| Objective: In order to find a new treatment method for the clinical treatment of this disease in traditional Chinese medicine,the clinical efficacy,safety,advantages,and disadvantages of cluster acupuncture in the treatment of post-stroke cerebellar ataxia were observed and compared with ordinary acupuncture in a clinical study.Research Methods: In strict conformity with the inclusion and exclusion criteria,a total of 60 patients with post-stroke cerebellar ataxia were recruited from the fourth Department of Encephalopathy outpatient and ward of the Second Affiliated Hospital of Anhui University of Chinese Medicine.For clinical examination,we selected at random 60 patients,30 to the comparison group and 30 to the treatment group,and used the random number table approach.The group’s patients each received personalized symptomatic care.The treatment group also received cluster acupuncture(point selection in accordance with the 4th Edition of Acupuncture and Moxibustion),a single time per day,six times average weekly,all through the duration of 4 weeks.The control group received primarily traditional acupuncture treatment.All patients had an efficacy assessment prior to therapy and following one course of treatment,with the outcomes being documented using primary and secondary observational indicators.The Berg Balance Scale(BBS),the modified Barthel Index(MBI),and the International Cooperative Ataxia Rating Scale(ICARS)of the World Federation of Neurology served as the principal observational indicators.SPSS26.0 software was used to statistically analyze the data.Results: In the course of clinical observation,1 patient in the treatment group voluntarily withdrew from the study with poor compliance,and 1 patient in the control group terminated the observation due to deterioration of the condition.There were 29 cases in each group of effective observation,and 58 cases in total were completed in the two groups.1.Analysis of general conditions before the start of treatment: Before the start of treatment,the general conditions of the two groups were compared,such as age,course of disease,gender,stroke type,ICARS score,BBS score,and MBI score.After statistical test,there was no statistically significant difference between the two groups and they were comparable(P<0.05).2.Analysis of observation indexes after treatment:(1)Changes of ICARS scores in patients with cerebellar ataxia after stroke Both groups’ ICARS assessments were significantly lower within a week of therapy(P<0.05)than they were before.The treatment group’s ICARS score was significantly greater than the control group’s,and this distinction was statistically meaningful(P<0.05).(2)Changes of BBS scores in patients with cerebellar ataxia after stroke Both groups’ BBS assessments were significantly higher after one course of therapy(P<0.05)than they were before.The treatment group’s BBS score was significantly greater than the control group’s,and this distinction was statistically meaningful(P<0.05).(3)Changes of MBI scores in patients with cerebellar ataxia after stroke Both groups’ MBI assessments were significantly higher after one course of therapy(P<0.05)than they were before.The treatment group’s MBI score was significantly greater than the control group’s,and this distinction was statistically meaningful(P<0.05).(4)Changes of efficacy index before and after treatment in two groups 13 patients in the intervention group were effective after one round anyway therapy,14 patients were significantly effective,and 1 patient was cured.96.55% was the overall effective rate.20 individuals in the control group were effective,three participants were significantly effective,and 0 cases were cured.79.31% functioned as the overall effective rate.In the treatment group,there were greater numbers of overall effective cases than in the control group,and the efficacy was higher throughout the therapy group than in the control group(P<0.05).Conclusion:(1)Cluster acupuncture combined with ordinary acupuncture can not only improve the movement and balance function of patients with post-stroke cerebellar ataxia,but also improve their daily living ability;(2)The mechanism of the treatment of cerebellar ataxia after stroke may be related to the improvement of vertebrae-basilar artery and cerebellar blood supply,the dredge of cervical meridians,and the increase of meridians in the brain;(3)Integrating conventional acupuncture with other modalities of acupuncture can help patients with post-stroke cerebellar ataxia feel so much better,is secure,dependable,affordable,and practical,and is deserving of clinical promotion and use. |
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