麦粒灸联合康复训练治疗卒中后偏身麻木临床观察OA

Objective:To observe the clinical efficacy of moxibustion with grain-sized moxa cone combined with rehabilitation training in the treat-ment of post-stroke hemiparalysis with numbness.Methods:60 patients with post-stroke hemiparalysis with numbness were randomly divided into control group(n=30)and observation group(n=30),the control group received conventional rehabilitation training,while observation group received moxibustion with grain-sized moxa cone on the basis of control group,once daily for 6 consecutive days followed by a 1-day rest.After 2 weeks of treatment,the sensory impairment assessment score(improved Fugl-Meyer and Lind-mark score),Visual Analogue Score(VAS)for numbness,NIH Stroke Scale(NIHSS),Modified Barthel Index(MBI),peak systolic velocity(PSV),and pulsatility index(PI)of the brachial artery,radial artery,ul-nar artery,femoral artery,and anterior tibial artery on the affected side were compared between the two groups to evaluate the clinical efficacy.Re-sults:The overall response rate of observation group was 93.33%,which was better than 53.33%that of control group(P<0.05).Within-group com-parison:after 2 weeks of treatment,both groups showed significant decreases in VAS scores and NIHSS scores compared with those before treat-ment,with significant differences(P<0.05).However,there was no significant difference in the improved Fugl-Meyer and Lind-mark scores and MBI scores between the control group after treatment compared with those before treatment(P>0.05).The improved Fugl-Meyer and Lind-mark scores and MBI scores of observation group after treatment showed significant increases compared with those before treatment(P<0.05).Both groups showed significant increases in PSV of the brachial artery,radial artery,ulnar artery,femoral artery,and anterior tibial artery after treatment compared with those before treatment,while PI showed significant decreases,with significant differences(P<0.05).Between-group comparison:af-ter 2 weeks of treatment,the improved Fugl-Meyer and Lind-mark scores,VAS numbness scores,NIHSS scores,MBI scores,and ulnar PI of the ob-servation group showed significant differences compared with those of the control group(P<0.05).Comparison of differences:the differences of the modified Fugl-Meyer and Lind-mark scores,VAS numbness scores,NIHSS scores,MBI scores,PSV of the brachial artery,radial artery,ulnar artery and femoral artery,PI of the brachial artery,ulnar artery,femoral artery and anterior tibial artery of the two groups before and after treatment were significant(P<0.05).Conclusion:Moxibustion with grain-sized moxa cone combined with rehabilitation training can effectively improve the numb-ness symptoms of post-stroke hemiparalysis and promote the recovery of limb sensory function.