Ju-needling Combined With Conventional Spastic Hemiplegia Of Cerebral Infarction At Restoration Stage Treated By Acupuncture Curative Effect Observation

ObjectiveThrough the observation of Ju-needling combined with conventional acupuncture and simple routine acupuncture therapy of spastic hemiplegia after cerebral infarction curative effect study on curative effect of Ju-needling mechanism for treatment of spastic hemiplegia after cerebral infarction by acupuncture method of reference.MethodsThe standard object into 60 cases were randomly divided into two groups, the specific research method is:1. The treatment group on the basis of rehabilitation treatment by swollen thorn with routine acupuncture treatment, one side at the regular operations take reducing method, take the contralateral routine interpolation method, the contralateral first needle treatment, after the needle side, each hole operation about 30 s, retaining needle 30 min, treatment 1 times a day, five times a week, two weeks for a course of treatment. 2. Rehabilitation training in accordance with the "Chinese stroke rehabilitation guide" for patients with motor function assessment and formulate the corresponding rehabilitation plan, treatment 1 times a day, five times a week, two weeks for a course of treatment.3. The control group used in rehabilitation treatment on the basis of routine acupuncture therapy, acupuncture method and the treatment group with side main point, with acupuncture point acupuncture points and operating method of the same, rehabilitation training content with the treatment group.4. Before treatment are compared, and the baseline and the outcome of the treatment observed in security, after two weeks after the treatment in order to simplify the Fugl-Meyer rating of motor function recovery, modified Barthel index (MBI) scale to assess patients’ daily life ability improvement, the clinical nerve function defect degree of neural functional recovery in patients with rating, evaluation of clinical therapeutic effect evaluation standard of stroke symptoms improve the situation.Results1、Baseline and safety evaluation:In this study,60 cases of eligible subjects were successfully completed, no shedding and eliminating, no adverse reactions occurred. Two groups of patients in terms of gender, age, course of disease, muscle tension grading baseline ratio, treatment groups before comparison of simplified Fugl Meyer motor function score, modified Barthel Index (MBI) rating scale, brain stroke patients clinical neural function defect degree score difference was not statistically significant.2、Simplified Fugl-Meyer score:Before and after treatment in treatment group score was 35.48±20.95,42.03 ±23.43; before and after the treatment, the control group scores were 35.19±24.86,42.58±26.06; between the two groups after treatment difference no statistical significance (P>0.05), but the treatment group and control group scores were compared with those before treatment significantly increased (P<0.05).3、Modified Barthel index (MBI) scale:Before and after treatment in treatment group score respectively29.59±26.42 and 40.34±32.63; before and after the treatment, the control group score respectively 33.84±32.72,41.03±33.84; between the two groups after treatment difference no statistical significance (P>0.05), but the treatment group and control group scores were compared with those before treatment significantly increased (P<0.05).4, Clinical nerve function defect score:Before and after treatment in treatment group score were 19.21±8.30,16.07±8.87; before and after the treatment, the control group scores were 18.84±9.57,15.77±9.46; between the two groups after treatment difference no statistical significance (P> 0.05), but the treatment group and control group scores were compared with those before treatment significantly (P<0.05).5、Stroke clinical efficacy evaluation standard:before and after treatment, the scores of treatment group were 18.76±8.74,15.31±9.34; before and after the treatment, the control group score respectively 18.13±9.30,15.23±9.49; between the two groups after treatment difference no statistical significance (P> 0.05), but the treatment group and control group scores were compared with those before treatment significantly improved (P< 0.05), treatment group, the effective rate was 65.52%; the control group, the effective rate was 61.29%. Two groups have efficiency differences had no statistical significance (P> 0.05).ConclusionIn rehabilitation training on the basis of swollen thorn with conventional acupuncture and simple routine acupuncture in improving the limb movement function in patients with spastic hemiplegia after cerebral infarction, daily life ability, degree of nervous function defect and there was no significant differences of stroke symptoms, but with routine acupuncture treatment of swollen thorn efficient is higher than the pure acupuncture, for spastic hemiplegia after cerebral infarction and swollen thorn method for traditional Chinese medicine and modern medicine theory and practice support, this study also revealed the number of cases, observation time is short, less and not objective indicators of materials is insufficient, therefore, this study thought spastic hemiplegia after cerebral infarction can be used "to fill the contralateral, reducing side" approach, should be perfected further research.