The Clinical Research In Treating Stroke By Head Needle Combined With Acupuncture

Stroke is an acute cerebral vascular disease, is the result of brain blood circulation disorders caused by acute brain injury, is suddenly dizzy servant, hemiplegia, Kouyanwaixie, astringent or not language speech contest, hemianesthesia a series of neurological deficit symptoms disease. Divided by pathological ischemic stroke and hemorrhagic stroke, which is one of the important disease risk to human health in the world today, it is the world of death in one of the three main reasons.Objection:This topic is under Western medical diagnostic reference standard and meridian theory guidance, and through systematic clinical research, clinical efficacy observed with scalp and body acupuncture treatment in stroke patients, is designed to investigate the disease and more effective treatments for patients relieve pain, improve neurological impairment and activity, improve quality of life in patients with an early return to society today.MethodologyThis thesis received 60 cases of hemiplegic stroke patients in this study and from the Guangzhou University of Traditional Chinese medicine clinics in Hong Kong 1:1 ratio were randomly divided into treatment group (scalp acupuncture with body acupuncture group) and control group (conventional acupuncture treatment group) 30 cases, two groups Treatment of 1 day,1 week, at least five times treatment, every 4 weeks for a course of treatment, a total of two courses of treatment, a total of eight weeks. Western diagnostic criterion-referenced 1995 Chinese Medical Association Fourth National Cerebrovascular Disease Conference revised the << various types of cerebrovascular disease diagnosis >>, TCM diagnostic criteria with reference to the State Administration of Traditional acute encephalopathy syndrome Research Group drafting The << stroke diagnosis evaluation standard >>, the scale is used to simplify Fugl-Meyer motor function score, WHO activities of daily living (ADL) scale (Barthel index), and the People’s Republic of China enacted in 1993 the Ministry of Health released "Chinese medicine treatment of stroke clinical research guidelines." Scale respectively by specialized medical personnel on quality of life for stroke hemiplegia, limb motor function, the system functional impairment before treatment in terms of nerve influence, four weeks, eight weeks after treatment, fill, first the scale scores on the respective assessment grading standards, and then make a statistical analysis of the data entered into the computer, the results, the conclusions set.Results:The treatment group and the control group, although the stroke hemiplegia have a significant effect (treatment group was 86.667%,66.667% in the control group), but there were significant differences in treatment (P<0.05) in efficacy.1. Simple Fugl-Meyer AssessmentTreatment group and control group before and after treatment compared to FMA score, after 4 weeks,8 weeks after treatment, the treatment group and the control group compared with the scores before treatment are (P<0.01). Showing before and after treatment group and control group were significant. The comparison between the two groups before treatment (P> 0.05); after 4 weeks of treatment (P<0.05); 8 weeks after treatment (P<0.01), showing the effect of the treatment group and the control group were significantly different (treatment group were excellent in the control group). In Wilcoxon rank sum test, and after 4 weeks of treatment for the two groups to obtain statistics (P> 0.05), that is, therapy groups, and no statistically significant difference between the four weeks later; after 8 weeks of treatment, the two groups get statistics for the (P<0.05), showed statistically different groups eight weeks after treatment. The treatment trends, in the CHM chi-square test, correlation statistics appear as zero FMA treatment group (P<0.01).The results showed that the scalp with body acupuncture group, traditional acupuncture to alleviate physical dysfunction in patients, strengthen limbs reflection, improve limb cooperative movement better regulation, scalp and body acupuncture with the degree of improvement was significantly better than the traditional acupuncture group (P<0.01). The motor function rehabilitation treatment group, the results show four weeks of rehabilitation faster and more pronounced than the first four weeks, so that the movement can function in patients treated with the treatment can be prolonged effect to speed up the rise, prove continuous treatment necessity (P<0.01).2. Barthel indexTreatment group and control group before and after treatment by t test to compare Barthel score, after 4 weeks,8 weeks after treatment, the treatment group and the control group compared with the scores before treatment are (P <0.01). Showing before and after treatment group and control group were significant. Comparison between the two groups by t test:Before treatment, P> 0.05, after 4 weeks of treatment P<0.05, after 8 weeks of treatment P<0.01. Showing the effect of the treatment group and the control group were significantly different (treatment group superior to the control group). In Wilcoxon rank sum test, and after 4 weeks of treatment for the two groups to obtain statistics (P> 0.05), namely the two groups was not statistically significant after 4 weeks of treatment difference; 8 weeks after treatment between the two groups was statistic is P=<0.05), showed a difference statistically efficacy groups after 8 weeks. Trends in the treatment, after CHM chi-square test, correlation statistics Barthel treated as zero (P<0.01), the result was significant difference statistically.The results showed that both groups of daily living, such as stool, modification, transfer bed chair, dressing, capacity up and down the stairs than before treatment improved significantly, but the result is still the preferred treatment group (P<0.01). The trend results in the treatment of patients after four weeks, as is the ability to enhance daily living significantly accelerated over the first four weeks (P<0.01), once again proved the importance of adherence to treatment.3. Clinical study Chinese medicine treatment guidelines for strokeTreatment group and control group before and after treatment,"Chinese medicine treatment of stroke clinical research guidelines" by t test score, after 4 weeks,8 weeks after treatment, the treatment group and the control group scores are compared with before treatment (P<0.01). Showing before and after treatment group and control group were significant. Comparison between the two groups by t test:Before treatment, P> 0.05, after 4 weeks of treatment P<0.01, after 8 weeks of treatment P<0.01. Showing the effect of the treatment group and the control group were significantly different (treatment group than the control group). And after the Wilcoxon rank sum test, after 4 weeks of treatment, the two groups have statistics for the (P<0.05), that is, therapy groups differ statistically after 4 weeks; 8 weeks after treatment, the two groups have statistics for the (P<0.01), show the efficacy of the two groups after 8 weeks significantly different statistically.In addition to this scale before and after treatment for patients with consciousness, speech, limb motor function outside the main disease made its assessment, and its evaluation criteria for this study come even more effective percentage pedicle to useful data. It also showed that the two groups at the same time to improve after treatment clinical symptoms of stroke patients (P <0.01), but in between the two groups is the effect of the treatment group than the control group (P<0.01).Conclusion:The treatment results showed scalp with body acupuncture therapy and traditional acupuncture treatment for stroke hemiplegia have a certain therapeutic effect. The data demonstrate that the two treatment methods can improve Fugl-Meyer motor function, activities of daily living (Barthel Index) score lower in patients with consciousness, language, motor function of limbs and other main symptoms score. But eight weeks after completion of treatment, the results showed scalp with body acupuncture treatment effects than traditional acupuncture treatment good effect (effect of the treatment group than the control group). Treatment trends, motor function improved speed treatment group with prolonged treatment and significantly faster, more effective than four weeks after the first four weeks, indicating the necessity of hemiplegic stroke patients adhere to long-term treatment, extended treatment cycle for future research and the time to lay the foundation.