| Objective: Appraises the effect of head acupuncture in oxygen acupuncture therapy with rehabilitation training to the patients of cerebral infarction, explores the best therapeutic schedule, in order to further enhancing the clinical curative effect and improves patients' survival quality.Methods: 1 Totally 135 cases of patients who were in department of acupuncture (department of cerebrovascular disease) in Traditional Chinese Medicine Hospital, Hebei Medical University and department of nerve internal medicine center of rehabilitation in People Hospital Of Hebei Province were selected and were diagnosed cerebral infarction from March 2007 to December 2008, all the patients were divided into three groups randomly. After the treatment, the group A (oxygen acupuncture therapy with rehabilitation training) had 41 cases, group B (oxygen acupuncture therapy) had 41 cases, group C (rehabilitation training) had 41 cases, each group had non-significance differences on ages, sex, courses, individual history, family history as well as complications (P>0.05), can compare with each other.2 All the patients received the normal treatment. Group A was also given the treatment of oxygen acupuncture therapy with rehabilitation training.15 minutes before Acupuncture, continue to inhalating low-flow oxygen (1.5 l / min) for 30 minutes each time, scalp acupuncture points were Sishencong and bilateral Fengchi, needle retaining 30 minutes. Rehabilitation training began after acupuncture,concluding Bobath technique, PNF technique,movement relearning method and ADL training,etc. Psychological treatment was given at the same time.In order to increase belief in rehabilitation. Group B was given the treatment of oxygen acupuncture therapy and optional exercises without leading. Group C was given the rehabilitation training. The treatment of each group was once every day, 5 days per week, 4 weeks continuously.3 Observe the changes of neurological impairment evaluation(China Stroke Scale), motor dysfunctio evaluation (Fngl-Meger Scale), the activities of daily living evaluation(ADL), the comparison of complication incidence and determine the overall therapeutic effect of three groups of patients before treatment,one week after reatment and four weeks after reatment.Result: 1 The changes of neurological impairment evaluationWith statistical analysis, before treatment, there was non-significance difference (P>0.05), one week and four weeks after treatment, it reduced obviously, had the significant difference (P<0.01) when compared with before; compared with each other, with B,C,group A had the significant difference (P <0.01 or P <0.05) one week,four weeks after treatment, and had the significant difference (P <0.05) between group B and C four weeks after treatment. That in three kind of therapeutic schedules to reduced the neurological impairment evaluation, therapy of oxygen acupuncture therapy with rehabilitation training to be best, oxygen acupuncture therapy better than therapy rehabilitation training.2 The change of activities of daily living evaluationWith statistical analysis, before treatment, there was non-significance difference (P>0.05), one week and four weeks after treatment after the treatment, the ADL increased obviously, had the significant difference (P<0.01) comparing with before; compared with each other, with B,C,group A had the significant difference (P<0.01orP<0.05), and had the significant difference (P<0.05) between group B and C one week, four weeks after treatment. It explained that in three kind of therapeutic schedules to improve the activities of daily living evaluation, therapy of oxygen acupuncture therapy with rehabilitation training to be best, therapy of rehabilitation training better then oxygen acupuncture therapy.3 The motor dysfunction evaluation.With statistical analysis, before treatment, there was non-significance difference (P>0.05), one week and four weeks after treatment after the treatment, the ADL increased obviously, had the significant difference (P<0.01) the FMA increased obviously, had the significant difference (P<0.01) comparing with before; compared with each other, with B,C,group A had the significant difference (P<0.01 or P<0.05) one week, four weeks after treatment, and had the significant difference (P<0.05) between group B and C four weeks after treatment. It explained that in three kind of therapeutic schedules to improve the motor dysfunction evaluation, oxygen acupuncture therapy with rehabilitation training to be best, therapy of rehabilitation training better then oxygen acupuncture therapy.4 The comparison of complication incidence rate.With statistical analysis, four weeks after the treatment, complication(pulmonary infection,urinary infection, shoulder hand syndrome, depression, subluxation of joint,skeletal uscle ache) incidence of group A(14.35) was lower than B and C, had the significant difference (P<0.01 or P<0.05), and complication incidence of group B (24.8)was lower than C(35.38), had the significant difference (P<0.01) . When compared with each other. It explained that in three kind of therapeutic schedules to reduce complication incidence rate, oxygen acupuncture therapy with rehabilitation training to be best, oxygen acupuncture better than therapy of rehabilitation training.5 Clinical curative effect comparisonThe result showed it obtain the good curative effect after the treatment of three groups of patients, group A (oxygen acupuncture therapy with rehabilitation training) is highest(93.0%), group B (oxygen acupuncture therapy) to be next(82.9%), group C (therapy of rehabilitation training) lowest(70.7%), and had the significant difference (P<0.05).6 The Safety examination resultThe bad reaction did not discovers in treatment and control groups of clinical trial. The abnormality phenomenon were not discovered in pre-treatment and post-treatment through the blood normal regulations, urine normal regulations, stool normal regulations, liver function, kidney function, electrocardiogram examination.Conclusion:1 By comprehensive analysis of the comprehensive of improvement of neurological impairment evaluation, the activities of daily living evaluation, motor dysfunction evaluation, complication incidence rate and clinical curative effect comparison, it confirmed that the therapy of oxygen acupuncture therapy with rehabilitation training was safe and effective to cerebral infarction in acute stage, and was better than oxygen acupuncture therapy and the therapy of rehabilitation training.2 Oxygen acupuncture therapy and the therapy of rehabilitation training were also safe and effective to cerebral infarction in acute stage. Oxygen acupuncture therapy was good at reducing the neurological impairment and complication incidence rate ; the herapy of rehabilitation training was good at improving motor dysfunction and the activities of daily living evaluation. 3 Oxygen acupuncture therapy with rehabilitation training made good use of the two methods, so it was good at improving clinical curative effect,reducing mutilation rate and complication incidence rate, and improving patients'life quality.4 AS oxygen acupuncture therapy with rehabilitation training used to cure cerebral infarction in acute stage, it made good use of the adrantages of integrated tcm-wm,and integrated medicine resources effectively, and added treatment target points, raised treatment efficiency,shortened patients'Length of Stay and saved treatment cost.5 Introduced disability concept of modern rehabilitation medicine, functional evaluation mehthods, rehabilitation training technology of cerebral infarction in acute stage, combined with therapeutic tools of head acupuncture and low-flow oxygen inhalating, Explored a new effective Treatment Protocols for culing Cerebral Infarction.
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