| ObjectiveTo observe the clinical effect of Jumping Qi acupuncture technique combined with Shenque CV8 septum moxibustion on patients with hemiplegia after stroke.To determine the effect of this therapy on improving the quality of life,motor function and overall physical condition of patients with post-stroke hemiplegia.The safety of this clinical treatment was evaluated by observing any adverse reactions and effects during and after treatment.This study demonstrates that the clinical treatment of post-stroke hemiplegia is safe and effective,and can be used to enrich the overall clinical treatment program.Methods1.Design of Study and MethodsThis study was conducted using 4 groups;one control group and three experimental groups.There were a total of 120 patients,split evenly in a random fashion into four groups;each group comprised of 30 patients.Each patient was assigned a random,non-repeating number between 1 to 120.A computer program was then used to further assign each number,on a random basis,to one of the four groups.These four groups were labeled as "Standard Acupuncture Techniquew Group 1,"Jumping Qi Acupuncture Technique" Group 2,"Standard Acupuncture with Shenque Septum Moxibustion" Group 3,and“Combined Jumping Qi Acupuncture and Shenque Septum Moxibustion”Group 4,respectively.2.Therapeutic Treatment MethodsEach of the four groups received the same basic and rehabilitation treatments.Group 1:"Standard Acupuncture Technique":was established as the control group.Group 1 encompassed standard acupuncture to the following acupuncture points.Upper limb:wangu,yangchi,hegu,waiguan,shousanli,quchi,and jianyu;lower limb:kunlun,jiexi,yanglingquan,zusanli,futu,fengshi,and huantiao.Group 2:"Jumping Qi Acupuncture Technique":same as Group 1,in additional,patients received treatment using the Jumping Qi Acupuncture Technique in the following acupuncture points:hegu,wanguan,shousanli,jianyu quchi jianyu,yanglingquan,zusanli,futu,fengshi,and huantiao.Group 3:"Standard Acupuncture with Shenque Septum Moxibustion":same as Group 1,in additional,patients also received moxibustion treatment on the Shenque CV8 acupuncture point.The moxibustion treatment was conducted using a combination of medicinal herbs comprised of chuanxiong,peach kernel,safflower,astragalus,parasitic mulberry,caulis spatholensis,earthworm,raw keel,turtle(vinegar system)and salt.Group 4:"Combined Jumping Qi Acupuncture and Shenque Septum Moxibustion":received all aforementioned treatments present in Groups 2 and 3.To each group,treatment is applied once per day.A course of treatment is comprised of 10 days.Take one day of rest after each course of treatment.Results were measured after two courses of treatments.3.Observation and Evaluation MethodThe age and time duration between onset and treatment were recorded for all patients of all groups.The physical conditions of all groups were measured before and after treatment,by using the following four assessment methods:the TCM Syndrome score,Brunnstrom Six-Stage evaluation,simplified Fugl-Meyer assessment and revised Barthel Index score.Final results were evaluated based on the comparison between patients’ scores before and after treatment,for each respective method.Any adverse reactions during and after treatment was also monitored and recorded.4.Method of determining efficacyThe effectiveness of each treatment is measured by using the TCM Syndrome score method,and is classified as follows:Full recovery:after treatment,reduction in total score>95%Significant effectiveness:after treatment,reduction>70%Moderate effectiveness:after treatment,reduction>30%Ineffective:after treatment,reduction<30%where reduction in total score=(total score before treatment-total score after treatment)/total score before treatment5.Safety Evaluation MethodsIf any adverse reaction was reported by patient,a grade of safety was assigned based on the following factors:patient symptoms,severity,how long it lasts,treatments applied to address the adverse reactions,time required to fully recover from adverse reactions.Safety grading is classified as:Grade 1:safe;no adverse reactions.Grade 2:relatively safe;mild adverse reactions that do not requiretreatment,and patient can proceed with the study plan.Grade 3:inherent safety concerns;moderate adverse reactions that require explicit treatment,and patient can proceed with the study plan after adverse reactions subside.Grade 4:the study plan for the patient suspended due to adverse reactions.6.Statistical methodsAll results were processed by a third party.The data analysis was carried out on SPSS22.0 statistical software package,and different statistical methods were used for different data.Measurement data were expressed by mean square standard deviation(chi-square S).Levene test of homogeneity of variance was carried out first.In the case of homogeneity of variance,group t test was used for comparison between groups.Paired t test was used before and after treatment.When the homogeneity of variance was not satisfied,t’or non-parametric test is adopted.The classified data were assessed by chi-square test.Rank sum test was used for rank data.Results1.General information:There was no statistically significant difference between the four groups in terms of age,time duration between onset and treatment,and pre-treatment scores as measured using the four aforementioned assessment methods(P>0.05).As such,these four groups are comparable.2.TCM Syndrome score:The results showed that the TCM Syndrome scores for all groups were better after receiving treatment(P<0.05).Groups 2,3,and 4 showed a greater degree of improvement than Group 1(P(0.05),while the improvement between Groups 2 and 3 were not statistically significant(P>0.05).However,Group 4 exhibited the greatest degree of improvements amongst all groups(P<0.05).Thus,this evaluation method confirms that the usage of the Jumping Qi Acupuncture Technique,combined with the Shenque CV8 septum moxibustion treatment,is the most effective in treating patients with post-stroke hemiplegia.3.Simplified Fugl-Meyer assessment:The results showed that the Fugl-Meyer assessment scores for all groups were better after receiving treatment(P<0.05).Groups 2,3,and 4 showed a greater degree of improvement than Group 1(P<0.05),while the improvement between Groups 2 and 3 were not statistically significant(P>0.05).However,Group 4 exhibited the greatest degree of improvements amongst all groups(P<0.05).Thus,this evaluation method confirms that the usage of the Jumping Qi Acupuncture Technique,combined with the Shenque CV8 septum moxibustion treatment,is the most effective in treating patients with post-stroke hemiplegia.4.Modified Barthel index score:The results showed that the Barthel Index scores for all groups were better after receiving treatment(P<0.05).Groups 2,3,and 4 showed a greater degree of improvement than Group 1(P<0.05),while the improvement between Groups 2 and 3 were not statistically significant(P>0.05).However,Group 4 exhibited the greatest degree of improvements amongst all groups(P<0.05).Thus,this evaluation method confirms that the usage of the Jumping Qi Acupuncture Technique,combined with the Shenque CV8 septum moxibustion treatment,is the most effective in treating patients with post-stroke hemiplegia.5.EffectivenessGroup 1:amongst the 30 patients in this group,0 patient experienced full recovery,1 patients showed significant effectiveness,21 were effective,and 8 were ineffective.The overall rate of effectiveness was 73.3%.Group 2:0 patients experienced full recovery,4 patients showed significant effectiveness,23 were effective,and 3 were ineffective.The overall rate of effectiveness was 90%.Group 3:0 patients experienced full recovery,5 patients showed significant effectiveness,22 were effective,and 3 were ineffective.The overall rate of effectiveness was 90%.Group 4:0 patients experienced full recovery,11 patients showed significant effectiveness,18 were effective,and 1 were ineffective.The overall rate of effectiveness was 96.7%.6.Level of safety:For the duration of this study,no groups displayed any adverse or unintended side effects.However,Groups 3 and 4 communicated burning sensations at the Shenque CV8 acupuncture point as a result of the moxibustion treatment.After simple treatment,the burning sensations quickly subsided and all patients from both groups proceeded with the treatment plan.As such,the Jumping Qi Acupuncture Technique and the Shenque CV8 septum moxibustion treatment are both safe and effective.Treatment safety and effectiveness are vital factors in garnering patient trust,goodwill,and preference.Ultimately,the safer and more effective a treatment,the greater the likelihood for patients to favor and choose that treatment over another.Conclusion1.The Jumping Qi Acupuncture Technique and the Shenque CV8 septum moxibustion therapy both effectively improve the quality of life in patients with post-stroke hemiplegia.The degree of improvement is highest when both treatments are used in conjunction.2.The Jumping Qi Acupuncture Technique and the Shenque CV8 septum moxibustion therapy both improve the motor functions of patients with post-stroke hemiplegia.The degree of improvement is highest when both treatments are used in conjunction.3.The Jumping Qi Acupuncture Technique and the Shenque CV8 septum moxibustion therapy both improve the overall physical conditions of patients with post-stroke hemiplegia.The degree of improvement is highest when both treatments are used in conjunction.4.Results of the safety evaluation demonstrate that both the Jumping Qi Acupuncture Technique and the Shenque CV8 septum moxibustion therapy are at a high level of safety,as no groups showed any adverse or unintended reactions during treatment.The results of this clinical experience prove that the Jumping Qi Acupuncture Technique,combined with the Shenque CV8 septum moxibustion therapy,has excellent effects on the quality of life and recovery of motor functions of patients with post-stroke hemiplegia,while achieving high levels of safety.Encouraged by trust in this safe and effective treatment,patients will be inspired to continuously return to it over alternative treatments.Ultimately,this treatment is worthy of clinical promotion. |
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