针灸控制脑血管病行为危险因素研究进展
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摘要
脑血管病的发生发展过程受多种危险因素的影响,行为危险因素之间相互作用,通过不同或相同的病理机制作用于个体而患病。行为危险因素作为脑血管病的可控因素,积极地进行控制干预,可以减少其危害,进而减少脑血管病的发病率及复发率。针灸作为一种非药物干预手段,在行为危险因素的控制中具有显著优势。但本文纳入的文献质量比较低,缺少高质量、多中心、大数据的随机对照临床试验,有些临床试验未按国际标准操作,希望今后临床工作者能将脑血管病危险因素的预防作为科研工作中的重点,为本病的预防提供更多的临床证据及规范有效的临床方案。
The occurrence and development of cerebrovascular disease is influenced by many risk factors. Behavioral risk factors interact with each other and affect individuals through different or the same pathological mechanism. As a controllable factor of cerebrovascular disease,behavioral risk factors can reduce its harm and the incidence and recurrence rate of cerebrovascular disease if they are actively controlled and intervened. However,the quality of the literature included in this paper is relatively low,and there is a lack of randomized controlled clinical trials with high quality,multi-center and large data. Some clinical trials are not operated according to international standards. It is hoped that clinical workers will focus on the prevention of risk factors of cerebrovascular diseases in scientific research in the future,and provide more clinical evidence and standardized and effective clinical programs for the prevention of cerebrovascular diseases.
The occurrence and development of cerebrovascular disease is influenced by many risk factors. Behavioral risk factors interact with each other and affect individuals through different or the same pathological mechanism. As a controllable factor of cerebrovascular disease,behavioral risk factors can reduce its harm and the incidence and recurrence rate of cerebrovascular disease if they are actively controlled and intervened. However,the quality of the literature included in this paper is relatively low,and there is a lack of randomized controlled clinical trials with high quality,multi-center and large data. Some clinical trials are not operated according to international standards. It is hoped that clinical workers will focus on the prevention of risk factors of cerebrovascular diseases in scientific research in the future,and provide more clinical evidence and standardized and effective clinical programs for the prevention of cerebrovascular diseases.
引文
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[21]徐舒畅,杨丽华,华雪君,等.脑血管病急性期患者混合性焦虑抑郁障碍的临床研究[J].河北医药,2014,40(22):3400-3402.
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[26]SHEN E Y,HSIEH C L,CHANG Y H,et al.Observation of Sympathomimetic Effect of Ear Acupuncture Stimulation for Body Weight Reduction[J].American Journal of Chinese Medicine,2009,37(6):1023-1030.
[27]GUCEL F,BAHAR B,DEMIRTAS C,et al.Influence of acupuncture on leptin,ghrelin,insulin and cholecystokinin in obese women:a randomised,sham-controlled preliminary trial[J].Acupuncture in Medicine,2012,30(3):203-207.
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[29]SUN H,ZHAO H,MA C,et al.Effects of Electroacupuncture on Depression and the Production of Glial Cell Line-Derived Neurotrophic Factor Compared with Fluoxetine:A Randomized Controlled Pilot Study[J].The Journal of Alternative and Complementary Medicine,2013,19(9):733-739.
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[32]徐舒畅,侯瑞,杨丽华,等.灸法配合益气健脾方治疗卒中后混合性抑郁障碍100例[J].陕西中医药,2014,35(9):1234-1236.
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[34]吴远.针灸戒烟临床疗效观察研究[D].北京:中国中医科学院,2015.
[35]樊淑慧,秦玉玲,张文静,等.耳穴贴压联合针刺体穴对戒烟的疗效观察[J].河北中医,2014,36(12):1837-1838.
[36]赵玉娟,冯佳明,魏淑娟,等.穴位埋线治疗戒烟综合症的临床研究[J].中医药学报,2015,43(4):121-122.
[37]王晓军,徐斌,李继文,等.贴敷茶对戒烟疗效观察[J].陕西中医,2013,34(4):430-433.
[38]中国疾病预防控制中心.卫生部2013年中国控制吸烟报告[R].北京:中华人民共和国卫生部,2013.
[39]王育红,俞建良,黄劲松,等.低频电针足三里对酒依赖大鼠饮酒行为的影响[J].中国心理卫生杂志,2008,22(3):157-163.
[40]王玮,刘炳伦,唐济生,等.经皮穴位电刺激联合地西泮治疗酒精戒断综合征的疗效观察[J].中国药物依赖性杂志,2010,19(1):33-37.
[41]杜真治.耳穴疗法配合情志护理应用于戒酒综合征47例疗效观察[J].湖南中医杂志,2016,32(7):132-133.
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[2]于天辰,张永茂,卢安.1993至2008年河北省城乡居民慢性病患病趋势分析[J].河北医药,2011,37(22):3468-3469.
[3]LAWRENCE M,PRINGLE J,KERR S,et al.Stroke survivors and family members’perspectives of multimodal lifestyle interventions for secondary prevention of stroke and transient ischemic attack:a qualitative review and meta-aggregation[J].Disabil Rehabil,2016,38(2):11-21.
[4]ILINCA A,KRISTOFFERSSON U,SOLLER M,et al.Familial aggregation of stroke amongst young patients in lund stroke register[J].Eur J Neurol,2016,23(4):401-407.
[5]CARPENTER AM,SINGH IP,GANDHI CD,et al.Genetic risk factors for spontaneous intracerebral haemorrhage[J].Nat Rev Neurol,2016,36(12):40-49.
[6]NAG T,GHOSH A.Cadiovascular disease risk factors in Asian Indian population:A systematic review[J].Journal of carciovascular disease research,2013,4(4):222-228.
[7]孙晓春,王琼,黄芬,等.767例离退休干部心脑血管疾病患病率及行为危险因素的调查[J].解放军保健医学杂志,2005,7(2):93-96.
[8]刘海运,刘尊敬,杨期东,等.脑血管病危险因素干预对血压变化及脑卒中发病情况的影响[J].中华医学杂志,2004,23(1):40-42.
[9]杨勇.中风危险因素的证候分布特点及比较干预后变化趋势[D].北京:北京中医药大学,2010.
[10]LEE W C,WONG H Y,CHAI Y Y,et al.Lipid peroxidation dysregulaion in ischemic stroke:plasma 4-HNE as a potential biomarker[J].Biochem Biophys Res Commun,2012,425(4):842-847.
[11]李杰,方齐,王红菊,等.A型行为、生活事件与脑血管病的关系[J].中国继续医学教育,2016,8(15):33-34.
[12]许春奇,钟平,王辉,等.心理社会因素与脑卒中发生的关系进一步分析[J].安徽医药,2010,14(5):570-571.
[13]陈朝霞,李红戈.A型行为与脑梗死及血管内皮细胞损伤之标志物的关系[J].中国神经精神疾病杂志,2007,33(4):219,228,232.
[14]SEANA L PAUL,AMANDA G Thrift,Geoffrey A Donnan.Smoking as a Crucial IndependentDeterminant of Stroke[J].Tobacco Induced Diseases,2004,2(2):67-80.
[15]谭群,陈康宁,史树贵,等.DSA检测2810例缺血性脑血管病患者脑血管狭窄分布及其危险因素研究[J].第三军医大学学报,2014,36(5):499-502.
[16]邢远,胡跃强,吴鹏.中青年脑梗死患者危险因素Logistic分析[J].中国实用神经疾病杂志,2017,20(16):27-29.
[17]马立娜.长期饮酒者血液流变学及血脂相关指标临床分析[J].临床合理用药杂志,2010,23(3):71.
[18]杨旭.中老年原发性慢性失眠患者脑血管储备能力研究[J].中国现代医生,2017,11(4):44-46.
[19]黄迟奔,刘萍.肥胖与缺血性脑血管病危险因素分析[J].临床合理用药杂志,2016,9(17):100-101.
[20]汤晓斌,刘兵,王玲玲,等.40~65岁干部肥胖与心脑血管疾病危险因素分析[J].应用预防医学,2008,14(5):272-274.
[21]徐舒畅,杨丽华,华雪君,等.脑血管病急性期患者混合性焦虑抑郁障碍的临床研究[J].河北医药,2014,40(22):3400-3402.
[22]吕淑荣,俞浩,韩仁强,等.静态行为与心脑血管病死亡关系巢式病例对照研究[J].中国公共卫生,2016,22(11):1467-1469.
[23]温煦,许世全.睡眠时间、身体活动水平与肥胖的关系初探[J].中国运动医学杂志,2009,28(4):367-371.
[24]PENG F S,LI K,LI W N,et al.Acupuncture Intervention in Ischemic Stroke:A Randomized Controlled Prospective Study[J].American Journal of Chinese Medicine,2012,40(4):685-693.
[25]EDMOND M,THOMAS C,OU Z,et al.Effectiveness of acupuncture for smoking cessation in a chinese population[J].Asia-Pacific journal of public health/Asia-Pacific Academic Consortium for Public Health,2015,27(2):2610-2622.
[26]SHEN E Y,HSIEH C L,CHANG Y H,et al.Observation of Sympathomimetic Effect of Ear Acupuncture Stimulation for Body Weight Reduction[J].American Journal of Chinese Medicine,2009,37(6):1023-1030.
[27]GUCEL F,BAHAR B,DEMIRTAS C,et al.Influence of acupuncture on leptin,ghrelin,insulin and cholecystokinin in obese women:a randomised,sham-controlled preliminary trial[J].Acupuncture in Medicine,2012,30(3):203-207.
[28]WANG X Y,YUAN S H,YANG H Y,et al.Abdominal acupuncture for insomnia in women:a randomized controlled clinical trial[J].Acupuncture&electro-therapeutics research,2008,33(1-2):33-41.
[29]SUN H,ZHAO H,MA C,et al.Effects of Electroacupuncture on Depression and the Production of Glial Cell Line-Derived Neurotrophic Factor Compared with Fluoxetine:A Randomized Controlled Pilot Study[J].The Journal of Alternative and Complementary Medicine,2013,19(9):733-739.
[30]刘仁正.针灸从心胆论治卒中后焦虑的临床研究[D].广州:广州中医药大学,2013.
[31]刘军.电针焦虑方治疗中风后焦虑障碍的临床疗效评价[D].北京:中国中医科学院,2012.
[32]徐舒畅,侯瑞,杨丽华,等.灸法配合益气健脾方治疗卒中后混合性抑郁障碍100例[J].陕西中医药,2014,35(9):1234-1236.
[33]彭欣.逍遥散加减联合针灸治疗中风后焦虑症疗效观察[J].亚太传统医药,2017,13(12):120-121.
[34]吴远.针灸戒烟临床疗效观察研究[D].北京:中国中医科学院,2015.
[35]樊淑慧,秦玉玲,张文静,等.耳穴贴压联合针刺体穴对戒烟的疗效观察[J].河北中医,2014,36(12):1837-1838.
[36]赵玉娟,冯佳明,魏淑娟,等.穴位埋线治疗戒烟综合症的临床研究[J].中医药学报,2015,43(4):121-122.
[37]王晓军,徐斌,李继文,等.贴敷茶对戒烟疗效观察[J].陕西中医,2013,34(4):430-433.
[38]中国疾病预防控制中心.卫生部2013年中国控制吸烟报告[R].北京:中华人民共和国卫生部,2013.
[39]王育红,俞建良,黄劲松,等.低频电针足三里对酒依赖大鼠饮酒行为的影响[J].中国心理卫生杂志,2008,22(3):157-163.
[40]王玮,刘炳伦,唐济生,等.经皮穴位电刺激联合地西泮治疗酒精戒断综合征的疗效观察[J].中国药物依赖性杂志,2010,19(1):33-37.
[41]杜真治.耳穴疗法配合情志护理应用于戒酒综合征47例疗效观察[J].湖南中医杂志,2016,32(7):132-133.
[42]苗萌萌,吴俊梅.针刺结合耳穴贴压治疗大学生酒精依赖的疗效对照研究[J].中医药临床杂志,2015,28(9):1283-1285.
[43]刘永锋,马晓明,闫兵,等.针刺配合艾灸百会穴治疗中风后失眠疗效观察[J].上海针灸杂志,2016,35(3):270-272.
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