CAJ | 학술논문

根据对针刺机制的现代理解,针刺可以引起植物神经反射,可能是影响与心力衰竭(其特征之一是6分钟步行实验得分较低)症状有关的系统植物神经调节异常.笔者进行了一个初步的前瞻性随机、单盲、交叉临床试验,比较符合海德尔堡中医模型诊断(i-ACU)和不符合这一模型(u-ACU)的两种针刺治疗.重复测量分析提示:与不符合海德尔堡中医模型的针灸治疗相比,符合这一模型的针灸治疗更有效(F=7.2,df=1.37,P=0.011).这一研究结果表明针刺可延长6分钟行走距离这一心力衰竭的重要指标.
근거대침자궤제적현대리해,침자가이인기식물신경반사,가능시영향여심력쇠갈(기특정지일시6분종보행실험득분교저)증상유관적계통식물신경조절이상.필자진행료일개초보적전첨성수궤、단맹、교차림상시험,비교부합해덕이보중의모형진단(i-ACU)화불부합저일모형(u-ACU)적량충침자치료.중복측량분석제시:여불부합해덕이보중의모형적침구치료상비,부합저일모형적침구치료경유효(F=7.2,df=1.37,P=0.011).저일연구결과표명침자가연장6분종행주거리저일심력쇠갈적중요지표.
According to a modem understanding of acupuncture mechanisms, acupuncture may elicit vegetative reflexes, presumably influencing the systemwide vegetative dysregulation associated with the heart failure syndrome, a feature of which is low performance in the 6 min walk test. The author performed a preliminary prospective, randomized, single-blinded clinical trial (n=21) in a cross-over design comparing acupuncture treatment, which was either compatible with individual Chinese diagnosis according to the Heidelberg Model of TCM (i-ACU) or a standardized treatment on acupoints with no specific relation to TCM diagnosis (u-ACU). The repeated measures analysis revealed a significant effect for i-ACU vs. u-ACU (F=7.2, df=1.37, P=0.011). The study revealed first evidence that acupuncture may prolong 6 min walk distance as a key parameter of heart failure.