| Objective:To investigate the therapeutic effects of "Bo' s Abdominal Acupuncture" on Hemiplegia patients of acute Cerebral Infarction.Method:100 cases of Hemiplegia after acute Cerebral Infarction were randomly divided into a treatment group(receiving treatment of "Bo' s Abdominal Acupuncture")and a control group(receiving treatment of traditional acupuncture).For 3 patients suspended the treatment,there were 49 cases in treatment group and 48 cases in control group.The value of NIHSS,Fugl-Meyer function on movement,Modified Ashworth Scale, Clinic Spasticity Index,and the value of SS-QOL were observed.Result:1.Therapeutic Effects of NIHSS valueThere were no significant differences in NIHSS between two groups before and after treatment(P＞0.05).But the margin value of NIHSS(the value before treatment subtract the value after treatment)showed significant difference(P＜0.05),which indicated that treatment group is more effective in decreasing the level of neurological function impairment.2.Comparison of the Fugl-Meyer function Index(FMMS)on MovementThe value of upper limbs and lower limbs and the total score of both upper and lower limbs of two groups before treatment showed no significance (P＞0.05);and also,the values after treatment showed no significance (P＞0.05);but,to compare the margin values of upper limbs and lower limbs and the total value of both upper and lower limbs(the value after treatment subtract the value before treatment),there were significant differences(P=0.000＜0.05).By covariance analysis,the result showed that when the two groups were under the same baseline,both NIHSS value of upper limbs and lower limbs showed significant differences(P=0.000＜0.05),the total value of upper and lower limbs showed significant difference as well(P=0.000＜0.05).The result indicated that treatment group can better improve the motor function of Hemiplegia limbs. In grading the value of FMMS,there were 19 cases of severe movement disability,22 case of obvious movement disability,7 cases of moderate movement disability,1 case of mild movement disability among the 49 cases in treatment group,the numbers changes into 6,22,11 and 10.And there were 10 cases of severe movement disability,26 cases of obvious movement disability,8 cases of moderate movement disability,4 cases of mild movement disability of the treatment group,after treatment,the cases changed into 7,24,8 and 9.There was no differences between treatment group and control group before and after treatment(P＞0.05)3.Value of Ashworth spasm ratingIn grading the value of Ashworth scale,the increase of muscle tension among the 49 cases in treatment group before treatment were as follow, 18 cases of no increase,23 cases of slightly increase,7 cases of moderate increase,0 case of severe increase,1 case of extremely increase.After treatment,the composing was,29 cases of no increase,19 cases of slightly increase,3 cases of moderate increase.Among the 48 cases of control group,the composing before treatment was 19 cases,25 cases,3 cases,1 case and 0 case,the composing after treatment was 22 cases,25 cases and 1 case. There were no differences between treatment group and control group before and after treatment(P＞0.05).4.Value of Clinic Spastcity IndexIn grading the value of CSI scale before treatment,there were 22 cases of mild spasm,27 cases of moderate spasm,0 case of severe spasm in treatment group,and 22 cases of mild spasm,14 cases of moderate spasm,1 case of severe spasm.After treatment,the composing in treatment group was 35 cases of mild spasm,14 cases of moderate spasm,in control group the composing was 24 cases and 24 cases,both group had no severe spasm cases.The value showed significant difference(P＜0.05).5.Value of Daily Living Activities Barthel Indicator(BI)and the Stroke Specific Quality of Life(SS-QOL)MeasureRespectively observe the value of SS-QOL on the 3 time points of before treatment,after treatment and follow-up(3 months after morbility),there were no significant difference between groups(P＞0.05),and the margin value of SS-QOLQ(the value after treatment subtract the value before treatment)showed no significant difference(P＞0.05)as well.Conclusions:"Bo' s Abdominal Acupuncture" has a better clinical effect on motor function recover of acute cerebral infarction patients with hemiplegia.The advantages were mainly in decrease the level of neurological function repairment,improve the motor function of hemiplegia limbs and anesis spasticity of lower limbs.But,compare to control group,there were no significant on anesis spasticity of upper limbs and improvement of the quality of life,to do further research is a worthwhile work in the future.However,as a innovative acupuncture therapy,abdominal acupuncture is a active and effective technique and has important clinical significance. |
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