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两种电针治疗对心率变异性、应激和迷走神经活动的神经调节影响。

Neuromodulating Influence of Two Electroacupuncture Treatments on Heart Rate Variability, Stress, and Vagal Activity.

机构信息

Center for Pain & Stress Research Ltd., St. Augustine, FL, USA.

University of Manchester, Royal Infirmary, Manchester, United Kingdom.

出版信息

J Altern Complement Med. 2020 Oct;26(10):928-936. doi: 10.1089/acm.2019.0267. Epub 2020 Jul 10.


DOI:10.1089/acm.2019.0267
PMID:32654498
Abstract

Although the clinical use of electro-acupuncture is widespread, the neuromodulating influence of various applied frequencies is not well established. Heart rate variability (HRV), stress and parasympathetic recovery are closely related to health, longevity and vitality in humans. This study was undertaken to determine the influence of different electro-therapy frequencies on various autonomic nervous system markers when applied to a Battlefield Acupuncture Protocol (BFA). A detailed comparison of autonomic nervous system (ANS) response to low frequency (LF) 2.5 Hz electro-acupuncture and mid-frequency (MF) 15 Hz electro-acupuncture applied by point stimulation to acupuncture points was undertaken on 2 groups of 12 patients. Both LFEA and MFEA were applied to Battlefield Acupuncture protocol, consisting of five (5) key acupuncture ear (auricular) points that isolate the autonomic nervous system (ANS) and central nervous system's role in the chronic/acute pain cycle. Evaluations entailed an advanced status of autonomic nervous system (ANS) function through Electro-Cardiogram (ECG) baseline markers reflecting: sympathetic stress (SI); parasympathetic vagal tone (high frequency [HF]) and heart rate variability (HRV = total power). All were repeated subsequent to electro-therapy using 2 separate electro-modalities of low-frequency (2.5 Hz) electro-acupuncture (LFEA) and Mid-Frequency (15 Hz) electro-acupuncture (MFEA). All 24 patients received one (1) elector-acupuncture session. The autonomic nervous system response to LFEA (2.5 Hz) reflected a statistically significant pre-post improvement in three of the markers collected: heart rate variability (HRV) improved by 61% [ = 0.002]; sympathetic stress (SI) reduced 42% [ = 0.002]; and parasympathetic vagal tone (HF) increased 56% [ = 0.017]. In contrast, MFEA (15 Hz) showed positive but non-significant changes in outcomes in all nervous system markers. The autonomic nervous system response with LFEA showed a measurable reduction in sympathetic stress with subsequent improvement in vagal tone, and HRV. This positive sympathetic nervous system deactivation from LFEA application shown in this study could have a major impact on other pathologies related to human health and longevity. Further cohort studies are warranted to determine the validity of these outcomes.

摘要

尽管电针的临床应用很广泛,但各种应用频率的神经调节影响还没有得到很好的确定。心率变异性(HRV)、应激和副交感神经恢复与人的健康、长寿和活力密切相关。本研究旨在确定不同电疗频率对应用于战场针刺方案(BFA)时各种自主神经系统标志物的影响。

我们对两组 12 名患者进行了低频(2.5Hz)电针和中频(15Hz)电针穴位刺激的自主神经系统(ANS)反应的详细比较。LFEA 和 MFEA 均应用于战场针刺方案,该方案包括五个(5)关键的耳(耳廓)针刺点,这些针刺点可分离自主神经系统(ANS)和中枢神经系统在慢性/急性疼痛周期中的作用。评估包括通过反映自主神经系统(ANS)功能的先进状态,通过心电图(ECG)基线标志物进行评估:交感神经应激(SI);副交感神经迷走神经张力(高频[HF])和心率变异性(HRV=总功率)。所有这些都是在使用两种不同的低频(2.5Hz)电针(LFEA)和中频(15Hz)电针(MFEA)的两种电模式进行电疗后重复进行的。所有 24 名患者均接受了一次(1)电针治疗。

LFEA(2.5Hz)对自主神经系统的反应反映了所收集的三个标志物中的统计学显著的前后改善:心率变异性(HRV)提高了 61%[=0.002];交感神经应激(SI)降低了 42%[=0.002];副交感神经迷走神经张力(HF)增加了 56%[=0.017]。相比之下,MFEA(15Hz)在所有神经系统标志物的结果中显示出积极但无统计学意义的变化。

LFEA 自主神经系统反应显示出可测量的交感神经应激减少,随后迷走神经张力和 HRV 改善。本研究中 LFEA 应用引起的这种积极的交感神经失活可能对与人类健康和长寿相关的其他病理学有重大影响。需要进一步的队列研究来确定这些结果的有效性。

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Sensors (Basel). 2025-7-18

[2]
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Front Endocrinol (Lausanne). 2025-5-13

[3]
Research Supports the Integration of Acupuncture in Mainstream Health Care for the Management of Chronic Diseases.

Med Acupunct. 2025-4-17

[4]
Key targets of signal transduction neural mechanisms in acupuncture treatment of cardiovascular diseases: Hypothalamus and autonomic nervous system.

Heliyon. 2024-9-20

[5]
Enhancing Vagal Tone, Modulating Heart Rate Variability with Auricular Acupressure at Point Zero: A Randomized Controlled Trial.

Med Acupunct. 2024-8-21

[6]
Effect of Low- and High-Frequency Auricular Stimulation with Electro-Acupuncture on Cutaneous Microcirculation: A Cross-Over Study in Healthy Subjects.

Medicines (Basel). 2023-2-13

[7]
The application of acupuncture in cardiopathy: A bibliometric analysis based on Web of Science across ten recent years.

Front Cardiovasc Med. 2022-9-6

[8]
A randomised, pragmatic clinical trial of ACUpuncture plus standard care versus standard care alone FOr Chemotherapy Induced peripheral Neuropathy (ACUFOCIN).

Eur J Oncol Nurs. 2022-10

[9]
Electroacupuncture preconditioning alleviates myocardial ischemia-reperfusion injury through the hypothalamic paraventricular nucleus- interposed nucleus nerve pathway.

J Tradit Chin Med. 2022-6

[10]
Protection against Doxorubicin-Induced Cardiotoxicity through Modulating iNOS/ARG 2 Balance by Electroacupuncture at PC6.

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