|
|
|
| Effect of acupuncture on quality of life in patients with atrial fibrillation after catheter ablation |
| LI Hewen LIU Cunzhi LIN Ying GUO Shiqi LI Mengtong WANG Liqiong |
International Acupuncture and Moxibustion Innovation Institute, Beijing University of Chinese Medicine College of Acupuncture-Moxibustion and Tuina Beijing University of Chinese Medicine, Beijing 100029, China
|
|
|
|
Abstract Objective To investigate the effect of acupuncture on quality of life in patients with atrial fibrillation (atrial fibrillation for short) after catheter ablation. Methods A total of 60 eligible patients with atrial fibrillation after catheter ablation who were admitted to Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Jiangsu Province Hospital, Peking University People’s Hospital, Peking University Third Hospital, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Hebei Traditional Chinese Medicine Hospital, and Renmin Hospital of Wuhan University from May 2021 to February 2022 were selected as subjects and they were divided into acupuncture group and sham acupuncture group according to the central block randomization system, with 30 cases in each group. Acupuncture was applied at Xinshu, Neiguan and Shenmen in the acupuncture group. Three non-meridian and non-acupoint points were treated with shallow acupuncture in the sham acupuncture group. In both groups, acupuncture was performed twice a week from one to six weeks and once a week from 7 to 12 weeks, with a total of 18 times of treatment. The score of the atrial fibrillation effect and quality of life scale (AFEQT) from baseline to three months after catheter ablation, AF burden, recurrence of AF, number of being hospitalized for arrhythmia, and adverse events were compared between the two groups. Results After treatment, the total score of AFEQT, symptoms, daily activities, treatment concerns, atrial fibrillation control, symptom improvement satisfaction scores of the two groups were higher than before treatment (P＜0.05), except for daily activities score, there were no statistical significance between the two group (P＞0.05). There was no significant difference in the atrial fibrillation load, the recurrence of atrial fibrillation, the number of hospitalizations due to arrhythmia and the incidence of adverse events three months after surgery between the two groups (P＞0.05). Conclusion Acupuncture may improve the quality of life of patients with AF after catheter ablation in 3 months. Multi-center, large-sample, randomized controlled trials can be carried out in the near future to verify the efficacy and safety of acupuncture in the treatment of AF.
|
|
|
|
|
|
[1] 马文君，马涵萍，王运红，等.《2021年中国心血管病医疗质量报告》概要[J].中国循环杂志，2021，36（11）：1041- 1064.
[2] Guo Y，Tian Y，Wang H，et al. Prevalence，incidence，and lifetime risk of atrial fibrillation in China： new insights into the global burden of atrial fibrillation [J]. Chest，2015，147（1）：109-119.
[3] 杨平珍，吴书林，詹贤章，等.射频导管消融肺静脉或肺静脉前庭治疗心房颤动的并发症[J].中华心律失常学杂志，2005，9（3）：193.
[4] 韩雅玲，王祖禄.心房颤动患者血栓栓塞并发症的防治[J].中国实用内科杂志，2006，26（2）：177-179.
[5] Camm A，Lip G，De Caterina R，et al. 2012 focused update of the ESC Guidelines for the management of atrial fibrillation：an update of the 2010 ESC Guidelines for the management of atrial fibrillation. Developed with the special contribution of the European Heart Rhythm Association [J]. Eur Heart J，2012，33（21）： 2719-2747.
[6] Perino AC，Leef GC，Cluckey A，et al. Secular trends in success rate of catheter ablation for atrial fibrillation： the SMASH-AF cohort [J]. Am Heart J，2019，208：110-119.
[7] Vogler J，Willems S，Sultan A，et al. Pulmonary Vein Isolation Versus Defragmentation： The CHASE-AF Clinical Trial [J]. J Am Coll Cardiol，2015，66（24）： 2743-2752.
[8] Verma A，Jiang C，Betts T，et al. Approaches to catheter ablation for persistent atrial fibrillation [J]. New Engl J Med，2015， 372（19）： 1812-1822.
[9] Hindricks G，Potpara T，Dagres N，et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery （EACTS）：The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology （ESC） Developed with the special contribution of the European Heart Rhythm Association （EHRA） of the ESC [J]. Eur Heart J，2021，42（5）：373-498.
[10] De Lima Pimentel R，Duque A，Moreira B，et al. Acupuncture for the Treatment of Cardiovascular Diseases：A Systematic Review [J]. J Acupunct Meridian，2019，12（2）： 43-51.
[11] Zhao L，Li D，Zheng H，et al. Acupuncture as Adjunctive Therapy for Chronic Stable Angina： A Randomized Clinical Trial [J]. Jama Intern Med，2019，179（10）： 1388-1397.
[12] Wang Q，Liang D，Wang F，et al. Efficacy of electroacupuncture pretreatment for myocardial injury in patients undergoing percutaneous coronary intervention： A randomized clinical trial with a 2-year follow-up [J]. Int J Cardiol，2015， 194： 28-35.
[13] Mehta P，Polk D，Zhang X，et al. A randomized controlled trial of acupuncture in stable ischemic heart disease patients [J]. Int J Cardiol，2014，176（2）： 367-374.
[14] Yin J，Yang M，Yu S，et al. Effect of acupuncture at Neiguan point combined with amiodarone therapy on early recurrence after pulmonary vein electrical isolation in patients with persistent atrial fibrillation [J]. J Cardiovasc Electr，2019，30（6）： 910-917.
[15] Spertus J，Dorian P，Bubien R，et al. Development and validation of the Atrial Fibrillation Effect on QualiTy-of-Life （AFEQT） Questionnaire in patients with atrial fibrillation [J]. Circ-Arrhythmia Elec，2011，4（1）：15-25.
[16] Mark D. Assessing quality-of-life outcomes in cardiovascular clinical research [J]. Nat Rev Cardiol，2016，13（5）：286-308.
[17] Freeman J，Simon D，Go A，et al. Association Between Atrial Fibrillation Symptoms，Quality of Life，and Patient Outcomes： Results From the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation （ORBIT-AF） [J]. Circ-Cardiovasc Qual，2015，8（4）：393-402.
[18] 田德禄.中医内科学[M].北京：人民卫生出版社，2002：110-117.
[19] Yang P，Sung J，Jang E，et al. The Effect of Integrated Care Management on Dementia in Atrial Fibrillation [J]. J Clin Med，2020，9（6）：1696.
[20] 杜以梅，张家明，李景东.心房颤动病理生理机制的最新认识[J].临床心血管病杂志，2015，31（3）：231-233.
[21] 任杰.比较不同针刺深度内关穴对房颤大鼠房颤心电图及心房结构的影响[D].北京：北京中医药大学，2019.
[22] 王蕾，祝鹏宇，郭颖，等.针刺预处理对阵发性房颤大鼠心肌病理性损伤的保护机制研究 [J].中医药学报，2016， 44（4）：72-74.
[23] 唐剑锋，丁建东，敖明强，等.射频消融术对不同类型心房颤动患者的抑郁状态及生活质量的影响[J].中国现代医生，2016，54（13）：5-8.
[24] 丁岚，王琳，来菊菊.叙事疗法对心房颤动射频消融术后患者疾病不确定感及健康相关行为的影响[J].中国医药导报，2022，19（8）：161-164.
[25] 李颖怡，王群山.心房颤动患者的生活质量评估和最新症状分级方法[J].中国循环杂志，2015，30（7）： 3.
[26] 周和，徐亚伟.评价智能心电检测仪诊断心律失常的准确性[J].北京生物医学工程，2022，41（1）：73-78.
[27] Holmes D，Piccini J，Allen L，et al. Defining Clinically Important Difference in the Atrial Fibrillation Effect on Quality-of-Life Score [J]. Circ-Cardiovasc Qual，2019，12（5）：e005358.
|
|
|
|
