Curative effect of Xingnaokaiqiao acupuncture combined with acupoint injection on patients with Qi deficiency and blood stasis syndrome of spastic upper limb paralysis after ischemic stroke
Objective To study the efficacy of Xingnaokaiqiao acupuncture combined with acupoint injection on patients with Qi deficiency and blood stasis syndrome of spastic upper limb paralysis after ischemic stroke(IS).Methods This study was a randomized controlled trial.A total of 100 patients with Qi deficiency and blood stasis syndrome of spastic upper limb paralysis after IS treated in Ankang Hospital of Traditional Chinese Medicine from December 2021 to September 2023 were selected as the study objects.The patients were divided into an observation group(50 cases)and a control group(50 cases)by the random number table method.The observation group withdrew 1 case due to type 2 diabetes,1 case due to pneumonia,and the control group withdrew 1 case due to hypertension.Finally,97 cases were included.In the observation group,there were 25 males and 23 females,aged 41-76(58.54±8.29)years,and the duration of disease was(1.63±0.27)months.In the control group,there were 22 males and 27 females,aged 40-74(57.06±8.73)years,and the duration of disease was(1.52±0.31)months.The control group was given standardized stroke rehabilitation treatment,and the observation group was given Xingnaokai acupuncture combined with acupoint injection based on the control group.Both groups were treated for 2 weeks.The clinical efficacy and spasmodic degree[modified Ashworth Scale(MAS)],motor function[Fugl-Meyer Motor Function Assessment(FMA)],and ultrasonic shear wave velocity(SWV)of skeletal muscle(biceps,triceps,and brachioradialis)before and after treatment were compared between the two groups.Independent sample t test,paired t test,and x2 test were used for statistical analysis.Results The total effective rate of the observation group was higher than that of the control group[89.58％(43/48)vs.73.47％(36/49)](P＜0.05).After treatment,the MAS score in the observation group was lower than that in the control group,and the FMA score was higher than that in the control group[(1.02±0.26)points vs.(1.44±0.25)points,(28.13±5.53)points vs.(20.29±5.01)points](both P＜0.05).The SWV of biceps,triceps,and brachioradialis in the observation group were lower than those in the control group[(1.59±0.19)m/s vs.(1.93±0.22)m/s,(1.61±0.20)m/s vs.(1.97±0.19)m/s,(1.54±0.15)m/s vs.(1.86±0.22)m/s](all P＜0.05).Conclusion Xingnaokaiqiao acupuncture combined with acupoint injection can improve the clinical symptoms in patients with Qi deficiency and blood stasis syndrome of spastic upper limb paralysis after IS,reduce the degree of spasm of the affected limb,and improve the mobility of the affected limb.
万方数据
维普
