项腹针配合蜡疗治疗卒中后痉挛性偏瘫的疗效观察OA

Objective To observe the clinical efficacy of neck-abdomen acupuncture combined with paraffin therapy in patients with post-stroke spastic hemiplegia.Method A total of 120 patients with post-stroke spastic hemiplegia were randomly assigned to control group 1,control group 2,control group 3,and an observation group,with 30 patients in each group.Control group 1 received conventional Western medical rehabilitation.Control group 2 received paraffin therapy in addition to conventional rehabilitation.Control group 3 received neck-abdomen acupuncture in addition to conventional rehabilitation.The observation group received both neck-abdomen acupuncture and paraffin therapy on the basis of conventional rehabilitation.Modified ashworth scale(MAS)grades,composite spasticity scale(CSS)scores,Fugl-Meyer assessment(FMA)scores,activities of daily living(ADL)scores,and surface electromyography(sEMG)parameters,including integrated electromyography(iEMG)and root mean square(RMS)values,were assessed before and after treatment.Clinical efficacy and adverse event rates were also compared among the four groups.Result The difference in total effective rates among the four groups were significant(P＜0.05).The total effective rate in the observation group was 96.7%,significantly higher than those in control group 1(73.3%),control group 2(76.7%),and control group 3(80.0%)(P＜0.05).MAS grades improved significantly after treatment in all four groups compared with baseline(P＜0.05).Significant differences in MAS grades were observed among the four groups after treatment(P＜0.05),with the observation group showing better outcomes than the three control groups(P＜0.05).Scores for all CSS components,including Achilles tendon reflex,plantar flexor muscle tone,and ankle clonus,decreased significantly in all groups after treatment(P＜0.05).Post-treatment CSS scores differed significantly among the four groups(P＜0.05),with lower scores in the observation group than in the three control groups(P＜0.05).Both iEMG and RMS values decreased significantly after treatment in all groups(P＜0.05).Significant differences were found among the four groups after treatment(P＜0.05),and the observation group had lower iEMG and RMS values than the three control groups(P＜0.05).FMA and ADL scores increased significantly in all groups after treatment(P＜0.05).Significant differences were observed among the four groups after treatment(P＜0.05),with higher FMA and ADL scores in the observation group than in the three control groups(P＜0.05).No significant difference in adverse event rates was found among the four groups(P＞0.05).Conclusion Neck-abdomen acupuncture combined with paraffin therapy can improve clinical efficacy in patients with post-stroke spastic hemiplegia.The combined therapy effectively alleviates spasticity and muscle hypertonia while enhancing motor function and activities of daily living.