TITLE:
Clinical Observation on the Treatment of Spastic Paraplegia after Stroke with Different Needles
AUTHORS:
Mi Zeng, Lei Gou, Yechang Liao, Xiaoming Yu, Haizhen Pan, Ling Liu
KEYWORDS:
Qi Huang Needle, Ordinary Acupuncture, Spasticity Hemiplegia, Stroke, Clinical Observations
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.13 No.8,
August
15,
2025
ABSTRACT: Objective: To observe the clinical efficacy of different diameter specifications of acupuncture needles in the treatment of spastic hemiplegia after stroke. Methods: 90 patients with spastic hemiplegia after stroke who met the criteria were randomly divided into three groups: acupuncture group 1 (Qihuang needle 0.5 × 40 mm), acupuncture group 2 (ordinary 0.35 × 40 mm), and acupuncture group 3 (0.25 × 40 mm), with 30 cases in each group. The acupuncture points for acupuncture group 1 were Jianyu, Tianjing, Waiguan, Biaoli, Xuehai, Ququan, and Sanyinjiao, with treatment once every two days, three times a week, for a total of four weeks. The acupuncture points for acupuncture group 2 and acupuncture group 3 were the same: Jianyu penetrating Bi Nao, Nao Hui penetrating Tianjing, Sidu penetrating Waiguan, Yangxi penetrating Biaoli, Jimen penetrating Xuehai, Yinlingquan penetrating Diji, Ququan penetrating Yinbao, and Sanyinjiao penetrating Zhao Hai. The treatment was once a day, five times a week, for a total of four weeks. The changes in Fugl-Meyer motor function (FMA) score, Barthel Index (BI) score for activities of daily living, and Modified Ashworth Scale (MAS) grade for spasticity before and after treatment were observed in the three groups, and the clinical efficacy among the three groups was compared. Results: After treatment, the FMA score, BI score, and MAS grade of the upper and lower limbs in the three groups were all better than those before treatment (P Conclusion: The therapeutic effect of Qihuang needle in the treatment of spastic hemiplegia after stroke is more significant than that of ordinary acupuncture, which can better improve the motor function and spastic state of the limbs in patients with spastic hemiplegia after stroke, improve clinical efficacy, and improve the quality of life of patients.