Investigators propose a research design protocol to evaluate the efficacy of acupuncture in improving function recovery after acute intracranial hemorrhage.
Stroke is a major cause of death and disability. According to the Ministry of Health and Welfare in Taiwan, stroke accounted for 6.8% of all deaths and was the 4th leading cause of death in Taiwan in 2020. Stroke can be divided into acute, subacute, and chronic stages, and the initial severity of stroke affects recovery from sequelae. Therefore, how to effectively improve the sequelae and accelerate the recovery of patients through early interventions is an important issue. This study aimed to investigate the effect of early acupuncture treatment in the acute stage of hemorrhagic stroke. Subjects will be divided into two main groups by random assignment. The intervention group will be treated with traditional acupuncture, while the control group will be treated with pseudo-acupuncture(superficial acupuncture). The treatment frequency was 3 times a week for at least one week. Consciousness, neurological status and disability status were assessed before treatment, at the end of the first week, the second week and the third week, and biomarker were examined before and after treatment
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
30
Applied acupuncture on specific acupoints in patient with acute intracranial hemorrhage.
Applied superficial acupuncture on specific acupoints in patient with acute intracranial hemorrhage.
Chang-Gung Memorial Hospital
Keelung, Taiwan
RECRUITINGBarthel Index
The Barthel Index is a scale used to measure performance in activities of daily living (ADL). The total score can range from 0 (complete dependence) to 100 (complete independence), providing a quantitative measure of an individual's functional independence.
Time frame: 3 weeks and follow-up for one year
Muscle Power
Muscle power is often assessed using a grading system. The most common is the Medical Research Council (MRC) Scale, which grades muscle strength on a scale from 0 to 5 and the lower scores mean the worse outcome.
Time frame: 3 weeks and follow-up for one year
The Modified Rankin Scale
The Modified Rankin Score (mRS) is a scale with scores ranging from 0 to 6, the higher scores mean the worse outcome.
Time frame: 3 weeks and follow-up for one year
National Institute of Health Stroke Scale
The total NIHSS score can range from 0 to 42, where a score of 0 means no stroke symptoms, and a higher score indicates a more severe stroke.
Time frame: 3 weeks and follow-up for one year
Glasgow Coma Scale(GCS)
The Glasgow Coma Scale(GCS) is a clinical scale used to reliably measure a person's level of consciousness. The total score can range from 3 to 15, and the lower scores mean the worse outcome.
Time frame: 3 weeks and follow-up for one year
Karnofsky Performance Scale
The Karnofsky Performance Score (KPS) ranking runs from 100 to 0, where 100 is "perfect" health and 0 is death.
Time frame: 3 weeks and follow-up for one year
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Pulse analysis system (PPAS-96)(Sphygmography)
Pulse analysis system (PPAS-96) can realize the digitization of pulse wave graphics, establish a pulse wave database (scale unit: Hertz, Hz).
Time frame: 3 weeks and follow-up for one year
Completed blood count (CBC)
Measuring the amounts of red blood cells (RBC, million/μL), white blood cells (WBC, 1000/μL), platelets (Plt, 1000/μL), along with the hemoglobin (Hb, g/dL) and hematocrit (Hct, %) values via automated hematology analyzer.
Time frame: 3 weeks and follow-up for one year
White blood cells differential count
Calculating the percentage of each type of white blood cell (WBC): Segment(%), Band(%), Lymphocyte(%), Monocyte(%), Eosinophil(%), Basophil(%)
Time frame: 3 weeks and follow-up for one year
C reactive protein (CRP)
Measuring the level of C reactive protein in blood. (CRP, mg/L)
Time frame: 3 weeks and follow-up for one year
Albumin
Measuring the level of albumin in blood. (Alb, g/dL)
Time frame: 3 weeks and follow-up for one year
Blood urea nitrogen (BUN)
Measuring the level of blood urea nitrogen. (BUN, mg/dL)
Time frame: 3 weeks and follow-up for one year
Creatinine
Measuring the level of creatinine in blood. (Crea, mg/dL)
Time frame: 3 weeks and follow-up for one year
Sodium
Measuring the level of sodium in blood. (Na, milliequivalent (mEq)/L)
Time frame: 3 weeks and follow-up for one year
Potassium
Measuring the level of potassium in blood. (K, milliequivalent (mEq)/L)
Time frame: 3 weeks and follow-up for one year