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 h...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.展开更多
Objective To compare the efficacy difference between the acupuncture-moxibustion therapy for tonifying the primary and strengthening the shoulder and the rehabilitation therapy in the treatment of posthemiplegic omalg...Objective To compare the efficacy difference between the acupuncture-moxibustion therapy for tonifying the primary and strengthening the shoulder and the rehabilitation therapy in the treatment of posthemiplegic omalgia （PO）. Methods Fifty-six cases of PO were randomized into an acupuncture-moxibustion group （30 cases） and a rehabilitation group （26 cases）. In the acupuncture-moxibustion group, the mild moxibustion with moxa stick was applied to Guānyuán （关元 CV 4）, Qìhǎi （气海 CV 6） and Zúsānlǐ （足三里 ST 36） and acupuncture was applied to Jiānzhēn （肩贞 SI 9）, Nàoshū （臑俞 SI 10）, Qūchí （曲池 LI 11）, etc. In the rehabilitation group, the conventional rehabilitation therapy was provided, including massaging local tissues, anti-cramping activity, etc. In both groups, the treatment was given once per day, 15 treatments made one session and two sessions were required totally. The visual analogue scale （VAS）, Fugl-Meyer assessment （FMA） and clinical neurologic impairment scale were adopted as the observation indicators for the evaluation of the analgesic effect and functional effect before and 30 days after treatment separately. Results The total analgesic effective rate was 100.0% （30/30） in the acupuncture-moxibustion group and was 96.2% （25/26） in the rehabilitation group, without presenting the statistical significant difference between two groups （P0.05）. VAS scores were all reduced significantly after treatment in both groups as compared with those before treatment （all P0.01）, but the comparison of the D-values before and after treatment did not reach the statistical significance between two groups （P0.05）. The scores of FMA and the clinical neurologic impairment scale were all improved significantly after treatment in both groups （all P0.01）. The improvements in the acupuncture-moxibustion group were superior to the rehabilitation group （all P0.01）. Conclusion Both therapies can achieve the analgesic effect on PO. The recovery of the motor and neurological functions after the impairment of the affected upper limb is superior in the treatment with the acupuncture and moxibustion therapy for tonifying the primary and strengthening the shoulder as compared with the rehabilitation therapy.展开更多
基金Supported by Sichuan Provincial Bureau of Science&Technology(2010 support plan)
文摘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.
文摘Objective To compare the efficacy difference between the acupuncture-moxibustion therapy for tonifying the primary and strengthening the shoulder and the rehabilitation therapy in the treatment of posthemiplegic omalgia （PO）. Methods Fifty-six cases of PO were randomized into an acupuncture-moxibustion group （30 cases） and a rehabilitation group （26 cases）. In the acupuncture-moxibustion group, the mild moxibustion with moxa stick was applied to Guānyuán （关元 CV 4）, Qìhǎi （气海 CV 6） and Zúsānlǐ （足三里 ST 36） and acupuncture was applied to Jiānzhēn （肩贞 SI 9）, Nàoshū （臑俞 SI 10）, Qūchí （曲池 LI 11）, etc. In the rehabilitation group, the conventional rehabilitation therapy was provided, including massaging local tissues, anti-cramping activity, etc. In both groups, the treatment was given once per day, 15 treatments made one session and two sessions were required totally. The visual analogue scale （VAS）, Fugl-Meyer assessment （FMA） and clinical neurologic impairment scale were adopted as the observation indicators for the evaluation of the analgesic effect and functional effect before and 30 days after treatment separately. Results The total analgesic effective rate was 100.0% （30/30） in the acupuncture-moxibustion group and was 96.2% （25/26） in the rehabilitation group, without presenting the statistical significant difference between two groups （P0.05）. VAS scores were all reduced significantly after treatment in both groups as compared with those before treatment （all P0.01）, but the comparison of the D-values before and after treatment did not reach the statistical significance between two groups （P0.05）. The scores of FMA and the clinical neurologic impairment scale were all improved significantly after treatment in both groups （all P0.01）. The improvements in the acupuncture-moxibustion group were superior to the rehabilitation group （all P0.01）. Conclusion Both therapies can achieve the analgesic effect on PO. The recovery of the motor and neurological functions after the impairment of the affected upper limb is superior in the treatment with the acupuncture and moxibustion therapy for tonifying the primary and strengthening the shoulder as compared with the rehabilitation therapy.
