Clinical Observation Of "Resolving And Correcting" Needle Method Combined With New Bobath Technique To Prevent Post-stroke Paralysis

Objective : Objective To evaluate the effects of acupuncture combined with rehabilitation technology by observing the effects of "antispasmodic and rectifying deviation" acupuncture combined with new Bobath technology on the degree of spasticity,motor function,daily living ability and serum ?-aminobutyric acid(GABA)content in patients with spasticity after stroke The treatment effect for patients with post-stroke spasticity,provides a healthy,economical,safe and sustainable best rehabilitation program for patients with post-stroke spasticity,and also develops standardized standards for technical promotion to further improve the treatment system for post-stroke spasticity,and improve The quality of daily life of stroke patients.Methods:In this study,90 patients who met the criteria in the enrolled patients of the Department of Encephalopathy and Rehabilitation of the Third Chinese Medicine Hospital of Shanxi College of Traditional Chinese Medicine were randomly divided into three groups according to the random number table method.Group C(30 patients).On the basis of conventional rehabilitation treatments,group A was treated with the "spasmodic correction" acupuncture combined with the new Bobath rehabilitation training;group B was treated only with the "spasmodic correction corrected" acupuncture;group C was treated with only new Bobath rehabilitation.Once a day,6 times a week,3 weeks is a course of treatment,and 2 courses of treatment are a total of 6 weeks.By comparing changes in the degree of spasm,motor function,daily living ability,and serum ?-aminobutyric acid(GABA)content in patients in groups A,B,and C before and after treatment,the clinical efficacy of the treatment on post-stroke spasm was evaluated.Results:(1)Before treatment,the gender,age,course of disease have not statistically different after statistical treatment(P> 0.05),and can be compared.(2)Comparison by modified Ashworth spasm scale(MAS)score: There was no statistical difference in the modified Ashworth score of the three groups of patients before treatment;there was a statistical difference between the modified Ashworth score of the three groups of patients before treatment and the modified Ashworth score before treatment(P <0.05).;After treatment,the patients in group A were significantly different from thosein group B and C(P <0.05);the patients in group B were not significantly different from those in group C after treatment(P> 0.05).(3)Comparison by Fugl-Meyer scale(FMA)score: There was no statistical difference in Fugl-Meyer scores between the three groups of patients before treatment;there was a statistical difference between the three groups of patients after treatment and the modified Ashworth score before treatment(P <0.05).);After treatment,patients in group A had significant differences compared with groups B and C(P <0.05);patients in group B had significant differences compared with group C after treatment(P <0.05).(4)Comparison according to Barthel scale scores: Barthel scores of the three groups of patients before treatment were not statistically different;Barthel scores of the three groups of patients were significantly different from those of Barthel before treatment(P<0.05);There was statistical difference between group B and group C(P <0.05);there was no statistical difference between group B patients and group C after treatment(P> 0.05).(5)Comparison of ?-aminobutyric acid(GABA)content in serum: there was no statistical difference in GABA content between the three groups of patients before treatment;there was a statistical difference in GABA content between the three groups of patients after treatment and before treatment(P <0.05);After treatment,the patients in group A were significantly different from those in group B and C(P <0.05);the patients in group B were not significantly different from those in group C after treatment(P> 0.05).Conclusions:(1)"Antispasmodic correction" acupuncture combined with the new Bobath technology and the simple use of "spasmotherapy correction" acupuncture or the new Bobath technology can improve the degree of spasticity in patients.(2)The curative effect of the combined anti-spasm and correction method combined with the new Bobath technology group is better than that of the pure anti-spasm correction method and the new Bobath technology group.(3)The "spasmolysis and correction" acupuncture method combined with the new Bobath technology can effectively reduce the patients' spasm classification,improve motor function level,improve daily living ability,and increase the serum GABA content.