世界中医药
文章摘要
引用本文:毕颖斐1,2,张艳艳1,2,刘宇1,2,张培培1,2,王贤良1,2,毛静远1,2.针刺治疗冠心病心绞痛的临床评价及作用机制研究近况[J].世界中医药,2023,(16):.  
针刺治疗冠心病心绞痛的临床评价及作用机制研究近况
Clinical Evaluation and Mechanism of Acupuncture Treatment for Coronary Angina Pectoris:A Review
投稿时间:2021-07-03  
DOI:10.3969/j.issn.1673-7202.2023.16.024
中文关键词:  针刺  冠心病  心绞痛  心肌缺血  临床评价  作用机制  综述
English Keywords:Acupuncture  Coronary artery disease  Angina pectoris  Myocardial ischemia  Clinical evaluation  Mechanism study  Review
基金项目:国家中医药行业科研专项(201407001-6A);教育部“创新团队发展计划”项目(IRT-16R54);国家中医临床研究基地业务建设科研专项(JDZX2015003);天津市科技计划项目(15ZXLCSY00020)
作者单位
毕颖斐1,2,张艳艳1,2,刘宇1,2,张培培1,2,王贤良1,2,毛静远1,2 1 天津中医药大学第一附属医院心血管科,天津,300380
2 国家中医针灸临床医学研究中心,天津,300380 
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中文摘要:
      针刺作为中医特色外治疗法之一,具有安全性高,经济实惠,便于操作等优点,一直受到国内外学者的广泛认可。近年来,针刺疗法在心血管疾病领域中应用的报道逐渐增多,相关研究提示针刺可针对缺血心肌损伤、心肌电活动、酶与细胞因子、代谢组学、表观遗传学、中枢神经系统等方面作用于人体,有效控制心绞痛发作次数、降低疼痛程度、增加冠脉血流量、改善心肌缺血症状、降低心肌耗氧量、提高运动耐量。现对近10年针刺治疗冠心病心绞痛的临床评价及机制研究的相关文献进行了回顾分析,以期对本领域研究现状进行探讨和展望。
English Summary:
      Acupuncture,as one of the distinctive external treatment methods in traditional Chinese medicine(TCM),has been widely recognized by scholars in China and abroad due to its high safety,cost-effectiveness,and ease of operation.In recent years,there have been a growing number of reports on the application of acupuncture therapy in the field of cardiovascular diseases.Relevant studies suggest that acupuncture can have effects on the human body,targeting areas such as ischemic myocardial injury,myocardial electrical activity,enzymes and cytokines,metabolomics,epigenetics,and the central nervous system.It has been found effective in controlling the frequency of angina attacks,reducing the intensity of pain,increasing coronary blood flow,improving symptoms of myocardial ischemia,reducing myocardial oxygen consumption,and enhancing exercise tolerance.This review analyzed and looked back on the clinical evaluation and mechanistic research of acupuncture therapy for angina in coronary heart disease over the past decade,aiming to explore the current state of research in this field and provide future perspectives.
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