitation group,Jin' 3-needle plus rehabilitation group(P>0.05).Three sets of data analysis using parallel contour:F = 0.182, P= 0.000 <0.01.note the outline of the three groups are not similar between groups(parallel),or three sets of ratings changes in time trends are different,from the three sets of contours can be clearly seen that the FMA of Jin' 3-needle plus rehabilitation group is the best improvement in functional impairment after 28 days treatment.From the upper limb,lower limb contour maps can be seen Jin' s 3-needle plus rehabilitation group after 14 days treatment has a leap of functional improvement,suggesting that after the treatment 14 days with Jin' s 3-needle standardized treatment and rehabilitation,the function improves significantly in upper limb and lower limb,indicating that acupuncture treatment and rehabilitation have good synergy.3.Changes in FCAThe FCA score of Jin' s 3-needle groups and Jin' s 3-needle plus rehabilitation group in the treatment after 14 days,28 days were significantly different than those of pre-treatment score(P<0.05 and P <0.01),There was a significant difference after 28 days before treatment in the rehabilitation group(P<0.01).There is no significant difference among the three groups before treatment,and after 14 days treatment.The score of Jin' s 3-needie plus rehabilitation group is better than the rehabilitation group(P<0.05), but there is no significant differences between Jin' s 3-needle group and respectively rehabilitation group,Jin' 3-needle plus rehabilitation group(P>0.05).Three sets of data analysis using parallel contour:F=3.448, P=0.009<0.01.note the outline of the three groups are not similar between groups(parallel),or three sets of ratings changes in time trends are different,from the three sets of contours can be clearly seen that the FCA of Jin' 3-needle plus rehabilitation group is the best improvement in functional impairment.4.Changes in ADLThe ADL score of Jin' s 3-needle groups and Jin' s 3-needle plus rehabilitation group in the treatment after 14 days,28 days were significantly different than those of pre-treatment score(P<0.05 and P<0.01),There was a significant difference after 28 days before treatment in the rehabilitation group(P<0.01).There is no significant difference among the three groups before treatment,and after 14 days and 28 days treatment.The comparison between the three groups showed that The score of Jin' s a-needle plus rehabilitation group is better than the rehabilitation group(P<0.05),but there is no significant differences between Jin' s a-needle group and respectively rehabilitation group,Jin' 3-needle plus rehabilitation group(P)0.05).Three sets of data analysis using parallel contour:F=3.548, P=0.008<0.01.note the outline of the three groups are not similar between groups(parallel),or three sets of ratings changes in time trends are different,from the three sets of contours can be clearly seen that the ADL of Jin' 3-needle plus rehabilitation group is the best improvement in functional impairment after 28 days treatment.Conclusion:Jin' s 3needle therapy,rehabilitation therapy and Jin' s 3-needle therapy combined with rehabilitation can significantly improve clinical symptoms of hemiplegia after stroke and reduce neurological deficits and improve physical function,improve function,improve daily living skills. However,three-needle therapy combined with Jin rehabilitation more effective than simply using Jin' s 3-needle therapy and rehabilitation therapy,Jin' s 3-needle and rehabilitation have the same effect.The intervention of Jin' s 3-needle therapy and rehabilitation are equally important early in the cerebral infarction.Acupuncture and rehabilitation have good synergy.