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[Clinical effect and safety of acupuncture in treatment of cardiac neurosis:a systematic review and meta-analysis]. | LitMetric

AI Article Synopsis

  • The study aimed to evaluate the effectiveness and safety of acupuncture for treating cardiac neurosis through a systematic review of randomized controlled trials published until March 2019.
  • Seven trials involving 491 patients were analyzed, revealing that acupuncture significantly improved outcomes compared to conventional Western medicine, especially in reducing anxiety levels.
  • The research concluded that acupuncture is effective and safe for alleviating symptoms of cardiac neurosis, with no significant differences in depression scores or adverse reactions between acupuncture and traditional treatments.

Article Abstract

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 []=1.16, 95% [1.05,1.28], =0.005) and had significantly greater improvements in Hamilton Anxiety Scale score (mean difference []=-3.22, 95% CI[-6.05, -0.39], =0.03). There were no significant differences between the two groups in Hamilton Depression Scale score (=-1.92, 95% [-4.76, -0.91], =0.18),traditional Chinese medicine symptom score (=-5.49, 95% [-11.55, 0.56], =0.08), somatization symptom score (=-0.91, 95% [-3.28, 1.46], =0.45), and adverse reactions (=0.67, 95% [0.26,1.78], =0.42).

Conclusion: Acupuncture can alleviate the symptoms and is safe in the treatment of cardiac neurosis.

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Source
http://dx.doi.org/10.13702/j.1000-0607.190276DOI Listing

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