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针刺对心律失常的影响:文献综述

The effects of acupuncture on cardiac arrhythmias: a literature review.

作者信息

VanWormer Arin M, Lindquist Ruth, Sendelbach Susan E

机构信息

University of Minnesota, Minneapolis, MN 55455, USA.

出版信息

Heart Lung. 2008 Nov-Dec;37(6):425-31. doi: 10.1016/j.hrtlng.2007.11.002. Epub 2008 Sep 11.

Abstract

Cardiac arrhythmias increase mortality and diminish quality of life. Several online databases were searched to produce relevant articles examining the effectiveness of acupuncture on cardiac arrhythmias. Acupuncture has been used for thousands of years in Eastern medicine to treat multiple medical conditions and has been documented to improve many aspects of cardiovascular functioning. Despite several identified gaps in the efficacy of typical arrhythmia treatments (eg, pharmacotherapy, cardioversion), evidence supporting the use of acupuncture for cardiac arrhythmias has yet to be synthesized. According to the eight studies reviewed, 87% to 100% of participants converted to normal sinus rhythm after acupuncture. Acupuncture seems to be effective in treating several cardiac arrhythmias, but the limited methodologic quality of the studies necessitates better-controlled clinical trials. For acupuncture to become a more viable intervention in Western medicine, more rigorous studies are needed with standardized treatment protocols, diverse patient populations, and long-term follow-up.

摘要

心律失常会增加死亡率并降低生活质量。我们检索了几个在线数据库,以获取有关针灸治疗心律失常有效性的相关文章。针灸在东方医学中已使用了数千年,用于治疗多种疾病,并且有文献记载其可改善心血管功能的多个方面。尽管典型心律失常治疗(如药物治疗、心脏复律)的疗效存在一些已确定的差距,但支持使用针灸治疗心律失常的证据尚未得到综合。根据所审查的八项研究,87%至100%的参与者在针灸后转为正常窦性心律。针灸似乎对治疗几种心律失常有效,但研究的方法学质量有限,需要更好对照的临床试验。为了使针灸在西医中成为更可行的干预措施,需要采用标准化治疗方案、不同患者群体并进行长期随访的更严格研究。

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