Acupuncture and Moxibustion have Different Effects on Fatigue by Regulating the Autonomic Nervous System: A Pilot Controlled Clinical Trial.
Acupuncture and Moxibustion have Different Effects on Fatigue by Regulating the Autonomic Nervous System: A Pilot Controlled Clinical Trial.
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DOI：
10.1038/srep37846
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发表时间：
2016-11-25
影响因子：
4.6
通讯作者：
Liang F
中科院分区：
文献类型：
--
作者：
Shu Q;Wang H;Litscher D;Wu S;Chen L;Gaischek I;Wang L;He W;Zhou H;Litscher G;Liang F
目的：通过测定心率变异性（HRV），探讨针灸对慢性疲劳综合征（CFS）的不同疗效及自主神经系统的改变。招募了45名参与者，并使用随机化时间表随机分为3组。对照组（CG）、针刺组（AG）各15例，艾灸组（MG）各15例，采用手法针刺治疗。主要结果是疲劳评估工具（FAI）的评分。次要结果是反映自主神经系统活动的HRV参数。该试验考虑了瞬时变化和长期有效性。3组治疗4、10次后FAI评分均下降。MG组FAI下降幅度大于AG组。针刺对心率变异性的瞬时变化更有效，艾灸对心率变异性的长期变化更有效。针刺和艾灸均能改善CFS患者的疲劳症状，但艾灸效果更好。可能的干预机制可能是通过激活迷走神经。艾灸治疗慢性疲劳综合征的远期疗效优于针刺。
In order to investigate the different effects of acupuncture and moxibustion on chronic fatigue syndrome (CFS) and alterations in the autonomic nervous system by measuring heart rate variability (HRV). Forty-five participants were recruited and randomly divided into 3 groups using a randomization schedule. The control group (CG, n = 15) and the acupuncture group (AG, n = 15) were treated by manipulation acupuncture, and the moxibustion group (MG, n = 15) was treated by indirect moxibustion. Primary outcomes were the scores of the Fatigue Assessment Instrument (FAI). Secondary outcomes were the HRV parameters which can reflect activity of the autonomic nervous system. This trial considered both instantaneous changes and long-term effectiveness. FAI scores decreased after the 4th and 10th treatments in the 3 groups. The decrease in FAI in the MG was greater than that in the AG. Acupuncture was more effective in instantaneous changes of HRV and moxibustion in long-term aspects. Both acupuncture and moxibustion improved fatigue in CFS patients, but moxibustion was more effective. The possible mechanism of the intervention may be through activation of the vagus nerve. Moxibustion was more effective than acupuncture in long-term treatment of CFS.
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影响因子：
7.6
作者：
Jones, JF;Nisenbaum, R;Reeves, WC
通讯作者：
Reeves, WC
影响因子：
1.1
作者：
Litscher, Gerhard;Zhang, Weibo;Wang, Guang Jun
通讯作者：
Wang, Guang Jun
影响因子：
8
作者：
Nijhof, Sanne L.;Maijer, Kimberley;van de Putte, Elise M.
通讯作者：
van de Putte, Elise M.
影响因子：
--
作者：
POMERANZ, B;MACAULAY, RJB;BENSON, H
通讯作者：
BENSON, H
影响因子：
2.7
作者：
Boneva, Roumiana S.;Decker, Michael J.;Reeves, William C.
通讯作者：
Reeves, William C.