Effect Of Tongdu Tiaoshen Acupuncture On Homocysteine Level In Patients With Post-stroke Fatigue And Its Therapeutic Effect

1 Objective To observe the improvement of fatigue symptoms of post-stroke fatigue patients by acupuncture combined with western medicine and rehabilitation therapy,and to explore the therapeutic advantages and some mechanisms of acupuncture on post-stroke fatigue.2 Methods Sixty patients who met the inclusion criteria were enrolled and divided into treatment group and control group according to the random number table method,30 cases in each group.The control group was treated with western medicine combined with rehabilitation treatment.The treatment group was combined with the governor to adjust the acupuncture on the basis of the control group.The main points: Baihui,Fengfu,Dazhui,Mingmen,Huajing Jiaji points,acupuncture once a day,Both groups were treated continuously for 8 weeks and 4 weeks for one course of treatment.Post-stroke fatigue relief was assessed by the Fatigue Severity Scale(FSS),the Stroke-Specific Quality of Life Scale(SS-QOL),and the serological factor homocysteine level(Hcy).3 Results 3.1 Two groups of homocysteine(Hcy)levels There was no significant difference between the two groups before treatment(P>0.05).There was no significant difference between the two groups.P<0.01 in the treatment group and P>0.05 in the control group.The treatment group showed significant difference after a course of treatment,which was statistically significant.No statistical significance;after treatment,P <0.05,statistically significant.Comparison of 1 course of treatment and 2 courses of treatment showed P<0.05,which was statistically significant.3.2 Fatigue severity scale(FSS)score P>0.05 before treatment in the two groups,the two groups were comparable;P<0.01 in the two groups before and after treatment,there was a significant difference,suggesting that both groups can reduce the FSS score;and after treatment,P<0.05,Statistical significance.Comparison of 1 course of treatment and 2 courses of treatment showed P<0.01,which was significantly different and statistically significant.3.3 Stroke-specific quality of life scale(SS-QOL)score There was no significant difference between the two groups before treatment(P>0.05).There was no significant difference between the two groups before and after treatment.P<0.01,there was significant difference,suggesting that both groups can increase the SS-QOL score;and after treatment,P< 0.05,statistically significant.Comparison of 1 course of treatment and 2 courses of treatment showed P<0.05,which was significantly different and statistically significant.3.4 Total efficacy of the two groups The overall clinical effective rate of the acupuncture group was higher than that of the control group.The total effective rates of the two groups of methods for treating post-stroke fatigue were 90% in the acupuncture group and 83% in the control group.The difference between the two groups was P<0.05,and the difference was statistically significant.4 Conclusion: 4.1 The two treatments,namely,the acupuncture combined with western medicine and the basic treatment of western medicine,can reduce the level of Hcy,and the reduction of Hcy is more significant in the acupuncture group.4.2 The combination of acupuncture and acupuncture combined with western medicine can significantly improve the fatigue symptoms of patients with PSF and improve their quality of life.The curative effect is better than that of basic medical treatment.4.3 Through the intervention of acupuncture and acupuncture on patients with PSF,the treatment effect of fatigue after stroke can be achieved.One of the mechanisms may be related to the reduction of Hcy level.