Comparison Of Therapeutic Effect Of Different Acupuncture Stimulai On Limb Dysfunction In Soft Paralysis Of Apoplexy

Objective This study observed the curative effect of different acupuncture stimulating quantity in treating patients with limb dysfunction in soft palsy after apoplexy to explore the the dose-effect relationship between acupuncture stimulus and observation indexes and to provide clinical objective basis for seeking the best acupuncture stimulation for the treatment of limb dysfunction in soft paralysis after apoplexy.Methods80 cases of limb dysfunction in soft palsy after apoplexy were randomly divided into four groups:20 cases in the control group was given basic therapy and routine acupuncture;20 cases in observation group A was given basic therapy and a small stimulation acupuncture;20 cases in observation group B was given basic therapy and a medium stimulation acupuncture;20 cases in observation group C was given basic therapy and a large stimulation acupuncture.1 week for a course of treatment,a total of 4courses;The neurological deficit degree(NIHSS score),activities of daily living(modified Barthel index)and motor function of upper and lower extremities(simplified Fugl-Meyer exercise score)were compared between groups before treatment and after 4 weeks of treatment.The indexes were compared in the group,and statistical analysis.Count data was selected((X|-) ±S)to represent,using t test,measurement data was taken by ?~2 test.Observation of the results,if P<0.05,shows there are differences;if P<0.01,indicates a significant difference;if P>0.05,can be considered no significant difference.In the course of treatment,attention should be paid to observing,recording,and analyzing the occurrence of adverse events.Results1.Comparison in the four groups of daily living(modified Barthel index):After 4 weeks treatment,modified Barthel index in four groups were improved.There was a difference between the control group and the observation group A(P<0.05)and a significant difference between observation group B and C(P<0.01)than before treatment;After treatment,the observation group C was better than the observation group B(P<0.05),and significantly better than the observation group A and the control group(P<0.01).2.Comparison in the four groups of the degree of nerve function defect(NIHSS score):After 4 weeks treatment,the NIHSS scores in the four groups were reduced.Before and after treatment,there was a different in the control group(P<0.05).There were significant differences in the observation group A,B,and C compared with before treatment(P<0.01);After treatment,the observation group C was significantly better than the observation group A,B and control group(P<0.01).3.Comparison in the four groups of motor function of upper and lower extremities(simple Fugl-Meyer exercise score):After treatment,simple Fugl-Meyer exercise scores in the four groups were improved.There was a very significant difference compared to that before treatment(P<0.01)and the observation group C was significantly better than the observation group A,B and control group(P<0.01).4.Safety evaluation:In this study,all patients were completely treatment,and their life characteristics were relatively stable and no serious adverse reactions were observed.Conclusion1.Acupuncture is effective in the treatment of limb dysfunction in soft paralysis of apoplexy,which can promote the rehabilitation of neurologic function,can improve the life ability of patients,and can improve the quality of life.2.There were differences in the clinical efficacy of different acupuncture stimulation in treating limb dysfunction in soft paralysis of apoplexy.The large amount of stimulation group in this study was better than the control group and the small and medium amount of stimulation group.3.Acupuncture therapy has a high safety,which is worthy of further promotion.