Objective To observe the clinical therapeutic effect of acupoint embedding combined with acupuncture and rehabilitation training on patients with limb hemiplegia after stroke.
Methods 98 patients with hemiplegia during stroke recovery who were admitted to the Rehabilitation Department of Bijiang District Hospital of Traditional Chinese Medicine, Tongren City, Guizhou Province from June 2018 to August 2019, were selected and divided into two groups according to the random number table, 48 cases in the control group (acupuncture combined with rehabilitation training) and 50 patients in the treatment group (acupoint embedding combined with acupuncture and rehabilitation training), and treatment lasted for 4 weeks. The data were collected with the neurological deficit assessment scale (NDS), balance function assessment scale (Berg), and Barthe index before and after treatment. Comparison between groups was made by two independent samples t test; comparison of databefore and after treatment by self-paired t test; comparison of the total effective rates between the two groups by χ2.
Results (1) Total effective rates: 50 cases were effective in the treatment group, 0 case was ineffective, and the total effective rate was 100.0% (50/50); 43 cases in the control group were effective and 5 cases were ineffective, and the total effective rate was 89.6% (43/48). The total effective rate of treatment in the treatment group was higher than that in the control group (χ2=12.163, P<0.05); (2) Comparison of the two groups before and after treatment: After 4 weeks of treatment, the NDS scores of the treatment group and the control group were lower than before treatment (t=18.39, 16.22, both P<0.05); the Barthel index and BBS score of the treatment group after treatment were higher than those before treatment (t=145.00, 54.25, both P<0.05); the Barthel index and BBS score of the control group after treatment were higher than those before treatment (t=126.00, 27.13, all P<0.05), and the differences were statistically significant. (3) Comparison between the treatment group and the control group: After 4 weeks of treatment, the NDS scores of the treatment group were lower than those of the control group (t=-5.299, P<0.05), and the Barthel index and BBS score of the treatment group were higher than those of the control group (t=2.805, 13.203, all P<0.05).
Conclusion Acupoint embedding therapy combined with acupuncture and rehabilitation training has a good therapeutic effect on patients with limb hemiplegia during stroke recovery period, which can better and faster improve the motor function, daily living ability and quality of life of patients, therefore this method is worthy of clinical promotion.