| Objective:To evaluate the clinical efficacy of auricular acupuncture combined with body acupuncture in the treatment of cerebral infarction patients with spastic hemiplegia,it is expected to provide a new treatment idea for the disease and improve the clinical efficacy of the disease.Methods:According to the inclusion criteria of the subject,72 patients with spastic hemiplegia of cerebral infarction were recruited and randomly divided into two groups.36cases in the treatment group were treated with auricular acupuncture combined with body acupuncture.36cases in the control group were treated with ordinary acupuncture.A total of 3 courses of treatment were completed in this study.After the treatment,the Modified Ashworh Scale(MAS),Fugl-Meyer Assessment(FMA),Activity of Daily Living Scale(ADL)and stroke TCM syndrome score scale were completed.The grade change(MAS)of Ashworh spasm rating scale was used as the evaluation standard of curative effect.The differences of the results of each scale before and after treatment were compared.The effective rate of the two groups was evaluated by statistical software SPSS27.0.Results:Among the 72 patients with spastic hemiplegia of cerebral infarction in this study,3cases were lost and 2 cases were excluded.The loss rate of each group was declined 20%,which did not affect the results of the study.1.Baseline comparison:Before treatment,the age,gender,duration of disease,modified Ashworth score,modified Barthel score,simplified FMA score and TCM syndrome score of the two groups were compared,and the P values were all greater than0.05,indicating that the baseline of each index of the two groups before treatment was consistent,and the two groups were comparable.2.Modified Ashworth Scale Score:After treatment,the scores of the two groups of Ashworth scale were compared within and between groups,P<0.05,which was statistically significant,indicating that the spasticity of the two groups after treatment was improved compared with that before treatment;the median of the treatment group less than the control group,indicating that the treatment group was better than the control group in terms of the improvement of the patient’s spasticity.3.Spasm State Distribution(MAS rating):The distribution of spasm degree in the two groups before treatment was as follows,treatment group:0 cases of grade 0,4 cases of grade 1,6 cases of grade 1+,13 cases of grade 2,7 cases of grade 3,3 cases of grade 4;in the control group,there were 0 cases of grade 0,3 cases of grade 1,7 cases of grade 1+,14cases of grade 2,7 cases of grade 3 and 3 cases of grade 4.The total number of grade 4distribution before treatment decreased from 6 cases to 0 cases after treatment,and the total number of grade 0 distribution before treatment increased from 0 cases to 5 cases,indicating that the degree of spasm in both groups was improved to varying degrees.4.Modified Barthel Scale Score:After treatment,the scores of the two groups of Barthel scale were compared within and between groups,P<0.05,which was statistically significant,indicating that the daily living ability of the two groups after treatment was improved compared with that before treatment;the average value of the treatment group(68.39±9.41)was greater than that of the control group(61.32±13.72),indicating that the treatment group was better than the control group in improving the daily living ability of patients.5.Simplified FMA Scale Score:After treatment,the scores of the two groups of simplified FMA scales were compared within and between groups,P<0.05,which was statistically significant,indicating that in terms of the improvement of limb motor function,the two groups after treatment was improved compared with that before treatment;the average value of the treatment group(62.36±10.0)was higher than that of the control group(55.44±12.03),indicating that the treatment group was better than the control group in terms of the improvement of limb motor function.6.Stroke TCM Syndrome Score:After treatment,the scores of the two groups of stroke TCM syndrome score scales were compared within and between groups,and the P values were less than 0.001,which was statistically significant,indicating that the TCM syndrome after treatment was improved compared with that before treatment;the average value of the treatment group(29.03±7.02)less than the control group(40.38±5.54),indicating that the treatment group was better than the control group in terms of the improvement of TCM stroke symptoms and tongue and pulse conditions.7.In terms of the total effective rate of treatment:The number of effective and ineffective cases in the treatment group was 30 and 3 respectively,and the total effective rate was 90.90%.The number of effective and ineffective cases in the control group was 25and 9 respectively,and the total effective rate was 73.53%.The total effective rate of the two groups was statistically tested,X~2=-2.492,P=0.013<0.05,which was statistically significant,indicating that the total effective rate of auricular acupuncture combined with body acupuncture in the treatment of cerebral infarction patients with spastic hemiplegia was higher than that of the control group.Conclusion:The treatment of’auricular acupuncture combined with body acupuncture’and’ordinary acupuncture’can improve the degree of spasm,daily living ability,limb motor function and TCM symptoms of stroke in patients with spastic hemiplegia of cerebral infarction,but auricular acupuncture can better improve the efficiency of the disease.This treatment method is worthy of further promotion. |
