Wrist-ankle acupuncture for functional frequent premature ventricular contractions: a randomized controlled trial

HUANG Yuxin; SUN Yujiao; LIU Buping; LIN Huanfeng

doi:10.13703/j.0255-2930.20241029-k0003

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Wrist-ankle acupuncture for functional frequent premature ventricular contractions: a randomized controlled trial

Clinical Research | 更新时间：2025-10-11

- Wrist-ankle acupuncture for functional frequent premature ventricular contractions: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 10, Pages: 1414-1418(2025)
- 作者机构：
  
  广州中医药大学针灸康复临床医学院，广东广州　510405
  广东药科大学附属第一医院中医科
  广州中医药大学公共卫生与管理学院
  广东省第二中医院心血管科，广州　510095
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20241029-k0003
  CLC：
- Received：29 October 2024，
  
  Online First：14 July 2025，
  
  Published：12 October 2025
- 稿件说明：
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HUANG Yuxin, SUN Yujiao, LIU Buping, et al. Wrist-ankle acupuncture for functional frequent premature ventricular contractions: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(10): 1414-1418.
DOI：

HUANG Yuxin, SUN Yujiao, LIU Buping, et al. Wrist-ankle acupuncture for functional frequent premature ventricular contractions: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(10): 1414-1418. DOI： 10.13703/j.0255-2930.20241029-k0003.

摘要

目的：

观察腕踝针治疗功能性频发室性早搏的临床疗效。

方法：

将64例功能性频发室性早搏患者随机分为观察组和对照组，每组32例。观察组予腕踝针治疗，穴取双侧腕部上1、上2进针点；对照组于观察组相同取穴行假针刺干预。周一至周五每日治疗1次，每次留针60 min，共治疗4周。比较两组患者治疗前后中医证候积分、24 h室性早搏总次数和健康调查简表（SF-36）评分，并于治疗后评定临床疗效。

结果：

治疗后，两组患者中医证候积分均较治疗前降低（

0.01），且观察组低于对照组（

0.01）。治疗后，两组患者24 h室性早搏总次数均较治疗前减少（

0.01），且观察组少于对照组（

0.01）。治疗后，观察组患者SF-36各项评分均较治疗前升高（

0.01），对照组患者总体健康（GH）、社会功能（SF）、情感职能（RE）评分较治疗前升高（

0.05）；观察组患者SF-36各项评分均高于对照组（

0.01）。观察组总有效率为90.6%（29/32），高于对照组的46.9%（15/32，

0.01）。

结论：

腕踝针可有效治疗功能性频发室性早搏，改善胸闷、心悸等症状，减少24 h室性早搏总次数，提高患者生活质量。

Abstract

Objective

To observe the clinical efficacy of wrist-ankle acupuncture in the treatment of functional frequent premature ventricular contractions (PVCs).

Methods

A total of 64 patients with functional frequent PVCs were randomly divided into an observation group and a control group

32 cases in each group. The observation group was treated with wrist-ankle acupuncture at bilateral upper 1 and upper 2 on the wrist. The control group received sham acupuncture at the same points as the observation group. Both groups were treated once every day from Monday to Friday

with the needles retained for 60 min each time

for a total of 4 weeks. The TCM syndrome score

the 24-hour PVC count

and MOS 36-item short form health survey (SF-36) score were compared between the two groups before and after treatment

and the clinical efficacy was evaluated after treatment.

Results

After treatment

the TCM syndrome scores and the 24-hour PVC counts in both groups were reduced compared with those before treatment (

0.01)

and the above indexes in the observation group were lower than those in the control group (

0.01). After treatment，scores of all SF-36 items in the observation group were increased compared with those before treatment (

0.01); in the control group

the scores of general health (GH)

social function (SF) and role-emotional (RE) were increased compared with those before treatment (

0.05). After treatment

scores of all SF-36 items in the observation group were higher than those in the control group (

0.01). The total effective rate in the observation group was 90.6% (29/32)

which was higher than 46.9% (15/32) in the control group (

0.01).

Conclusion

Wrist-ankle acupuncture has a significant clinical efficacy in the treatment of functional frequent PVCs. It can effectively improve symptoms such as chest tightness and palpitations

reduce 24-hour PVC count

and improve patients’ quality of life.

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