Effect of acupuncture in Pericardium 6 (Neiguan) acupoint in the acute cardiovascular response to active standing in healthy subjects

José Federico Rivas-Vilchis , Fernando Hernández-Sánchez , Moisés Salvador Castañeda-Ramírez
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Abstract

Objective

To demonstrate the effect of acupuncture in Pericardium 6 (Neiguan) acupoint in the acute homeostatic response to orthostatic challenge in healthy subjects.

Design

A cross-sectional experimental study was conducted at Acupuncture Facility at Universidad Autónoma Metropolitana, Ciudad de México, México. Participants: Fifteen healthy university students (seven women) aged 22.5 ± 1.36 (mean ± SD) participated in the present study to investigate the changes in cardiovascular function after standing active standing and their modification with manual acupuncture in Pericardium 6 (Neiguan) acupoint in healthy volunteers.

Interventions

The treatment consisted of one session of manual acupuncture in the Pericardium 6 (Neiguan) in the right arm. The following data for continuous beat-to-beat registration: mean arterial pressure (MAP), heart rate (HR), stroke volume (SV), total peripheral resistance (TPR), and left ventricular ejection time were computed in healthy volunteers after standing. The obtained signals were plotted and averaged, and a linear correlation of each average was calculated. Besides, the Pearson correlation coefficient was calculated for the recording periods of 1–10 after the standing position in basal and treated conditions.

Results

Acupuncture was showed to increase the speed of change in MAP, HR, and TPR and decreased the speed of changes in SV and LVET when comparing the slopes of the initial cardiovascular changes related to active standing. Besides, Pearson analysis showed that acupuncture treatment modifies to higher correlation the cardiovascular responses to orthostatic stress.

Conclusions

We found that manual acupuncture in the right PC6 boosted the initial adaptive mechanisms to orthostatic stress in healthy subjects. It is valuable to initiate clinical trials to see if this treatment improves symptoms in patients with orthostatic hypotension.

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针刺心包6(内关)穴对健康受试者活跃站立急性心血管反应的影响
目的探讨针刺心包6(内关)穴在健康受试者直立性应激急性体内平衡反应中的作用。设计一项横断面实验研究在universsidad Autónoma Metropolitana, Ciudad de msamuxico, msamuxico针灸设施进行。研究对象:15名健康大学生(7名女性),年龄22.5 ± 1.36(平均 ± SD),观察健康志愿者站立、活动站立后心血管功能的变化及手针刺6心包(内关)穴对心血管功能的影响。治疗方法:采用手针刺右臂内关心包1次。连续搏动记录的以下数据:平均动脉压(MAP)、心率(HR)、每搏量(SV)、总外周阻力(TPR)和左心室射血时间在健康志愿者站立后计算。对得到的信号进行绘制和平均,并计算每个平均值的线性相关性。此外,计算了基础和处理条件下立位后1 ~ 10个记录周期的Pearson相关系数。结果在比较活动站立相关的初始心血管变化斜率时,针刺可提高MAP、HR和TPR的变化速度,降低SV和LVET的变化速度。此外,Pearson分析显示,针灸治疗与心血管对体位应激的反应有较高的相关性。结论手针刺右侧PC6增强了健康受试者对体位应激的初始适应机制。有必要开展临床试验,看看这种治疗是否能改善直立性低血压患者的症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Revista Internacional de Acupuntura
Revista Internacional de Acupuntura Medicine-Complementary and Alternative Medicine
CiteScore
0.60
自引率
0.00%
发文量
18
审稿时长
85 days
期刊介绍: La primera revista científica en español que permite estar al día sobre avances en terapias no convencionales, favoreciendo la renovación crítica y constante de los conocimientos ya adquiridos. Cuenta con los prestigiosos contenidos de la Deustche Zeitschrift f?r Akupunktur (DZA) alemana y artículos nacionales
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