| Objective: This clinical trial observes the curative effect of "regulating yin and yang" penetrating acupuncture combined with low-frequency repetitive transcranial magnetic stimulation on spasticity of upper limbs in convalescent patients with stroke,explores the synergistic effect of the two therapies,and provides new ideas for clinical treatment of upper extremity spasticity after stroke.Methods: In this clinical study,the total patients were from the ward of comprehensive rehabilitation department of the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine.Following the principle of randomized control,60 patients with upper limbs spasticity in the stroke Convalescence stage who met the inclusion criteria were randomly split into an observation group(30 cases)and a control group(30 cases).All patients received basic treatment,including basic drug treatment and basic rehabilitation treatment.On this basis,the control group added the penetration acupuncture method of "regulating yin and yang"(Once a day,30 minutes each time,6 times a week for 2 weeks).The observation group received low-frequency r TMS treatment on the basis of the previous treatment(1Hz,Once a day,22 minutes each time,6 times a week for 2 weeks).All patients received 2 rounds of scale scores before and after treatment,including Modified Ashworth Scale,upper extremity Fugl-Meyer Assessment,Modified Barthel Index,National Institutes of Health Stroke Score,which to evaluate the patients’ spasticity of upper extremity,motor function of upper extremity,activities of daily living and neurological deficits.Finally,use EXCEL form to collect and organize relevant data.Use SPSS25.0 software for statistical analysis.Draw with Graph Pad Prism9.0 software.Results:1.Observation of curative effect: In the observation group,the overall response rate was93.33%.In the control group,the total efficiency rate was 70.00%.The curative effect of the observation group was better than that of the control group within 2 weeks after the end of treatment.The difference between the two is statistically significant(P<0.05).2.MAS score: Before starting treatment,there was no dramatic difference in MAS scores between the two groups(P>0.05).After the treatment in 2 weeks,MAS scores in both groups were lower than those before treatment(P<0.01).However,there was no statistical difference in the reduction rate between the two groups after treatment(P > 0.05).After subgroup analysis according to MAS spasticity grade,the results showed that in grades 1 and1+,the scores of the observation group were lower than those of the control group,and the results were statistically different(P < 0.05);In grades 2 and 3,there was no statistical difference between the both groups(P>0.05).3.FMA-UE score: Before treatment,there was no significant difference in FMA-UE score between the two groups(P>0.05);After 2 weeks,The FMA-UE scores of both groups increased compared with the previous ones(P<0.01),and the growth rate of the observation group was greater than that of the control group,with a statistical difference(P<0.05).4.MBI scale score: Before treatment,there was no significant difference in MBI score between the two groups(P > 0.05);After 2 weeks,the MBI scores in both groups were improved compared with the previous ones(P < 0.01),and the improvement rate of the observation group was greater than that of the control group,with statistical difference(P<0.05).5.NIHSS score: Before treatment,there was no significant difference in NIHSS score between the two groups(P>0.05).After 2 weeks of treatment,the NIHSS scores of the two groups were decreased compared with the previous ones(P<0.01),however,there was no statistical difference between the two groups after treatment(P>0.05).Conclusions:1.Both the observation group and the control group can effectively lighten the upper limbs spasticity in patients after stroke,and the clinical effect of the observation group is better than that of the control group.2.Both the groups can effectively improve the motor function of the upper extremity of post-stroke patients,and the effect of combined therapy is more obvious.3.Both the observation group and the control group can enhance the daily living ability of patients after stroke,and the clinical curative effect of the observation group is better than that of the control group.4.Both the observation group and the control group can improve the recovery of neurological deficits in patients with upper extremity spasm after stroke,but the two treatments are equally effective in improving the recovery of neurological deficits. |
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