Acupuncture And Massage Function Exercise Treatment Of Stroke Recovery Clinical Observation And Hemorheology

ObjectiveStroke is a serious threat to human health and life of one of the common diseases in clinic.In China,the annual incidence of stroke for the 130 to 160/10 million,the new stroke each year 1.5 million people,the death toll accounted for about 70 percent, Survivors of 50%to 70%of the patients left paralyzed,aphasia,and other serious disability,social and family to bring a heavy burden.Since the early acupuncture therapy has been widely used in the treatment of stroke,but for the treatment of stroke, regardless of what kind of methods,how to minimize the level of disability, acupuncture treatment is still a problem.The topics adopted combination of acupuncture,massage and functional training methods for stroke,through the observation of stroke patients before and after treatment hemorheology relevant indicators of changes in functional training of acupuncture and massage therapy stroke three-step method and the efficacy of the mechanism for the clinical treatment of stroke to provide new and more effective treatment methods.Methods90 cases were patients in January 2007 to December 2007 in Liwan District No.1 People's Hospital Rehabilitation inpatient department patients,they were consistent with The January 1996 State Administration of Traditional Chinese Medicine encephalopathy emergency coordination group "published by the stroke of diagnostic criteria".All the cases were divided into there groups according to randomized method,each group with 30.The observation group adopts combination of acupuncture,massage and functional training methods.The first step(acupuncture): Point divided into two groups,a group of contralateral limb for the temporal before the slash the top,next to a Top Line,shuigou,jiquan,jianyu,waiguan,xuehai, yanglingquan,jieqi;Another group of top-temporal contralateral limb after slash,next to the top two lines,chengiiang,quchi,neiguan,hegu,zusanli,sanyinjiao,quxu.Two groups points were used interchangeably.Select Hua card on the 28th 25mm～40mm cents a one-time sterile needles,To adopt and Nianzhuan way into the main, Ping-Ping crash,every 10 minutes-1 line,left-30 minutes daily acupuncture 1.The second step(massage):Acupuncture was carried out after.To use Anrou,Rollover relax on the leg side,lasted for 10 minutes and then click Meridian,hard along the side limbs are paralyzed by a click Taiyin,Ruantan along the side limbs are conducted by the Yangming 10 minutes;again in order to shake the affected limbs, Stubbs stretch,rubbing,buffeting of 10 minutes and finally in the affected limbs to shoot operation of the end of practice.The third step(exercise):in acupuncture, massage carried out after.As patients,can Shimoji activities,acupuncture and massage after Zhu Huanzhe take the initiative to walk about 500 meters;can not Shimoji activities,acupuncture and massage after Zhu Huanzhe flattering side physically active for 10 minutes.30 cases of Only acupuncture group,only acupuncture treatment,the first step in the same way the observation group.Simple massage group of 30 patients,only massage therapy,the second-step approach with the observation group.These three groups,one for each day,on the 15th for a course of treatment,treatment breaks on the 2nd row of three courses to be in effect.Results1.Observation group,only the acupuncture group and the efficiency of simple massage group was 76.7 percent,respectively,36.7%and 30.0%,respectively,with the simple observation group acupuncture group and simple massage group is very significant difference(u=3.1734,P＜0.01 and u=3.3621,P＜0.01),pure and simple acupuncture group massage therapy group showed no significant difference(u= 5.5205,P＞0.05),the efficiency of the observation group was significantly better than pure and simple massage acupuncture group Group.2.Observation group before treatment,pure and simple massage acupuncture group of hemorheology group were significantly higher than the normal group(P＜0.01),the three groups after treatment hemorheology of comparison,the whole blood viscosity,Plasma viscosity,red blood cell degeneration index,fibrinogen showed a downward trend,with the most obvious decline in the observation group(P ＜0.01),and close to normal levels,with only the acupuncture group and simple massage group,a very Significant difference(P＜0.01).Conclusion1.Acupuncture and massage exercise stroke three-step method for the clinical efficacy of acupuncture group was superior to pure and simple massage therapy group.2.Acupuncture and massage exercises in the three-step method to improve the blood circulation of stroke patients in the acupuncture group was superior to pure and simple massage therapy group.