Author(s)

Geng Yining

Corresponding Author

Geng Yining

Abstract

Objective: To explore the mechanism and clinical effect of warming acupuncture combined with dissipate blood stasis and dredge vein decoction in the treatment of limb spasm after stroke in the elderly. Methods: from January 2017 to October 2018, 79 patients with spasticity after stroke were divided into study group (34 cases) and control group (35 cases). The control group was given routine treatment and rehabilitation training in internal medicine of stroke, and the study group was treated with warming acupuncture combined with dissipate blood stasis and dredge vein decoction on the basis of this treatment. The treatment time of both groups was 4 weeks. Observed the clinical effect of the two groups; The quality of life and the severity of the disease were recorded before and after treatment; Enzyme linked immunosorbent assay (ELISA) was used to detect glycine (Gly) and gamma aminobutyric acid (GABA) in patients' serum, and the difference of expression level between them was compared. Results: the clinical efficacy of the study group (91.18%) was significantly higher than that of the control group (68.57%) (χ 2 = 7.36, P = 0.01); After treatment, the disease severity indexes such as CSI, modified Ashworth score and quality of life indexes such as Bi, QOL-BREF score decreased in both groups, and the level of Gly and GABA in the study group was lower than that in the control group (P < 0.01); the level of Gly and GABA in both groups was lower than that in the control group (P < 0.01). Conclusion: warming acupuncture combined with dissipate blood stasis and dredge vein decoction can significantly reduce the degree of limb spasm in elderly stroke patients, promote the recovery of nerve function and improve the quality of life, and regulate the expression of Gly and GABA, which is worthy of clinical application.

Keywords

Warm acupuncture; Dissipate blood stasis and dredge vein decoction; Elderly patients; Limb spasm after stroke