针刺太冲穴对脑梗死患者心率变异性的影响

发布时间：2018-01-02 12:19

本文关键词：针刺太冲穴对脑梗死患者心率变异性的影响　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过比较针刺脑梗死恢复期患者左侧太冲穴前后HRV各项指标的改变,探讨针刺太冲穴对脑梗死患者自主神经功能的影响,为临床运用太冲穴治疗脑梗死后自主神经功能失调的疗效提供参考。方法:在符合纳入标准的前提下,随机选取30例来自黑龙江中医药大学附属第一医院针灸科门诊的脑梗死恢复期患者。男患18例,女患12例,平均年龄58.3±7.85岁,平均病程47.07±14.81天。针刺受试者左侧太冲穴,使用medilog(?)AR12动态心电记录仪分别记录进针前(第Omin时)、进针时(第5min时)、进针后5min(第1 Omin时)、行针时(第15min时)、行针后5min(第20min时)、出针时(第25min时)和出针后5min(第30min时)的各项 HRV 指标,包括 SDNN、RMSSD、PNN50、ULF、ULF%、LF、HF、LF%、HF%以及LF/HF。运用重复测量方差分析法对所得数据进行统计学分析。结果:1.平均心率与针刺左侧太冲穴前相比降低,行针时p0.01,出针时p0.05;2.LF与针刺左侧太冲穴前相比降低,所有时间均p0.01;3.HF与针刺左侧太冲穴前相比降低,所有时间均p0.01;4.LF%与针刺左侧太冲穴前相比降低,出针时p0.05,其余时间点p0.01;5.HF%与针刺左侧太冲穴前相比降低,所有时间均p0.01;6.LF/HF与针刺左侧太冲穴前相比,行针后5min、出针时、出针后的数值降低,p0.01,进针时的数值升高,p0.05;7.ULF与针刺左侧太冲穴前相比升高,进针时、出针后p0.05,行针时p0.01;8.ULF%与针刺左侧太冲穴前相比升高,所有时间均p0.01;9.SDNN、RMSSD、PNN50与针刺左侧太冲穴前相比无明显变化,p0.05。结论:1.针刺太冲穴可以使脑梗死患者交感神经张力降低;2.针刺太冲穴可以使脑梗死患者迷走神经张力降低;3.针刺太冲穴可以调整脑梗死患者交感神经和迷走神经的均衡性,主要效应为使其向迷走神经占优的方向移动。
[Abstract]:Objective: To compare the acupuncture convalescence cerebral infarction patients before and after the left Taichong HRV indicators change, explore the effect of acupuncture Taichong on autonomic nervous function in patients with cerebral infarction, and provide reference for the clinical use of the effect of autonomic nervous system dysfunction after cerebral infarction treated Taichong. Methods: in accordance with the inclusion criteria, were randomly selected from 30 cases the First Affiliated Hospital of Heilongjiang University Of Chinese Medicine Department of acupuncture and rehabilitation of cerebral infarction patients. Male patients in 18 cases, 12 cases of female patients, mean age 58.3 + 7.85, 47.07 + 14.81 days. The average duration of acupuncture subjects left Taichong, using Medilog (?) AR12 Holter were recorded before the needle (No. Omin) and when the needle (5min), 5min after the needle (first Omin), do (15min), 5min line (at 20min), the needle (No. 25min) and the needle 5min (at 30min) of the HRV The index, including SDNN, RMSSD, PNN50, ULF, ULF%, LF, HF, LF%, HF% and LF/HF. by using repeated measures ANOVA statistical analysis on the data. Results: 1. the average heart rate and left lower than before acupuncture Taichong, do P0.01, 2.LF and P0.05 when the needle; acupuncture left Taichong compared to the previous reduced, all the time are 3.HF and P0.01; the left Taichong Point decreased, all the time are 4.LF% and P0.01; the left Taichong Point lower than P0.05, the needle, the rest of the time point of P0.01; 5.HF% and the left Taichong Point decreased, all the time were P0.01 6.LF/HF compared with the left; Taichong, needle after 5min, the needle, the needle is reduced, numerical P0.01, higher numerical needle P0.05; 7.ULF and left Taichong acupuncture compared to before increased, the needle, needle needle P0.05, P0.01 and 8.ULF%; the left Taichong Point Compared with the increase, all P0.01; 9.SDNN, RMSSD, PNN50 and left Taichong acupuncture before there was no significant change in the p0.05. conclusion: 1. acupuncture Taichong can make cerebral infarction patients sympathetic tension reduction; 2. acupuncture Taichong can make cerebral infarction reduced vagal tone; the balance of 3. acupuncture Taichong can adjust the sympathetic nerve in patients with cerebral infarction the main effect and the vagus nerve, to move to the vagus nerve dominant direction.

【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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