| Objective:Stroke has the characteristics of high morbidity and high disability rate.The motor function of limbs after stroke not only seriously affects the daily life of patients,but also brings heavy economic burden to family and society.Therefore,how to improve the rehabilitation effect and reduce the disability rate has become a hot issue in the rehabilitation of stroke.Acupuncture combined with rehabilitation therapy is the main means of rehabilitation after stroke.Traditional acupuncture in ancient China used in stroke rehabilitation,to the modern,academician Shi Xuemin founded the Xingnao Kaiqiao acupuncture method,which is a kind of special acupuncture method,which emphasizes the study of acupuncture manipulation quantitative criteria is mature applied in stroke rehabilitation.The acupuncture combined with rehabilitation therapy can improve the motor function of stroke patients has been confirmed,Xingnao Kaiqiao acupuncture has a definite therapeutic effect on stroke patients,and its mechanisms is also gradually mature.For further study the mechanisms of Xingnao Kaiqiao acupuncture combined with exercise therapy,this research use SEP to observe the changes of function of patients before and after treatment,and provide scientific basis for post stroke rehabilitation,to promote the precision of stroke rehabilitation.At the same time,the activities of daily living and the changes of limb motor function were observed,and the correlation between SEP and Barhtel index and Fugl-meyer score was analyzed.Methods:According to the inclusion criteria 30 cases of stroke patients were randomly divided into treatment group("Xingnao Kaiqiao acupuncture combined with exercise therapy)and control group(physical therapy),15 patients in each group.The two groups were stratified according to Brunnstrom staging.Before and after treatment,4 weeks after treatment,the treatment group was assessed by(FMA)and activity of daily living(MBI)after treatment for SEP weeks.After third and 6 months of follow-up.Results:The treatment group two patients 4 weeks and 8 weeks after treatment,limb FMA scores were higher than before treatment,the difference was statistically significant(P<0.05);no significant difference after 4 weeks of treatment,two groups of patients with FMA score(P>0.05),after 8 weeks of treatment,the combined treatment group was significantly better than the control group(P<0.05)the treatment group of two patients;4 weeks and 8 weeks after treatment,MBI scores were higher than those before treatment(P<0.05),treatment group two patients 4 weeks and 8 weeks after treatment MBI score had no significant difference(P>0.05),group MBI for 4 weeks and 8 weeks after treatment to improve the value of MBI and the control group increased compared with the no significant differences(P>0.05);the two groups were treated for 8 weeks,N20 of limbs were observed before the treatment,P40 latency shortened,amplitude is increased than before treatment(P<0.05)treatment group,limb N20,P40 latency shortened and amplitude increased number of values after 8 weeks of treatment Values were significantly higher than those in the control group(P<0.05).Conclusion:Acupuncture combined with exercise therapy can improve stroke patients with limb motor function and daily life ability,can promote central nervous system plasticity,so as to improve the curative effect of rehabilitation.The combined therapy can effectively shorten the latency of SEP and increase its amplitude,which is better than the simple exercise therapy.The changes of SEP latency and amplitude were positively correlated with FMA score and MIB score. |
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