Clinical effect and safety of acupuncture in treatment of cardiac neurosis:a systematic review and meta-analysis / 针刺研究

OBJECTIVE: To systematically evaluate the clinical effect and safety of acupuncture in the treatment of cardiac neurosis. METHODS: Chinese databases (including SinoMed, VIP, CNKI, and Wanfang Data) and English databases (including PubMed and The Cochrane Library) were searched for randomized controlled trials (RCTs) on acupuncture in the treatment of cardiac neurosis published up to March 2019. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias of included studies, and then RevMan 5.3 was used to perform a meta-analysis. RESULTS: A total of 7 RCTs were included, with 491 patients with cardiac neurosis. The results of the meta-analysis showed that compared with the conventional western medicine group, the acupuncture group had a significantly higher total effective rate (risk ratio ［RR］=1.16, 95% CI［1.05,1.28］, P=0.005) and had significantly greater improvements in Hamilton Anxiety Scale score (mean difference ［MD］=-3.22, 95% CI［-6.05, -0.39］, P=0.03). There were no significant differences between the two groups in Hamilton Depression Scale score (MD=-1.92, 95% CI［-4.76, -0.91］, P=0.18)，traditional Chinese medicine symptom score (MD=-5.49, 95% CI［-11.55, 0.56］, P=0.08), somatization symptom score (MD=-0.91, 95% CI［-3.28, 1.46］, P=0.45), and adverse reactions (RR=0.67, 95% CI［0.26,1.78］, P=0.42). CONCLUSION: Acupuncture can alleviate the symptoms and is safe in the treatment of cardiac neurosis.

Clinical effects of Zhenyuan oral liquid combined with atenolol in treatment of cardiac neurosis / 中国生化药物杂志

Objective To observe clinical effects Zhenyuan oral liquid combined with atenolol in treatment of cardiac neurosis.Methods130 patients with cardiac neurosis from department of cardiology from January 2014 to November 2016 were grouped two groups and each with 65 cases.The control group were treated with atenolol, and observa-tion group was treated another with Zhenyuan oral liquid.Clinical effects and adverse reac-tion of two groups were compared.Results①Effective rate of observation group was 93.85%,higher than control group 76.92%(P<0.05).②Main symptom score and HAMA score of observation group were(4.08±1.38,13.05±2.58)point,lower than that of control group(6.15±1.56,17.20±2.97)point(all P<0.05).③ SDNN,SDANN,rMSSD and PNN50 level of observation group were (116.9±7.3ms,111.0±6.7ms,41.59±3.68ms,13.02±1.14%),higher than that of control group(99.5±6.2ms,95.3±5.4ms,35.92±3.59ms,10.89±1.09%)(all P<0.05).④ Proportion of T wave anomaly and ventricular premature beat of observation group were(7.69%,7.69%),lower than that of control group (20.00%,16.92%)(all P<0.05).⑤Adverse reaction ratio of observation group was 7.69%,higher than that of control group 10.77%,but there was no significant difference between groups.ConclusionZhenyu-an oral liquid can improve effects of patients with cardiac neurosis and medication safety.

Clinical observation on flupentixol and melitracen combined with metoprolol in the treatment of patients with cardiac neurosis / 中国基层医药

Objective To explore the clinical effect of flupentixol and melitracen combined with metoprolol in the treatment of patients with cardiac neurosis.Methods 57 patients with cardiac neurosis were divided into the control group and treatment group randomly.The control group received therapy of metoprolol and oryzanol ;The treatment group received additional therapy of flupentixol and melitracen based on treatment of the control group.Clinical effect,scores of HAMD and HAMA were observed and compared between the two groups.Results The total efficient rate of the treatment group was 96.67％,and significantly higher than that of the control group (85.19％) (x2 =21.814,P ＜0.05) ;HAMA and HAMD scores decreased significantly in all patients after treatment(all P ＜ 0.05),more significantly in the treatment group than those in the control group(all P ＜ 0.05).Conclusion Flupentixol and melitracen combined with metoprolol in the treatment of patients with cardiac neurosis has good effect,which is worthy of clinical application.

Progress on Traditional Chinese Medical Treatments of Cardiac Neurosis / 国际中医中药杂志

This paper summarized the recent progress of traditional Chinese medical treatments of cardiac neurosis,including acupuncture,Chinese traditional manipulation,massage,music therapy,psychic therapy,and herbal therapy.By conforming the curative effects of these treatments,we made discusses on the bright future of treating cardiac neurosis with traditional Chinese medical treatments.

Study Summary of Firm-soft Differentiation of Cardiac Neurosis / 浙江中医药大学学报

Cardiac neurosis is a syndrome caused by dysfunction of CNS,which influences autonomic function and then disordered cardiac-vascular function.The author sums up a set of firm-soft differentiation treatment to the disease under his years of clinical experience,which has marked clinical cure effect.

A Comparison Study between Cardiac Syndrome X and Cardiac Neurosis / 中国医师杂志

0 05). The levels of TC, LDL-C and apoB in the patients with CSX were significantly higher than those in the patients with CN(P