The Clinical Observation Of Wrist-ankle Acupuncture In Treating Hemidysesthesia After Stroke Of Qi Deficiency And Blood Stasis Type

Objectives:To observe the clinical curative effect of wrist-ankle acupuncture on Hemidysesthesia after Stroke of Qi deficiency and blood stasis type.Methods:60 patients of stroke of qi-deficiency and blood-stasis type in the ward who met the study criteria were randomly divided into the conventional group(wrist-ankle acupuncture combined with conventional acupuncture group)and control group(conventional acupuncture group),30 cases in each group.Control group refers to the acupoints of "stroke"in the "science of acupuncture and moxibustion" edited by Shi Xuemin:Take the ipsilateral LI15,Ll11,LI10,TE5,LI4,GB34,SP6,ST41,LR3,according to Syndromes to get CV6,SP10,ST36.In the treatment group,the wrist-ankle acupuncture was used on the basis of the control group.The upper and lower sides of the affected side were 4,5 and 4,5 points,and the needle was retained for 24 hours every other day.Both groups were given 6 days of a course of treatment,with 1 day of rest between the two courses,for a total of 4 courses of treatment.Observe and record the two groups before and after treatment of sensory impairment assessment score table,the simplified Fugl-Meyer exercise scale,Barthel index and somatosensory evoked potentials.All the data are counted and analyzed by SPSS20.0 statistical software.Analyze the statistical data and compare the clinical efficacy of the treatment and control groups.Results:1.Comparison of sensory disability scores between the two groups:Before treatment,there was no significant difference in sensory disability scores between the two groups(P>0.05).After treatment,the sensory disability scores of both groups increased,and there was a significant difference(P<0.05).After treatment,there was a significant difference between the two groups of improverment degree(P<0.05).It is suggested that the sensory impairment scores can be improved after treatment in both groups,and the treatment group is superior to the control group in improving the sensory function of the patient.2.Two groups the simplified Fugl-meyer exercise scale scores:Before treatment,there was no significant difference in exercise scores between the two groups(P>0.05).After treatment,the scores of exercise scale in both groups increased,and there was a significant difference(P<0.05).After treatment,.there was a significant difference between the two groups of improvement degree(P>0.05).It is sugge'sted that the exercise scale scores can be improved after treatment in both groups,and there was no significant difference between the two groups in improving the motor function of patients.3.Comparison of two groups of Barthel index:Before treatment,there was no significant difference in BI score between the two groups(P>0.05).After treatment,the BI scores of both groups increased,and there was a significant.difference(P<0.05).After treatment,there was a significant difference between the two groups of improvement degree(P<0.05).It is suggested that the BI score can be increased after treatment in both groups,and the treatment group is better than the control group in improving the daily life of patients.4.Comparison of two groups of Somatosensory evoked potentials:Before treatment,there was no significant difference between the two groups in the latency of the N20 and P37 in the affected side(P>0.05).After treatment,the latency of the N20 and P3 7 in the affected side in both groups had shortened,and there was a significant difference(P<0.05).After treatment,there was a significant difference between the two groups of improvement degree(P<0.05).It is suggested that the latency of the N20 and P37 in the affected side can be reduced after treatment in both groups,and the treatment group is superior to the control group.5.Correlation analysis of sensory-intensity scores and latency of somatosensory evoked potentials:Before and after treatment,the sensory-intensity scores of the two groups were correlated with the latency of the affected side N20 and P37(P<0.01)_Conclusion:Both wrist-ankle acupuncture and conventional acupuncture can improve the sensory function,motor function and daily living ability of patients with Hemidysesthesia after Stroke of Qi deficiency and blood stasis type,and wrist-ankle acupuncture combined with conventional acupuncture has a significant effect on improving sensory function and daily living ability compared with conventional acupuncture.