Revista Internacional de Acupuntura最新文献

Tratamiento del ojo seco con acupuntura, revisión sistemática de la literatura 用针灸治疗干眼，系统文献综述

Q4 Medicine

Revista Internacional de Acupuntura

Pub Date : 2024-07-01 DOI: 10.1016/j.acu.2025.100311

María Paula Castro-Mora, Fernando Yaacov Peña

Objective

To describe the effectiveness of acupuncture in the management of dry eye as reported in the scientific literature.

Design

A systematic literature review of published articles on the treatment of dry eye with traditional Chinese medicine, specifically acupuncture, was conducted.

Data sources

Scientific studies from the last 20 years, carried out globally and indexed in search engines such as PubMed, SciELO, and Cochrane, were included. The search strategy was based on the following terms: “dry eye” AND “acupuncture”.

Study selection

Studies were selected from any population and gender, involving adult patients with dry eye. The search yielded 296 articles in PubMed, 54 in Ovid, 1 in Cochrane, and 1 in SciELO. Of these, 16 met the inclusion criteria, and 6 corresponded to the same study in different phases. In the end, 10 clinical trials were included for analysis.

Data extraction

The information was entered into a database where the level of scientific evidence was assessed, and the results were analyzed to define the degree of evidence and effectiveness of acupuncture in the treatment of this type of pathology (STRICTA scale).

Results

Ten studies met the inclusion criteria. The acupuncture points used, and the action time were very similar between studies. In nine of the studies, a significant improvement was observed in several objective tests and in symptom analysis, favoring treatment with acupuncture. One study that compared real acupuncture points with placebo acupuncture points found no significant differences between the treatment group and the control group. In the other studies, it was evident that the effect of acupuncture was longer-lasting than that of artificial tears, with a statistically significant greater improvement than the control group in both acupuncture and electroacupuncture, compared to the control group.

Conclusions

The use of acupuncture and electroacupuncture was shown to be effective in the treatment of dry eye, considering the specific acupuncture points for the pathology and individually for the respective syndrome according to traditional Chinese medicine.

目的探讨针刺治疗干眼症的临床疗效。设计对已发表的中医药特别是针灸治疗干眼症的文章进行系统的文献综述。数据来源包括过去20年 全球开展的科学研究，并在PubMed、SciELO和Cochrane等搜索引擎中进行索引。搜索策略基于以下术语：“干眼症”和“针灸”。研究选择研究从任何人群和性别中选择，包括患有干眼症的成年患者。在PubMed中检索到296篇文章，在Ovid中检索到54篇，在Cochrane中检索到1篇，在SciELO中检索到1篇。其中16例符合纳入标准，6例对应于不同阶段的同一研究。最终纳入10项临床试验进行分析。数据提取：将信息输入数据库，评估科学证据水平，并对结果进行分析，以确定针灸治疗此类病理的证据程度和有效性（STRICTA量表）。结果10项研究符合纳入标准。使用的穴位和作用时间在两项研究之间非常相似。在其中的九项研究中，在一些客观测试和症状分析中观察到明显的改善，倾向于针灸治疗。一项比较真实穴位和安慰剂穴位的研究发现，治疗组和对照组之间没有显著差异。在其他研究中，很明显，针灸的效果比人工泪液的效果更持久，与对照组相比，针灸和电针的改善都有统计学上的显著性。结论采用针刺和电针治疗干眼症，根据中医的病理特点，结合具体穴位，分别针对不同的证候，具有较好的疗效。

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引用次数: 0

Efectos de la acupuntura en el tratamiento de la epilepsia focal estructural provocada por traumatismo craneoencefálico. Informe de un caso 针灸治疗脑外伤引起的局灶性结构性癫痫的效果。案例报告

Q4 Medicine

Revista Internacional de Acupuntura

Pub Date : 2024-07-01 DOI: 10.1016/j.acu.2025.100312

Nancy Reyes Colín

Structural focal epilepsy is a neurological condition characterized by the presence of seizures in a specific branch of the brain. Its etiology is multifactorial of which genetic, structural, metabolic or unknown cause alterations stand out. We present the case of a 42-year-old woman with structural focal epilepsy caused by a traumatic cranioencephalic lesion, who was treated with acupuncture.

结构性局灶性癫痫是一种神经系统疾病，其特征是在大脑的特定分支出现癫痫发作。其病因是多因素的，其中遗传，结构，代谢或未知原因的改变突出。我们提出的情况下，一个42岁的妇女结构性局灶性癫痫引起的创伤性颅脑损伤，谁是针灸治疗。

引用次数: 0

Acupuncture for the management of fibromyalgia: Insights on evidence, mechanisms, and treatment methodologies 针刺治疗纤维肌痛：对证据、机制和治疗方法的见解

Q4 Medicine

Revista Internacional de Acupuntura

Pub Date : 2024-07-01 DOI: 10.1016/j.acu.2025.100310

Elson Marques Serra , Rodolfo Costa Torres , Jorge Magalhães Rodrigues

Background

Fibromyalgia is a chronic condition characterized by widespread pain and associated symptoms, significantly impacting quality of life. While conventional treatments often provide limited relief, acupuncture has emerged as a potential therapeutic option.

Objective

To review the available evidence on the efficacy of acupuncture in managing fibromyalgia symptoms and to explore potential mechanisms of action.

Results

The evidence supports the efficacy of acupuncture in reducing pain, fatigue, and other fibromyalgia symptoms compared to sham acupuncture and, in some cases, conventional treatments. Various acupuncture techniques, including manual acupuncture, electroacupuncture, laser acupuncture, and scalp acupuncture, have demonstrated benefits. While the exact mechanisms remain unclear, potential pathways involve modulation of neurotransmitters, immune function, and central nervous system activity.

Conclusions

Acupuncture shows promise as a complementary treatment for fibromyalgia. However, further high-quality research is needed to establish optimal acupuncture protocols, elucidate underlying mechanisms, and assess long-term outcomes.

背景纤维肌痛是一种慢性疾病，其特征是广泛的疼痛和相关症状，严重影响生活质量。虽然传统疗法通常只能提供有限的缓解，但针灸已经成为一种潜在的治疗选择。目的回顾针刺治疗纤维肌痛症状的现有证据，探讨其可能的作用机制。结果与假针灸相比，证据支持针灸在减轻疼痛、疲劳和其他纤维肌痛症状方面的疗效，在某些情况下，与传统治疗相比。各种针灸技术，包括手工针灸、电针、激光针灸和头皮针灸，已经证明有好处。虽然确切的机制尚不清楚，但潜在的途径涉及神经递质、免疫功能和中枢神经系统活动的调节。结论针刺是治疗纤维肌痛的一种有效的辅助疗法。然而，需要进一步的高质量研究来建立最佳的针灸方案，阐明潜在的机制，并评估长期结果。

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引用次数: 0

Acupuncture for the management of breast cancer: A review of its efficacy and mechanisms 针灸治疗乳腺癌的疗效和机制综述

Q4 Medicine

Revista Internacional de Acupuntura

Pub Date : 2024-07-01 DOI: 10.1016/j.acu.2025.100308

Helena Silva , Andreia Santos , Alexandra Monteiro , Inês Reis Sousa , Jorge Magalhães Rodrigues

Background

Breast cancer is a leading cause of cancer-related mortality worldwide, with significant physical and psychological impact on patients. Conventional treatments often induce adverse effects, highlighting the need for complementary therapies. Acupuncture, a traditional Chinese medicine practice, has gained attention for its potential benefits in various health conditions.

Objective

This review aims to assess the current heist-level evidence on acupuncture for breast cancer management.

Results

Acupuncture demonstrated potential benefits in reducing stress, depression, and insomnia in breast cancer patients. It also showed efficacy in managing treatment-related side effects, including pain, fatigue, and menopausal symptoms. However, the evidence base for some outcomes remains limited. Acupuncture's mechanisms of action are complex and require further investigation.

Conclusion

Acupuncture holds promise as a complementary therapy for breast cancer patients, offering potential benefits in both physical and psychological well-being. While existing research is encouraging, high-quality studies are needed to establish definitive treatment guidelines.

乳腺癌是世界范围内癌症相关死亡的主要原因，对患者的身体和心理都有重大影响。常规治疗往往会引起不良反应，因此需要补充治疗。针灸，一种传统的中医实践，因其对各种健康状况的潜在益处而受到关注。目的本综述旨在评估针刺治疗乳腺癌的现有证据。结果针刺在减轻乳腺癌患者的压力、抑郁和失眠方面具有潜在的益处。它还显示出治疗相关副作用的有效性，包括疼痛、疲劳和更年期症状。然而，一些结果的证据基础仍然有限。针灸的作用机制是复杂的，需要进一步研究。结论：针灸作为乳腺癌患者的补充疗法，在生理和心理健康方面都有潜在的益处。虽然现有的研究令人鼓舞，但需要高质量的研究来建立明确的治疗指南。

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引用次数: 0

The neuroendocrine mechanisms underlying acupuncture's efficacy in insomnia: A focus on melatonin 针刺治疗失眠的神经内分泌机制：以褪黑激素为焦点

Q4 Medicine

Revista Internacional de Acupuntura

Pub Date : 2024-07-01 DOI: 10.1016/j.acu.2025.100309

Maria João Baldaia , Júlia Pinto , César Azevedo , Armanda Ribeiro , Jorge Magalhães Rodrigues

Background

Insomnia is a common sleep disorder that can significantly impact quality of life. Acupuncture is a therapeutic technique that has been explored as a potential treatment for insomnia, with some studies suggesting its effectiveness.

Objective

To review the existing literature on the use of acupuncture for insomnia and to evaluate its efficacy in modulating melatonin.

Methods

A comprehensive search of electronic databases was conducted to identify relevant studies.

This review included randomized controlled trials that examined the impact of acupuncture on both melatonin levels and sleep quality.

Results

Twenty-one studies were found, of which seven met the inclusion criteria.

Discussion

The analysis revealed that acupuncture was significantly more effective than non-acupuncture control groups in improving sleep quality and reducing insomnia symptoms. Several studies also found that acupuncture was associated with increased melatonin levels.

Conclusion

The findings of this review suggest that acupuncture may be a promising therapeutic option for insomnia. Further research is needed to establish the optimal acupuncture protocols and to explore their potential benefits in different populations.

背景：失眠是一种常见的睡眠障碍，会严重影响生活质量。针灸是一种治疗技术，已经被探索作为治疗失眠的潜在方法，一些研究表明它的有效性。目的回顾针刺治疗失眠的相关文献，评价针刺对褪黑激素的调节作用。方法全面检索电子数据库，确定相关研究。这篇综述包括随机对照试验，研究针灸对褪黑激素水平和睡眠质量的影响。结果共纳入21篇研究，其中7篇符合纳入标准。分析显示，针灸在改善睡眠质量和减轻失眠症状方面明显比非针灸对照组更有效。几项研究还发现，针灸与褪黑激素水平的增加有关。结论本综述的研究结果提示针灸可能是治疗失眠的一种有前景的选择。需要进一步的研究来建立最佳的针灸方案，并探索其在不同人群中的潜在益处。

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引用次数: 0

Eficacia de la electroacupuntura y el masaje terapéutico sobre la cervicalgia secundaria a estrés y ansiedad. Revisión sistemática de la literatura 电针和治疗性按摩对继发于压力和焦虑的颈部疼痛的疗效。文献系统回顾

Q4 Medicine

Revista Internacional de Acupuntura

Pub Date : 2024-04-01 DOI: 10.1016/j.acu.2024.100299

José Isaí López Ramírez

Background

Stress and anxiety are physiological responses that allow the body to adapt to stressful environments or factors. However, when these stimuli become prolonged or chronic, they can cause an imbalance in the body, disrupting homeostasis. Psychological disorders, such as anxiety and long-term stress, are important risk factors for developping musculoskeletal problems. Cervicalgia, a common musculoskeletal disorder, causes movement limitations, pain, and generates feelings of frustration and helplessness. In 2019, the age-standardized prevalence of cervicalgia was 27.0 per 1,000 inhabitants. Electroacupuncture (EA) has emerged as a modern form of acupuncture that uses electrical impulses to enhance its therapeutic effect, particularly in its ability to regulate the autonomic nervous system and modulate neurotransmitters such as serotonin and dopamine. On the other hand, therapeutic massage has been used to promote relaxation and reduce stress and anxiety. Recent research has confirmed the benefits of massage in these conditions, showing significant positive effects in reducing stress and anxiety, with cumulative benefits over time.

Objective

To document the efficacy of EA and therapeutic massage on cervicalgia secondary to stress and anxiety through a systematic literature review.

Method

A systematic literature review was conducted, where 50 scientific articles published between 2019 and 2024 were reviewed, using scientific databases such as PubMed, SciELO, ScienceDirect, PEDro, and Google Scholar.

Conclusions

Both EA and therapeutic massage have shown efficacy in the treatment of cervicalgia, with EA standing out in reducing pain and improving functionality through the modulation of neurotransmitters and blood flow. Therapeutic massage has proven effective in improving neurophysiological function and reducing pain, with demonstrated benefits in pain reduction, improved range of motion, and decreased neck pain-related disability.

背景压力和焦虑是一种生理反应，可使人体适应压力环境或因素。然而，当这些刺激变成长期或慢性刺激时，就会导致机体失衡，破坏体内平衡。焦虑和长期压力等心理障碍是导致肌肉骨骼问题的重要危险因素。颈椎痛是一种常见的肌肉骨骼疾病，会导致活动受限、疼痛，并产生挫败感和无助感。2019 年，颈椎痛的年龄标准化发病率为每千人 27.0 例。电针（EA）是针灸的一种现代形式，它利用电脉冲来增强治疗效果，尤其是在调节自律神经系统和调节神经递质（如血清素和多巴胺）方面。另一方面，治疗性按摩被用于促进放松、减轻压力和焦虑。最近的研究证实了按摩对这些病症的益处，在减轻压力和焦虑方面显示出显著的积极作用，并且随着时间的推移，益处会不断累积。目的通过系统性文献综述，记录 EA 和治疗性按摩对继发于压力和焦虑的颈椎痛的疗效。方法利用PubMed、SciELO、ScienceDirect、PEDro和谷歌学术等科学数据库，对2019年至2024年期间发表的50篇科学文章进行了系统性文献综述。结论EA和治疗性按摩在治疗颈椎痛方面均有疗效，其中EA通过调节神经递质和血流，在减轻疼痛和改善功能方面表现突出。事实证明，治疗性按摩能有效改善神经生理功能并减轻疼痛，在减轻疼痛、改善活动范围和减少与颈部疼痛相关的残疾方面效果显著。

{"title":"Eficacia de la electroacupuntura y el masaje terapéutico sobre la cervicalgia secundaria a estrés y ansiedad. Revisión sistemática de la literatura","authors":"José Isaí López Ramírez","doi":"10.1016/j.acu.2024.100299","DOIUrl":"10.1016/j.acu.2024.100299","url":null,"abstract":"<div><h3>Background</h3><div>Stress and anxiety are physiological responses that allow the body to adapt to stressful environments or factors. However, when these stimuli become prolonged or chronic, they can cause an imbalance in the body, disrupting homeostasis. Psychological disorders, such as anxiety and long-term stress, are important risk factors for developping musculoskeletal problems. Cervicalgia, a common musculoskeletal disorder, causes movement limitations, pain, and generates feelings of frustration and helplessness. In 2019, the age-standardized prevalence of cervicalgia was 27.0 per 1,000 inhabitants. Electroacupuncture (EA) has emerged as a modern form of acupuncture that uses electrical impulses to enhance its therapeutic effect, particularly in its ability to regulate the autonomic nervous system and modulate neurotransmitters such as serotonin and dopamine. On the other hand, therapeutic massage has been used to promote relaxation and reduce stress and anxiety. Recent research has confirmed the benefits of massage in these conditions, showing significant positive effects in reducing stress and anxiety, with cumulative benefits over time.</div></div><div><h3>Objective</h3><div>To document the efficacy of EA and therapeutic massage on cervicalgia secondary to stress and anxiety through a systematic literature review.</div></div><div><h3>Method</h3><div>A systematic literature review was conducted, where 50 scientific articles published between 2019 and 2024 were reviewed, using scientific databases such as PubMed, SciELO, ScienceDirect, PEDro, and Google Scholar.</div></div><div><h3>Conclusions</h3><div>Both EA and therapeutic massage have shown efficacy in the treatment of cervicalgia, with EA standing out in reducing pain and improving functionality through the modulation of neurotransmitters and blood flow. Therapeutic massage has proven effective in improving neurophysiological function and reducing pain, with demonstrated benefits in pain reduction, improved range of motion, and decreased neck pain-related disability.</div></div>","PeriodicalId":39495,"journal":{"name":"Revista Internacional de Acupuntura","volume":"18 2","pages":"Article 100299"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acupuncture in reproductive health: Evaluating its potential as an adjunct therapy 针灸在生殖健康中的应用：评估其作为辅助疗法的潜力

Q4 Medicine

Revista Internacional de Acupuntura

Pub Date : 2024-04-01 DOI: 10.1016/j.acu.2024.100296

Eliane Pacheco Engler , Jorge Magalhães Rodrigues

Infertility, defined as the inability to achieve conception through natural means, represents a significant global health issue impacting individuals globally. Traditional Chinese Medicine, particularly acupuncture, has gained attention as a potential complementary therapy for infertility. This review examines the efficacy of acupuncture in treating both female and male infertility, analyzing current systematic evidence and underlying mechanisms.

For female infertility, acupuncture has shown promising results in conditions such as anovulatory infertility, polycystic ovary syndrome, endometriosis, and improving endometrial receptivity. Evidence suggests that acupuncture alone or in combination with conventional treatments can enhance pregnancy rates, ovulation rates, and endometrial thickness, although findings are sometimes inconclusive due to methodological limitations. Acupuncture appears to modulate reproductive hormones, improve ovarian function, and facilitate embryo implantation, offering a valuable therapeutic option for women.

In male infertility, acupuncture has demonstrated potential benefits in enhancing sperm quality, balancing hormones, and reducing testicular damage caused by abnormal hormone levels. Studies indicate that acupuncture may improve sperm motility, concentration, and overall semen quality by regulating endocrine functions and mitigating apoptosis in germ cells. Despite promising outcomes, the quality of existing studies varies, and further research with robust methodologies is necessary.

This review highlights the potential of acupuncture as a safe, non-invasive, and effective adjunctive therapy for infertility. Integrating Traditional Chinese Medicine principles with modern medical practices could lead to more personalized and comprehensive infertility treatments, enhancing patient well-being and reproductive outcomes. Future research should focus on addressing current study limitations and further elucidating acupuncture's mechanisms in infertility treatment.

不孕症是指无法通过自然途径受孕，是影响全球个人健康的重大全球性问题。传统中医，尤其是针灸，作为治疗不孕不育症的一种潜在辅助疗法，受到了广泛关注。对于女性不孕症，针灸在无排卵性不孕症、多囊卵巢综合症、子宫内膜异位症和改善子宫内膜接受能力等方面显示出良好的疗效。有证据表明，针灸单独使用或与常规治疗相结合可提高受孕率、排卵率和子宫内膜厚度，但由于方法的局限性，有时研究结果并不确定。针灸似乎可以调节生殖激素，改善卵巢功能，促进胚胎着床，为妇女提供了一种有价值的治疗选择。对于男性不育症，针灸在提高精子质量、平衡荷尔蒙、减少荷尔蒙水平异常对睾丸造成的损伤方面具有潜在的益处。研究表明，针灸可通过调节内分泌功能和减轻生殖细胞凋亡，提高精子活力、浓度和精液整体质量。本综述强调了针灸作为一种安全、无创、有效的不育症辅助疗法的潜力。将传统中医原理与现代医学实践相结合，可实现更个性化、更全面的不孕不育治疗，提高患者的幸福感和生殖效果。未来的研究应着重解决当前研究的局限性，并进一步阐明针灸治疗不孕症的机制。

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引用次数: 0

Acupuncture in acute COVID-19 treatment: A review of clinical evidence 针灸治疗急性 COVID-19：临床证据综述

Q4 Medicine

Revista Internacional de Acupuntura

Pub Date : 2024-04-01 DOI: 10.1016/j.acu.2024.100298

Patrícia Soares Bernardo , Jorge Magalhães Rodrigues

Introduction

By May 5 2023, WHO announced the end of the pandemic due to declining COVID-19 cases and deaths, coupled with high levels of immunity from vaccination and previous infections. However, the virus remains a global health threat with potential for new variants. Acupuncture, a traditional Chinese medicine technique, has shown promise in treating various conditions, including respiratory infections. This review investigates acupuncture's impact on acute COVID-19 infection and its potential as a complementary therapy.

Methodology

A comprehensive literature search was conducted using PubMed, Science Direct, Scielo, and CNKI, focusing on the impact of acupuncture on COVID-19 patients.

Results

The search yielded 35 studies, with five meeting the inclusion criteria. These included two randomized clinical trials and three case reports, all incorporating acupuncture alongside conventional treatments.

Case reports and clinical trials indicated that acupuncture improved symptoms such as shortness of breath, rapid heart rate, and cough in COVID-19 patients. Acupuncture was associated with elevated SpO2 levels, reduced heart rate, and an anti-inflammatory effect. Studies highlighted that acupuncture may activate neuro-immune pathways, leading to modulation of immune responses.

Common acupuncture points used included S 36 Zú sān lǐ, and LI 4 Hé gǔ. Techniques involved inserting needles at specific depths and angles to achieve the Deqi sensation, with treatments lasting 20–30 min per session.

Conclusion

Acupuncture appears to be a valuable complementary therapy for managing acute COVID-19 infection. It enhances clinical outcomes by alleviating symptoms and reducing recovery time. Further research is warranted to fully integrate acupuncture into standard COVID-19 treatment protocols.

导言：到 2023 年 5 月 5 日，由于 COVID-19 病例和死亡人数下降，加上疫苗接种和以往感染的高免疫水平，世卫组织宣布大流行结束。然而，该病毒仍对全球健康构成威胁，并有可能出现新的变种。针灸作为一种传统中医技术，在治疗包括呼吸道感染在内的各种疾病方面已显示出良好的前景。本综述探讨了针灸对 COVID-19 急性感染的影响及其作为辅助疗法的潜力。方法利用 PubMed、Science Direct、Scielo 和 CNKI 进行了全面的文献检索，重点关注针灸对 COVID-19 患者的影响。病例报告和临床试验表明，针灸可改善 COVID-19 患者的气短、心率加快和咳嗽等症状。针灸与 SpO2 水平升高、心率降低和抗炎作用相关。研究强调，针灸可激活神经免疫通路，从而调节免疫反应。常用的穴位包括三十六攒穴（S 36 Zú sān lǐ）和四渎穴（LI 4 Hé gǔ）。针灸的技术包括以特定深度和角度进针，以达到出气的感觉，每次治疗持续 20-30 分钟。针灸可减轻症状，缩短康复时间，从而提高临床疗效。要将针灸完全融入标准的 COVID-19 治疗方案中，还需要进一步的研究。

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引用次数: 0

Acupuncture and its potential in enhancing mental well-being for breast cancer survivors: An evidence-based insight 针灸及其在提高乳腺癌幸存者心理健康方面的潜力：基于证据的见解

Q4 Medicine

Revista Internacional de Acupuntura

Pub Date : 2024-04-01 DOI: 10.1016/j.acu.2024.100297

Gisela Cruz , Micaela Fonseca , Raquel Silva , Rodolfo Torres , Jorge Magalhães Rodrigues

Breast cancer survivors often face long-term physical and psychological challenges post-treatment, including anxiety, depression, sleep disturbances, and fatigue. Acupuncture, a traditional Chinese medicine technique, has shown promise in addressing these issues. This paper reviews several studies investigating the effects of acupuncture on the mental health of breast cancer survivors. A 15-year NADA auricular acupuncture service demonstrated improvements in mood, somatic symptoms, anxiety, and sleep problems, with benefits sustained at 4-week and 18-week follow-ups. Another study found auricular acupuncture to be superior to psychoeducation in improving sleep quality, stress, anxiety, and fatigue. Complementary acupuncture treatment significantly improved cancer-related fatigue, depression, and sleep quality. Additionally, electro-acupuncture outperformed gabapentin in improving sleep quality in breast cancer survivors with hot flashes. The reviewed studies employed various acupuncture techniques, including auricular and electro-acupuncture, with differences in treatment duration, frequency, and point selection. Mechanisms underlying acupuncture's effects on mental health remain complex and multifaceted, potentially involving modulation of neurotransmitter levels, neurotrophic factors, and pain pathways. However, the scarcity of high-quality randomized controlled trials and the lack of studies focusing specifically on mental health outcomes among breast cancer survivors highlight the need for further research in this area.

乳腺癌幸存者在治疗后往往面临长期的生理和心理挑战，包括焦虑、抑郁、睡眠障碍和疲劳。针灸作为一种传统的中医疗法，在解决这些问题方面显示出良好的前景。本文回顾了几项调查针灸对乳腺癌幸存者心理健康影响的研究。一项为期 15 年的 NADA 耳穴针灸服务显示，患者的情绪、躯体症状、焦虑和睡眠问题均有所改善，并且在 4 周和 18 周的随访中持续获益。另一项研究发现，在改善睡眠质量、压力、焦虑和疲劳方面，耳针疗法优于心理教育。辅助针灸治疗明显改善了与癌症有关的疲劳、抑郁和睡眠质量。此外，电针在改善患有潮热的乳腺癌幸存者的睡眠质量方面优于加巴喷丁。这些研究采用了不同的针灸技术，包括耳针和电针，在治疗时间、频率和穴位选择上存在差异。针灸对心理健康的影响机制仍然复杂而多面，可能涉及神经递质水平、神经营养因子和疼痛通路的调节。然而，高质量的随机对照试验很少，而且缺乏专门针对乳腺癌幸存者心理健康结果的研究，这凸显了在这一领域开展进一步研究的必要性。

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引用次数: 0

Evidencias de los efectos parasimpáticos y simpáticos de la acupuntura mediante la variabilidad de la frecuencia cardíaca: implicaciones multisistémicas 通过心率变异性证明针灸的副交感神经和交感神经效应：多系统影响

Q4 Medicine

Revista Internacional de Acupuntura

Pub Date : 2024-01-01 DOI: 10.1016/j.acu.2024.100288

Salvador Quiroz-González , Emma López-Espinosa , Zheng Liu , Ruben Fossion

Heart rate variability (HRV) indirectly reflects the activity of the autonomic nervous system (ANS) on cardiac function, which is modified by both internal and external stimuli, reflecting the body's self-regulatory capacity. In this article we describe some general aspects of HRV and its implications for health and disease. Likewise, we show experimental evidence emphasizing that acupuncture under certain conditions increases vagal tone, to cope with the wear and tear generated by stressors, and in other conditions activates the sympathetic response to mobilize resources. We expose HRV as a tool to evaluate the effects of acupuncture on the sympathetic and parasympathetic nervous system, and its implications in other body systems. We propose that a mechanism of action of acupuncture to modulate the digestive, immune, cardiovascular, respiratory, and gynecological systems, including conditions such as stress, fibromyalgia, chronic fatigue, and metabolism, corresponds to the activity it exerts on the sympathetic branch and parasympathetic of the ANS, which can be evidenced by HRV.

心率变异间接反映了自律神经系统（ANS）对心脏功能的影响，它受内部和外部刺激的影响，反映了人体的自我调节能力。在本文中，我们将介绍心率变异的一些一般方面及其对健康和疾病的影响。同样，我们还展示了实验证据，强调针灸在某些情况下会增加迷走神经张力，以应对压力产生的磨损，而在其他情况下则会激活交感神经反应，以调动资源。我们将心率变异作为一种工具，用于评估针灸对交感和副交感神经系统的影响及其对其他身体系统的影响。我们建议，针灸调节消化、免疫、心血管、呼吸和妇科系统（包括压力、纤维肌痛、慢性疲劳和新陈代谢等病症）的作用机制与针灸对 ANS 的交感神经分支和副交感神经的活动相对应，这可以通过心率变异得到证明。

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引用次数: 0