Clinical Research On The Treatment Of Motor Dysfunction After Stroke With Jia Jian Shu Yu Pill Combined With Acupuncture

Objective:Stroke is a common age-related diseases.Has thecharacteristics of high incidence and high mortality, highmorbidity.Motor dysfunction is one of the stroke, the most commonsequelae.A great impact on a patient’s quality of life.How toeffectively promote stroke recovery of motor function in patientswith motor dysfunction.There is an urgent need to solve the problemand explore its recovery mechanisms.The subject is using additionand subtraction yam pills combined with limb dysfunction afteracupuncture treatment for stroke.Observed before and aftertreatment (NIHSS)(MAS)(FMA),(MBI), changes to clear subtractionjiajianshuyu pills with acupuncture clinical efficacy.And the useof fMRI observation stroke motor dysfunction, changes in the brainsof patients with the appropriate functional areas and the additionand subtraction of jiajianshuyu pills with acupunctureintervention effect corresponding functional areas of the brainactivated.Methods:1.Clinical data:All the cases were from June2011-2012inDecember, the Affiliated Hospital of Hubei University of ChineseMedicine encephalopathy outpatient, inpatient, select metinclusion criteria limb motor function after stroke disorders, collected a total of40cases,40patients randomly divided intoacupuncture group (treatment group) and rehabilitation (controlgroup), including acupuncture group20cases,20cases ofrehabilitation training group.2.Treatment programs: Patients in both the conventional basictreatment of cerebral vascular diseases, including control of riskfactors, prevention and treatment of complications, dehydrationnecessary to reduce intracranial pressure. On this basis, theexperimental program, the treatment group and the control groupwere given different interventions: the The treating groupsubtraction yam pills (water pan for the pills) orally once9g,three times a day before meals; scalp acupuncture combined bodyneedle acupuncture therapy a day, five times a week. The controlgroup received rehabilitation training, rehabilitation, andregular rehabilitation training after a detailed examination of thepatient by a doctor by profession, according to the patient’scondition, each30minutes,5times a week. The treatment lastedfour weeks.The control group received rehabilitation training,rehabilitation3.Effects were observed: before and regular rehabilitationtraining after a detailed examination of the patient by a doctorby profession, according to the patient’s condition, each30minutes,5times a week treatment and after4weeks, using U.S.National Guardian Institutes of Health Stroke Scale (NIHSS) ratinga good price for the two groups of patients nerve function peopleuse transport translational evaluation form (MAS), Fugl-Meyeramount of days table (FMA) and modified Barthel Index (MBI) priceevaluation limb motor function in two groups of patients; functional MRI (magnetic resonance chambers at the People’sHospital of Wuhan University and before treatment, as well as theend of treatment carried out)4.Indicators of security checks: before and after treatment,respectively into the group on the1st and the28th check patientsblood pressure, heart rate, respiration, body temperaturesituation as well as the three conventional, liver and kidneyfunction and electrocardiogram.into the group on the1st and the28th check patients blood5.Data analysis: analysis of the four kinds of scales dataobtained using SPSS17; functional magnetic resonance imagingapplications based on MATLAB platform SPM5software, and theresults were analyzed using the software, limbs contralateral M1area observed before and after treatment in patients with brainactivation.functional magnetic resonance imaging applicationsbased on MATLAB platform SPM5softwareResult:Treatment of patients before general information(gender,age,disease duration, ipsilateral lesions of nature),clinical data (NIHSS, MAS, FMA, MBI) differences were notstatistically significant comparability; treatment after fourweeks of treatment The group of patients with NIHSS, MAS, FMA, MBIscores were better than the control group, The difference wasstatistically significant, suggesting that the treatment group,prompt treatment group than the control group on the improveneurological function and motor function. The two groups of patientsbefore and after treatment limb contralateral M1activationdifferences in prompt treatment intervention role in the activation of the M1District.ConclusionSubtraction jiajianshuyu pills with acupuncture caneffectively improve stroke motor dysfunction in patients with limbmotor function, and mere rehabilitation for patients with limb motorfunction recovery has certain advantages. Acupuncture combined withtherapy can effectively improve stroke motor dysfunction inpatients with various neurological deficit symptoms. Functionalmagnetic resonance imaging (fMRI) for evaluation limb motorfunction after stroke disorders of motor function laser level livingsituation and identification of restoring security complexmechanism feasible.