Effects of acupuncture combined with Guizhi decoction soaking and washing in treatment of patients with shoulder-hand syndrome in stroke recovery period
Objective:To observe effects of acupuncture combined with Guizhi decoction soaking and washing in treatment of patients with shoulder-hand syndrome in stroke recovery period.Methods:The clinical data of 84 patients with shoulder-hand syndrome in stroke recovery period admitted to the hospital from 2019 to 2022 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,42 cases in each group.Both groups received rehabilitation training.On this basis,the control group was treated with Guizhi decoction soaking and washing,while the observation group was treated with acupuncture on the basis of the control group.Both groups were treated for 2 weeks.The clinical efficacy,the upper limb motor function[Fugl-Meyer assessment(FMA)]score,the pain[visual analogue scale(VAS)]score,the serological index(endothelin-1,substance P)level before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 97.62%(41/42),which was higher than 80.95%(34/42)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the FMA score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After the treatment,the VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of endothelin-1 and substance P in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Acupuncture combined with Guizhi decoction soaking and washing can improve the total effective rate and the upper limb motor function scores,and reduce the pain scores and the serological index levels in the treatment of the patients with shoulder-hand syndrome in stroke recovery period.Moreover,it is superior to single Guizhi decoction soaking and washing.
Guizhi decoctionSoaking and washingAcupunctureStrokeShoulder-hand syndromeUpper limb motor functionPain