通过激活迷走神经并改善心率变异性和心律一致性的针灸治疗广泛性焦虑症病例系列研究》。

IF 0.8 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Medical Acupuncture Pub Date : 2024-02-01 Epub Date: 2024-02-13 DOI:10.1089/acu.2023.0036
Soledade Soleil Meira do Valle, Harry Hong
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引用次数: 0

摘要

目的:本病例系列旨在观察针灸对减轻广泛性焦虑症患者交感神经压力和焦虑相关症状的效果。同时还研究了针灸对自律神经系统平衡的影响:这是一项病例系列研究,共有 10 名参与者。每位参与者每周接受 2 次针灸治疗,为期 4 周。在治疗前后,参与者均接受了广泛性焦虑症-7(GAD-7)量表和身体知觉问卷-简表(BPQ-SF)的评估。在每次针灸过程中,还对心率变异性心律一致性(HRC)进行了评估:结果:五名参与者完成了针灸治疗。GAD-7和BPQ平均得分均有显著下降。针灸治疗后,平均 HRC 高一致性比值也显著增加。无不良反应发生:结论:针灸可能是治疗交感神经压力和焦虑相关症状的有效疗法。其作用机制可能是通过激活迷走神经和改善 HRC 高相干比。为支持本研究的结果,可以进行更大规模的临床试验,包括随机对照、更长的治疗时间和长期随访。
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Acupuncture Treatment for Generalized Anxiety Disorder by Activating the Vagus Nerve and Improving Heart-Rate Variability and Heart-Rhythm Coherence, A Case-Series Study.

Objective: The goal of this case series was to observe the effectiveness of acupuncture for reducing sympathetic stress and anxiety-related symptoms in generalized anxiety disorder. The effect of acupuncture on the balance of the autonomic nervous system was also examined.

Materials and methods: This was a case-series study with 10 participants enrolled. Each participant received acupuncture treatment 2 times per week for 4 weeks. Participants were evaluated with the Generalized Anxiety Disorder-7 (GAD-7) scale and the Body Perception Questionnaire-Short Form (BPQ-SF) before and after the treatment program. Heart-rate variability heart-rhythm coherence (HRC) was also assessed during each acupuncture session.

Results: Five participants completed the program. Both GAD-7 and BPQ mean scores showed significant reductions. The mean HRC high-coherence ratio also increased significantly after acupuncture treatment. No adverse effects occurred.

Conclusions: Acupuncture may be an effective therapy for sympathetic stress and anxiety-related symptoms. The mechanism of action may be through activating the vagus nerve and improving the HRC high coherence ratio. It is feasible to conduct larger clinical trials with random controls, longer treatment durations, and long-term follow-ups to support the results of this study.

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来源期刊
Medical Acupuncture
Medical Acupuncture INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.80
自引率
18.20%
发文量
73
期刊最新文献
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