| Purpose:To observe the clinical efficacy of different eye acupuncture therapies in the treatment of stroke patients with Qi deficiency and blood stasis,and to explore the mechanism of double needling,and to achieve the purpose of preventing the second attack of stroke by regulating relevant indicators,so as to provide an optional and easy-to-use treatment method for the clinic at this stage.Material and method:From the inpatients in the brain K3 ward of the rehabilitation center of the Affiliated Hospital of Liaoning University of traditional Chinese medicine,60 patients who met the inclusion criteria were strictly selected and divided into two groups through a random number table: Double needling group(observation group: 30 cases)and cross needling group outside the frame(control group: 30 cases).In addition to the basic medical treatment and body acupuncture of "refreshing the brain and opening the orifices",the control group was treated with horizontal acupuncture outside the eye needle frame.On the basis of the control group,the observation group pressed close to the needle in the same direction next to the selected eye needle acupoints and then inserted a needle to form a double acupuncture method.Therefore,the total process of the two groups was 2 courses,and the single course of treatment was 7 days,and the curative effect of the experimental process was observed.During the 2-week treatment period,observe and record the total effective rate,TCM syndrome score,National Institutes of Health Stroke Scale score,Barthel index,changes of blood homocysteine,blood lipid and blood glucose,safety index and syndrome score of patients followed up for 2 weeks according to different time nodes,and evaluate and analyze all scores,To explore whether there is a significant difference between the above two schemes in the treatment of stroke patients with Qi deficiency and blood stasis.And put the above data into SPSS 26.0 for different statistical analysis and processing.Results:1.In the whole course of treatment,there were no patients who withdrew,fell off or lost follow-up.2.There was no difference in gender,age and other general data between the two groups before treatment(P > 0.05).3.There were 30 patients in each group,and there was significant difference in the total effective rate% between the two groups(P < 0.05).4.There were significant differences in TCM syndrome score,stroke scale score of National Institutes of health,Barthel index,blood homocysteine,blood lipid and blood glucose between the two groups before and after treatment(P < 0.05);There were significant differences in TCM syndrome score,stroke scale score of National Institutes of health,Barthel index,blood homocysteine,blood lipid and blood glucose between the two groups(P< 0.05).5.During the treatment,there were 2 cases of acupoint bleeding after starting the needle in the observation group and 1 case of acupoint bleeding after starting the needle in the control group.6.The patients were followed up for 2 weeks after the trial was stopped.There was still a difference in the efficacy score between the two groups(P < 0.05).Conclusion:1.The curative effect of double needling on apoplexy of qi deficiency and blood stasis type is better than that of extraorbital transverse needling.2.Double needling can significantly improve the TCM syndrome score of stroke patients with Qi deficiency and blood stasis.3.Double needling can significantly improve the stroke scale score and Barthel index of the National Institutes of health.4.Double needling can significantly improve the blood homocysteine,blood lipid and blood glucose of stroke patients with Qi deficiency and blood stasis,and reduce the risk of related diseases.5.Double needling method has more obvious curative effect and lasting effect than extraorbital transverse needling method. |