Full
Outline
To observe the effect of “supplementing Yang and dredging collateral” electroacupuncture combined with hand rehabilitation robot on hemiplegia patients with ischemic stroke.
In this study，60 patients with ischemic stroke hemiplegia（admitted from January 2020 to December 2022）were divided into two groups by random number table method，namely control group and treatment group，with 30 cases in each group. The patients in the control group were given routine treatment of ischemic stroke hemiplegia and rehabilitation intervention by hand rehabilitation robot. Those in the treatment group were combined with “supplementing Yang and dredging collateral” electroacupuncture on the basis of the control group，and the treatment data of patients in each group was compared，including the efficacy，the changes of total TCM symptom scores before and after treatment，National Institute of Health Stroke Scale（NIHSS）score，Fugl-Meyer assessment（FMA）and simple test for evaluating hand function（STEF）score，the changes of hand function indicators such as maximum flexion angle，maximum extension angle and active range of digital active finger movement（AROM），the changes of Berg balance scale（BBS）scores and modified Barthel index（MBI），the flow velocity changes of middle cerebral artery（MCA），posterior cerebral artery（PCA）and anterior cerebral artery（ACA）in brain circulation indicators.
The curative effect of the treatment group was better than that of the control group（P<0.05）. The total TCM symptom score，NIHSS score，FMA score and STEF score，hand function indexes（maximum flexion angle，maximum extension angle，AROM），BBS score and MBI score，brain circulation indexes（MCA，PCA，ACA）were not significant in both groups before treatment（P>0.05）. After treatment，the total TCM symptom score，NIHSS score，FMA score and STEF score，hand function indexes（maximum flexion angle，maximum extension angle，AROM），BBS score and MBI score，brain circulation indexes（MCA，PCA，ACA）of all patients in each group were improved. After treatment，the total TCM symptom score，NIHSSscore，FMA score and STEF score，hand function indexes（maximum flexion angle，maximum extension angle，AROM），BBSscore and MBI score，brain circulation indexes（MCA，PCA，ACA）in the treatment group were all better than those in the control group（P<0.05）.
“Supplementing Yang and dredging collateral” electroacupuncture combined with hand rehabilitation robot can promote the rehabilitation of patients with hemiplegia after ischemic stroke. The treatment effect of patients is improved，the symptoms are relieved，and the limb function of patients is recovered well. It is worthy of application.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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