Clinical Therapeutic Study Of Whole Acupuncture On Patients Of Cerebral Infarction

To investigate the clinical therapeutic effects of Whole Acupuncture on patients of cerebral infarction.113 hemiplegia patients of cerebral infarction were randomly divided into treatment group (63 cases) treated by Whole Acupuncture and control group (50 cases) treated by traditional acupuncture. By using the scores for ranking of TCM, neurological function impairment, Brunnstrom limb function, activity of daily living (ADL) and the disability scores of the patients as indexes to evaluate the clinical therapeutic effects on two groups before and after treatment, as well as the clinical effects and differences in quality of living of patients between groups. The main conclusions drawn are as follows:1. Therapeutic effects of TCM evaluationThere was no significant difference in the score for ranking of TCM between groups before treatment (p>0.10). However, significant differences shown after treatment between groups (p<0.05) and also the differences before treatment and after treatment between groups (pre-treatment subtract post-treatment) (p<0.05), revealing decrease in score for ranking of TCM in treatment group was superior to that in control group. By comparing the TCM therapeutic effect, treatment group—completely resolved: 15 cases; significantly improved: 2 cases; improved: 17 cases; little improvement: 11 cases; no change: o cases; worsen: 0 cases. And that in control group respectively are 10 cases, 11 cases, 5 cases, 22 cases, 1 case, 1 case. Two sets of data after Rank Sum Test shows significant difference, and treatment group is better than control group (Z=2.291, p=0.022), indicating that Whole Acupuncture can better improve symptoms and enhance TCM therapeutic effects.2. The score for neurological function impairmentNo significant difference was shown in the scores for neurological function beforetreatment between groups (p>0.10), but significant difference exists after treatment between groups (p<0.01) and also the differences before and after treatment between groups (pre-treatment subtract post-treatment), which indicated the recovery level of neurological function impairment1 in treatment group was superior to that in control group. By comparing the clinical therapeutic effects, it shows, completely resolved: 13 cases; significantly improved:27 cases; improved: 21 cases; no improvements: 2 cases; worsen: 0 cases; death: 0 cases in treatment group, and that in control group respectively are: 8 cases, 12 cases, 25 cases, 5 cases, 0 cases and 0 cases. Comparisons between two groups prompt significant difference (z=2.258, p=0.024), therapeutic effect of treatment group is superior to that of control group, indicating that Whole Acupuncture is more effective in decreasing the level of neurological function impairment.3. Limb Function Evaluation of the hemiplegia patientsUsing Brunnstrom grading scores as objective measurement to evaluate limb function, after Ridit Analysis it shows no statistical differences in limb function of 3 parts (upper arms, hands, lower limb) before treatment between groups (p>0.10). After treatment, upper arm and hand function between groups shows statistical differences (p<0.05), but not for lower limb function (p>0.05). It indicates the upper limb function improve more than that of lower limb in treatment group.4. Evaluations of Activity of Daily Living (ADL) and of Disability LevelThe groups' BI scores have no statistical differences before treatment (p>0.05), but after treatment, the BI scores of the two groups raise significantly (p<0.01). With treatment group BI scores raise more, and also a high significant difference (p<0.01), it indicates that ADL rising in treatment group is superior to that of control group.Before treatment, there are 40 disabled cases (63.5%) and 23 basically independent cases (36.5%) in treatment group, and respectively 37 cases (74.0%) and 13 cases (26.0%) in control group. No statistical difference between groups. (^=1.42, p=0.233). After treatment, there are 19 disabled cases (30.2%) and 44 basically independent cases (69.8%) in treatment group, and respectively 25 cases (50.0%) and 25 cases (50.0%) in control group. Here shows significant difference (^=4.616, p=0.032), revealing treatment group is superior to control group in putting down the disability scores.