Abstract：Objective To discuss the application effect of Buyang Huanwu Decoction combined with four foot needles in post-stroke ankle dysfunction. Methods A total of 80 stroke patients with ankle joint disorder admitted to Shangrao People′s Hospital from March to September 2021 was selected as the research objects. The patients was divided into the observation group and the control group according to random number table method, with 40 cases in each group. Patients in the control group was given routine rehabilitation training and treated with Buyang Huanwu Decoction, while patients in the observation group was given routine rehabilitation training and treated with Buyang Huanwu Decoction combined with four foot needles. The neurological function, activities of daily living, ankle function, walking function and adverse reactions were compared between the two groups. Results There was no statistically significant difference between the two groups in the National Institutes of Health stroke scale (NIHSS) score before treatment (P>0.05). After treatment, the NIHSS score of observation group was lower than those of control group, with statistically significant difference (P<0.05). There was no statistically significant difference between the two groups in the activity of daily living scale (ADL) score before treatment (P>0.05). The ADL score of observation group was higher than that of control group after treatment, with statistically significant difference (P<0.05). There was no statistically significant difference between the two groups in the American orthopedics foot and ankle score (AOFAS) before treatment (P>0.05). The AOFAS score of observation group was higher than that of control group after treatment, with statistically significant difference (P<0.05). There was no statistically significant difference between Hold-on functional ambulation category (FAC) score before treatment (P>0.05). The FAC score of observation group was higher than that of control group after treatment, with statistically significant difference (P<0.05). There was no statistically significant difference in the total incidence of adverse reactions between the two groups (P>0.05). Conclusion Buyang Huanwu Decoction combined with four-needle acupuncture has a good effect, and the patients′ nerve defect, mobility, ankle function and walking function have been significantly improved, and the patients′ prognosis is good.
Macaulay A，Nandyala SV，Miller CP，et al.Potential for Bias and the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scoring System[J].Foot Ankle Spec，2018，11（5）：416-419.
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