UNASSIGNED: We performed a retrospective 1:1 propensity score-matched cohort study to investigate the association between acupuncture therapy and the risk of pressure ulcers in patients with dementia.
UNASSIGNED: A total of 8,994 patients were identified, 237 patients in the acupuncture cohort and 362 patients in the no-acupuncture cohort developed pressure ulcers. A reduced cumulative incidence of pressure ulcers was observed in the acupuncture cohort (P<0.001). The association between acupuncture and reducing the incidence of pressure ulcers was not affected by sex, age, residence, income, or comorbidities. The variables of etiologies to cause dementia did not change the final result. In the subgroups analyses, the patients without medication for dementia control had a significantly lower rate of pressure ulcers development when they had accepted acupuncture therapy (log-rank test, P<0.001).
UNASSIGNED: Our results revealed the association between acupuncture therapy and a reduced incidence of pressure ulcer development in patients with dementia. This finding offers important ideas for further research.
■我们进行了一项1:1倾向评分匹配的回顾性队列研究,以调查针灸治疗与痴呆患者压疮风险之间的关系。
■共确定了8,994名患者,针灸队列中的237例患者和非针灸队列中的362例患者发生了压疮。在针灸队列中观察到压疮的累积发生率降低(P<0.001)。针刺与降低压疮发生率之间的关联不受性别影响,年龄,residence,收入,或合并症。导致痴呆的病因变量并没有改变最终结果。在亚组分析中,没有药物治疗痴呆控制的患者在接受针灸疗法时,压力性溃疡的发生率明显较低(对数秩检验,P<0.001)。
■我们的研究结果揭示了针灸治疗与痴呆患者压疮发生率降低之间的关联。这一发现为进一步的研究提供了重要的思路。