Analysis of the Influence of Internal Heat Needling and Warming Need Moxibustion on Inflammation and Serum indexes of Patients with Shoulder Pain after Stroke Based on Acupoint Injection

Abstract

Objective The effects of internal heat needling, warming needle moxibustion and ozone acupoint injection on inflammatory response and serum indexes in patients with shoulder pain after stroke are explored to provide reference for clinical treatment of stroke sequelae. Methods 183 post-stroke shoulder pain patients who received rehabilitation in our hospital from June 2018 to June 2020 were selected and randomly divided into three groups, A, B, and C, with 61 cases in each group. Treatments in groups A, B and C were ozone acupoint injection, warming needle moxibustion combined with ozone acupoint injection, an internal heat needling combined with ozone acupoint injection, respectively. The clinical efficacy, visual analogue scale (VAS), Fugl Meyer assessment (FMA), activities of daily living (ADL) score, serum, inflammation-related indicators and adverse reactions were compared among the three groups. Results The total clinical effective rate was the highest in group C, and the lowest in group A. After treatment, the VAS score, serum interleukin 6 (IL-6) and tumor necrosis factor-α (TNF-α) levels were the lowest in group C and the highest in group A; on the contrary, the FMA, ADL, serum endorphin (β-EP), enkephalin (ENK), and dynorphin (Dyn) levels were the highest in group C and the lowest in group A. The incidence rate of adverse reactions was notably higher in group B than in groups A and C. Conclusion The internal heat needling based on the acupoint injection could effectively relieve the pain of patients with post-stroke shoulder pain, improving mobility of the affected limb, reducing the inflammatory reaction and strengthening the analgesic effect, with few adverse reactions.