Clinical Study Of “Yiqi Huoxue” Acupuncture Prescription Combined With Aerobic Exercise In The Treatment Of Cardiorespiratory Dysfunction In Cerebral Infarction With Qi Deficiency And Blood Stasis

Objective:By observing the clinical efficacy of“Yiqi Huoxue”Acupuncture prescription combined with aerobic exercise on cardiorespiratory dysfunction in patients with cerebral infarction with Qi deficiency and blood stasis,it provides new therapeutic ideas and methods for the treatment of cardiorespiratory dysfunction in cerebral infarction with Qi deficiency and blood stasis by acupuncture.Methods:The 76 patients who met the inclusion criteria and developed cardiorespiratory dysfunction after cerebral infarction with Qi deficiency and blood stasis were randomly divided into the observation group and the control group,38 patients in each group,all of them were given basic treatment,and the control group was treated with aerobic exercise,Monday to Saturday,1 time/day for 30 min/time,for 4 weeks;in the observation group,on the basis of the control group,acupuncture was performed by using the prescription of“Yiqi Huoxue”Acupuncture prescription,Monday to Saturday,1 time/day for 30min/time for 4 weeks of treatment.The changes in peak oxygen uptake（peak VO₂）,anaerobic threshold（AT or VO₂AT）,maximal ventilatory volume（MVV）,fatigue severity scale（FSS）,modified Barthel scale（MBI）,and TCM syndrome score were observed before and after treatment.The data were statistically analysed using SPSS 23.0,The clinical efficacy of the two groups of patients was also evaluated.Results:A total of 76 cases were included in the trial,68 cases completed the clinical trial observation and 8 cases fell off,including 4 cases in the observation group,and 4 cases in the control group.1.There was no significant difference in the basic data between the two groups（P>0.05）.2.Objective indicators:（1）Peak VO₂:Before the treatment,there was no significant difference between the two groups（P>0.05）.After the treatment,After treatment,peak VO₂improved in both groups compared to pre-treatment（P<0.01）,and the improvement degree of the observation group was more significant than that of the control group（P<0.01）,and the difference was statistically significant.（2）AT:Before the treatment,there was no significant difference between the two groups（P>0.05）.After the treatment,After treatment,the AT improved in both groups compared to pre-treatment（P<0.01）.and the improvement degree of the observation group was more significant than that of the control group（P<0.05）,and the difference was statistically significant.（3）MVV:Before the treatment,there was no significant difference between the two groups（P>0.05）.After the treatment,MVV improved in both groups compared to pre-treatment（P<0.01）,and the improvement degree of the observation group was more significant than that of the control group（P<0.01）,and the difference was statistically significant.（4）FSS:Before the treatment,there was no significant difference between the two groups（P>0.05）.After the treatment,the FSS scores of both groups were lower than before treatment（P<0.01）.and the decrease in the observation group was more significant than that of the control group（P<0.01）,and the difference was statistically significant.（5）MBI:Before the treatment,there was no significant difference between the two groups（P>0.05）.After the treatment,Barthel scores improved in both groups compared to pre-treatment（P<0.01）,and the improvement degree of the observation group was more significant than that of the control group（P<0.01）,and the difference was statistically significant.（6）TCM syndrome score:Before the treatment,there was no significant difference between the two groups（P>0.05）.After the treatment,the TCM syndrome score of the two groups were improved（P<0.01）,and the improvement degree of the observation group was more significant than that of the control group（P<0.01）,and the difference was statistically significant.3.Safety indicators:（1）Needle-stick safety monitoring:No serious needle-stick adverse events such as pneum-othorax and broken needles occurred during the treatment.（2）Cardiopulmonary exercise test and aerobic exercise safety monitoring:No adverse e vents such as acute heart attack,angina pectoris and fall occurred in both groups.4.Clinical therapeutic effect:The total effective rate of peak VO₂:After 4 weeks of treatment,the total effective rate of the peak VO₂was 85.3%in the observation group and 58.8%in the control group,the difference was statistically significant（P<0.05）.Conclusions:Both the“Yiqi Huoxue”Acupuncture prescription combined with aerobic exercise and aerobic exercise can improve cardiorespiratory function,FSS score,MBI score and TCM syndrome score in patients with cerebral infarction with qi deficiency and blood stasis.Compared with the two,the treatment effect of the“Yiqi Huoxue”Acupuncture prescription combined with aerobic exercise is superior.The prescription is more effective than aerobic exercise in accelerating the improvement of cardiorespiratory function in patients with cerebral infarction with Qi deficiency and blood stasis.It is worthy of clinical application and promotion.