| Objectives To observe the clinical curative effect of Qihuang needle therapy in the treatment of limb spasm after stroke hemiplegia,and to compare the curative effect difference between Qihuang needle and ordinary acupuncture,so as to provide objective basis for the clinical curative effect of Qihuang needle therapy in the treatment of limb spasm after stroke hemiplegia,and to provide clinical research data for further popularization and application of Qihuang needle therapy.Methods A total of 70 patients who met the inclusion criteria in this study were randomly divided into treatment group(35)and control group(35).On the basis of routine drug treatment and rehabilitation training,the treatment group was treated with Qi Huang needle therapy,and the control group was treated with ordinary acupuncture.All cases in both groups were treated three times a week,and two weeks as a course of treatment,a total of two courses.The cases in both groups were assessed with Modified Ashworth Scale(MAS),Fugl-Meyer Assessment(FMA)and Modified Barthel Index(MBI)before treatment,after a course of treatment and after the end of treatment,respectively.The curative effect standard was determined according to the improvement rate of cases’ FuglMeyer Assessment.The adverse events in the treatment process were observed and recorded,and statistical analysis was performed with SPSS 24.0.The improvement of muscle tension,motor function and daily living ability of the affected limb was observed to evaluate the clinical efficacy and safety of the two groups.Results A total of 70 cases were collected in this study,and 6 patients were lost during the treatment.Finally,64 cases completed the observation,32 cases in the treatment group and 32 cases in the control group.1 There was no significant difference in MAS,FMA and MBI scores between the two groups before treatment(P>0.05),suggesting that the basic conditions of the two groups before treatment were consistent and comparable.2 After a course of treatment,the scores of MAS,FMA and MBI in the treatment group were significantly improved compared with those before treatment,and the difference was statistically significant(P<0.05),while the scores of MAS,FMA and MBI in the control group were not significantly different from those before treatment(P>0.05).3 After the total course of treatment,the scores of MAS,FMA and MBI in both groups were significantly improved compared with those after one course of treatment,and the difference was statistically significant(P<0.05).And the improvement of the treatment group was better than that of the control group(P<0.05).4 The effective rate: FMA score of the cases was taken as the evaluation standard of curative effect.After the total course of treatment,in the treatment group,6 cases were markedly effective,14 were effective,8were progressive,and 4 were ineffective,the final efficiency was 87.50 %;in the control group,1 was markedly effective,3 were effective,20 were progressive,8 were ineffective,and the final efficiency was 75.00%.The difference between the two groups was statistically significant(P<0.05).Conclusions 1 Qi Huang Needle therapy has improved muscle tension,motor function and daily living ability of cases with limb spasm after stroke hemiplegia,indicating that Qihuang Needle therapy has definite curative effect in the treatment of limb spasm after stroke hemiplegia.2 Qihuang needle therapy has faster curative effect and more obvious effect than ordinary acupuncture,which is worthy of further promotion in clinic.Figure 0;Table 8;Reference 101... |
