| 1. Research objectsIschemic stroke is equivalent to cerebral ischemic stroke of Western medicine, the disease has a high mortality rate, high recurrence rate and high rate of disability and so on, a serious threat to human life and the quality of life. Stroke patients usually left with varying degrees of dysfunction, of which the highest rate of hemiplegia occured, directly affect the quality of life in patients with major factors. Modern clinical studies have shown that acupuncture treatment of ischemic stroke hemiplegia have very positive effects. Present acupuncture treatment of ischemic stroke hemiplegia mainly localized the national standard scalp and body acupuncture treatment. Our preliminary studies indicate that acupuncture treatment of Jin's three-needle to ischemic stroke hemiplegia have significant clinical efficacy.This study was used stratified random, controlled clinical research methods, to follow the principles of evidence-based medicine, to observe the clinical effects of Jin's three-needle combined with body acupuncture to the hemiplegia after ischemic stroke, and compared with the national standard scalp acupuncture treatment. The Efficacy evaluation indexes included the neurological deficit score, limb motor function of the measured Assessment of activities of daily living, transcranial Doppler and so on. so as to explore the clinical value of Jin's three-needle treatment for the disease.2. Research Methods (1) Grouping:60 patients have been selected randomly stratified into 2 groups control principle, the treatment group (Temporal three-needle+body acupuncture group) 30 cases, the control group (the national standard scalp body acupuncture group) 30 cases.(2) Acupointsâ‘ Temporal three-needle:Department of temporal head, tip, straight, into the hairline 2 inches for the Temporalâ… needle, needle in the temporal levelâ… , next to open an inch forward for the Temporalâ…¡needle,1 inch for the back side to open the Temporalâ…¢needle.â‘¡Scalp Acupoints:Top temporal pre-slash, at the head side, head to head and temporal, from the previous point until Shen-Cong hanging PCT point of connection, the whole point line is divided into five decile, lower limb paralysis to take on the contralateral motor area 1/5, upper limb paralysis in the motor area contralateral to take 2/5, facial paralysis contralateral motor area to take the next 2/5, in this study on the 1/5 and in 2/5, two sports (?)ine area.â‘¢Body acupuncture acupoints:upper shoulder Jian Yu, Qu Chi, Shou San Li, Nei Guang; leg to take Huan Tiao, Yanglingquan, Wei Zhong, Yang Fu, Xue Hai, Kunlun.â‘£Dialectical acupoints:In addition to the body acupuncture points, the liver yang hyperactivity:Another take Si Guan, Wai Guan, Xing Jian. Wind phlegm:for Fong Long, Yin Ling Quan, Zhong Wan. Phlegm Fu Real:Another take Zhi Kou, Shang Ju Xu, Zusanli. Qi deficiency and blood stasis:Zusanli, Qi Hai, Xue Hai. Yin Wind:Another take Tai Xi, Sanyinjiao, Zhao Hai. Acupoints with the disease:In addition to the body acupuncture points, such as language disadvantage:tongue three needles, Yamen, Lian Quan. Mouth askew:Di Cang, Jia Che, Nei Ting. Memory loss:Si Shen Cong.(3) Method of operation:Routine disinfection, exposure scalp, separate the corresponding local hair, use a diameter of 0.30mm,80 mm long stainless steel needle, needle showed a 15-20 degree angle with the scalp, quickly penetrate the scalp then quickly needle under the skin along the advance, when the needle reaches aponeurosis of occipitofron talis muscle, when feel a sense of aspiration needle, and then continue to twisting the needle parallel to 20mm, the right hand twisting fast speed for 2 minutes, frequency speed is 180-200 times/minute, and with the other hand while rubbing the scalp motor area along the meridians around the area, to encourage the gas to the disease area. Needle retention for 30 minutes, every 10 minutes manipulating needle one time, temporal three needle puncture method is as follows:first take in the temporalâ… needle puncture vertically down along the 1.5-inch scalp level, temporalâ… acupuncture needle, the needle in the horizontal temporalâ… forward 1 inch needle temporal Departmentâ…¡needle puncture vertically down along the 1.5-inch scalp level. Departmentâ…¢Temporomandibular inch needle after needle puncture vertically down along the scalp,1.5 square inch. Every 10 minutes to level up flat line twisting and diarrhea were mentioned means to intervene Act 1 each. Once a day,5 times a week for 4 weeks as a course of treatment efficacy after 1 courses of statistics, other Chinese and Western medical treatment were the same.(4) Clinical Evaluation:With neurological deficit score before and after treatment in patients with sanity, language, motor functions of a comprehensive assessment of the primary disease; with the Fugl-Meyer assessment method to evaluate patients with paralysis of limbs on motor function, before treatment and once after the end of the assessment; means the classification method used to evaluate the Barthel activities of daily living; TCD examination before and after treatment were observed before and after treatment on cerebral blood flow.3. Research results(1) The efficacy of Temporal three-needle therapy on ischemic stroke patients with hemiplegia neurologic impairment (CSS Index) score In the CSS score and effect analysis, after a course of treatment, the treatment group scores improved better than the control group, but by statistical comparison, have no significant difference; treatment group cure rate, markedly effective rate and total effective rate high than the control group, but after Ridit analysis, neurological impairment between the two groups there is no significant difference in efficacy (p> 0.05), which is to improve the neurological deficit, the failure to confirm the temporal three-pin+body acupuncture is better than national standards Scalp Acupuncture+body acupuncture.(2) The effect of Temporal three-needle therapy On the activities of daily living (ADL index) score.As for ADL score, the treatment group is better than the control group, and there was significant difference, p<0.05, suggest temporal three-body acupuncture needle+activity in improving aspects of life of patients is better than the national standard scalp+body acupuncture.(3) The efficacy and the effect of Temporal three-needle therapy on Ischemic stroke patients with hemiplegia motor function and scoreIn motor function score and the effect of the analysis, after treatment, the treatment group's score improved better than the control group, by statistical comparison, significant difference, p<0.05; in clinical efficacy in the treatment group was 93.33% in the control group was 83.33%; specific efficacy in the treatment group:43.33% cure rate, markedly effective rate was 23.33%, efficiency 26.67%,6.67% invalid; control group:the recovery rate of 36.67%, markedly effective rate 13.33%, efficiency 33.33% 16.67% invalid; Ridit the above data analysis, two sets of data distribution was significantly different, p<0.05, suggest efficacy of the two groups in motor function score there was significant difference in the treatment group is better than the control group.(4)The effects of Temporal three-needle therapy on ischemic stroke by transcranial Doppler indexesControl group before and after treatment in patients with VM compared by paired t test, each treatment group were detected faster blood flow velocity, in addition to PCA, the economic statistics, the difference was significant (P<0.05), PI before and after treatment by paired t test comparison, five arteries were no significant differences (P> 0.05).Treatment group Vm before and after treatment by paired t test comparison, ACA, MCA before and after treatment significantly different by statistical comparison, P<0.05; PCA, VA, BA of the difference was not statistically significant ((P> 0.05). PI before and after treatment compared by paired t test, five arteries showed no significant (P> 0.05).Treatment group Vm, VA, BA was lower than the control group the difference, MCA to be higher than the difference of the data by group t test comparison, the above significant difference (P<0.05); PCA difference was not statistically significant. Difference before and after treatment by PI group t test comparison between groups arteries 5 There was no significant difference (P> 0.05).4. Conclusion(1) Both Temporal Three Acupuncture treatment program and the national standard scalp acupuncture can significantly improve ischemic stroke patients with hemiplegia of neurological deficit, but does not reflect the significant difference between both methods.(2) Both Temporal Three Acupuncture program and the national standards can improve the treatment of scalp acupuncture in patients with activities of daily living (ADL index) score, to improve the daily lives of patients with ischemic stroke capacity, the three temporal scalp acupuncture needle is superior.(3) Both Temporal Three Acupuncture program and the national standard treatment of scalp acupuncture can be improved effectively the patients with ischemic stroke hemiplegic limb motor function, both groups score and clinical efficacy in the significant difference in the temporal scalp acupuncture is better than the three-pin.(4) Temporal three-needle treatment programs with national standards scalp acupuncture treatment can be effective in improving ischemic stroke patients with hemiplegia of cerebral blood flow.
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