| Objective:To investigate the influence of different electroacupuncture frequency on pain,swelling,upper extremity motor function scores and clinical curative effect in patients with shoulder hand syndrome,and to measure serum calcitonin gene-related peptide(CGRP)and substance P(SP)content before and after treatment.Clinical electroacupuncture parameter selection provides a reference.Methods:Using SAS9.2 statistical software,90 non-repetitive random numbers(1-90)weregenerated according to the ratio of 1:1:1.According to the order of treatment,1-30 were assigned to treatmentgroup 1 and 31-60 To treatmentgroup 2,61-90 is divided into treatmentgroup 3.All threegroups were treated with secondary prevention and treatment of blood vessels according to theguidelines for the Prevention and Treatment of Cerebrovascular Disease in China.Patients were alsogiven symptomatic treatment based on the underlying diseases including anti-platelet aggregation drugs,stable plaques,antihypertensive drugs and bloodglucose control.All the patients weregiven electro-acupuncture treatment.The waveform of electroacupuncture wasgiven continuous wave.The frequency of treatmentgroup 1 was 2Hz,the frequency of treatmentgroup 2 was 50Hz,the treatment 3 group was 100Hz,the intensity of electro-acupuncture stimulation Patient tolerance for the degree,generally not more than 3mA,3groups of patients treated 5 times a week,each 40 minutes for a total of 4 weeks.The scores of pain(VAS),degree of swelling of the hand,score of upper limb motor function and clinical efficacy of the threegroups before and after treatment were observed.Results:1.After treatment,VAS scores of threegroups were significantly improved than before treatment,the difference was statistically significant(P<0.05).Threegroups of patients were compared betweengroups found that treatment of threegroups of patients with pain better than the treatment of twogroups,the difference was statistically significant(P<0.05),the treatment of agroup of patients with improvement in pain was better than the treatment of twogroups and three treatmentgroups,the difference With statistical significance(P<0.05);After treatment,the degree of swelling of the threegroups of patients was significantly improved than before treatment,the difference was statistically significant(P<0.05).Threegroups of patients were compared betweengroups found that the treatmentgroup 1 andgroup 3 patients with hand swelling better than the treatmentgroup 2;the difference was statistically significant(P<0.05),the treatment of agroup of patients with hand swelling and improvement of treatment 3groups,the difference was not statistically significant(P>0.05);After treatment,the Fugl-Meyer scale scores of threegroups were significantly improved compared with those before treatment,the difference was statistically significant(P<0.05).The comparison of the threegroups showed that the Fugl-Meyer scale improved better than the twogroups in the three treatmentgroups(P<0.05),and the treatmentgroup 1 was superior to the Fugl-Meyer scale There were statistically significant differences between treatmentgroup 2 and treatmentgroup 3(P<0.05).After treatment,the CGRP and SP serum levels in the three groups were significantly improved compared with those before treatment.The difference was statistically significant(P<0.05).Comparison of three groups of patients found that in the comparison of CGRP serum levels,the improvement of CGRP serum levels in group 1 and group 3 was better than in group 2(P<0.05).Treatment 1 and treatment 3 There was no statistically significant difference in serum CGRP content;in the comparison of serum SP content,the serum SP content of the three groups was better than the treatment 2 group,the difference was statistically significant(P<0.05),and the treatment 1 group was in serum.The SP content improvement was better than the treatment 2 and treatment 3 groups,the difference was statistically significant(P<0.05).After the treatment,there were 17 cases in the treatmentgroup 1,9 cases were effective,4 cases were ineffective,the total effective rate was 86.6%.There were 10 cases in 2groups,13 cases were effective and 7 cases were ineffective.The total effective rate was 76.6%.The effective rate of the threegroups was significantly higher than that of the controlgroup(P<0.05).The clinical efficacy of the treatmentgroup 1 was significantly better than that of the controlgroup Better than the treatment of twogroups and treatment of threegroups.Conclusions:The electro-acupuncture treatment with 2 Hz,50 Hz,and 100 Hz frequency can significantly improve the shoulder pain,hand swelling,ipsilateral upper extremity motor function and serum CGRP and SP content in patients with I stage ischemic stroke shoulder hand syndrome.Compared with 50 Hz and 100 Hz frequency,adopting 2 Hz frequency electroacupuncture to treat this disease is the best choice of electro-acupuncture parameters. |
PDF Full Text Request