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针刺在临床上用作心脏病综合治疗的手段之一：是否有效？

Jeannette Painovich, John Longhurst

加州大学欧文分校医学院，欧文 CA 92697，美国

摘要

尽管人们对心脏病危险因素的认识和医疗手段在不断进步，但该病仍是世界头号杀手。对心脏病的一级和二级药物治疗可引起多种副作用，结果导致病人不能坚持用药。当前需要新的治疗手段，或用于补充或用于替代传统的药物治疗。在心脏病临床中观察到，针刺，特别是电针不失为一种安全和切实可行的选择。本综述旨在通过对针刺防治心脏病的基础理论和临床研究来评估针刺的有效性。根据已有的证据，可认为针刺在治疗心肌缺血、高血压、心律失常、心衰和自主神经功能紊乱中有效，但仍需进一步的研究。

关键词： 针刺; 电针; 机制; 心脏学

分类号：R246

Integrating acupuncture into the cardiology clinic: can it play a role?

Jeannette Painovich, John Longhurst

Department of Medicine, University of California, Irvine, Irvine, CA 92697, USA

Abstract

Despite continued improvement in risk factor recognition and aggressive medical management, heart disease remains the number one killer in the world. Medications for primary or secondary prevention of heart disease can cause unpleasant side effects leading to non-compliance. Novel therapies are needed to serve as a complement to or alternative for current medical management. Acupuncture and more specifically electroacupuncture may serve as a safe and viable option in the cardiology clinic. This review article
focuses on both mechanistic and clinical studies evaluating acupuncture’s effectiveness with symptomatic heart disease. Although continued research is needed, currently evidence warrants consideration of acupuncture’s use with myocardial ischemia, hypertension, arrhythmias, heart failure as well as autonomic dysfunction.

Key words: Acupuncture; electroacupuncture; mechanisms; cardiology

收稿日期：2014-06-30　　录用日期：2014-08-21

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引用本文：

Jeannette Painovich, John Longhurst. 针刺在临床上用作心脏病综合治疗的手段之一：是否有效？[J]. 生理学报 2015; 67 (1): 19-31.

Jeannette Painovich, John Longhurst. Integrating acupuncture into the cardiology clinic: can it play a role?. Acta Physiol Sin 2015; 67 (1): 19-31 (in Chinese with English abstract).