A Clinical Study Of Acupuncture At Renying (ST9) Combined With Pricking Therapy For Treatment Of Shoulder-hand Syndrome After Cerebrovascular Infarction

BackgroundThe incidence of Cerebrovascular Infarction is increasing, and the high rate of dysfunction and death brings great burden to the society and family, especially The Shoulder-hand syndrome, which seriously affect the patients' life quality. Treatments such as Chinese Medicine, Physiotherapy and Rehabilitation all gained to certain efficacy, but is unfavorable.We need to look for a more effective therapy.ObjectiveTo estimate the clinical efficacy of Acupuncture at Renying(ST9) combined with Pricking Therapy for treatment of Shoulder-hand syndrome after Cerebrovascular Infarction and to breakthrough the idea of local acupuncture, which armed to inaugurate and develop the application of time acupuncture, in order to find an acupuncture method with good curative effect and simple and convenient manipulation.Methods57 cases of Shoulder-hand syndrome after cerebrovascular infarction from the encephalopathy center of the 2nd Affiliated Hospital of Guangzhou University of TCM in-patient departmen and out-patient department, who were accord with observing qualification. (diagnosis standard, inclusion criteria and Exclusion criteria)were randomly divided into an treatment group(n=29)and a control group(n=28). The treatment group were treated with Acupuncture at Renying combined with Pricking Therapy and the control groups were treated with traditional acupuncture. The improvement of pain and swelling was used to evaluate the therapeutic effect in order to do the Curative effect appraisal.Results1.To Compare the two groups:before receiving treatments VS after receiving one week-long treatment; after receiving one week-long treatment VS after receiving Two week-long treatment; after receiving Two week-long treatment VS after receiving Three week-long treatment;after receiving three week-long treatment VS after receiving four week-long treatment, The comparisons of the pain and Swelling scores were made by paired t-test, the differences of each groups were very significant (P<0.05)2. Comparative effects of two groups' pain grade:The comparison of the pain scores were adopted independent t-test, and there was no significant difference between two groups before receiving treatments (P>0.05).So the two groups had comparability. After the treatment of one week, two weeks, three weeks and four weeks, there were obvious differences between the treatment group and the control group. (P<0.05)3. Comparative effects of two groups' swelling grade:There were no significant difference between two groups in Swelling scores before receiving treatments (P>0.05), and the two groups had comparability. After the treatment of one week, two weeks, three weeks and four weeks, there were obvious differences between the treatment group and the control group. (P<0.05)4. Evaluation of therapeutic effects:Among the 29 cases of the treatment group,9 were cured,14 had obvious effect,3 had effect,3 had no effect, and the total effective rate was 89.66%. Among the 28 cases of the control group,5 was cured,10 had obvious effect,4 cases had effect,9 had no effect, and the total effective rate was 67.86%. To compare the total effective rate between the treatment group and the control group, the difference had statistical significance (χ2=4.073, P=0.044). ConclusionsThe method of treatment group and control group can improve clinical symptoms, but the effect of Acupuncture at Renying(ST9) combined with Pricking Therapy group is better than the traditional group. Acupuncture at Renying combined with Pricking Therapy has reliable and quick effect and is worth to promote.