The Clinical Research Of Treating The Saccadic Paralysis Of Stroke With Primarily Throughly Punctures

Objective:Stroke, also known as stroke or cerebral vascular accident, as a common clinical emergency and severe, and its high incidence, longer duration, hard to be cured, a serious threat to human health and life. Clinically, spasticity is a common sequelae of stroke patients, one of the performance of the affected limb is often detained tight rigid. Spasticity after stroke recovery process as a necessary process, which appears on behalf of the recovery of limb muscle tone, but if the period of stay in the spasm stage, a further increase in limb muscle tone will affect the functional recovery of limb, or even lead to limb contractures complete loss of function occurs. So lift the spasm, spasm of as soon as possible to help patients through comprehensive treatment of stroke has become a key and difficult points.The study was designed to select and investigate some of Wuhan City, spastic paralysis stroke patients were observed and recorded before and after treatment in different methods of acupuncture affected limb muscle tension changes in classification, analysis before-and after treatment group and comparison group data whether statistically significant differences. Through observation and analysis of clinical efficacy, of thorn, and through the upper and lower limb segments selected cation and anion Acupoints spastic paralysis for improving the efficacy and safety of the mechanism for acupuncture treatment of spastic paralysis after stroke, to provide effective treatment, further acupuncture treatment of spastic paralysis after stroke, to provide some scientific basis. Methods:Will be from September 2009 to February 2011 the Department of Acupuncture and Traditional Chinese Medicine Hospital in Wuhan City,60 cases of hospitalized stroke patients with spastic paralysis research projects satisfied the object-oriented views, in accordance with the principles of the patients were randomly divided into two groups. Acupuncture treatment group, the contralateral limb taken before the top of the temporal slash, slash after the top of the temporal, leaving pin 4 hours, leaving every 30 minutes during the twist pin pin 1; spastic limb acupoints to Yang and Jue Yin The main acupoints, which arm the needle from the Yang meridians, Yin Meridian lower limbs from the needle puncture through the use of both techniques, a slight lift and thrust parallel twisting tactics. Operation of various points to avoid large vessels, the needle slowly, are perpendicularly into the 1.0-1.5 inch reinforcing-reducing, through thorn gas, the needle 10 minutes 30 minutes 5-line pin 1. The control group was present, the generally recognized acupuncture, all point operation to avoid large vessels, the needle slowly, are perpendicularly into the 1.0-1.5 inch reinforcing-reducing, the needle for 30 minutes. Acupuncture treatment groups once a day, six times a week for a course of treatment interval between the day.Treatment after 4 courses are full, respectively, using the modified Ashworth rating scale method (modified Ashworth cale, MAS) and the Fugl Meyer motor function evaluation of a table (referred to as the FMA Table) evaluated in the treatment of stroke patients spasticity before and after the paralysis of limbs and motor function. Statistical analysis software application SPSS17.0: measurement data with the mean±standard deviation (X±S), said group by t test; count data using x2 inspection.Results:4 in both groups successfully completed courses of acupuncture treatment, the treatment group compared with limb muscle tension before the test significantly reduced spasticity eased; limb spasticity treatment group were cured rate and efficiency than the control group, the difference was significant (p<0.05); the two groups before and after treatment efficiency and total body spasm there was no significant difference in efficiency; treatment group,14 cases of 31 patients, accounting for 45.16%; markedly effective in 11 cases, accounting for 35.48%; effective in 5 cases, accounting for 16.13%; 1 case, accounting for 3.23%. The total effective rate was 96.77%. Control group,29 cases basically recovered hemiplegic limb spasticity in 6 cases, accounting for 20.69%; markedly in 13 cases, accounting for 44.83%; 5 cases, accounting for 17.24%; ineffective in 5 cases, accounting for 17.24%. The total effective rate was 82.76%. Treatment group, the increase of lower limb motor function was significantly higher than the control group, the difference was significant (p<0.05).Conclusion:Acupuncture is a Chinese medicine treatment after a stroke paralyzed one of the important ways, the World Health Organization (WHO) specifically determine the stroke is acupuncture indications. Chinese medicine, especially acupuncture in relieving paralysis of limb spasticity after stroke, independent body to promote motor recovery and reducing disability and so on has shown a unique advantage. International standardization program to take acupuncture, yin and yang paralyzed limbs through selection of points match the main points with the face and neck Ashi point, the use of techniques through thorns, supplemented by a modest lift and thrust twisting tactics, making the harmony of yin and yang, yin Pingyang Peru, effectively alleviate the limb of spasticity, spastic paralysis to promote stroke recovery of limb function. The acupuncture method for the treatment of spastic paralysis after stroke, a clearer effect of limb spasticity in improving the same time, improve motor function, and the method is safe and effective, the characteristics of high patient satisfaction, is worthy of promotion and use.