Efficacy of acupuncture at acupoints Linggu and Dabai on spastic hemiplegia of lower limbs after stroke
Objective It is to observe the clinical efficacy of acupuncture at acupoints Linggu and Dabai based on con-ventional acupuncture in the treatment of spastic hemiplegia of lower limbs after stroke.Methods Eighty-four patients with spastic hemiplegia of lower limbs after stroke treated in Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine from January to August in 2023 were selected,and were divided into a control group and an observation group ac-cording to random number table method,with 42 cases in each group.The control group was treated with acupuncture at acupoints for the spasm stage of"staged acupuncture therapy of stroke rehabilitation",while the observation group was ad-ditionally treated with acupuncture at acupoints Linggu and Dabai on the basis of the control group,once daily,30 min per time,6 times per week,12 times as 1 course of treatment,both were continuously treated for 2 courses of treatment.The degree of lower limb spasticity[Modified Ashworth Scale(MAS)score],walking ability(10 m walking test speed),bal-ance ability[Berg Balance Scale(BBS)score],and lower limb motor function[Fugl-Meyer Assessment Scale(FMA)score],ability of daily living[Modified Barthel Index(BI)score],quality of life[Short Form-36(SF-36)score],and serum indexes of neurological function[neuron-specific enolase(NSE),glycine(Gly)]before and after treatment were observed and compared between the two groups,and the effects of rehabilitation treatment in the two groups were evaluated.Results After 1 course and 2 courses of treatment,the MAS scores of the two groups were significantly lower than those be-fore treatment(all P＜0.05),and the MAS scores of the observation group were significantly lower than those of the con-trol group at the same period(all P＜0.05);after 2 courses of treatment,the 10 m walking test speeds of the two groups were significantly faster than those before treatment(all P＜0.05),the BBS score,FMA score and BI score were all sig-nificantly higher than those before treatment(all P＜0.05),the 10 m walking test speed of the observation group was sig-nificantly faster than that of the control group(P＜0.05),and the BBS score,FMA score and BI score were all signifi-cantly higher than those of the control group(all P＜0.05).After 1 course of treatment,there was no statistically signifi-cant difference in the SF-36 scores between before and after treatment and between the two groups(all P＞0.05);after 2 courses of treatment,the SF-36 scores of the two groups were significantly higher than those before treatment(all P＜0.05),and the observation group was significantly higher than the control group(P＜0.05).After 2 courses of treatment,the serum levels of NSE of patients in both groups were significantly lower than those before treatment(both P＜0.05),and the serum levels of Gly were significantly higher than those before treatment(both P＜0.05);after treatment,the ser-um level of NSE of the observation group was significantly lower,while the serum level of Gly was significantly higher than that of the control group(both P＜0.05).After 2 courses of treatment,the total effective rate was 90.48％(38/42)in the observation group and 73.81％(31/42)in the control group,the observation group was significantly higher than the control group(P＜0.05).Conclusion Acupuncture at acupoints Linggu and Dabai based on conventional acupuncture is effective in the treatment of spastic hemiplegia of lower limb after stroke,it can effectively relieve the degree of limb spasm,decrease muscle tension,improve walking and balance ability,and improve the patients'limb mobility,ability of daily liv-ing and quality of life.The effect may be related to regulating the serum levels of NSE and Gly to promote neuron repair and alleviate muscle spasm.
spastic hemiplegia of lower limbsstrokeLinggu acupointDabai acupoint
NETL
NSTL
万方数据
