Study On The Effect Of Warming Needle Moxibustion Combined With Rehabilitation Training In Treating Post-stroke Shoulder-hand Syndrome(1^st Stage)

ObjectiveTo observe the effect of warming needle moxibustion Combined with Rehabilitation training in curing Post-stroke shoulder-hand(SHS),To explore an optimal rehabilitation program for this disease.And to provide basis for clinical application and further research.MethodThis topic uses a randomized controlled trial method,referring to the 2014 version of the neurological stroke diagnosis standard published by the People’s Health Publishing House and the “Rehabilitation Assessment and Treatment of Stroke” handbook developed by the China Rehabilitation Research Center in 1996 on shoulder-hand syndrome.According to the diagnostic criteria,70 patients with post-stroke shoulder-hand syndrome who met the inclusion criteria were randomized into a control group(n=35)and a treatment group(n=35)using a random number table method.The treatment group used warm acupuncture and moxibustion combined with western medicine rehabilitation,and the control group used ordinary acupuncture combined with western medicine rehabilitation.Both groups of patients were treated for basic diseases.Conventional basic medical treatment refers to the "Guide to the Prevention and Treatment of Cerebrovascular Diseases in China." Both groups of patients are given conventional basic medicine treatment of neurology to treat basic diseases.Such as anti-platelet aggregation,blood fat,control of blood pressure,blood sugar and so on.According to the specific conditions of the patients,individualized protocols are adopted to control the blood pressure,blood sugar and blood lipids in the appropriate range and to give appropriate treatment such as nutritional nerves.Western medical rehabilitation includes placemen of good limbs,passive and active upper limb exercises,neuromuscular electrical stimulation,and infrared acupuncture point irradiation.Both groups used a unified acupuncture treatment program.The main points: the ipsilateral point ofJiqua,Chize,Neiguan;threepoints,ontheipsilateralshoulder(Jianyu,Jianqia n,Jianhou),Quchi,Shousanli,zusanli(bilateral),dial-ecticalselection points: Qi deficiency blood stasis: Qihai point,Xuehai point;wind and phlegm block: Zhongwan point,Fenglong point(bilateral);Hyperactive of liver yang:Taichong(bilateral),Hegu(bilateral);Plegm heat of zangfu: Fenglong point(bilateral),Hegu(bilateral);Wind formation from yin deficiency:Taixi(bilateral),Taichong(bilateral),After the treatment group got acupuncture,take a section of 1.5 cm in diameter and 2 cm in length,pierce the hole with a thick sharpener at one end,and ignite the perforated end with an alcohol swab.Ipsilateral),Jiansanzhen(ipsilateral),Shousanli,Zusanli(Bilateral),Acupoints: Qihai,Zhongwan acupuncture points on top,covered with a layer of thermal insulation paper on the skin surface of moxibustion Acupoint to prevent burns burn out,Yi Zhu moxibustion,moxibustion 2 points per hole,after the completion of warm acupuncture moxibustion rehabilitation training.The western medicine rehabilitation training was performed after the acupuncture in the control group.The two groups were treated once a day,6 times a week(closed on Sundays),2 courses before and after,and 4 weeks of continuous treatment.Observe the clinical curative effect,the degree of improvement of neurological deficit symptoms,the changes of limb pain indicators and the improvement of upper extremity motor function between the treatment group and the control group.ResultsA total of 70 cases were collected in the clinical study.In the Whole tral and treatment process,a total of 2patients shed off.Intervention group off 1 paitent,the Controlled group off 1 patient.(1)Comparison of baseline:(1)The results showed that the baseline data of sex,age,etiology and course of disease were statistically analyzed(P > 0.05),and the difference between the two groups was not statistically significant.(2)Before the treatment,there was no significant difference of NDS score,VAS score,FMA,and Shoulder hand syndrome score between three groups(P>0.05)(2)Comparison of efficacy :(1)Results of the comprehensive effect evaluation: Intervention group :91.18%,Controlled group :76.47%,The results of the two groups were statis-tically significant(P>0.05)after Comparison,It shows that the Intervention group is more effective than the Controlled group to improve the patient’s clinical symptoms.(2)The results of the two groups were statistically significant(P<0.05)after Comparison of score before and after treatment.(3)Through the statistical After analysis to compare the two groups of patients after treatment of NDS,VAS,FMA differences,The results of the NDS and VAS were statistically significant(P<0.05),FMA were no statistically significant(P>0.05).Conclusion(1)Warming needle moxibustion Combined with Rehabilitation training is better than general acupuncture combined with rehabilitation therapy in the comprehensive effect evaluation(2)Warming needle moxibustion Combined with Rehabilitation training were superior to the general acupuncture combined with rehabilitation therapy in reducing the patient’s pain and restoring the patient’s nerve function.The total effective rate of the treatment group was higher than that of the control group.(3)warming needle moxibustion combined with Rehabilitation training is an optimal combination therapy for the trea-tment of this disease.