Clinical Study Of Grain Sized Moxi Bust Ion With Acupunctur Treatment Of Spastic Paralysis After Stroke

BackgroundStroke, also known as apoplexy, including ischemic stroke and hemorrhagic stroke For the main hemiplegia stroke function obstacle, directly influence the patient's movement function, activity ability, serious impact on the survival of patients with treatment. Spasm is refers to the muscles or muscle group of intermittent or sustained involuntary contraction, performance for increased muscle tension, coordination abnormal mode. After a stroke Luan palsy appears in incidence after sex, because the disease, put to wait for a reason to spasticity is permanently fixed down, it is affected directly after a stroke of healing paralyzed improve, the serious influence the patient's life ability, lower the quality of life, and the high rehabilitation expenses to the family, society and individuals bring heavy burden. Looking for relief after a stroke of treatment is mri hemiplegia currently one of the important topics in the medical profession, to maximize reduce function obstacle and reduce muscle tension of research, has a profound social significance.ObjectiveThis topic in the treatment of stroke patients with high morbidity leukoencephalopathy hemiplegia after treatment, difficulty of this one characteristic, the modified Ashworth scale method (MAS), simplified Fugl-Meyer evaluation method (SFMA), daily living skills evaluation (ADL) and nerve function defect scale (NDS) study well point acupuncture treatment combined with wheat jiu after a stroke the clinical curative effect of mri hemiplegia, observe each test index before and after treatment and the change of comparison, explore the disease prevention and control of the new therapy, for clinical provides a simple and feasible, the method of definite effect.Method Meet the conditions of the80patients after a stroke patients with leukoencephalopathy hemiplegia, are from guangzhou university of traditional Chinese medicine first affiliated hospital ward patients past50years, by means of random digital packet method into the well point acupuncture group with wheat jiu (treatment group) and pure acupuncture group (control group), each group of40people. Both groups based in symptomatic treatment based on the implementation. The treatment group was employed in the wheat with acupuncture point sticks; The control group only with acupuncture. Both groups with head needle, treatment21days, acupuncture and wheat hub:weekly operating5times, two days of rest again continue treatment, total treatment for weeks, before and after treatment for improved respectively Ashworth scale method (MAS), simplified Fugl-Meyer evaluation method (SFMA), daily living skills evaluation (ADL) and nerve function defect scale (NDS) is the test evaluation. All the results are analyzed with SPSS11.0.ResultsIn the improved Ashworth scale method (MAS), simplified Fugl-Meyer evaluation method (SFMA), and nerve function defect scale, daily living skills scoring:after treatment, the comparison between groups, two groups before and after treatment is itself, have statistical differences (P<0.05), this means that two treatment can promote the function recovery of the patients with physical movement, improve patients with muscle tension spasticity; Two comparison between qol, the treatment group had better effects than pure acupuncture group (P<0.05).Conelusion1. Well with acupuncture point sticks wheat method and simple acupuncture treatments for stroke leukoencephalopathy hemiplegia after, can reduce Ashworth scale (MAS) spasms classification, improve the simplified Fugl-Meyer scale (SFMA) score, reduce neural function defect rating scale, improve daily living skills rating scale score, to reduce muscle tension, improve the hemiparalysisphysical movement ability effect, both treatments have the exact clinical curative effect.2. Well with acupuncture point method of wheat jiu after a stroke the treatment effect of the mri hemiplegia is better than pure acupuncture method.3. The well point with wheat moxibustion acupuncture, simple and convenient operation, symptoms, and has a good safety, can carry out standardized operation, easy to generalize application, has a wide application prospects.