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Acute stroke rescue has reached a high level, but their rehabilitation process there are still many problems, especially disabling sequelae in patients with a serious impact on quality of life. The most common post-stroke motor dysfunction is a disease of the central hemisphere contralateral limb paralysis, including increased muscle tone (or early onset of flaccid paralysis period can be reduced), tendon hyperreflexia (or early onset of flaccid paralysis period can be reduced), pathological reflex positive, may have ankle clonus; thick limb movement occurs when the pathological patterns or cooperative motion, the performance of upper limb flexor tone in the main, lower limb extensor tone in the main. Severe spasm can cause a variety of complications, spasticity of patients have serious adverse health effects, spasm embarrassment may make the patient social isolation, chronic pain can cause depression, stroke is a clinical disease, with the aging society's arrival, the incidence of the disease will be increasingly high, the family and the community stroke patients will bring a heavy burden, so look for a cheap and effective way to make themselves even stroke patients can achieve basic rehabilitation, social reintegration, has far-reaching significance. Rehabilitation after stroke has become a hot spot of clinical and basic research. This study will combine the job with Jin three needle therapy after stroke paralysis hard to explore their motor function after stroke recovery. Objective: To observe Jin three needles with jobs hard paralysis after stroke therapy clinical efficacy, disease-oriented therapy to find a precise and effective integrated approach. Methods: 90 cases diagnosed hard paralysis after stroke patients were in December 2007 - December 2008 Guangdong Provincial Second Hospital treatment in acupuncture and rehabilitation, neurology inpatient or outpatient cases. 90 patients completed the final observation, according to a random number table, randomly divided into treatment group (45 cases, the use of Jin three needles and occupational therapy), and the control group (45 cases, the use of occupational therapy). Acupoints treatment groups: temporal three needles, shoulder three needles, three needles hand, foot three needles, three needles knee, ankle three needles, according to expert Jin Rui Acupuncture point selection method developed by professors, both ipsilateral acupoints. Point local routine disinfection, use Hua card 30 1.5-inch needle for acupuncture. Acupuncture should be based on the specific operation of yin and yang through dialectical technique, the use of yin and yang balance, coordination of yin and yang acupuncture manipulation. Treatment day 1, every 30min, treatment six days a week, four weeks for a course. Occupational therapy treatment groups: including anti-spasm position, supine stand, sit, bed chair transfer, recumbent limbs active, passive movement, upper limb functional training and sophisticated activities of daily living skills training, training once a day, every times 60min, treatment six days a week, four weeks for a course. Control group with occupational therapy. Each group were unified assessment of efficacy after treatment. Modified Ashworth score of clinical spasticity assessment, simplified Fugl-Meyer motor scores were assessed in patients with motor function. Results: After four weeks treatment, the modified Ashworth score than before treatment groups significantly reduced in the treatment group than the control group score between the two groups, the difference was statistically significant (P <0.01); treatment for 4 weeks, FMA score two group score upper and lower limbs score and total score increase than before treatment, the treatment group score increased higher, the difference between the two groups was significant (P <0.01), indicating that the treatment group improved main clinical symptoms than the control groups. Conclusion: Jin three needles with occupational therapy is the treatment of paralysis after stroke hard effective method of reducing muscle tension, enhance motor function in improving the main clinical symptoms better than the occupational therapy. Jin three-pin combination with occupational therapy treatment of spastic paralysis after stroke can form a more effective mode of treatment, with a unique effect, clear clinical value and other characteristics, is worthy of further research and promotion.
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