Clinical Study of EA Treatment for Acute Cerebral Infarction in Different Age Groups Based on Real World Research
Objective:To retrospectively analyze the clinical efficacy of electro-acupuncture(EA)in treatment of acute cerebral infarction.Methods:A retrospective analysis was conducted on the medical records of 133 patients with acute cerebral infarction who received EA treatment.The patients'medical records were divided into the middle-aged group and the elderly group according to different age.The relevant diagnosis and treatment data at two visit points in the medical records were retrospectively analyzed.Results:The baseline data of patients in the middle-aged and elderly groups,apart from five items showing significant differences including age,smoking history,drinking history,history of coronary heart disease,and atherosclerosis status,were not statistically significant for other factors(P＞0.05).For the middle-aged group,the timing of EA intervention typically occurs 3-8 days after the onset of the disease,with the total duration of EA treatment mostly ranging from 5 to 9 days.For the elderly group,the timing of EA intervention typically occurs 3-6 days after the onset of the disease,with the total duration of EA treatment mostly ranging from 5 to 10 days.In the acute phase of cerebral infraction,the upper limb acupoints commonly selected included Quchi(LI11),Hegu(LI4),Waiguari(TE5),Neiguan(PC6)and Shousanli(LI10),whereas the lower limb acupoints commonly selected included Zusanli(ST36),Fenglong(ST40),Yanglingquan(GB34),Xuanzhong(GB39),Jiexi(ST41),Taixi(KI3)and Taichong(LR3).Other acupoints commonly selected included Baihuid(DU20).The commonly used EA points for the upper limbs were LI11 plus TE5,and LI10 plus TE5.For the lower limbs,the commonly used EA points were ST36 plus ST40,ST36 plus ST41,and GB34 plus ST40.The commonly selected waveform for EA was sparse-dense wave,followed by continuous wave,with intermittent wave being rarely used.The scores of NIHSS and mRS were significantly improved after the EA treatment compared to those before the EA treatment in the middle-aged group and the elderly group(P＜0.05).Conclusion:The EA intervention in the acute phase of cerebral infarction has shown significant efficacy,with notable improvements in NIHSS scores and mRS scores in patients.The timing of EA initiation and the total duration of intervention vary among different age groups of acute cerebral infarction patients.However,the EA intervention protocols for acute cerebral infarction patients tend to be similar across different age groups.
Acute phase of cerebral infarctionElectro-acupunctureDifferent age groupsRetrospective research
万方数据
维普
