Clinical Research On Therapeutic Effect Of Balance Yin-yang Acupuncture On Ischemic Stroke Spastic Hemiplegia

Objective to observe the therapeutic effect of balance yin-yang acupuncture on the spastic states of stroke patients, to make evaluation and comparison among the methods of balance yin-yang acupuncture, routine acupuncture by clinical spasticity index (CSI). integrated function. limb motor function and activity of daily living. To investigate the efficacy and mechanism of balance yin-yang acupuncture on the spastic states of stroke patients, to provide scientific theoretical and practical to further promote the application of balance yin-yang acupuncture.Methods:1. Case selection:90cases met the diagnostic criteria and inclusion criteria, patients are in the spastic states caused by ischemic stroke from2weeks to half year,90cases were randomized into3treatment groups with30cases in each group, named balance yin-yang needling group, routine acupuncture group. The base-line materials of two groups selected were comparable at fist (P>0.05).2. Basic treatment:The patients in two groups applied basic drug treatment which referred to Prevention Guidelines for Cerebral Vascular Disease (Ministry of Health Disease Control Division, Chinese Medical Association Academy of Neurology,2005) to control blood pressure. blood sugar. blood lipid, to give anti-platelet aggregation. nutrition nerve. symptomatic treatment. prevention of complications and so on.3. Treat method:All the groups add scalp acupuncture To select points from Anterior oblique line of vertex-temporal (MS6).Lateral Line1of Vertex and Lateral Line2of Vertex on opposite-side of the affected limbs, then retaining the needles.(1) The balance yin-yang needling group: Body acupuncture Application:Needling the affected limbs, to use reinforcing or reducing method by Lifting-Thrusting or Rotating-Twirling the needles after developing needle sensation. Every5-10min moved the needles, retain30min. To apply reducing method in Jiquan (HT1). Chize(LU5). Neigan (PC6) of upper limbs and Xuehai (SP10). Yinlingquan (SP9) Sanyinjiao(SP6). Zhaohai (KI16) of lower limbs. To apply reinforcing method in Jianyu(LI15). Quchi(LI11). Waiguan(TE5) of upper limbs and Yanglingquan (GB34). Liangqiu (ST34) Xuanzhong(GB39). Shenmai(BL62) of lower limbsSelection of Points according to Signs:wry mouth and eyes add the points of Jiache(ST4) and Dicang(ST6); Stiff tongue with poor speech add the points of Yamen(dul5). Lianquan (RN23). Tongli (HT5)Point Select Syndrome Differ:Hyperactivity of the Liver-Yang add the points of Taichong(LI3) and Taixi (KI3); Interior Retention of Phlegm Dampness add the points of Fenglong(ST40) Hegu(LI4); Deficiency of Qi and Blood add the points of Qihai (RN6). Geshu(BL17); phlegm-heat and sthenia of fu-organ add the points of Nei ting(ST44) and Penglong (ST40); yin-deficiency and up-stirring syndrome add the points of Taixi (KI4) and Fengchi(GB20).All points must follow specific needling methods, needling depth.needling direction.the times of manipulation and so or(2) The routine acupuncture group(group C):Reference regular higher education in Traditional Chinese Medicine sixth edition (Acupuncture and Moxibustion) to select the points4. Duration of treatment:the course of treatment was28days, each group therapy as follow:daily treatment five times a week to rest two days to continue treatment, a total of4weeks of treatment; a regular basis of drug treatment to28days.5. Efficacy evaluation:all patients before treatment,14days and28days after the treatment adapted clinical spasticity index score (CSI), activities of daily living rating scale (ADL, Barthel Index), limbs simplify the Fugl-Meyer Rating Scale for motor function, functional comprehensive assessment (FCA), respectively, to assess its clinical spasticity index, activities of daily living, motor function and function, in order to evaluate the therapeutic effect above three methods of acupuncture.Result:1. A clinical spasticity score index (CSI):treatment of the first two cases of clinical spasticity index score was no significant difference (P>0.05), clinical spasticity index score after14days of treatment, two groups after treatment were lower than before treatment, There were significant differences (P<0.05). The differences between balance yin-yang needling group with routine acupuncture group were significant (P<0.05). After28days of treatment, two groups clinical spasm index scores was significantly reduced than before treatment, there were significant differences (P<0.05). There are significant differences to compare balance yin-yang needling group with routine acupuncture group (P<0.01). On reducing clinical spasticity score index, yin and yang needling group is much better than routine acupuncture group.The clinical efficacy twin index (CSI),14days treatment later, by x2test, two groups there were no statistically significant differences (P>0.05). But from the total efficiency, the balance yin-yang needling group on reducing clinical spasticity index and improving limb spasticity is much more effective than the routine acupuncture group.Treatment for28days, three groups the difference was statistically significant (P<0.05), indicating that yin-yang needling group to reduce clinical spasticity index to improve limb spasticity in patients with more effective than the routine acupuncture group.2. Activities of daily living (ADL):Before the treatment, there are no statistically significant differences to compare the activities of daily living score between the two groups (P>0.05). After14days treatment all the ADL scores of patients in the two groups was increased than before, there was significant difference (P<0.05). The differences between the balance yin-yang group and the routine acupuncture group are significant (P<0.05). After28days of treatment, ADL scores after treatment are significantly higher than before treatment in the two groups (P<0.05). There are significant differences to compare balance yin-yang needling group with routine acupuncture group (P<0.01). On improvement of the patients'daily living skills, balance yin and yang needling group is much better than routine acupuncture group.3. Limb motor function score (simplified by Fugl-Meyer):Before the treatment, there are no statistically significant differences to compare the four limbs motor function score between the two groups (P>0.05). After14days treatment, all the Fugl-Meyer scores of patients in the two groups was increased than before, there was significant difference (P<0.05). There were no significant differences between the balance yin-yang group and the routine acupuncture group (P>0.05). After28days of treatment, Fugl-Meyer scores after treatment are significantly higher than before treatment in the two groups (P<0.05). There are significant differences to compare balance yin-yang needling group with routine acupuncture group (P<0.01). On improvement of the patients'four limbs motor function, balance yin and yang needling group is much better than routine acupuncture group.4. Functional composite score (FCA):Before the treatment, there are no statistically significant differences to compare the functional composite score in three groups (P>0.05). After14days treatment, all the ADL scores of patients in the two groups was increased than before, there are significant differences(P<0.05).The differences between the balance yin-yang group and routine acupuncture group have significant differences (P<0.05). After28days of treatment, the functional composite scores in the two groups are significantly higher than before treatment (P<0.05). There are significant differences to compare balance yin-yang needling group with routine acupuncture group (P<0.01). On improvement of the patients'functional composite score, balance yin and yang needling group is much better than routine acupuncture group.Conelus ion:The acupuncture method of balance yin-yang has advantage to compare with the routine acupuncture group on improve clinical spasticity score index (CSI). activities of daily living (ADL). four limbs motor function score (simplified by Fugl-Meyer). Functional composite score (FCA). So balance yin-yang acupuncture has good treatment on the spastic states of stroke patients, which would have faster remission the limbs spasticity, improve the state of spastic hemiplegia, promote the recovery of motor function of limbs, improve patients'activities of daily living, improve their quality of life, and accelerate disease recovery, so that patients would early return home, return to society, with the promotion of good significance.