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Clinical effect of acupuncture combined with traditional rehabilitation training on patients with sequelae of cerebral apoplexy
Chen R, He Q, Xu L, Yang S, Luo L, Shao Y, Ling Y, Chen Y, Huang J
Revista de Psiquiatria Clinica [Archives of Clinical Psychiatry] 2023 Sep;50(6):199-204
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To investigate the clinical impact on patients with cerebral apoplexy sequelae of acupuncture in combination with conventional rehabilitation training. METHODS: From September 2020 through September 2021, 92 patients with cerebral apoplexy sequelae treated at our institution were selected as research objects and randomly assigned to either the control group or the study group (there were 46 instances in each group). On the basis of the foregoing, one group received conventional rehabilitation training, while the other received acupuncture treatment intervention. Clinical outcomes such as degree of mental impairment, ability to do daily activities, sleep quality, quality of life, nurse satisfaction, and so on were measured and compared between the two groups. RESULTS: Comparing the nursing group's 95.65% clinical effectiveness to the control group's 80.43% (p < 0.05), the nursing group clearly excels. Both groups' NIHSS and ADL scores decreased after receiving nursing care compared to pre-nursing values; however, the research group's NIHSS and ADL scores decreased more than the control group's (p < 0.05). Both groups' post-nursing PSQI ratings were lower than their pre-nursing values, and the study group's scores were worse than the control group's across the board, including for sleep quality, total sleep time, sleep efficiency, sleep disorders, hypnotic medications, and daytime dysfunction (p < 0.05). After receiving nursing care, both groups showed improved GQOLI-74 scores compared to before care was received; however, the study group showed more improvement in physical function, psychological function, social function, and material life status compared to the control group (p < 0.05). Nursing led to a 97.83% increase in satisfaction for the study group compared to the control group's 82.61% (p < 0.05). CONCLUSIONS: Patients suffering from the mental aftereffects of cerebral apoplexy may find relief from their symptoms through a combination of acupuncture and conventional rehabilitation methods. This approach has been shown to improve patients' ability to perform daily tasks, as well as their sleep, quality of life, and overall satisfaction with their nurses.

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