Effects of Acupuncture in Ischemic Stroke Rehabilitation: A Randomized Controlled Trial

作者：Lixia Li, Weifeng Zhu, Guohua Lin, Chuyun Chen, Donghui Tang, Shiyu Lin, Xiaorong Weng, Liqin Xie, Lihong Lu, Weilin Li · 发表于：Frontiers in Neurology · 年份：2022 · DOI：10.3389/fneur.2022.897078 · 被引用次数：46 · 研究领域：Acupuncture Treatment Research Studies、Healthcare and Venom Research、Botulinum Toxin and Related Neurological Disorders

Background Acupuncture is a well-known treatment option for ischemic stroke recovery, but evidence of its effectiveness remains limited. This is a randomized controlled trial to evaluate the effectiveness of acupuncture treatment for ischemic stroke rehabilitation. Methods Rehabilitation training was provided to the control group. In acupuncture arm 1, these acupoints were derived from the ancient books, including GV20 ( baihui ), GV26 ( shuigou ), PC9 ( zhongchong ), ST6 ( jiache ), ST4 ( dicang ), LI15 ( jianyu ), LI11 ( quchi ), LI4 ( hegu ), GB30 ( huantiao ), GB31 ( fengshi ), GB34 ( yanglingquan ), and GB39 ( xuanzhong ). In acupuncture arm 2, the acupoints used were GV20 ( baihui ), PC6 ( neiguan ), LI11 ( quchi ), LI10 ( shousanli ), SJ5 ( waiguan ), LI4 ( hegu ), GB30 ( huantiao ), ST36 ( zusanli ), GB34 ( yanglingquan ), SP6 ( sanyinjiao ), ST41 ( jiexi ), and LR3 ( taichong ), which were extracted from Acupuncture and Moxibustion Science . After acupuncture, the needles were left in for 30 min and manually manipulated every 10 min. The three groups received treatment once a day, 5 times a week for 2 weeks. The primary outcome was the National Institutes of Health Stroke Scale (NIHSS), and the secondary outcomes were the Barthel Index (BI) and the Modified Ashworth Scale (MAS). Outcomes were measured in patients both before and after treatment. Results A total of 497 patients with ischemic stroke were randomized into either arm 1 (159 cases), arm 2 (173 cases), or t...