Observation On The Curative Effect Of Guan Acupuncture At Zhongquan Point On Flexion And Extension Dysfunction Of Wrist And Finger Joints During Stroke Recovery Period

Objective: This subject focuses on the flexion and extension dysfunction of the wrist and finger joints during the recovery period of stroke.By observing the before and after treatment,as well as the two groups after treatment,the treatment of Zhongquan acupuncture is confirmed.The clinical efficacy of flexion and extension dysfunction of wrist and finger joints during stroke recovery period aims to optimize the treatment of acupuncture for flexion and extension dysfunction of wrist and finger joints after stroke.method:1.Grouping: By random grouping,60 patients with flexion and extension dysfunction of wrist and finger joints in the recovery period of stroke were divided into Zhongquan acupuncture group and routine acupuncture group,with 30 cases in both groups.2.Treatment:2.1 Acupoint selection: Refer to the content of acupoint selection for the treatment of "stroke" in "Acupuncture and Moxibustion Therapeutics" published by China Traditional Chinese Medicine Publishing House during the "13th Five-Year Plan" National College of Traditional Chinese Medicine Planning Textbook(10th Edition).Shuigou,Baihui,Jianpi,Shouwuli,Quchi,Shousanli,Hegu,Neiguan,and Baxie on the affected side.2.2 Operation in the routine acupuncture group: the patient was placed in a supine position to fully expose the acupuncture site.The surface of the selected acupoints was routinely disinfected with 75% alcohol cotton balls,and the acupoints were routinely acupuncture with 0.30mm× 40mm(1.5 inch)filigree needles.After acupuncture deqi,use the method of leveling,replenishing and reducing.The needle can be pulled out without needing to run the needle.2.3 Operation of Zhongquan acupuncture group: The patient was placed in the supine position.On the basis of the operation of the routine acupuncture group,Zhongquan acupoint was selected to fully expose the acupuncture site.The surface of the acupoints is routinely disinfected.When acupuncture at the Zhongquan point,the needle tip is stabbed at an angle of 45° toward the elbow joint for 3-5 mm,and the needle is inserted rapidly to penetrate the junction of the tendon of the extensor digitorum common and the extensor carpi radialis brevis tendon.After acupuncture deqi,use the method of leveling,replenishing and reducing.The needle can be pulled out without acupuncture.Attention should be paid to avoid bleeding during acupuncture at Zhongquan.3.Course of treatment: The two groups were treated once a day,6 times a week,4 weeks as a course of treatment,a total of one course of treatment.4.Statistical methods: The Lindmark score,Brunnstrom motor function rating,range of motion of fingers and knuckles,and Barthel index scores of daily living function were calculated before and after treatment in the two groups.All data were analyzed using SPSS 26.0 software.result:There were no cases of exclusion,discontinuation and dropout,and no unexpected events and adverse reactions occurred during the research process of this trial.1.The general conditions of the two groups of patients were statistically analyzed.P>0.05,and the two groups could be compared in the next step.2.Lindmark score results:(1)Comparison of Lindmark scores between the two groups before treatment.P>0.05,No significant difference,the two groups can be further compared.(2)The Lindmark scores of the group.After treatment,the scores of the Zhongquan acupuncture group and the routine acupuncture group were higher than those before treatment.P<0.05,Indicating that the two treatment regimens were significantly better.It has a recovery effect on the fine movements of the patient’s fingers.(3)The difference between the two groups.It shows that there are differences in the curative effect of the two schemes in improving fine motor impairment of fingers.3.Brunnstrom hand active motor function rating results:(1)The Brunnstrom rating before treatment was compared between the two groups.P>0.05,There was no significant difference,the two groups can be further compared.(2)The Brunnstrom ratings were improved compared with those before treatment.P<0.05,That is,the two treatments Both programs can improve the active hand movement dysfunction of patients.(3)The difference between the two groups of Brunnstrom ratings before and after treatment was compared between the two groups.P<0.05,And there was a statistically significant difference in the difference between the two groups.This indicates that there is a difference in the curative effect of the above two regimens in improving hand active motor dysfunction.4.The results of the range of motion of the fingers and knuckles:(1)The range of motion of the fingers and knuckles of the two groups before treatment was compared between the two groups.P>0.05,There was no significant difference,and the two groups could be further compared.(2)The range of motion of the fingers and knuckles of the group.After treatment,the range of motion of the knuckles in the Zhongquan acupuncture group and the routine acupuncture group were improved compared with those before treatment.P< 0.05,That is,both treatment options can improve the range of motion of the patient’s fingers and knuckles.(3)The difference in the range of motion of the fingers and knuckles between the two groups before and after treatment was compared between the two groups.P<0.05,And there was a statistically significant difference in the difference between the two groups.It shows that there are differences in the efficacy of the two schemes in improving the mobility of the fingers and knuckles of the patients.And the efficacy of Zhongquan acupuncture is better than that of conventional acupuncture.5.Barthel index daily life function assessment results:(1)Comparison of the two groups can be further compared.(2)The Barthel index scores of the group.After treatment,the scores of the Zhongquan acupuncture group and the routine acupuncture group were improved compared with those before treatment,P<0.05,that is,the two groups.The treatment plan can improve the quality of daily life of patients.(3)The difference between the two groups of Barthel index scores before and after treatment was compared between the two groups.P<0.05,And the difference between the two groups was statistically different.It shows that there are differences in the efficacy of the two schemes in improving the quality of daily life of patients.And the efficacy of the Zhongquan acupuncture group is better than that of the conventional acupuncture group.in conclusion:1.Both Zhongquan acupuncture and conventional acupuncture have significant curative effects on the flexion and extension dysfunction of wrist and finger joints in the recovery period of stroke.2.Guan acupuncture at Zhongquan acupoint is better than conventional acupuncture in treating flexion and extension dysfunction of wrist and finger joints during stroke recovery period.