| ObjectiveThis topic studies the law of treating ischemic stroke hemiplegia through literature research.Under the guidance of the meridian theory of traditional Chinese medicine and combined with the results of modern experimental research,the key points of the governor vessel are selected for clinical research.In clinical research,in terms of basic medicine and rehabilitation treatment,the basic group,routine acupuncture group,and Tongdu Tiaoshen acupuncture group were used to observe the neurological deficit,daily life activities,and sports in patients with ischemic stroke and hemiplegia in Ho Chi Minh City,Vietnam.The level of recovery,TCM symptoms and changes in serum indicators,discuss the clinical efficacy of Tongdu Tiaoshen acupuncture in the treatment of hemiplegia after ischemic stroke,and provide new clinical ideas for doctors in Vietnam on the treatment of hemiplegia after ischemic stroke with acupuncture and moxibustion.Improve the quality of life and living standards of stroke patients.Combined with regional conditions,discuss the applicability of Tongdu Tiaoshen acupuncture in the treatment of ischemic stroke in Vietnam,provide Vietnamese researchers with more optimization schemes and scientific references,and further popularize Tongdu Tiaoshen acupuncture Acupuncture method and its acupuncture prescription,promote acupuncture to the world..Methods(1)Literature researchThis literature review focuses on the analysis of the research progress of Chinese and Western Medicine on ischemic stroke and hemiplegia after ischemic stroke,and summarizes the etiology,pathogenesis and treatment of this disease from the perspectives of modern medicine and traditional medicine,so as to lay a theoretical foundation for clinical research.(2)Clinical studyThis study adopted a large-sample,multi-center,randomized controlled experimental design.A total of 105 patients with ischemic stroke and hemiplegia who were hospitalized in Traditional medicine institute of Ho Chi Minh city,An Binh Hospital,and 115 Hospital in Ho Chi Minh City,Vietnam were included,and the patients were randomly divided into basic group,routine acupuncture group,and Tongdu Tiaoshen acupuncture group by random number method.Thorn group,35 cases in each group.①The basic group received conventional Western medicine treatment and rehabilitation treatment,and the Western medicine treatment plan was based on the "Guidelines for Diagnosis and Treatment of Stroke" revised by the Ministry of Health of Vietnam in 2020;②The conventional acupuncture group received conventional acupuncture treatment on top of the basic group.,Quchi,Shousanli,Waiguan,Hegu,Huantiao,Futu,Yanglingquan,Zusanli,Jiexi,Fenglong,4-5 acupoints/time,select acupoints alternately,and add or subtract acupoints according to the syndrome:Phlegm Add Quchi,Neiting,and Fenglong for hot fu organs;add Taichong and Taixi for hyperactivity of liver yang;add Fenglong and Hegu for wind-phlegm obstructing collaterals;add Taixi and Fengchi for yin deficiency and wind movement;and add Fengchi for dizziness.For qi deficiency and blood stasis,add blood sea and qi sea;for diplopia,add Jingming,Fengchi;for crooked mouth,add Hegu,Dicang,Jache,and Taichong;for astringent speech,add Tongli,Lianquan;Add Quze and Daling for spasm of the limbs on the affected side,add Quze and Daling for foot varus,add Guanyuan and Zhongji for urinary retention and urinary incontinence,add Zhigou and Tianshu for constipation.;③Tongdu Tiaoshen acupuncture group was treated with Tongdu Tiaoshen acupuncture on top of the basic group,and the main points were Shuigou,Yintang,Shenting,Shangxing,Baihui,Fengfu,Dazhui,Yaoyangguan on the upper points of Du Meridian,3-4 acupoints/time,select acupoints alternately,and add or subtract acupoints according to the disease condition according to the treatment plan of the conventional acupuncture group.After local positioning,sterilize with alcohol,use disposable stainless steel needles,and choose flat,oblique or straight punctures according to different acupoints,take muscle twitching and conscious numbness and swelling as deqi,keep the needles for 30 minutes each time,with an interval of 15 minutes Needle once,and the needle time is about 2 minutes.Acupuncture once a day,continuous treatment for 6 days,rest for 1 day,7 days as a course of treatment,a total of 4 courses of treatment,a total of 24 days of acupuncture treatment,28 days of conventional basic drug treatment.The National Institutes of Health Stroke Scale(NIHSS),modified Barthel Index Scale(MBI),Fugl Meyer score scale(FMA),TCM symptom score scale and serum brain neurotrophic factor(BDNF)and C-reactive protein(CRP)were selected as the criteria for judging the therapeutic effect.ResultsThere was no significant difference in gender,age,and course of disease baseline in each group before treatment,and they were comparable(P>0.05).(1)NIHSS scoreThere was no significant difference in NIHSS among the three groups before and after treatment,and the NIHSS scores in the three groups were significantly decreased(P<0.05).There was a significant difference among the three groups after treatment(P<0.05),and there was a significant difference between the three groups after treatment(P<0.05).The NIHSS score of the three groups after treatment was the lowest in the Tongdu tiaosheng acupuncture group,the second in the conventional acupuncture group,and the highest in the basic group.(2)MBI scoreThere was no significant difference in MBI among the three groups before and after treatment,and the MBI scores in the three groups were significantly improved(P<0.05).There was a significant difference among the three groups after treatment(P<0.05),and there was a significant difference between the three groups after treatment(P<0.05).The MBI score of the three groups after treatment was the highest in the Tongdu tiaosheng acupuncture group,the second in the conventional acupuncture group,and the lowest in the basic group.(3)FMA scoreThere was no significant difference in FMA among the three groups before and after treatment,and the FMA scores in the three groups were significantly improved(P<0.05).There was a significant difference among the three groups after treatment(P<0.05),and there was a significant difference between the two groups of the three groups(P<0.05).The FMA score of the three groups after treatment was the highest in the Tongdu tiaosheng acupuncture group,the second in the conventional acupuncture group,and the lowest in the basic group.(4)TCM symptom scoreThere was no significant difference in the TCM symptom score before treatment among the three groups,and the TCM symptom score in the three groups decreased significantly before and after treatment(P<0.05).There was a significant difference among the three groups after treatment(P<0.05),and there was a significant difference between the three groups after treatment(P<0.05).The TCM symptom score of the three groups after treatment was the lowest in the Tongdu tiaosheng acupuncture group,the second in the conventional acupuncture group,and the highest in the basic group.(5)Efficacy evaluationAccording to the TCM symptom score,the curative effect is divided into five categories:basic recovery,significant progress,progress,slight progress and no change.The curative effect of the three groups after treatment has significant difference(P<0.05).The Tongdu tiaosheng acupuncture group has the highest proportion of basic recovery and significant progress,the conventional acupuncture group has the highest proportion of progress,and the basic group has the highest proportion of slight progress.The overall curative effect of the Tongdu tiaosheng acupuncture group is the best,the conventional acupuncture group is the second,and the basic group is the worst.(6)Serum indicatorsThere was no significant difference in BDNF and CRP among the three groups before and after treatment,and BDNF increased significantly and CRP decreased significantly in the three groups(P<0.05).There was a significant difference among the three groups after treatment(P<0.05),and there was a significant difference between the two groups of the three groups(P<0.05).The BDNF index of the three groups after treatment was the highest in the Du Tiaoshen acupuncture group,the second in the conventional acupuncture group,and the lowest in the basic group.CRP index of Du Tiao Shen acupuncture group was the lowest,followed by routine acupuncture group and the highest in basic group.ConclusionTongdu Tiaoshen acupuncture group,conventional acupuncture group,and basic group can all improve the clinical symptoms of patients with hemiplegia after ischemic stroke,improve the motor function of affected limbs,and the Tongdu Tiaoshen acupuncture group is better than that in improving the related symptoms of hemiplegia patients In the conventional acupuncture group and the basic group,the quality of life of the patients was significantly improved.The Tongdu Tiaoshen acupuncture group was significantly better than the conventional acupuncture group and the basic group in improving motor function,increasing serum BDNF level,and reducing CRP level.Compared with conventional acupuncture,Tongdu Tiaoshen acupuncture is more effective in treating ischemic stroke and ischemic stroke hemiplegia.It can improve the neurological damage of patients,promote the recovery of limb motor function,and improve the quality of daily life.Accelerate the recovery of the disease and enable patients to return to daily life better.It has high applicability to ischemic stroke patients in Vietnam and has good promotion value. |
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