To explore whether acupuncture intervention can reduce the concurrent omalgia of ischemic stroke patients and initially explore the feasibility of follow-up research on long-term acupuncture.
Three hundred patients who conformed to the research criteria and voluntarily took part in the research were randomized into an acupuncture group and a regular therapy group with envelope method. The 150 cases in the acupuncture group received the combined treatment of electroacupuncture (EA) and moxibustion based on regular treatments for a total of 4 weeks. The 150 cases in the regular therapy group received regular treatments. The omalgia incidence number were observed at 1, 2, 3, 6, 12 months follow-up, simplified Fugl-Meyer of the upper-extremity was evaluated 4 weeks after treatment, modified Rankin Scale was conducted to assess the number of relatively independent patients and the patients acceptance for acupuncture therapy at 6 months follow-up.
After 4 weeks of treatments, although the comparative deviations of the omalgia incidence number and the simplified Fugl-Meyer in the two groups had no statistical significance (P»0.05), the omalgia incidence numbers in the acupuncture group at 2nd, 3rd, 6th and 12th month follow-ups were different significantly compared with those in the regular therapy group (P<0.05); meanwhile, at 6 months follow-up, the relatively independent number of the patients assessed by modified Rankin Scale in the acupuncture group was superior to that in the regular therapy group (P<0.05). The number of patients who adhered to the acupuncture rehab therapy in the acupuncture group was greater than that in the regular therapy group (P<0.05).
Acupuncture intervention during the acute stage of ischemic stroke can not only effectively reduce the incidence of omalgia complication, but also play an assisting role in improving the patients' ability of independent living; meanwhile, the systematic visits and treatments of acupuncture may feature assisting significance in the construction of the special disease and special skills of the acupuncturology.
03/2014; 24(1):19–25. DOI:10.1016/S1003-5257(14)60037-4
To observe whether acupuncture stimulation of Neiguan (PC 6) can prevent postoperative nausea and vomiting (PONV) in patients undergoing craniotomy.
A total of 60 patients scheduled for craniotomy were randomly assigned to acupuncture group (n = 30) and control group (n = 30). When regaining consciousness from the surgical anesthesia, patients of the acupuncture group received immediate acupuncture stimulation of bilateral Neiguan (PC 6). After insertion, the filiform needles were manipulated with uniform reinforcing-reducing method for about 1 min (re-manipulated once again 10 min later), followed by retaining it for 20 min. Patients of the control group received no treatment. Vomiting or retching (having vomitus) was considered as an emetic episode. Nausea was assessed by a four-point verbal rating scale (none, mild, moderate, severe).
Following the treatment, in the acupuncture group, 1 patient had a vomiting from 0 to 2 h, and 1 patient had a vomiting from 2 to 6 h after the operation, and no patients had this symptom 6 h after the operation. While in the control group, the vomiting occurred in 11 patients from 0 to 2 h, 8 cases from 2 to 6 h, and other 8 cases from 6 to 24 h after the operation. Comparison between two groups showed that the nausea scores in the 3 time-stages were significantly lower in the acupuncture group than in the control group (P < 0.05).
Acupuncture stimulation of PC 6 is effective in preventing and treating PONV in patients undergoing craniotomy.
Zhen ci yan jiu = Acupuncture research / [Zhongguo yi xue ke xue yuan Yi xue qing bao yan jiu suo bian ji] 06/2013; 38(3):245-8.
To observe the effects of electroacupuncture (EA) of Tianshu (ST 25) and medication on the subjective symptoms and the satisfactory degree of functional constipation (FO) patients, and to evaluate the efficacy of different depth-needling.
Single-blind, randomized and parallel-controlled methods were adopted in the present study and a total of 95 FC patients were randomly divided into medication group (Lactulose, 20-30 mL/d, n = 24), deep needling (DN, about 45 mm beneath the skin) of ST 25 group (n = 48), and shallow needling (SN, about 5 mm beneath the skin) of ST 25 group (n = 23). The treatment was given once daily (except weekends) for 4 weeks. The actual number of patients whose defecation frequency was up to 4 times per week, the integrative score of defecation symptoms (defecation exertion degree, abdominal pain, etc.), and the patients' satisfaction degree after the treatment were recorded and evaluated.
One, 2, 3 and 4 weeks after the treatment, of the 48, 23 and 24 cases in DN, SN and medication groups, the numbers of FC patients whose defecation was up to 4 times per week were 31 (64.58%), 32 (66.67%), 34 (70.83%) and 37 (77.08%), 9 (39.13%), 16 (69.57%), 15 (65.22%) and 14 (60.87%), and 8 (33.33%), 7 (29.17%), 5 (20.83%) and 4 (16.67%), respectively. The effects of DN and SN groups were significantly superior to those of medication group in increasing the number of FC patients whose defecation was up to 4 times per week, improving constipation symptom integrative score (defecation exertion degree, survival desire for defecation, abdominal distension, etc.) and patients' satisfaction degree (P < 0.05). Comparison between DN and SN groups showed that the effects of the former group in accelerating the improvement of survival desire for defecation, patients' satisfaction degree were markedly superior to those of the latter group (P < 0.05).
Deep needling-EA of ST 25 has a positive effect in improving functional constipation, being faster in the onset of action and stable efficacy in comparison with shallow needling.
Zhen ci yan jiu = Acupuncture research / [Zhongguo yi xue ke xue yuan Yi xue qing bao yan jiu suo bian ji] 10/2010; 35(5):375-9.