Treating Finger Spasm After Cerebral Infraction By Pricking Shi-xuan Points To Bleeding And Inspecting Its Influence On Patients’ Affective Upper Limbs’median-nerve Functions

Purpose: According to the basic theory of Traditional Chinese Medicine and Acupuncture, observing the variation of the affected hand’s motor function and the degree of neurologic impairment, judging the efficacy of pricking points to bleeding and inspecting the F-wave phase’s variation of affected limb’s median-nerve EMG based before and after treatment on the state of treat patients’ finger spasm after cerebral infraction by general acupuncture and pharmic treatment and pricking Shi-xuan points to bleeding, discussing the mechanism of action of pricking Shi-xuan points to bleeding and find a good therapeutic method to treat finger spasm after cerebral infraction.Methods: dividing 60 patients diagnosed as cerebral infraction with finger spasm into two groups randomly, one is the group of pricking Shi-xuan points to bleeding(treatment group) and the other is general treatment group(control group). The control group takes conventional acupuncture and pharmic treatment and treat the fingers spasm with Baclofen. The treatment group takes as the conventional method but also pricking Shi-xuan points to bleeding intead of Baclofen being compared with the control’s. Before and after treatment, 60 patients will be graded by two rating scales: the hand movement function testing of Fugl-meyer rating scales and the hand muscle strength testing of Neurologic Disability Score,NDS. Besides, their affected limbs’ will be tested by EMG to inspect t F-wave phase’s variation of affected limbs’ median-nerve. Then, calculating the clinical efficiency to observe the recovering degree of cerebral- infraction patients’ fingers’ functional, and compare the efficacy of these two treatment methods.Results:1. The variation of hand’s motor function score of Fugl-meyer rating scale(FMA): before treatment, the difference of two groups of patients of hand’s motor function scores was not statistically significant(P>0.05), but the scores were obviously increased(P<0.05)after treatment, and the treatment group compared with the control group, there was a significant difference(P <0.05).2. The variation of the hand muscle strength rating scale score of neurologic impairment rating scale: before treatment, the difference of two cases of hand muscle strength scores was not statistically significant(P>0.05); but the scores were obviously increased( P<0.05) after treatment,(P<0.05), and the treatment group compared with the control group, there was a significant difference(P <0.05).3. The F-wave phase’s variation of affected limb’s median-nerve EMG: before treatment, the difference of the two groups’ F-wave phase’s of affected limb’s median-nerve EMG was not statistically significant(P> 0.05), but after treatment both of their F-wave phase’s were shortened and the treatment group compared with the control group, there was a significant difference(P <0.05).Conclusion: Both of the conventional acupuncture and pharmic treatment and with Baclofen to treat spasm, and based on the conventional method but pricking Shi-xuan points to bleeding to treat spasm can improve hand’s movement function, promote the recovery of patients’ affective upper limbs muscle strength and median-nerve functions. Compared with the conventional method, the pricking Shi-xuan points to bleeding’s effect is better.