| Objective:Observe the clinical effects of bloodletting at the empirical point "five gates" combined with conventional rehabilitation in the treatment of finger contractile paralysis after stroke.Method:1.According to the random number table method,60 patients with post-stroke finger constipation paralysis who met the criteria for dissolution were divided into a treatment group and a control group,with 30 patients in each group.During the experiment,7 cases were eliminated or dropped.The final result was that 27 cases in the treatment group and 26 cases in the control group completed the test.2.The treatment group was given pricking blood at the empirical points "Five Passes" combined with conventional rehabilitation methods.The pricking blood at the empirical points "Five Passes" was given once every other day,3 times a week,with a rest on Sunday,and conventional rehabilitation treatment 2 times a day,40～50 minutes each time,6 consecutive days a week,and rest on Sunday;the control group was given only conventional rehabilitation treatment,and the treatment method was the same as that of the treatment group.This trial takes1 week as a course of treatment,a total of 3 courses of treatment,and follow-up at the end of the first month after the end of the treatment.3.Adopt the modified Ashworth Spasticity Scale(MAS),the finger score part(FMA)in the Fugl-Meyer Evaluation Scale,and the middle finger tip to the distal transverse stripes of the palm of the wrist when the patient takes the most extended position of the finger Point and the distance from the tip of the thumb to the tip of the little finger are used to evaluate the clinical efficacy in different periods.Results:1.In terms of MAS scale:Before treatment,the degree of finger spasm between the two groups was comparable(P>0.05).After treatment and during follow-up,the degree of finger spasm in the treatment group and the control group was significantly improved after treatment and during follow-up compared with before treatment(P<0.01).After treatment and during follow-up,the treatment group was treated The improvement of the degree of finger spasm was better than that of the control group(P<0.05).2.FMA score:Before treatment,the finger motor function scores of the two groups were comparable(P>0.05).After treatment and during follow-up comparison,the finger motor function scores of the treatment group and the control group after treatment and follow-up were higher than before treatment(P<0.01).After treatment,the finger motor function scores of the treatment group improved after treatment.The degree was better than that of the control group(P<0.05).In the comparison between the groups during follow-up,there was no significant difference in the finger motor function scores of the treatment group and the control group(P>0.05).3.The distance from the tip of the middle finger to the midpoint of the transverse stripes on the palm side of the wrist,and the tip of the thumb to the tip of the little finger when the finger is at the maximum extension position:Before treatment,the distances from the middle finger tip to the midpoint of the transverse crease on the palm side of the wrist and the tip of the thumb to the tip of the little finger were comparable in the maximum extension of the fingers between the two groups of patients(P>0.05).After treatment and during follow-up comparison,the distance between the middle finger tip of the middle finger and the midpoint of the transverse stripes on the palm side of the wrist and the distance between the tip of the thumb and the tip of the little finger when the patient’s fingers were in the maximum extension position between the treatment group and the control group during follow-up Compared with before treatment,there was a significant increase(P<0.01).After treatment and during follow-up,comparison between groups,after treatment and during follow-up,the middle finger tip of the middle finger to the midpoint of the transverse stripes on the palm side of the wrist was at the maximum extension of the finger after treatment and during follow-up The increase in the distance from the tip of the thumb to the tip of the little finger was better than that of the control group(P<0.05).4.Overall curative effect:After treatment,8 cases were cured in the treatment group,11 cases were markedly effective,4 cases were effective,and 4 cases were ineffective.The total effective rate was 85.19%;in the control group,3 cases were cured,3 cases were markedly effective,13 cases were effective,and 7 cases were ineffective.The effective rate was73.08%,and the difference in overall efficacy between the two groups was statistically significant(P<0.05).During follow-up,3 cases were cured in the treatment group,13 cases were markedly effective,6 cases were effective,5 cases were ineffective,and the total effective rate was 81.48%;in the control group,2 cases were cured,2 cases were markedly effective,12 cases were effective,and 10 cases were ineffective.The total effective rate was 61.53%,the difference in overall efficacy between the two groups was statistically significant(P<0.05).Conclusion:1.Bloodletting at the “five gates” of the experience points combined with conventional rehabilitation therapy and simple conventional rehabilitation therapy can improve the degree of finger contracture,finger movement function;2.The short-term and long-term curative effects of bloodletting at the "five gates" acupoints combined with conventional rehabilitation therapy are better than those of simple conventional rehabilitation therapy,and it is worthy of clinical application. |
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