| PurposeThis paper observes and estimates the impacts of Flat palm penetrating on the improvement of motor function and residual neurologic damage for the patients with ischemic stroke hand cramps. Thus to verify its effects, and provide new ideas and methods to acupuncture the patients who has ischemic stroke hand cramps. MethodChoose the patient of encephalopathy area and recovery ward area from the first affiliated hospital of Henan traditional Chinese medicine college for example, randomly divides the 64 patients with ischemic stroke hand cramps who meet the criteria into observe group and control group, each group has 32 patients who were received acupuncture therapy on the basis of conventional treatments. Patients from observe group were received flat palm penetrating treatment( penetrate Houxi point from Hegu point, penetrate Hegu point from Houxi point, and eight hole flat spines along the metacarpal clearance); And the patients from control group were received conventional method of stab treatment(acupoint: the eight points, Hegu, Zhongzhu, Houxi, Yangxi, Yangchi, Yanggu).These two groups were given the same internal conventional treatment and the same TCM symptom matching acupoint. Use the 0.30×25~75mm needles(axenic needles which were produced by Wuxi Jiajian Medical Apparatus Instrument Co. Ltd.) to pierce at 5-70 mm depths depends on the different acupoints. Leave the needles for 30 min after they get the breath by acupuncture treatment, total 3 courses with 10 days for one course and once for per day. Give the disease evaluation to the patients before treatment, includes neural function deficit score, Finger movement function evaluation(Wrist related short form Fugl- Meyer motor function assessment method).And evaluation separately after the first course, second course, and third course). After the treatment was finished, compare the evaluation results before the treatment and after the first treatment for the two groups. And compare the evaluation results before the treatment and after the third treatment for the two groups. And then compare the first treatment and the third treatment. There is no uniform standard for the evaluation of clinical curative effect, and we take the standards which passed by the Chinese medical association the fourth national conference on cerebrovascular disease in 1995 to evaluate the treatment effects. Choose the standard about the clinical curative effect evaluation of hand muscle strength in line to compare integral between groups before and after the treatment. The integral was calculated by nim horizon method(Namely: [(before points- points after treatment) before/treatment integral] x 100%), basic recovery: Integral reduce 90% ~ 100%; remarkable progress: Integral reduction of 46% ~ 89%; progress: Integral reduction of 18% ~ 45%; no change: integral reduce or increase within 18%. And give the effect evaluation at the end of the treatment curative. Test data statistical analysis by SPSS20.0 software line. Result1.(1) compared FMA score points between two groups before treatment, there is no significant difference and statistically significant for P = 0.165 > 0.05; Compared the CSS score points of two groups before treatment, there is no significant difference and statistical significance for P = 0.557 > 0.05.(2) Compare the FMA score points of two groups after a course of treatment, there is no significant difference and statistically significant for P=0.440 >0.05; Compared the CSS score points of two groups after a course of treatment, there is no significant difference and statistical significance for P=0.423 >0.05.(3) Compare the FMA score points of two groups after three course of treatment, there is no significant difference and statistically significant for P=0.636 >0.05; Compared the CSS score points of two groups after three course of treatment, there is significant difference for P=0.007 <0.05.2.(1) compared the result between the two situations(before three treatments and after three course of treatment), ? compared FMA score points of two groups In terms of flat palm through thorn groups, there is significant difference for P=0.000 <0.01; Compared within traditional acupuncture groups, there is significant difference for P=0.023 <0.05. ? In terms of CSS score points of two groups, Compared within flat palm through thorn groups, there is significant difference for P=0.023 <0.05; Compared within traditional acupuncture groups, there is significant difference for P=0.044 <0.05.(2) compared the result between the two situations(before three treatments and after three course of treatment), ? compared FMA score points of two groups In terms of flat palm through thorn groups, there is significant difference for P=0.000 < 0.01; Compared within traditional acupuncture groups, there is significant difference for P=0.023 <0.05. ? In terms of CSS score points of two groups, Compared within flat palm through thorn groups, there is significant difference for P=0.000 < 0.01; Compared within traditional acupuncture groups, there is significant difference for P=0.000 <0.01(3). compared the result between the two situations(after one treatments and after three course of treatment), ? compared FMA score points of two groups In terms of flat palm through thorn groups, there is significant difference for P=0.000 <0.01; Compared within traditional acupuncture groups, there is significant difference for P=0.000 <0.01. ? In terms of CSS score points of two groups, Compared within flat palm through thorn groups, there is significant difference for P=0.000 <0.01; Compared within traditional acupuncture groups, there is significant difference for P=0.000<0.01.3. The total effective rate was 93.75% for the Flat palm through group of 32 cases; the total effective rate was 87.50% for the Traditional acupuncture group of 32 cases of patients. Through statistical analysis and compare the curative effect to improve the motor ability in the flat palm through group and traditional acupuncture group, there is no significant difference and no statistical significance for P = 0. 589 > 0.05 marks(FMA), P = 0.721 > 0.05(CSS). Compared from the aspects of total effective rate, however, flat palm through group is higher than the traditional acupuncture group, it shows that there is significant difference trend in the curative effect of the flat palm through thorn group and traditional acupuncture group.4. During the trial, there are no serious adverse events and adverse events occurred in all patients. And compliance is good, there is no phenomenon of excluding, fall off, suspension. Conclusion1. Before treatment, after a course of treatment, after three courses of treatment, by evaluation of statistical comparison and efficient comparison of palm through thorn group and traditional acupuncture group, curative effect of palm through thorn is better than that of traditional acupuncture on the improvement of the fingers and wrist movement in patients, and showing the superiority as the progress through the course.2. Before the treatment, after a course of treatment, after three courses of treatment, by the evaluation and statistics comparison of palm through thorn group and traditional acupuncture group, the improvement of the two groups of fingers, wrist movement function has good curative effect and gradually takes effect.3. The method of palm through thorn treatment of ischemic cerebral apoplexy hand cramps, is safe, effective, and easy to operation, so it’s worthy of clinical popularization and application. |
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