题名

Using radial pulse wave as hemodynamic measurements to quantify effects of acupuncture therapy for patients with traumatic brain injury and ischemia stroke

DOI

10.1016/j.jtcme.2022.08.005

作者

Jhong-Kuei Chen;Wan-Ting Tsai;Shinn-Zong Lin;Sheng-Hung Wang;Gin-Chung Wang;Tien-Chung Wang;Hao-Ping Chen;Tsung-Jung Ho

关键词

Traumatic brain injury ; Acupuncture ; Stroke ; Harmonic analysis ; Pulse wave analysis

期刊名称

Journal of Traditional and Complementary Medicine

卷期/出版年月

12卷6期(2022 / 11 / 01)

页次

594 - 598

内容语文

英文

中文摘要

Background and aim: Traumatic Brain Injury (TBI) and stroke are major sources of death and disability worldwide. Acupuncture has been used as a supplemental therapy for patients with TBI and stroke. This study was aimed to evaluate the effects of acupuncture therapy for patients with TBI and stroke by radial pulse spectrum. Experimental procedure: 22 patients (6 TBI and 16 stroke) were enrolled and underwent radial pressure wave measurement before and after acupuncture treatment at Dubi (ST-35), Zusanli (ST-36) and Jiexi (ST-41). The harmonic analysis of the radial pressure wave was calculated and transformed into Fourier series coefficients Cn, Pn and the variation coefficient CnCV. Results: After acupuncture, systolic blood pressure, heart rate, and Glasgow Coma Scale changed very slightly. The harmonic index C4, C7, C9, C10, C3CV and C5CV had significant increases. (P < 0.05) After 3-week course acupuncture treatment, systolic blood pressure, C7, C8, C9, C10 and P10 had significant increases. (P < 0.05) Conclusion: Harmonic analysis of radial pulse waves may detect earlier circulatory system changes of acupuncture treatment before they were evident with other hemodynamic readings or scale.

主题分类 醫藥衛生 > 中醫藥學
参考文献
  1. Berger, P(2019).A review of physical modalities and the potential to expand the treatment of patients with traumatic brain injury.Acupunct Med.,37(6),365-369.
  2. Chang, CW,Liao, KM,Chang, YT,Wang, SH,Chen, YC,Wang, GC(2019).The phase of third harmonic of radial pulse predicts cardiac risk in asymptomatic patients with type 2 diabetes.Circ Res,125,A444.
  3. Chang, CW,Liao, KM,Chang, YT,Wang, SH,Chen, YJ,Wang, GC(2019).The phase of second harmonic of radial pulse wave predicts the macro-vascular and microvascular outcomes and mental disorder in asymptomatic patients with type 2 diabetes.Circulation,140,A9970.
  4. Chang, CW,Xie, XY,Wang, WK,Wang, GC(2019).Effect of black tea and green tea on the radial pulse spectrum in healthy humans.J Alternative Compl Med,25(5),559-561.
  5. Chang, H,Young, DK,Sung, SY(2011).Use of acupuncture therapy as a supplement to conventional medical treatments for acute ischaemic stroke patients in an academic medical centre in Korea.Complement. Ther. Med.,19,256-263.
  6. Chen, CY,Chang, CW,Wang, SH,Wang, GC(2019).The effects of age, menopause , and body mass index on blood pressure and radial pulse wave in women.Circ Res,25,A176.
  7. Chen, XL,Mo, CW,Lu, LY(2017).Methological quality of systematic reviews and meta-analyses on acupuncture for stroke: a review of review.Chin J Integr Med.,23,871-877.
  8. Hsiu, H,Hsu, CL,Chen, CT,Hsu, WC,Lin, FC(2013).Effects of acupuncture on the harmonic components of the radial arterial blood-pressure waveform in stroke patients.Biorheology,50,69-81.
  9. Katznelson, Y(2004).An Introduction to Harmonic Analysis.Cambridge, U.K.:Cambridge Univ. Press.
  10. Kuo, YC,Chiu, TY,Jan, MY(2004).Losing harmonic stability of arterial pulse in terminally ill patients.Blood Pres Monit,9,255-258.
  11. Kuo, YC,Lo, SH,Chao, PT(2005).Raising harmonic variation of arterial pulse in dying rats.Am J Chin Med,33,73-85.
  12. Langevin, HM,Wayne, PM(2018).What is the point? The problem with acupuncture research that no one wants to talk about.J Alternative Compl Med,24(3),200-207.
  13. Li, MK,Li, YJ,Zhang, GF(2015).Acupuncture for ischemic stroke: cerebellar activation may be a central mechanism following Deqi.Neural Regen Res,10,1997-2003.
  14. Li, X,Chen, C,Yang, X(2017).Acupuncture improved neurological recovery after traumatic brain injury by activating BDNF/TrkB pathway.Evid Based Complement Alternat Med,2017,8460145.
  15. Liao, KM,Chang, CW,Wang, SH,Chen, YJ,Wang, GC(2019).Variation of Sixth Harmonic of Radial Pulse Predicts Cerebrovascular Events and Mental Disorders in Diabetic Patients.International Diabetes Federation Congress
  16. Liao, KM,Chang, CW,Wang, SH,Chen, YJ,Wang, GC(2019).Effect of Decreased Heart Rate Variability on Cardiovascular Factors in Patients with Type 2 Diabetes.International Diabetes Federation Congress
  17. Lin Wang, YY,Hsu, TL,Jan, MY,Wang, WK(2010).Theory and applications of the harmonic analysis of arterial pressure pulse waves.J Med Biol Eng,30(3),125-131.
  18. Lin Wang, YY,Wang, SH,Jan, MY,Wang, WK(2012).The past, present, and future of the pulse examination.J. Tradit. Complement. Med,2(3),164-185.
  19. Lin Wang, YY,Wang, WK(2019).Did you know How the cardiovascular system achieves its high efficiency as a compound irrigation device and why this is relevant to future cardiovascular studies.Acta Physiol,226(4),e13206.
  20. Lin, Wang, YY,Jan, MY,Shyu, CS,Chiang, CA,Wang, WK(2004).The natural frequencies of the arterial system and their relation to the heart rate.IEEE T Bio-med Eng,51(1),1193-195.
  21. Pias-Peleteiro, J,Perez-Mato, M,Lopez-Arias, E(2016).Increased endothelial progenitor cell levels are associated with good outcome in intracerebral hemorrhage.Sci Rep,6,28724.
  22. Ratmansky, M,Levy, A,Messinger, A,Birg, A,Front, L,Treger, I(2016).The effects of acupuncture on cerebral Blood flow in post-stroke patients: a randomized controlled trial.J Alternative Compl Med,22,33-37.
  23. Teasdale, G,Maas, A,Lecky, F,Manley, G,Stocchetti, N,Murray, G(2014).The Glasgow Coma Scale at 40 years: standing the test of time.Lancet Neurol,13,844-854.
  24. Wang, SH,Jan, MY,Wang, WK,Lin Wang, YY(2012).Effects of antihypertensive drugs on specific harmonic indices of the pulse waveform in normotensive Wistar Kyoto rats.Clin Exp Hypertens,34,74-78.
  25. Wang, WK,Hsu, TL,Chang, HC,Wang, YY(1995).Effect of acupuncture at tsu san Li (St36) on the pulse spectrum.Am J Chin Med,23,121-130.
  26. Wang, WK,Hsu, TL,Chiang, Y,Lin, Wang, YY(1992).Study on the pulse spectrum change before deep sleep and its possible relation to EEG.Chin J Med Biol Eng,12,107-115.
  27. Xu, Q,Liu, T,Chen, S(2012).The cumulative analgesic effect of repeated electroacupuncture involves synaptic remodeling in the hippocampal CA3 region.Neural Regen Res.,7,1378-1385.
  28. Zhou, Y,Zhou, X,Li, Z,Jin, Z(2018).Characteristic analysis of the clinical application of acupuncture on acute ischemic stroke.J. Tianjin Univ. Tradit. Chin. Med,37(3),249-252.
  29. Zhu, W,Ye, Y,Liu, Y(2017).Mechanisms of acupuncture therapy for cerebral ischemia: an evidence-based review of clinical and animal studies on cerebral ischemia.J Neuroimmune Pharmacol,12,575-592.