Résumé
[Objective]It seems that in Japan’s aging society, investigating the position of acupuncture and moxibustion for the treatment of arteriosclerotic diseases is important. In this report we evaluated the effects of electroacupuncture (EA) on stroke patients by measuring changes in pulse wave velocity (PWV), brachial-ankle PWV (baPWV), ankle brachial pressure index (ABI), blood pressure (BP) and heart rate (HR). <BR>[Method]The subjects were 210 initial stroke patients. Stroke patients were randomly allocated to three groups, those only taking drug therapy (drug group), those taking drug therapy combined with rehabilitation (rehab group), and those taking drug therapy and rehabilitation combined with EA (EA group). 81 cerebral thrombosis patients (drug group n = 25, rehab group n = 28, EA group n = 28), 68 cerebral embolus patients (drug group n = 24, rehab group n = 20, EA group n = 24) and 61 cerebral hemorrhage patients (drug group n = 20, rehab group n = 21, EA group n = 20) were examined. For the evaluation method blood pressure pulse wave measuring equipment was used to measure PWV, baPWV, ABI, BP, and HR after two months, four months, and six months from the onset of treatment. <BR>[Results]After two months and four months there was no significant difference in blood vessel elasticity of the three cerebral thrombosis groups. Whereas after six months, compared to the drug group, the baPWV in cerebral thrombosis patients significantly decreased for the rehab group (p < 0.05) and EA group (p < 0.01). There were no significant differences in ABI, BP, or HR. Cerebral hemorrhage and cerebral embolism patients showed no significant difference in baPWV, ABI, BP, and HR.<BR>[Conclusion]We examined the effects of adding EA to the treatment of patients who suffered cerebral thrombosis, cerebral embolism, or cerebral hemorrhage. These results show that adding EA to drug treatment and rehabilitation significantly improves blood vessel elasticity and suggests that using EA would reduce the risk of cerebral thrombosis and its reoccurrence.
Résumé
[Objective]We researched the effect on three acupuncture stimulation groups and a non-stimulation group used for arterial compliance. <BR>[Methods]This study was conducted on 70 healthy volunteers divided randomly into four groups. We observed the effects of arterial compliance by measuring the brachial-ankle pulse wave velocity score (baPWVs), ankle brachial pressure index (ABI), Systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) using form PWV/ABI®. Acupuncture stimulation groups were divided into LI10 (Shousanli, Te no Sanri n = 23) group, ST36 (Zusanli, Ashi no Sanri n = 18) group, and CV12 (Zhongwan, Chukan n = 19) groups.<BR>[Results]We found that baPWVs significantly decreased in both the LI10 (before 1222 ± 203cm/s vs after 986 ± 143cm/s) and ST36 (before 1245 ± 126 cm/s vs after 1014 ± 120 cm/s) groups (p < 0.05), but not significantly in the CV12 group (before 1264 ± 222 cm/s vs 1287 ± 226 cm/s) and non-stimulation groups (before 1228 ± 144 cm/s vs after 1222 ± 150 cm/s). ABI, SBP, DBP and HR were not significant in the all groups. <BR>[Conclusion]These results suggest that upper and lower extremities or the abdomen in acupuncture stimulation may influence the activity of arterial compliance.
Résumé
Objective To investigate the relationship between brachial-ankle pulse wave velocity (baPWV)and different stage of cardiac dysfunction.Methods 253 consecutive patients with coronary atherosclerotic heart disease were enrolled from August 2006 to February 2007.Patients were grouped according to the functional classification of New York Heart Association(NYHA).The baPWV was measured non-invasively with a VP1000 automated PWV/ABI analyzer(PWV/ABI,Colin CO.Ltd.,Komaki.Japan).At the sanle time,BNP,EF,LAEDV and LVESV were measured in all the patients.Results Brachial-ankle PWV was significantly correlated with cardiac function classification of NYHA(r=0.444.P＜O.001),BNP(r=0.394,P＜0.001)and left ventriculat end diastolic volume(r=-0.130,P＜0.05),The under area of receiver operating charachateistic(ROC)curve was 73.9%.The ROC curve demonstrated that when the value of brachial-ankle PWV was equal to or larger than 1717 cm/s(≥1717 cm/s),the sensitivity of diagnosing mild cardiac dysfunction was 72.9%and specifity 61.8%.When its value was equal to or larger than 1900 cm/s(≥1900 cm/s),the sensitivity and specificity were 61.5%and 81.9% respectively.Conclusion Brachial-ankle PWV is significantly correlated to the NYHA classification of heart failure and it may be a prospective index to diagnose early stage of cardiac dysfunction.