Clinical Observation Of Acupuncture At The Nodes Of Meridians And Tendons In The Treatment Of Upper Limb Spastic Paralysis After Stroke

Objective:By observing the clinical curative effect of acupuncture at the nodes of meridians and tendons in the treatment of spastic paralysis of the upper limbs after stroke,compared with traditional acupuncture methods,the rational plan of acupuncture for the treatment of this disease under the guidance of the theory of meridians and tendons was discussed to improve the therapeutic effect.Methods:1.Subjects: A total of 62 subjects who met the criteria were included in the tenth ward of the Acupuncture Department of ten wards of acupuncture and moxibustion department of the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine.Following the principles of randomization and blinding,they were divided into the treatment group and the control group according to the ratio of 1:1,each group has 31 patients.2.Therapy Method: Both groups of patients received basic treatment for cerebrovascular disease.The control group adopted the traditional acupuncture method for post-stroke hemiplegia in the second edition of "Therapeutics of Acupuncture and Moxibustion".The junctions of the tendons on the upper tendons of the three yin meridians were restored,and the needles were not retained;then,the junctions of the tendons on the upper tendons of the three yang meridians were taken,and the needles were retained for 30 minutes after lifting,inserting,twisting and supplementing.The total course of treatment lasted 4 weeks,with a course of 2 weeks.Subjects received a total of 6 treatments per week,with the exception of 1 day off per week,1 treatment per day.Subjects were scored on different scales before treatment,2 weeks and 4 weeks after treatment,and statistical analysis was performed to observe and analyze the curative effect.3.Evaluation indicators: The Modified Ashworth Scale(MAS)was used to evaluate the muscle tone of the upper extremities,and the improvement of the scores before and after treatment was used as the main efficacy index to evaluate the two treatment regimens;The Motor Assessment(FMA)was used to evaluate the improvement of upper extremity motor function of patients before and after treatment;The Modified Barthel Index(MBI)was used to evaluate the influence of the two treatment methods on patients’ ability of daily living.Results:During the treatment period,1 case in the control group dropped out due to changes in the condition,and finally 30 cases in the control group and 31 cases in the treatment group completed the treatment.No adverse events occurred during the trial.1.Analysis of clinical efficacy: The rates with the combined effect of the treatment group and the control group were 87.10% and 63.33%,respectively,and there was a difference(P<0.05),indicating that the treatment group had better outcomes than the control group.Intragroup comparison: After 2 weeks of treatment,MAS scores,FMA scores and MBI scores for elbow flexor stiffness in both groups improved compared to before treatment(P<0.05).Muscular MAS,FMA and MBI scores improved compared to before treatment(P<0.05)compared between groups after 2 weeks of treatment.Improvement of MAS and elbow stiffness FMA scores in the treatment group.Better than in the control group(P<0.05)after 4 weeks of treatment,elbow flexion,wrist flexion,and digitorum stiffness MAS scores improved,FMA scores and MBI scores improved in the control group.received better treatment than the control group.Conclusion:1.Both acupuncture at the nodes of meridians and tendons and traditional acupuncture can effectively treat spastic paralysis of the upper limbs after stroke.2.Acupuncture at the nodes of the meridians and tendons is superior to the traditional acupuncture method in reducing the muscle tension of each flexor muscle group of the affected limb,improving the motor function of the upper limb,and improving the activities of daily living.The onset time of patients’ upper limb motor function is faster than that of traditional acupuncture.3.Acupuncture at the nodes of meridians and tendons is guided by the theory of meridians and tendons,which can effectively improve spastic paralysis of the upper limbs after stroke.It is safe and effective,and is worthy of clinical promotion.