Clinical Observation On Jin's 3-needle Manipulation Combined With Rehabilitaion Therapy For Hemiplegia Of Cerebral Infarction

Objective:To observe therapeutic effect of Jin's 3-needle manipulation combined with the rehabilitaion therapy on hemiplegia in patients with cerebral infarction.Methods:Two hundred and fifty-four patients who have hemiplegia of cerebral infarction in two weeks to three months, and consistent with clinical reasearch requirement were randomly divided into three groups according to the ratio of 1:1:1, which including Jin's 3-needle manipulation group(Acunpuncture group,83cases), rehabilitaion group(84cases)and Jin's 3-needle manipulation combined with the rehabilitaion group (combination group,87cases). Drugs using in this reasearch are based on "Guidelines on Cerebrovascular Disease Prevention and Control" which used to control blood pressure, cut down blood glucose, adjust lipid in blood, antiplatelet and trophic nerve, also symptomatic treatment to prevent complications.Concrete therapies:Flaccid paralysis:1) Acunpuncture group:the main points are the temporal 3-needle, hand 3-needle, foot 3-needle, and other pionts are added according to the symptoms.2) Rehabilitaion group:The rules of rehabilitaion are abide by "Rehabilitation medicine" which printed by People's Medical Publishing House, including good pasture on bed, Bridge Movement, activities on bed, passive exercise on joints, and so on.3) Combination group:Methods in this group are acupuncture and rehabilitaion treatment which used in superior two groups. Spastic paralysis: 1) Acunpuncture group:The main points are the temporal 3-needle,3-needle in upper limb and lower limb on spasm, and other pionts are added according to the symptoms.2)Rehabilitaion group:The rules of rehabilitaion are abide by "Rehabilitation medicine" which printed by People's Medical Publishing House, which include releasing muscle tension, balance training on sitting position, sitting position, controllability exercise, and so on.3) Combination group:Patients in this group accept two therapies including acupuncture and rehabilitaion measurements as above. Course of treatment:All patients will healed for 4 weeks, and every week researchers give them 5 times cure, the rest 2 days take a rest. Drugs also used 28 days.Evaluation:Patients are evaluated 3 times including before treatment, 2 weeks later, and the end of the reasearch, these measuring scale are Neuropathy Disability Score(NDS), Brunnstrom stage, Fugl-Meyer scores, Barthel Index, and Functional comprehensive assessment(FCA).Results:1) Comparison in group:After 14 days and 28 days therapies, compared with scores before the treatment, there were significant differences in all scales in three group.2) Comparison between groups:①Diversification in NDS:After 14 days and 28 days therapies, there were not signifcant difference between acunpuncture group and rehabilitaion group, also acunpuncture group and combination group, but the combination group is better than rehabilitaion group(p<0.05).②Diversification in ADL:There were not signifcant difference between acunpuncture group and rehabilitaion group after 14 days and 28 days therapies, also acunpuncture group and combination group, but the combination group is better than rehabilitaion group(p<0.05).③Diversification in Fugl-Meyer on Upper limb:There were not significant differences among three groups after 14 days treatments;After 28 days therapies, the acunpuncture group is similar to rehabilitaion group(p>0.05), but the combination group is better than the other two groups (p<0.05).④Diversification in Fugl-Meyer on Lower limb:There were not signifcant difference between acunpuncture group and rehabilitaion group after 14 days therapies, also acunpuncture group and combination group, but the combination group is better than rehabilitaion group(p<0.05);After 28 days therapies, the acunpuncture group is similar to rehabilitaion group(p>0.05), but the combination group is better than the other two groups (p<0.05).⑤Diversification in Fugl-Meyer on four limbs:There were not significant differences among three groups after 14 days treatments;After 28 days therapies, the acunpuncture group is similar to rehabilitaion group(p>0.05), but the combination group is better than the other two groups (p<0.05).⑥Diversification in FCA:The acunpuncture group is similar to rehabilitaion group(p>0.05), but the combination group is better than the other two groups (p<0.05) after 14 days and 28 days therapies.Conclusion:Jin's 3-needle manipulation is useful to improve the function of hemiplegia in patients with cerebral infarction, and also rehabilitaion therapy, If we combine them thoughtfully, the effect must be better. And in this reasearch, the way to use acpoints dependent on symptoms, to operate the needles abide by rules, is valueable for clinical.