針刺對復健治療中的腦中風患者復原時間之影響

A Study on the Effect of Acupuncture on the Recovery Time of Stroke Inpatients under Rehabilitation

目標：觀察針刺對復健治療中的腦中風住院患者復原時間之影響。方法：以回溯性採樣方式收集54 例腦中風偏癱患者的住院資料，其中住院期間同時接受針刺和復健者有34 人，僅接受復健治療者有20 人，在每次進出院時皆應用巴氏指數進行日常生活能力評定。利用Cox 比例風險模式估計針刺對復健治療中的腦中風患者復原時間之影響。結果：中風病患在住院期間有接受中醫針刺和復健者，日常生活活動功能達到巴氏指數60 分以上的機會是對照組的5.0 倍（HR：5.03, p-value=0.03），95％信賴區間為（1.18-21.39），所需的時間平均比沒接受針刺者縮短58.7 天。結論：腦中風患者在接受住院復健的同時接受針刺治療，能縮短中風病患從依賴轉為輔助獨立所需的時間。

 

Objective: We assessed the effect of acupuncture on the recovery time of stroke inpatients under rehabilitation. Method: We retrospectively collected the medical records of 54 hemiplegic stroke inpatients. Within the hospitalization period, a total of 34 patients received therapeutic intervention combined with acupuncture and rehabilitation, whereas 20 patients received rehabilitation only. The patients’ performance in activities of daily living were assessed using the Barthel scale on admission and discharge. We applied the Cox proportional hazard model to estimate the effect. Results: For the patients who received combined acupuncture and rehabilitation therapy, the chance of a recovery of activities of daily living to a Barthel scale score ≥ 60 was 5.0 times greater than that of the control group (p = 0.03, 95% confidence interval: 1.18–21.39), and the amount of time taken was 58.7 days shorter. Conclusion: Our findings suggest that combined acupuncture and rehabilitation therapy is likely to be beneficial to shorten the time required to improve from dependency to assisted independence in activities of daily living in stroke inpatients. However, additional double-blind, randomized, control studies are needed for confirming the findings.