針灸可增進腦中風急性後期照護之成效

An Effectiveness Analysis of Acupuncture for Stroke Paitents with Post-Acute Care

背景：腦中風病患常因急性期後失能而滯留醫院，衛福部自2014年開始試辦腦中風急性後期住院照護，本院自承辦此計畫以來共累計380例，其中不少病患同時接受針灸治療，本研究即是以回溯性分析來研究腦中風急性後期病患接受針灸輔助治療之成效。材料與方法：篩選本院自2014年3月至2017年6月間收案之急性後期照護病患，分成針灸組及對照組，比較兩組間各中風量表及巴氏量表中個別項目之差異。結果：篩選急性後期照護病患380例後分成針灸組48例，對照組18例。兩組間背景資料及隨時間變化之量表分數皆無明顯差異，但在改善幅度方面針灸組之巴氏量表分數優於對照組。巴氏量表個別項目分數兩組間無顯著差異，但在改善幅度方面，針灸組在平地行走、上下樓梯及移位三項優於對照組。結論：本研究發現急性後期照護之腦中風病患同時接受針灸輔助治療，能增進日常生活活動的改善幅度，尤其是在行動能力方面的改善較為顯著。

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.