| ObjectiveThis project took patients with flaccid paralysis of upper limbs after stroke as the research object,using the method of prospective randomized controlled trials to observe the clinical efficacy of nerve stem stimulation combined with standing digital OT.This project explored the mechanism,optimized the treatment plan for flaccid paralysis of upper limbs after stroke and improved the rehabilitation efficacy of upper limbs of patients with paralysis.MethodsA total of 96 patients in the Department of Acupuncture and Moxibustion and Rehabilitation of Guangdong Second Hospital of Traditional Chinese Medicine from June 2020 to January 2021 were selected.The SPSS software was used to randomly divide the patients into the first control group,the second control group and the experimental group,with 32 patients in each group.All three groups of patients were treated with basic drug,basic rehabilitation training and basic acupuncture treatment.The first control group was given the nerve stem stimulation acupuncture every Monday,Wednesday,and Friday for a total of 4 weeks of treatment;The second control group was given the standing digital OT treatment every Tuesday,Thursday,and Saturday for a total of 4 weeks of treatment;The experimental group was given nerve trunk stimulation acupuncture combined with standing digital OT treatment,and the frequency and course of the treatment were the same as above.The Simplified Fugl-Meyer Motor Function Scale for Upper Limb(FMA-UL)score,Brunnstrom Scale Rating,Barthel Index(BI)score and TCM Symptom score of the three groups were recorded before and after treatment.SPSS 23.0 was used for statistical analysis and the clinical efficacy of the three groups was compared.Results1.Basic overview:During the treatment,8 dropout cases were produced,and a total of 88 patients finally completed the study.2.General information:The three groups of patients had no statistical differences in gender,stroke type,age,course of disease,FMA-UL score,Brunnstrom Scale Rating,BI score and TCM Symptom score(P>0.05),which proved the general information of the three groups of patients comparable.3.FMA-UL score:After treatment,the FMA-UL score of the three groups were higher than that before treatment significantly(P<0.01).There was no significant difference in FMA-UL score after treatment and FMA-UL score difference between the first control group and the second control group(P>0.05);Compared with the first control group and the second control group,the experimental group had significant difference in FMA-UL score after treatment and FMA-UL score difference(P<0.01),which produced the experimental group was better than the first control group and the second control group.4.Brunnstrom Scale Rating:After treatment,the Brunnstrom Scale Rating of the three groups were higher than that before treatment significantly(P<0.01).There was no significant difference in Brunnstrom Scale Rating between the first control group and the second control group(P>0.05);Compared with the first control group and the second control group,the experimental group had significant difference in Brunnstrom Scale Rating(P<0.05),which produced the experimental group was better than the first control group and the second control group.5.BI score:After treatment,the BI score of the three groups were higher than that before treatment significantly(P<0.01).There was no significant difference in BI score after treatment and BI score difference between the first control group and the second control group(P>0.05);Compared with the first control group and the second control group,the experimental group had significant difference in BI score after treatment and BI score difference(P<0.01),which produced the experimental group was better than the first control group and the second control group.6.TCM Symptom score:After treatment,the TCM Symptom score of the three groups were lower than that before treatment significantly(P<0.01).There was no significant difference in TCM Symptom score after treatment and TCM Symptom score difference between the first control group and the second control group(P>0.05);Compared with the first control group and the second control group.the experimental group had significant difference in TCM Symptom score after treatment and TCM Symptom score difference(P<0.05).which produced the experimental group was better than the first control group and the second control group.ConclusionThe clinical efficacy of nerve stem stimulation combined with standing digital OT in the treatment of patients with flaccid paralysis of upper limbs after stroke is better than the single application of nerve stem stimulation or standing digital OT,which can Improve upper limb function and the level of activities of daily living,and it is worthy of being recommended in future clinical practice. |
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