在家庭医疗保健中，通过抗高血压药物加针灸评估患有高血压和身体活动受限的老年患者的生活质量和日常生活活动：一项符合 CONSORT 协议的随机对照试验。
Assessment of quality of life and activities of daily living among elderly patients with hypertension and impaired physical mobility in home health care by antihypertensive drugs plus acupuncture: A CONSORT-compliant, randomized controlled trial.
机构信息
Chinese Medicine Institute, National Yang Ming Chiao Tung University, No. 155, Section 2, Li-Nong Street, Beitou District, Taipei, Taiwan,Division of Chinese Medicine, Shin Kong Wu Ho-Su Hospital, No. 95, Wen Chang Road, Shihlin District, Taipei, Taiwan,Institute of Public Health, National Yang Ming Chiao Tung University, No. 155, Section 2, Li-Nong Street, Beitou District, Taipei, Taiwan,Division of Chinese Medicine, Branch of Linsen, Chinese Medicine, and Kunming, Taipei City Hospital, No. 100, Kunming Street, Wanhua District, Taipei, Taiwan.
出版信息
Medicine (Baltimore). 2022 Mar 18;101(11). doi: 10.1097/MD.0000000000029077.
BACKGROUND
To evaluate the efficacy of acupuncture in improving quality of life (QOL) and activities of daily living among elderly patients with hypertension and impaired physical mobility in home health care.
METHODS
Seventy participants were allocated randomly to receive either acupuncture together with antihypertensive drugs (n = 35) or antihypertensive drugs only (n = 35). Acupuncture was conducted twice a week for 12 consecutive weeks, each lasting 30 minutes. Acupuncture points San Yin Jiao, Xue Hai, Taichong, Zusanli, and Hegu acupuncture points were used bilaterally. The primary outcome was change in QOL score, evaluating by Short-Form 36 Item Health Survey (SF-36). Secondary outcomes were changes in Barthel index score and blood pressure. Besides, pain evaluation by Visual analog scale, among acupuncture and control subgroups in participants with diagnosis with disease of the musculoskeletal system and connective tissue (ICD-9: 710-739).
RESULTS
Thirty-one participants in each of the acupuncture group and the control group completed the study. After 12 weeks of treatment, compared with the control group, the combination of antihypertensive treatments and acupuncture helped to improve bodily pain (P = .03), physical component summary (P = .04), mental health (P < .001), mental component summary (P = .008), Barthel index (P = .02), and systolic blood pressure (P = .01). In contrast, the control group showed no significant changes. Change in pain score revealed that there were a significant between-group differences after 6weeks (P = .01) and 12weeks of treatment (P = .001).
CONCLUSION
The results of the study suggested that in home health care elderly patients with hypertension and impaired physical mobility, antihypertensive drugs combined with acupuncture therapy will be more beneficial to improve QOL, activities of daily living, and blood pressure.
背景
评估针灸在改善高血压和身体活动受限的老年患者的生活质量（QOL）和日常生活活动能力方面的疗效在家庭保健中。
方法
70 名参与者被随机分配接受针灸联合降压药（n=35）或仅降压药（n=35）治疗。针灸每周两次，共 12 周，每次 30 分钟。双侧使用三阴交、血海、太冲、足三里和合谷穴位。主要结局是通过健康调查简表 36 项（SF-36）评估 QOL 评分的变化。次要结局是巴塞尔指数评分和血压的变化。此外，在患有肌肉骨骼系统和结缔组织疾病的参与者中（ICD-9：710-739），通过视觉模拟量表评估针灸和对照组的疼痛。
结果
每组有 31 名参与者完成了研究。经过 12 周的治疗，与对照组相比，降压治疗联合针灸有助于改善身体疼痛（P=0.03）、生理成分综合评分（P=0.04）、心理健康（P<0.001）、心理成分综合评分（P=0.008）、巴氏指数（P=0.02）和收缩压（P=0.01）。相比之下，对照组没有明显变化。疼痛评分的变化表明，治疗 6 周（P=0.01）和 12 周后（P=0.001）有显著的组间差异。
结论
研究结果表明，在家庭保健中，高血压和身体活动受限的老年患者，降压药物联合针灸治疗将更有利于提高生活质量、日常生活活动能力和血压。
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