Clinical Observation On Catgut Embedding Therapy For Spasticity Of Upper Limb Hemiplegia After Stroke

Objective: Observe the clinical effect of catgut embedding at acupoints in treating spasticity of upper extremity hemiplegia after stroke,and provide more clinical ideas for treating spasticity of upper extremity hemiplegia after stroke.Methods: From January 2020 to December 2020,patients with upper limb hemiplegia spasticity after stroke in the Rehabilitation Department of Shanxi Provincial Acupuncture Hospital from January 2020 to December 2020 were collected.68 patients with complete data and meeting the inclusion criteria were randomly divided into a control group at a ratio of 1:1(Baclofen group)and treatment group(embedding treatment group),each with 34 cases.Both groups were given conventional symptomatic treatment and basic rehabilitation for stroke.On this basis,the control group was treated with oral baclofen.The group was treated with catgut embedding at acupoints,and the selected points were as follows: Hegu,Waiguan,Quchi,and Jianyu on the affected side of the upper limb.Respectively for 2 months of continuous treatment,before treatment and after the end of the treatment course(2 months),the modified Ashworth Spasticity Scale was used to assess the grade of the patient’s upper limb spasticity,and the Fugl-Meyer Motor Function Rating Scale(upper limb part)was used to assess the patient The motor function of the upper limb on the affected side.Observe the improvement of upper limb muscle tension after the treatment of the two groups,use SPSS26.0 software to analyze the data obtained,and compare the differences to analyze the efficacy of different treatment methods in the two groups.Results:(1)Modified Ashworth spasm rating: After treatment,the ratings of the upper limb muscle spasm on the affected side of the two groups of patients were lower than before treatment,and the difference was statistically significant(P<0.01).It can be considered that the two treatment methods can improve the spasticity of the patients.After treatment,there was no significant difference between the groups(P>0.05).The effective rate of the treatment group was 93.75%,and the effective rate of the control group was 90.32%.The difference was not statistically significant.(2)Fugl-Meyer motor function assessment: After the treatment,the FMA score of the upper limb motor function of the two groups of patients was compared with that before the treatment.The difference was statistically significant(P<0.01),indicating that the two treatment methods can improve the patient’s suffering.For the motor function of the upper limbs,the difference between the groups after treatment was statistically significant(P<0.05),indicating that the treatment group had better efficacy in improving the patient’s motor function.(3)Total effective rate: After treatment,8 cases were markedly effective,22 cases were effective,and 2 cases were ineffective in the treatment group.The total effective rate was 93.75%;in the control group,5 cases were markedly effective,23 cases were effective,and 3 cases were ineffective.The efficiency is 90.32%.After the rank sum test,P=0.348>0.05,it can be considered that the treatment group and the control group have little difference in improving the rating of patients with muscle spasm,and both have a positive effect.Conclusion:(1)The research of this subject showed that acupoint embedding at acupoints at the upper limb antagonist muscle group was used to treat hemiplegia spasticity after stroke.Compared with oral baclofen,there was no significant difference in improving the spasm rating of the affected upper limb,but it improved the affected upper limb.In terms of motor function,acupoint catgut embedding therapy is significantly better than oral baclofen.(2)The overall curative effect of catgut embedding at acupoints in treating spasticity of upper limb hemiplegia after stroke is better than oral baclofen.