| Objective To explore the effect of acupoint application combined with Chinese medicine Reyanbao therapy on limb function and hemodynamics in patients with hemiplegic limb swelling after stroke. Methods 81 patients with hemiplegic limb swelling after stroke who were admitted to our hospital from July 2021 to May 2023 were selected and divided into routine group (n=27), basic group (n=27) and combined group (n=27) according to the random number table method. The routine group received routine rehabilitation training, and the basic group was treated with Chinese medicine Reyanbao therapy on the basis of routine group, and the combined group was given acupoint application on the basis of the basic group. The TCM symptoms scores (limb stiffness, limb numbness) were used to compare the limb function in the three groups before and after treatment. The peak blood flow velocity (PSV) and blood flow volume (BF) of common femoral vein were compared among the three groups of patients before and after treatment. Lower limb swelling assessment scale was applied to compare the swelling regression status of the three groups before and after intervention. The quality of life in the three groups before and after treatment was compared by Stroke Specific Quality of Life Scale (SS-QOL). Results After treatment, the scores of limb stiffness and limb numbness in the three groups were significantly decreased compared with those before treatment (P<0.05), and the combined group had the lowest scores, followed by basic group, and the routine group had the highest scores, with statistical differences between any two groups (P<0.05). The PSV and BF of common femoral vein in the three groups were significantly increased compared with those before treatment (P<0.05), and the above indicators were the highest in combined, followed by basic group, and the lowest in routine group, with statistical differences between any two groups (P<0.05). Before intervention, there was no obvious difference in the lower limb swelling score among the three groups (P>0.05). The lower limb swelling score in the three groups was significantly declined after treatment than that before treatment (P<0.05), and the score in combined group was the lowest, followed by basic group, and the score in routine group was the highest, with a statistically significant difference between any two groups (P<0.05). The SS-QOL score in the three groups was significantly higher than that before treatment (P<0.05), and the score was the highest in combined group, followed by basic group, and the score was the lowest in routine group, with a statistical difference between any two groups (P<0.05). Conclusion Acupoint application combined with Chinese medicine Reyanbao therapy can effectively improve the limb function and hemodynamics of patients with hemiplegic limb swelling after stroke, thus improving the quality of life of patients. In addition, it is conducive to prognosis rehabilitation. |
