| Objective Spastic paralysis after stroke is one of the main sequelae of stroke,and it is also the focus and difficulty of rehabilitation for stroke patients.Under the guidance of the theory of meridian tendons in the Yellow Emperor’s Canon,this study intends to compare and observe the effects of millifire needle + well acupoint bloodletting combined with acupuncture and rehabilitation therapy and pure acupuncture + rehabilitation therapy through clinical randomized controlled trials.The effects and effects of spasm,motor function and daily life activity on upper limb spasm after stroke were evaluated,and the therapeutic effect of meridian tendon theory on upper limb spasm after stroke was confirmed.With a view to exploring a better,more targeted and safer and more reliable rehabilitation treatment scheme,to further improve the treatment effect of spastic paralysis after stroke,to further reduce the pain of patients,and further improve the quality of life of patients.Methods This study used a clinical randomized control method.Forty patients who met the inclusion criteria were selected and randomly divided into two groups.The treatment group was treated with meridian tendon theory(millifire needle + well acupoint bloodletting)combined with conventional treatment(common acupuncture + rehabilitation),and the control group was treated with conventional therapy(common acupuncture + rehabilitation).The needles of fire needle + bloodletting at the well point are once every other day,and the conventional treatment is once a day(except on Sundays).The 7 days of treatment is a course of treatment,and a total of two courses of treatment are provided.Before and after treatment,the patients were evaluated by modified Ashworth classification method(MAS),simplified Fugl-Meyer motor function score(FMA),and modified Barthel index score(MBI).The patients were observed for spasticity,motor function and daily living ability.Situation,comprehensive evaluation of the treatment effect of each group.Results A total of 2 persons were lost during the treatment,and 1 person was lost in the treatment group and the control group.1 Basic comparison:(1)The age,gender,and course of disease of the two groups were examined,and the differences were not statistically significant and comparable;(2)The comparison of MAS scores,FMA scores,and MBI scores before treatment between the two groups was P >0.05,the difference was Not statistically significant and comparable.2 Efficacy comparison:(1)Overall effect: 2 cases were cured in the treatment group,10 cases were obviously effective,6 cases were effective,1 case was ineffective,the effective rate was 94.74%;In the control group,1 case was cured,4 cases were obviously effective,12 cases were effective,and 2 cases were ineffective.The effective rate was 89.47%.There was a difference between the two groups(P <0.05).(2)Compared with the modified Ashworth score before and after treatment,the two groups have obvious effects,but the treatment group is better than the control group.(3)Comparison of Fugl-Meyer motor function scores between the two groups before and after treatment,both groups have significant effects,but the treatment group is better than the control group.(4)Comparison of the modified Barthel index scores before and after treatment in the two groups,both groups have significant effects,but the treatment group is better than the control group;(5)There are no significant adverse reactions in both groups.Conclusion(1)The therapy guided by meridian tendon theory combined with conventional therapy and conventional therapy alone can effectively improve upper limb spasm,exercise and daily life ability after stroke;(2)The therapy guided by meridian tendon theory combined with conventional therapy is superior to upper limb spasm after stroke Simple conventional treatment,the meridian tendon theory combined with conventional therapy can improve the effect and efficiency;(3)The therapy guided by meridian tendon theory is a safe and effective therapy. |
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