| Background With the rapid development of science and technology today, the medical model improves continuously. Imaging technology has had innovation and new drugs was continuously researched and developmented. The diagnosis and treatment level of cerebrovascular disease have improved continuously. The survival rate of stroke was significantly higher than before, but its cause sequelae and dysfunction of the nervous system of each neurological rehabilitation will become the primary problem. Stroke sequelae include limb movements and (or) sensory disturbances, hemianopia, aphasia and so on. These mainly affect the patient’s self-care ability, athletic ability, cognitive, language, psychology, etc.. It seriously affects the quality of life of patients and causes great economic burden and mental burden to patients and their families. With the improvement of living conditions and work environment as well as improved living standards, people’s attitudes is changing, people require higher level of the life quality.Improving the quality of life is not only the basic requirement of modern clinical comprehensive treatment but also the ultimate goal of rehabilitation treatment, and it has important social significance and economic significance. It is of great significance and value to treat ischemic stroke patients scientificly and effectively, try best to retain the activities of daily living and social skills, reduce complications and sequelae and improve the quality of life of patients. It is valuable to disscuss how to use scientific and effective treatment for effective prevention and treatment of all kinds of dysfunction after stroke, reduce sequela and morbidity, increase the maximum stroke of activities of daily living, motor function and nerve function recovery. In this study, acute ischemic stroke patients were research subjects, we took controlled study conducted trials by applying different treatment means of rehabilitation. We used modified Barthel Index and ratings to evaluate the effect of electroacupuncture rehabilitation therapy combined with drug treatment on the activities of daily living function, exercise capacity and impact of neurological rehabilitation of patients with pcute pschemic. We explored the meaning and value electro-acupuncture therapy to the rehabilitation of patients with ischemic stroke.Objective This paper aims to investigates the electroacupuncture therapy combined with rehabilitation therapy on exercise capacity, activities of daily living and quality of life in ischemic stroke patients, and evaluats the clinical curative effect of electroacupuncture combined with rehabilitation therapy.Methods A total of 240 patients diagnosed with acute ischemic stroke were enrolled and randomly categorized into three groups: electroacupuncture-rehabilitation-therapy group(n=80), rehabilitation therapy group(n=80) and control group(n=80). All the patients recevied conventional medical treatment from neurology department during acute phase. Besides conventional medical treatment, those patients recevied rehabilitation therapy at the same time in rehabilitation therapy group. In electroacupuncture-rehabilitation-therapy group, patients recevied electroacupuncture and rehabilitation therapy when their circumstances permit. When the patients were grouped and four weeks following treatment, their circumstances was evaluated and scored according to modified Barthel Index (mBI), Brunnstrom hemiplegia function evaluation and National Institute of Health stroke scale (NHISS), respectively. The obtained results were statistically analyzed.Results There was no significant difference in general information of patients in the three groups on the time of enrollment in the three groups. The general information included age, sex, BMI, paralysis side and other severity and other aspects. The subjects were comparable. There was no statistically difference in Brunnstrom upper limb muscle paralysis score of EA + rehabilitation group, the rehabilitation group and control group when enrolled in the three groups. The research object was comparable. After treatment in different ways for 4 weeks, three groups Brunnstrom muscle paralysis score all increased compared when were enrolled in the groups, but the magnitude of increase is different. From highest to lowest were:EA + rehabilitation group (t=18.62, P=0.00), the control group (t=8.75, P= 0.00), rehabilitation group (t=6.55, P=0.00), the differences of quantitative paired t-test analysis within three groups statistically significant (P＜0.01). The two independent samples the t test was to compare Brunnstrom muscle paralysis score in three groups after treatment for 4 weeks. The results as flows:EA+rehabilitation group vs rehabilitation group (t=3.77,P=0.00), EA + rehabilitation group vs the control group (t=4.79, P=0.00), the rehabilitation group vs the control group (t=0.73, P=0.48).The upper limb muscle strength ratings Brunnstrom result showed that demonstrated that the efficacy of EA + rehabilitation group was better than the rehabilitation group and control group, the difference was statistically significant.There was no statistically difference in Brunnstrom lower limb muscle paralysis score of EA + rehabilitation group, the rehabilitation group and control group when enrolled in the three groups. The research object was comparable. After treatment in different ways for 4 weeks, three groups Brunnstrom muscle paralysis score all increased compared when were enrolled in the groups, but the magnitude of increase is different. From highest to lowest were:EA + rehabilitation group (t=9.52, P=0.00), the control group (t=7.76, P=0.00), rehabilitation group (t=10.79, P=0.00), the differences of quantitative paired t-test analysis within three groups statistically significant (P<0.01). The two independent samples the t test was to compare Brunnstrom muscle paralysis score in three groups after treatment for 4 weeks. The results as flows:EA + rehabilitation group vs rehabilitation group (t=3.49, P=0.00), EA + rehabilitation group vs the control group (t=3.74, P=0.00), the rehabilitation group vs the control group (t=0.55, P=0.45). The lower limb muscle strength ratings Brunnstrom result showed that demonstrated that the efficacy of rehabilitation + EA group was better than the rehabilitation group and control group, the difference was statistically significant.There was no statistically difference in Brunnstrom hands muscle paralysis score of EA+rehabilitation group, the rehabilitation group and control group when enrolled in the three groups. The research object was comparable. After treatment in different ways for 4 weeks, three groups Brunnstrom muscle paralysis score all increased compared when were enrolled in the groups, but the magnitude of increase is different. From highest to lowest were:EA+ rehabilitation group (t=11.78, P=0.00), the control group (t=4.94, P=0.00), rehabilitation group (t=4.83, P=0.00), the differences of quantitative paired t-test analysis within three groups statistically significant (P＜0.01). The two independent samples the t test was to compare Brunnstrom muscle paralysis score in three groups after treatment for 4 weeks. The results as flows:EA+ rehabilitation group vs rehabilitation group (t=3.05, P=0.00), EA+ rehabilitation group vs the control group (t=3.94, P=0.00), the rehabilitation group vs the control group (t=0.59,.P=0.56). The hands muscle strength ratings Brunnstrom result showed that demonstrated that the efficacy of rehabilitation+EA group was better than the rehabilitation group and control group, the difference was statistically significant.There was no statistically difference in NHISS score of EA+ rehabilitation group, the rehabilitation group and control group when enrolled in the three groups. The research object was comparable. After treatment in different ways for 4 weeks, three groups NHISS score all increased compared when were enrolled in the groups, but the magnitude of increase is different. From highest to lowest were: EA+ rehabilitation group (t=14.24,P=0.00), the control group (t=10.09, P=0.00), rehabilitation group (t=6.26,P=0.00), the differences of quantitative paired t-test analysis within three groups statistically significant (P<0.01). The two independent samples the t test was to compare NHISS score in three groups after treatment for 4 weeks. The results as flows:EA+ rehabilitation group vs rehabilitation group (t=3.42, P=0.00), EA+ rehabilitation group vs the control group (t=4.52, P=0.00), the rehabilitation group vs the control group (t=0.86, P=0.39). The hands muscle strength ratings NHISS result showed that demonstrated that the efficacy of rehabilitation+EA group was better than the rehabilitation group and control group, the difference was statistically significant.Conclusions Electroacupuncture therapy combined with rehabilitation therapy can significantly improve motor function, activities of daily living and quality of life in patients with ischemic stroke. Patients with acute ischemic stroke should be performed rehabilitation as soon as possible after a stable condition on the basis of routine therapy. Those economic conditions allowed suggested joint electroacupuncture therapy for treatment. |
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