Effect of acupuncture combined with exercise relearning rehabilitation therapy on the recovery of nerve function and limb motor function in patients with cerebral ischemic stroke
JING Fuquan1 SUN Sa1 WANG Zengliang2
1.Department of Acupuncture and Massage, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China; 2.Department of Neurosurgery, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China
Abstract：Objective To observe the effect of acupuncture on nerve function and limb motor function recovery in patients with cerebral ischemic stroke by acupoints of whole body, warm acupuncture of abdominal acupoints and exercise relearning rehabilitation therapy. Methods A total of 90 patients with cerebral ischemic stroke admitted to the First Affiliated Hospital of Xinjiang Medical University from February 2017 to February 2019 were selected. A randomized controlled study was conducted to divide the patients into treatment group and control group according to the random number table, with 45 patients in each group. Before the test, all patients were treated with Western medicine, including blood pressure control, improvement of brain circulation, stabilization of vital signs and prevention of complications. In the treatment group, acupuncture and moxibustion combined with exercise relearning rehabilitation therapy were used as the main treatment, and acupuncture and moxibustion were treated once a day and 10 times as a course of treatment. The control group was given rehabilitation treatment alone, 10 times of rehabilitation treatment for 1 course of treatment, and the patients in the two groups received a total of 2 courses of treatment. The nerve defect function and motor function were evaluated by the nerve defect function rating scale 1995 (CSS) and the international general motion function Fugl-Meyer assessment (FMA), and the clinical efficacy of the two groups of patients was compared. Results There was no significant difference in FMA score and CSS score between the two groups before treatment (P ＞ 0.05). After treatment, FMA score in both groups was higher than before treatment, while CSS score was lower than before treatment. FMA score in the treatment group was higher than that in the control group, while CSS score was lower than that in the control group, with statistically significant differences (P ＜ 0.05). The total effective rate of the treatment group was higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The improvement of nerve function and limb motor function in patients with ischemic stroke by acupuncture and moxibustion combined with cerebral exercise relearning rehabilitation therapy is superior to rehabilitation therapy alone, and is worthy of further promotion and application in clinic.
景福权1 孙飒1 王增亮2. 针灸结合运动再学习康复疗法对缺血性脑卒中患者神经功能及肢体运动功能恢复的影响[J]. 中国医药导报, 2020, 17(8): 125-129.
JING Fuquan1 SUN Sa1 WANG Zengliang2. Effect of acupuncture combined with exercise relearning rehabilitation therapy on the recovery of nerve function and limb motor function in patients with cerebral ischemic stroke. 中国医药导报, 2020, 17(8): 125-129.
2020, Vol. 17 
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