Effects of acupuncture intervention on omalgia incidence rate of ischemic stroke in acute stage

缺血性脑卒中急性期针灸干预对肩痛发生率的影响(英文)

Objective To explore whether acupuncture intervention can reduce the concurrent omalgia of ischemic stroke patients and initially explore the feasibility of follow-up research on long-term acupuncture. Methods Three hundred pa ents who conformed to the research criteria and voluntarily took part in the research were randomized into an acupuncture group and a regular therapy group with envelope method. The 150 cases in the acupuncture group received the combined treatment of electroacupuncture（EA） and moxibus on based on regular treatments for a total of 4 weeks. The 150 cases in the regular therapy group received regular treatments. The omalgia incidence number were observed at 1,2,3,6,12 months follow-up,simplified Fugl-Meyer of the upper-extremity was evaluated 4 weeks after treatment,modified Rankin Scale was conducted to assess the number of rela vely independent patients and the patients acceptance for acupuncture therapy at 6 months follow-up. Results After 4 weeks of treatments,although the comparative devia ons of the omalgia incidence number and the simplified Fugl-Meyer in the two groups had no sta s cal significance（P0.05）,the omalgia incidence numbers in the acupuncture group at 2nd,3rd,6th and 12th month followups were different significantly compared with those in the regular therapy group（P0.05）; meanwhile,at 6 months follow-up,the rela vely independent number of the pa ents assessed by modified Rankin Scale in the acupuncture group was superior to that in the regular therapy group（P0.05）. The number of pa ents who adhered to the acupuncture rehab therapy in the acupuncture group was greater than that in the regular therapy group（P0.05）. Conclusion Acupuncture intervention during the acute stage of ischemic stroke can not only effectively reduce the incidence of omalgia complication,but also play an assisting role in improving the patients＇ ability of independent living; meanwhile,the systema c visits and treatments of acupuncture may feature assis ng significance in the construc on of the special disease and special skills of the acupuncturology.

目的:探讨针灸干预是否能改善缺血性脑卒中患者并发症肩痛的发生,初步探索长时间针灸随访研究的可行性。方法:300例符合研究标准并自愿参与研究的患者被随机分配到针灸组和常规治疗组。针灸组150例,接受电针结合灸熨治疗和常规治疗,共4周;常规治疗组150例,接受常规治疗。观察随访期末1、2、3、6、12个月时的肩痛发生人数,治疗4周进行简化Fugl-Meyer上肢功能活动评定,随访期末6个月用改良Rankin修订量表评估相对独立患者人数及患者对针灸治疗认同程度。结果:治疗4周结束时,尽管肩痛发生人数及简化Fugl-Meyer上肢功能活动评定两组差异不具统计学意义(P>0.05),但针灸组随访期末2、3、6及12个月肩痛发生人数与常规治疗组比较,差异有统计学意义(P<0.05),同时在随访期末6个月时采用改良Rankin修订量表评估相对独立患者人数,针灸组多于常规治疗组(P<0.05),针灸组出院后坚持针灸康复治疗人数较常规治疗组多(P<0.05)。结论:缺血性脑卒中急性期的针灸干预不仅能有效降低患者肩痛并发症的发生,并且对改善患者独立生活能力具有帮助作用,同时系统的针灸复诊治疗在对针灸学科专病专技建设方面可能具有一定意义。