Clinical Effect Of Abdominal Acupucture Therapy On Uni Lateral Sensory Disturbance In Cerebrovascular Diseases

ObjectiveTo evaluate the clinical efficacy and safety of Tongdu Tiaoshen acupuncture in the treatment of sensory function,motor function,nerve function and basic life quality in patients with hemisensory disorder after ischemic stroke by using randomized controlled clinical research method,and to provide new ideas for the treatment of sequelae of stroke,and improve the life quality of stroke patients.MethodsIn this study,64 stroke patients with hemisensory disorder in the acupuncture rehabilitation area of the second hospital of traditional Chinese medicine of Guangdong Province were included.The patients were randomly divided into the control group and the treatment group by SPSS.On the basic treatment of Western medicine and rehabilitation treatment,conventional acupuncture and Tongdu Tiaoshen acupuncture were seperately carried on the two groups.The sensory disorder rating scale,simplified Fugl Meyer score scale,NIHSS score scale,Barthel index scale were used to compare the sensory function,motor function,nerve function and life quality of the two groups at the time before the trial,1 week after,and 2 weeks after,so as to explore the clinical effect of Tongdu Tiaoshen acupuncture.Results1.Sensory Functions:①Repeated measurement analysis of variance:the scores of shallow sensation,proprioception,cortical sensation and total sensation of the two groups increased with time.There was an interactive effect between the effect of different acupuncture methods on superficial sensation,proprioception and total sensation integral and time,that is,with the increase of time,the increase range of superficial sensation,proprioception and total sensation integral is different,and the increase range of the treatment group is greater than that of the control group.The interaction between the two groups was not statistically significant.② Comparison between two groups at different timepoints.There was no significant difference in proprioceptive,cortical and total sensory scores between the two groups before treatment,one week after treatment and two weeks after treatment(P>0.05).Before and after 1 week of treatment,there was no significant difference in the shallow sensation score between the two groups(P>0.05),but at the measurement time point after 2 weeks of treatment,the difference between the two groups was statistically significant(P<0.05).③Compaison between two groups of The difference between the two groups before and after treatment was compared.Results in accordance with the contour map results,there were statistically significant differences between the two groups(P<0.05),including significant differences between the two groups(P<0.01).There was no significant difference in proprioception between the two groups(P>0.05),but the difference in proprioception between the two groups was statistically significant(P<0.05).There was no significant difference between the two groups(P>0.05).2.Comparisons of Fugl Meyer scale score,NIHSS neurological deficit score and Barthel Index Scale score:①Repeated measurement analysis of variance.The changes of FM,NIHSS and Bi scores of the two groups showed time effect,and the effect of different acupunctures on FM,NIHSS and Bi scores had interactive effect with time.②Comparison between two groups at different timepoints.There was no significant difference in the scores of FM,NIHSS and Bi between the two groups before treatment,1 week after treatment and 2 weeks after treatment(P>0.05).③Every two time points before and after treatment difference between the two groups.FM score before and after the difference between the two groups was statistically significant(P<0.05).The effect of the treatment group on NIHSS,Bi before the difference was better than that of the control group(P<0.05),but the effect on after the difference did not reflect the difference(P>0.05).Conclusion1.Compared with conventional acupuncture,Tongdu Tiaoshen acupuncture significantly improved the superficial sensory score and total sensory score of patients with ischemic stroke in the recovery period;for the improvement of cortical sensory score,it took time to accumulate effect to reflect the curative effect difference;for proprioception,Tongdu Tiaoshen method might not have significant advantages in the two-week course,and it needs longer follow-up for further comparison.2.Compared with conventional acupuncture,Tongdu Tiaoshen acupuncture significantly improved the simplified Fugl Meyer score of patients with ischemic stroke in the recovery period,and decresed the NIHSS score scale and increased Barthel index scale in the first week of treatment,the treatment was not effective at the second week,which needs longer follow-up for further comparison.