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Acupuncture for the Treatment of Cardiovascular Diseases: A Systematic Review

机译:针灸治疗心血管疾病的系统评价

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Acupuncture, for the westerns countries, is an innovative and low-cost therapy for treatment and prevention of cardiovascular diseases (CVDs). However, most of its effects and mechanisms are poorly understood. Thus, the objective of this work was to systematically review the literature regarding the clinical effects of acupuncture for the treatment and prevention of CVDs. A search for papers published?in English or Portuguese in the past 20?years?was conducted at PubMed, SciELO, and PEDro databases. Clinical trials conducted on the effects of acupuncture were included in this review. Two reviewers extracted the data independently from the remaining 17 articles after screening. The most used acupoint was PC6 (10 studies, 64.7%), followed by ST36 (6 studies, 35.3%)?and auricular acupoints (4 studies, 23.5%). Among the clinical applications, hypertension was the most studied CVD, with acupuncture being the most reported method among the studies (70.6%). Only three articles reported no benefit in the treatment of CVDs for the methodology used. We conclude that?although several studies indicated an improvement in the response of the cardiovascular system in CVDs by acupuncture, electroacupuncture, or electrostimulation treatment, the heterogeneity of the studies does not allow a standardization of its application for each specific disease, making further studies necessary for its use to become a reality.
机译:对于西方国家而言,针灸是一种创新的低成本治疗和预防心血管疾病(CVD)的疗法。但是,对其大多数作用和机制了解甚少。因此,这项工作的目的是系统地回顾有关针灸治疗和预防CVD的临床效果的文献。在PubMed,SciELO和PEDro数据库中搜索过去20年来用英语或葡萄牙语发表的论文。该评价包括针对针灸作用进行的临床试验。筛选后,有两名评论者独立于其余17篇文章提取了数据。使用最多的穴位是PC6(10个研究,占64.7%),其次是ST36(6个研究,占35.3%)和耳穴(4个研究,占23.5%)。在临床应用中,高血压是研究最多的CVD,而针灸是研究中报道最多的方法(70.6%)。仅三篇文章报道了所用方法对CVD的治疗无益处。我们得出结论:尽管有几项研究表明通过针灸,电针或电刺激治疗可改善CVD中心血管系统的反应,但研究的异质性无法使每种特定疾病的应用标准化,因此有必要进行进一步研究使其成为现实。

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