中医药研究论丛

222.2 针灸可增进脑中风急性後期照护之成效

 

TJ TCM.22(2) : 11-24, 2019
针灸可增进脑中风急性後期照护之成效
An Effectiveness Analysis of Acupuncture for Stroke Paitents with Post-Acute Care
吴重仪1 冼鸿曦2 朱建福1*
1 天主教圣功医疗财团法人圣功医院中医部,高雄,台湾
2 天主教圣功医疗财团法人圣功医院内科部,高雄,台湾
【摘要】
背景:脑中风病患常因急性期後失能而滞留医院,卫福部自2014 年开始试办脑中风急性後期住院照护,本院自承办此计画以来共累计380 例,其中不少病患同时接受针灸治疗,本研究即是以回溯性分析来研究脑中风急性後期病患接受针灸辅助治疗之成效。
材料与方法:筛选本院自2014 年3 月至2017 年6 月间收案之急性後期照护病患,分成针灸组及对照组,比较两组间各中风量表及巴氏量表中个别项目之差异。
结果:筛选急性後期照护病患380 例後分成针灸组48 例,对照组18 例。两组间背景资料及随时间变化之量表分数皆无明显差异,但在改善幅度方面针灸组之巴氏量表分数优於对照组。巴氏量表个别项目分数两组间无显着差异,但在改善幅度方面,针灸组在平地行走、上下楼梯及移位三项优於对照组。
结论:本研究发现急性後期照护之脑中风病患同时接受针灸辅助治疗,能增进日常生活活动的改善幅度,尤其是在行动能力方面的改善较为显着。
【关键词】脑中风、针灸、急性後期照护、Post-acute Care (PAC)、中医
Chung-I Wu1 Hong-Hsi Hsien2 Chien-Fu Chu1*
1Department of Chinese Medicine, St. Joseph Hospital, Kaohsiung, Taiwan
2Department of Internal Medicine, St. Joseph Hospital, Kaohsiung, Taiwan
【Summary】
Background: Often prolonged hospital stay for functional decline, stroke patients have requirement of inpatient post-acute care (PAC). Aim of this retrospective study is to analyze effectiveness of acupuncture for stroke patients with PAC.
Materials and Methods: PAC patients enrolled from 2014.02 to 2017.06 were screened and divided into acupuncture (ACU) group and control group. Every stroke scale and item of Barthel index (BI) was compared between 2 groups.
Results: After 380 PAC patients were screened and divided, the group sizes of acupuncture and control were 48 and 18 respectively. The backgrounds and scale scores varying by time between 2 groups had no significant difference, but the changes of scores of Barthel ADL index were improved more in ACU group. The scores of each BI item had no significant difference between 2 groups, but the changes in ambulation, stair climbing and transfer were improved more in ACU
group significantly.
Conclusion: We found acupuncture improved stroke patients’ activity of daily livings with PAC, especially in mobility.
【Keywords】Stroke, Acupuncture, Post-acute Care, Chinese medicine