Effect of acupuncture and moxibustion on artery elasticity for early carotid atherosclerosis.

Q3 Medicine 针刺研究 Pub Date : 2024-06-25 DOI:10.13702/j.1000-0607.20230354

Xi-Chang Huang, Lin Zhao, Jian-Xing Zhang, Si-Ting Ye, Ling-Cui Meng, Jun-He Zhou, Ting Zhou, Zhi-Qi Qi, Peng Zhou, Wen-Bin Fu

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Abstract

Objectives: To observe the effect of acupuncture and moxibustion on arterial elasticity in patients with early carotid atherosclerosis.

Methods: A total of 62 patients with early carotid atherosclerosis were randomly divided into a blank group (12 cases, 1 cases dropped-off), a sham-acupuncture group (25 cases, 5 cases dropped-off) and an acupuncture group (25 cases, 3 cases dropped-off). Patients in the acupuncture group received acupuncture treatment, including ①acupuncture：Baihui (GV20), Yintang (GV24⁺), Renying (ST9), Neiguan (PC6), Yanglingquan (GB34)；②moxibustion：Yinqiguiyuan (Zhongwan ［CV12］, Xiawan ［CV10］, Qihai ［CV6］, Guanyuan ［CV4］), Sihua (Geshu ［BL17］, Danshu ［BL19］)；③Intradermal needle：Xinshu (BL15), Danshu (BL19). Patients in the sham acupuncture group received placebo acupuncture, moxibustion, an intradermal needle, and the acupoints were the same as the acupuncture group. The above treatments were performed twice a week for 12 weeks. No intervention was given to the patients in the blank group. Diet and lifestyle education was given to the three groups. The ultrafast pulse wave velocity, including beginning-systolic pulse wave velocity (BS) and end-systolic pulse wave velocity (ES), was observed before treatment and 1, 2, 3 months after treatment in the three groups. The blood lipid level and platelet count (PLT) at each time point were observed. The safety of the treatments was also evaluated.

Results: Compared with those before treatment, the BS and ES values of both sides in the acupuncture group decreased at 2 and 3 months after treatment (P<0.05). Compared with the blank group, the bilateral ES of the acupuncture group were decreased at 2 months after treatment (P<0.05), and the bilateral BS and ES were decreased at 3 months (P<0.05). Compared with the sham-acupuncture group, the acupuncture group showed a decrease in left BS and left ES after 3 months of treatment (P<0.05), and the overall decrease on the left side of the acupuncture group was better than that on the right side. There were no significant differences between three groups in the levels of blood lipid and PLT at each time point. No serious adverse safety events occurred in the three groups during the treatment.

Conclusions: Acupuncture and moxibustion therapy can improve arterial elasticity in patients with early carotid atherosclerosis, and it is safe and effective.

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针灸对早期颈动脉粥样硬化动脉弹性的影响

目的：观察针灸对早期颈动脉粥样硬化患者动脉弹性的影响：观察针灸对早期颈动脉粥样硬化患者动脉弹性的影响：方法：将 62 例早期颈动脉粥样硬化患者随机分为空白组（12 例，1 例脱落）、假针组（25 例，5 例脱落）和针灸组（25 例，3 例脱落）。针刺组患者接受针刺治疗，包括①针刺：白会（GV20）、针刺：白会（GV20）、印堂（GV24+）、人迎（ST9）、内关（PC6）、阳陵泉（GB34）；②艾灸：银阙院（中丸［CV12］、夏丸［CV10］、气海［CV6］、关元［CV4］）、四华（格灸［BL17］、丹灸［BL19］）；③引针：新灸（BL15）、丹灸（BL19）。假针灸组患者接受安慰剂针灸、艾灸、皮内针，穴位与针灸组相同。上述治疗每周两次，持续 12 周。空白组患者未接受任何干预。三组患者均接受了饮食和生活方式教育。观察三组患者治疗前和治疗后 1、2、3 个月的超快脉搏波速度，包括收缩期开始脉搏波速度（BS）和收缩期结束脉搏波速度（ES）。还观察了每个时间点的血脂水平和血小板计数（PLT）。此外，还对治疗的安全性进行了评估：结果：与治疗前相比，针灸组在治疗后 2 个月和 3 个月时两侧的 BS 值和 ES 值均有所下降（PPPPConclusions：针灸疗法可改善早期颈动脉粥样硬化患者的动脉弹性，且安全有效。

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来源期刊

针刺研究 Medicine-Medicine (all)

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： Acupuncture Research was founded in 1976. It is an acupuncture academic journal supervised by the State Administration of Traditional Chinese Medicine, co-sponsored by the Institute of Acupuncture of the China Academy of Chinese Medical Sciences and the Chinese Acupuncture Association. This journal is characterized by "basic experimental research as the main focus, taking into account clinical research and reporting". It is the only journal in my country that focuses on reporting the mechanism of action of acupuncture. The journal has been changed to a monthly journal since 2018, published on the 25th of each month, and printed in full color. The manuscript acceptance rate is about 10%, and provincial and above funded projects account for about 80% of the total published papers, reflecting the latest scientific research results in the acupuncture field and has a high academic level. Main columns: mechanism discussion, clinical research, acupuncture anesthesia, meridians and acupoints, theoretical discussion, ideas and methods, literature research, etc.