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[针刺对早期脑卒中患者生活质量的长期影响]

[Long-term effect of acupuncture on quality of life in patients with early stage of stroke].

作者信息

Guo Rui-you, Liu Li-an, Ma Xiao-wei

机构信息

Department of Neurology, Qingdao Haici Hospital, Shandong.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007 Aug;27(8):708-10.

PMID:17879534
Abstract

OBJECTIVE

To study the long-term effects of acupuncture on quality of life in patients with early stage of stroke.

METHODS

Eighty patients were randomly assigned to the acupuncture group and the control group, 40 in each. All received conventional Western medical treatment, but for patients in the acupuncture group, acupuncture was applied additionally immediately from 48 h after patients' life signs were stabilized. Curative effects were evaluated with scores of SF-36, function independent measure (FIM) and NIHSS.

RESULTS

Effect evaluated immediately after acupuncture operation showed that all the scores in the acupuncture group, except score of recognition function in FIM, and scores of body pain and physical function in SF-36, were improved more significantly than those in the control group (P < 0.05). The effectiveness improved continuously in the 6-month period after stroke in both groups, but more superiority was shown in the acupuncture group in aspects of emotional function, social function and mental health by SF-36 (P < 0.05).

CONCLUSION

Early applying acupuncture could raise the physical, social, and psychological functions of stroke patients. Although the effects might decrease to some extent later, acupuncture still showed markedly effect on patients' psychological and social functions as well as on their life satisfaction.

摘要

目的

研究针刺对早期脑卒中患者生活质量的长期影响。

方法

将80例患者随机分为针刺组和对照组,每组40例。两组均接受常规西医治疗,但针刺组在患者生命体征稳定48小时后立即加用针刺治疗。采用SF-36评分、功能独立性测量(FIM)和美国国立卫生研究院卒中量表(NIHSS)评估疗效。

结果

针刺治疗后即刻评估结果显示,针刺组除FIM认知功能评分、SF-36身体疼痛和躯体功能评分外,其余各项评分改善均明显优于对照组(P<0.05)。两组在脑卒中后6个月内疗效均持续改善,但针刺组在SF-36情感功能、社会功能和心理健康方面优势更明显(P<0.05)。

结论

早期应用针刺可提高脑卒中患者的身体、社会和心理功能。虽然后期效果可能会有所下降,但针刺对患者心理和社会功能以及生活满意度仍有显著影响。

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引用本文的文献

1
Acupuncture for Improving Cognitive Impairment After Stroke: A Meta-Analysis of Randomized Controlled Trials.针刺改善中风后认知障碍:随机对照试验的荟萃分析
Front Psychol. 2020 Nov 30;11:549265. doi: 10.3389/fpsyg.2020.549265. eCollection 2020.
2
A meta-analysis of acupuncture use in the treatment of cognitive impairment after stroke.针刺治疗中风后认知障碍的荟萃分析。
J Altern Complement Med. 2014 Jul;20(7):535-44. doi: 10.1089/acm.2013.0364. Epub 2014 Jun 10.