Effect of Rehabilitation with Acupuncture Treatment on Ischemic Stroke Patients
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Abstract
Background: Acupuncture was an alternative medicine and adjuvant therapy. An encourage blood flow and increase the activity of antioxidant enzymes.
Objective: To study median recovery time and predictive factors associated complicated treatment outcomes of acupuncture on post acute Ischemic stroke patients in Chaiyaphum hospital.
Methods: The analytical retrospective study with 72 the reviewed medical records those patients more than 20 years old who had post acute stage ischemic stroke between 1st October 2016 to 30th April 2020 and follow-up period 1 year until good recovery or loss follow-up or dead.
Results: There were 72 ischemic stroke patients included to study. The50 patients were mild disabled recovery (initial barthel index score≥75-95) and 22 cases were moderate disabled recovery, males 61.1%, mean age 62.1± 11.3 years, The clinical symptoms detected were left hemiparesis (59.7%) and right hemiparesis (40.3%). Comorbidities diseases were hypertension (43.1%)and diabetes mellitus (27.8%). Stroke prevention treatment with anti platelet was 18.1%, small vessel atherosclerosis (SAO)(41.7%) cardiac embolism (CE) (22.2%), and large artery atherosclerosis (LAA) (15.3%). Time illness to acupuncture treatment mean 26.9 ± 11.5 days. Predictive factors associated with rehabilitation outcomes were: Disability level according to The modified rank in scale (AOR, 2.3; 95% CI, 1.1-4.9), patient's ability to use daily life by bathel index scale (AOR, 1.2; 95% CI, 1.1-1.3) and time Illness to acupuncture treatment (AOR, 1.0; 95% CI, 0.9-1.0) The median recovery time after acupuncture was 6 months. Small vessel Atherosclerosis (SAO) 3 months, Cardiac Embolism (CE) and Other Determined etiology (OD) 6 months, Large vessel Atherosclerosis (LAA) and other Undetermined etiology (UND) 9 months.
Conclusion: Acupuncture treatment on post acute stage ischemic stroke patients can perform daily activities. Therefore, it should be used as acupuncture treatment for adjuvant therapy and combination with main standard treatments on post acute stage ischemic stroke patients.
Keywords: Acupuncture treatment, post acute stage ischemic stroke patients, rehabilitation
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References
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