A Clinical Study On The Treatment Of Spastic Paralysis After Ischemic Stroke By A Acupun-cture Metho Called "Three Parts As A Whole"

Objective:Observe the clinical curative effect of spastic paralysis after ischemic stroke by “Three parts as a whole”, further discussed the effectiveness of “Three parts as a whole” in reduce the muscle tension,improve the degree of spasm and the ability life.Methods: Divided randomly 60 cases of spastic paralysis after ischemic stroke patients who conform enter standard with spastic paralysis into two groups : “Three parts as a whole” group(experimental group) and rehabilitation training(tcontrol group). experimental group use points of head(top and temporal on both sides、the center of head)、jia ji(C4-T1、L1-L5)、points of extremities:upper extremitie(Jian Yu、Jian Liao、Bi Lao、Shou San Li、Qu Chi、Tian Jing、Wai Guan、Yang Chi、He Gu、Hou Xi、Ba Xie);lower extremitie(huan tiao、cheng fu、yin men、wei zhong、cheng shan、fei yang、yin ling quan、san yin jiao). Use twirling method in points of head and Jia Ji after needle sensation and use twirling reinforcing method in points of extremities,1 times per day,30 min every time,five days as a period of treatment,2days off to rest two days to continue the next coure.Use rehabilitation training for tcontrol group, 1 times per day,45 min every time, ive days as a period of treatment,2days off to rest two days to continue the next coure,there are two period of treatment. To compare clinical curative effect of two groups use MAS、CSI、MBI after 2w、4w and compare the differences of clinical curative effect in different period of treatment,to evaluation the recovery.Results: 1.MAS:Upper limb:After treatment of 2 w experimental group total effectiveness 76.7%,including 7 cases had significant results,11 cases is effective, 5 cases is better, 7 cases is invalid; control group total effectiveness 70.0%,including 5 cases had significant results,9 cases is effective, 7 cases is better, 9 cases is invalid; After treatment of 4 w experimental group total effectiveness 86.7%,including 11 cases had significant results,13 cases is effective, 2 cases is better, 4 cases is invalid; control group total effectiveness 83.3%,including 10 cases had significant results,11 cases is effective, 4 cases is better, 5 cases is invalid.Lower limb:After treatment of 2 w experimental group total effectiveness 80.0%,including 9 cases had significant results,12 cases is effective, 3 cases is better, 6 cases is invalid; control group total effectiveness 73.0%,including 8 cases had significant results,9 cases is effective, 5 cases is better, 8 cases is invalid; After treatment of 4 w experimental group total effectiveness 83.0%,including 12 cases had significant results,11 cases is effective, 2 cases is better, 5 cases is invalid; control group total effectiveness 80.0%,including 10 cases had significant results,9 cases is effective, 5 cases is better, 6 cases is invalid.The rank and inspection analysis showed that there was no statistically significant difference about effect of upper limb and lower limb between two groups(P > 0.05).That is to say, the clinical curative effect is as good as between ”Three parts as a whole”and rehabilitation training in reduce muscle tension of spastic paralysis after ischemic stroke.2.CSI: To compare CSI score of Three time points two groups, experimental group F=2148.734,P<0.05, control group F=123.415,P<0.05, To compare two groups shows: CSI score are lower than before the treatment after 2w、4w(P<0.05), that is to say, the CSI score of two groups were decreased with the increase of treatment and experimental group take effect quickly than the control group.To compare CSI score of two groups Three time points show: it is comparable that there was no significant difference of CSI score of two groups before treatment(P>0.05), CSI score of experimental group is lower than control group in 2w、4w two time points(P<0.05),that is to say,the curative effect of experimental group is better than control group in improve the limb spasm extent.3.BMI: To compare BMI score of Three time points two groups, experimental group F=160.198,P<0.05, control group F=694.412,P<0.05, To compare two groups shows: BMI score are lower than before the treatment after 2w、4w(P<0.05), that is to say, the BMI score of two groups were decreased with the increase of treatment and experimental group take effect quickly than the control group.To compare BMI score of two groups Three time points show: it is comparable that there was no significant difference of BMI score of two groups before treatment(P>0.05), BMI score of experimental group is lower than control group in 2w、4w two time points(P<0.05),that is to say,the curative effect of experimental group is better than control group in improve the limb spasm extent.Conclusions:(1) The clinical curative effect is as good as between “Three parts as a whole” and rehabilitation training in reduce muscle tension of spastic paralysis after ischemic stroke;(2)The clinical curative effect of “Three parts as a whole”is better than rehabilitation training in improve the degree of spasm and the daily life ability of spastic paralysis after ischemic stroke;...