Clinical Study on Contralateral Meridian Needling with Scalp Acupuncture and Body Acupuncture for Infarction Caused by Atherosclerosis in Lenticulostriate Artery
Abstract:Objective:To observe the effect of contralateral meridian needling with scalp acupuncture and body acupuncture on swallowing function and limb motor function in patients with infarction caused by atherosclerosis in lenticulostriate artery. Methods:A total of 94 cases of patients with infarction caused by atherosclerosis in lenticulostriate artery were selected and randomly divided into two groups according to the order of treatment, with 47 cases in each group. The control group was treated with routine rehabilitation exercise, and the treatment group was additionally treated with contralateral meridian needling with scalp acupuncture and body acupuncture based on the treatment plan of the control group. Clinical effects, traditional Chinese medicine syndrome scores, swallowing function [evaluated by Standardized Swallowing Assessment (SSA) scores , Metrohealth scores and Eating Assessment Tool-10 (EAT-10) scores],motor function [evaluated by Motor Function Assessment Scale (Fugl-Meyer) scores,Wolf Motor Function Test (WMFT) scores and Barthel Index (BI) scores],hemorheology indexes [plasma viscosity (PV),low shear-whole blood viscosity (L-WBV),medium shear-whole blood viscosity (M-WBV) and high shear-whole blood viscosity (H-WBV)] in the two groups were observed and compared. Results: The total effective rate was 85.11% in the observation group and 68.09% in the control group, there being significant difference between the two groups (P<0.05). After treatment, the scores of inflexible limb movement, joint induration, ecchymosis, joint stiffness, excessive phlegm, tingling sensation in the muscles and skin swelling, SSA scores, Metrohealth scores and EAT- 10 scores in the two groups were decreased when compared with those before treatment,and all the above scores in the observation group were lower than those in the control group,differences being significant (P<0.05). After treatment, Fugl- Meyer scores, WMFT scores and BI scores in the two groups were increased when compared with those before treatment, and all the above indexes in the observation group were higher than those in the control group, differences being significant (P<0.05). After treatment, PV, L- WBV, M-WBV and H-WBV in the two groups were decreased when compared with those before treatment,and all the above indexes in the observation group were lower than those in the control group, differences being significant (P<0.05). Conclusion: Contralateral meridian needling with scalp acupuncture and body acupuncture for infarction caused by atherosclerosis in lenticulostriate artery has a significant curative effect, and can improve hemorheology and motor function of patients and promote the recovery of swallowing function.