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Clinical Observation On The Treatment Of Limb Motor Dysfunction After Cerebral Infarction By "Tonifying Three Qi Points" Combined With Tiaoshen Tongluo Acupuncture

Posted on:2023-04-04Degree:MasterType:Thesis
Country:ChinaCandidate:F QiFull Text:PDF
GTID:2544306842999269Subject:Acupuncture and massage to learn
Abstract/Summary:
Objective:To observe the clinical effect of "tonifying three Qi points" combined with Tiaoshen Tongluo acupuncture on limb motor dysfunction after cerebral infarction.Method:From April 1,2021 to January 31,2022,66 patients with limb motor dysfunction after cerebral infarction who met the inclusion and exclusion criteria from the inpatient department of the brain disease Acupuncture Center of the Second Affiliated Hospital of Tianjin University of traditional Chinese medicine were randomly divided into control group and treatment group by Excel.On the basis of symptomatic treatment,all patients in the control group were treated with Tiaoshen Tongluo acupuncture.The selected points of scalp acupuncture were parietal midline(Baihui forward to the front top),parietal side line(2.25 inches from the parietal midline,connecting chengling point and Zhengying point),parietal oblique line 1(45 degrees below the front of Baihui Point,1.5 inches long),parietal oblique line 2(45 degrees below the outside of chengling point,1.5 inches long);The selected points of body acupuncture are bilateral wind pool and affected side arm,Quchi,Waiguan,Yongquan,Zusanli and Siqiang.On the basis of the treatment of the control group,the treatment group added "busanqi point",that is,acupuncture Tanzhong point,Zhongwan point and Qihai point.Both groups were treated with filiform needle acupuncture once a day for 30 minutes,6 times a week,7 days as a course of treatment,a total of 2 courses of treatment.Before and after treatment,the neurological deficit and motor function were assessed by simple Fugl Meyer motor function assessment scale(FMA),National Institutes of Health Stroke Scale(nhiss)and Berg Balance Scale(BBS);Before treatment and 3 months after treatment,the quality of life was evaluated by modified Babbitt index(MBI).Result:1 a total of 66 cases are planned to be included in this project,including 33 cases in the treatment group and 33 cases in the control group.During the test,2 cases in the control group fell off,and 1 case in the treatment group fell off due to the patient’s withdrawal from the test;In the control group,2 cases fell off due to the intervention of other treatment methods during the treatment,and a total of 63 cases were finally completed,including 31 cases in the control group and 32 cases in the treatment group.2 Comparison of baseline data between the two groups: after statistical test,there was no significant difference in gender,age,course of disease and affected side between the two groups(P > 0.05),and there was no significant difference in FMA,nhiss,BBS and MBI scores between the two groups before treatment(P > 0.05).3 Comparison of scores of various scales between the two groups:(1)Simple Fugl Meyer motor function rating scale(FMA): after 2 weeks of treatment,the FMA scores of the two groups were higher than those before treatment,and the difference was statistically significant(P < 0.05).After 2 weeks of treatment,the FMA scores of the two groups were compared.The scores of the treatment group were higher than those of the control group,and the difference was statistically significant(P < 0.05).(2)National Institutes of Health Stroke Scale score(NIHSS): after 2 weeks of treatment,the NIHSS score of the two groups decreased compared with that before treatment,and the difference was statistically significant(P < 0.05).After 2 weeks of treatment,the NIHSS score of the two groups was significantly lower than that of the control group(P < 0.05).(3)Berg Balance Scale score(BBS): after 2 weeks of treatment,the BBS score of the two groups increased compared with that before treatment,and the difference was statistically significant(P < 0.05).After 2 weeks of treatment,the BBS scores of the two groups were compared.The scores of the treatment group were higher than those of the control group,and the difference was statistically significant(P < 0.05).(4)Modified Babbitt index score(MBI): three months after treatment,the MBI scores of the two groups were higher than those before treatment,and the difference was statistically significant(P < 0.05).Three months after treatment,the MBI scores of the two groups were compared.The scores of the treatment group were higher than those of the control group,and the difference was statistically significant(P < 0.05).4 Comparison of curative effects between the two groups: after two weeks of treatment,the total effective rate of the treatment group was 84.37%;The total effective rate of the control group was 80.64%;There was no significant difference between the two groups by rank sum test(z =-1-132,P = 0.186 > 0.05).Conclusion:Tiaoshen Tongluo acupuncture and "busanqi acupoint" combined with Tiaoshen Tongluo acupuncture can reduce the degree of nerve injury in patients with limb motor dysfunction after cerebral infarction,and improve the limb motor function,balance function and daily living ability of patients,and the clinical effect of the latter is better than the former.
Keywords/Search Tags:Tonifying Three Qi Points, Acupuncture method of regulating mind and dredging collaterals, Acupuncture and moxibustion, Cerebral infarction, Motor dysfunction
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