Clinical Research On Therapeutic Effect Of Paralysis After A Stroke Treated By Acupuncture Of The Scalp And Body

ObjectiveIn order to discuss its effectiveness, this topic takes randomized controlled study research method with the help of the clinical observation on temporal three-needle and the point selection treatment based on syndrome differentiation for ischemia stroke motion disturbance during recovery period.The temporal three-needle and the point selection treatment based on syndrome differentiation is taken as the treatment group and the scalp acupuncture and the point selection treatment based on syndrome differentiation is taken as the control group.MethodLiterature of the last decade is collected and studied. Aiming at the evolution of the understanding and treatment for the etiology and pathology of this disease, the recent development of the effect on scalp and body acupuncture for motor function after a stroke is summarized.On clinical research aspect,60 cerebral infarction motor disturbance patients who meet the requirements are divided into the treatment group (adopt Temporal Three-needle) and the control group (scalp needle) with a scale of 1:1. There are 30 patients in each group. Two groups are put in the same environment and treated respectively. Being treated once a day,5 days a week, and 3 weeks for a course of treatment, the results are evaluated after 2 courses of treatment. The two groups before and after 2 courses of treatment were estimated and evaluated according to the "stroke diagnosis and curative effect evaluation standard and evaluation in patients with stroke" issued by the State Administration of Traditional Chinese Medicine,1996, the simplified Fugl-Meyer motor function scoring,the MAS and the activity of daily living scale ADL scale evaluation, and hereby, to estimate the clinical curative effect of the treatment, and to compare and analyze the results.ResultsThe age, cause of disease and syndrome differentiation of the two groups have shown no significant statistical difference upon inspection and their base lines are identical, so they are comparable (P>0.05). According to the "stroke diagnosis and curative effect evaluation standard", in the treatment group,2 are mostly recovered,8 have made significant progress,7 have made progress,6 have made slight progress,4 show no change, and 2 are deteriorated or dead after the treatment. The total effective rate is 79.3%. In the control group,3 are mostly recovered,7 have made significant progress,9 have made progress,5 have made slight progress,4 shows no change, and 1 is deteriorated or dead after the treatment. The total effective rate is 82.8%. According to the chi-square test, total effective rate of the two groups was not statistically significant (P>0.05), suggesting that the efficacy of the treatment group and the control group are similar.On simplified Fugl-Meyer motor function scoring aspect, the Fugl-Meyer scoring of motor functions for both groups before and after the treatment show significant improvement (P<0.01). If it is compared in between the two groups, the differences between Fugl-Meyer scoring of motor functions for both groups before and after the treatment have no statistical significance according to the t-test (P>0.05), suggesting that the efficacy of both groups for Fugl-Meyer scoring of motor functions are similar.On MAS aspect, the MAS scoring of motor functions for both groups before and after the treatment show significant improvement (P<0.01). If it is compared in between the two groups, the differences between MAS scoring of motor functions for both the treatment group and the control group before and after the treatment have statistical significance according to the t-test (P< 0.05), and the treatment group is superior to the control group.On MAS aspect, the ADL scoring of motor functions for both groups before and after the treatment show significant improvement (P<0.01). If it is compared in between the two groups, the differences between ADL scoring of motor functions for both the treatment group and the control group before and after the treatment have no statistical significance according to the t-test (P >0.05).ConelusionThe research results suggest that both the temporal three-needle and the point selection treatment based on syndrome differentiation and the scalp acupuncture and the point selection treatment based on syndrome differentiation have definite effect on the ischemia stroke motion disturbance during the recovery period. The Fugl-Meyer motor function scoring, MAS, ADL and the overall efficiency rate for both groups show substantial improvement after the treatment and the differences have statistical significance. According to the comparison among groups, Fugl-Meyer motor function scoring, ADL scoring and the overall efficiency rate show no statistical significance after the t-test and chi-square test, suggesting that the efficacy of both groups are similar. On the other hand, the statistic analysis of the MAS indicates that the treatment group is superior to the control group. According to the experimental results above,it is assumed that the temporal three-needle and the point selection treatment based on syndrome differentiation for ischemia stroke motion disturbance during the recovery period can significantly improve the motor function and the daily life ability of patients. When used together with the scalp acupuncture and the point selection treatment based on syndrome differentiation, it has good efficacy.