A one year follow-up study on the effects of acupuncture in the treatment of stroke patients in the subacute stage: a randomized, controlled study
A one year follow-up study on the effects of acupuncture in the treatment of stroke patients in the subacute stage: a randomized, controlled study
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DOI：
10.1177/026921559701100302
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发表时间：
1997-08-01
影响因子：
3
通讯作者：
Borchgrevink, CF
中科院分区：
文献类型：
--
作者：
Kjendahl, A;Sallstrom, S;Borchgrevink, CF
目的：我们最近报道，针刺治疗中风患者在亚急性期提供了额外的治疗效益。本研究的目的是确定，大约一年后出院的康复医院，是否组的差异still remained.Design：患者被随机分为两组：一个针灸组和一个对照组，考虑性别和侧半球定位病变。关于主要参数，两组在基线时具有可比性。设置：最初，45名入住Sunnaas康复医院的中风患者被纳入研究：中风后中位数40天。受试者：41名患者在治疗期后一年可用：针灸组21名患者和对照组20名。干预：所有受试者都接受了单独调整的多学科康复计划。针灸组接受额外的治疗：与经典针灸30分钟，每周3至4次，共6 wk.Main Outcome Measures：患者在纳入时，6周后和康复医院出院后约12个月进行评估。采用脑卒中患者运动功能评定量表（MAS）、Sunnaas日常生活活动能力指数（ADL）和诺丁汉健康状况量表（NHP）。此外，还记录了患者一年随访时的社交状况。结果：结果显示，无论是在六周的治疗期间，还是在第二年，针刺组的MAS、ADL、NHP和社交状况的改善均明显优于对照组。结论：虽然其作用机制仍有争议，但在中风后亚急性期给予针刺似乎有积极的长期效果。
Objective: We recently reported that acupuncture treatment of stroke patients in the subacute stage gave additive therapeutic benefit. The purpose of the present study was to determine, approximately one year after discharge from the rehabilitation hospital, whether the group differences still remained.Design: The patients were randomized into two groups: one acupuncture group and one control group, considering gender and side of hemispheral localization of lesion. With regard to the main parameters the groups were comparable at baseline.Setting: Initially, 45 stroke patients admitted to Sunnaas Rehabilitation Hospital were included in the study: median 40 days post stroke.Subjects: Forty-one of the patients were available one year after the treatment period: 21 patients in the acupuncture group and 20 controls.Intervention: All subjects received an individually adapted, multidisciplinary rehabilitation programme. The acupuncture group received additional treatment: with classical acupuncture for 30 min three to four times weekly for six weeks.Main outcome measures: The patients were evaluated at inclusion, after six weeks and approximately 12 months after discharge from the rehabilitation hospital. The Motor Assessment Scale (MAS) for stroke patients, Sunnaas index of Activity of Daily living (ADL) and Nottingham Health Profile (NHP) were used. in addition, the social situations of the patients were recorded at one year follow-up.Results: The results show that the acupuncture group improved significantly more than the controls, both during the treatment period of six weeks, and even more during the following year, both according to MAS, ADL, NHP and the social situation.Conclusion: Although the mechanism of the effects is debatable, there seems to be a positive long-term effect of acupuncture given in the subacute stage post stroke.