针刺左侧曲泽穴对脑梗死患者心律变异性的影响

发布时间：2018-01-11 16:33

  本文关键词：针刺左侧曲泽穴对脑梗死患者心律变异性的影响　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

  更多相关文章： 曲泽穴 脑梗死 心率变异性

【摘要】：目的：通过针刺曲泽穴对脑梗死患者心率变异性指标的研究,探讨针刺曲泽穴引起脑梗死患者自主神经功能变化的规律,为临床治疗脑梗死患者的自主神经失调提供依据。方法：进行动态心电记录仪测试之前先让被测者安静仰卧10 min,启动仪器开始记录,5min后针刺左侧曲泽穴,直刺深度1～1.5寸,进针得气后留针,留针后10min、留针后20min,施以平补平泻手法15 s,,每秒6转,共90转,继而出针,出针后观察10分钟。记录针刺前5min,针刺时,留针后5min,留针后10min,留针后15min,留针后20min,出针后5min,出针后10min共8个时间点的参数值。将数值录入SPSS20.0统计学软件分析,选用配对t检验,使各个指标不同时间点与针刺前比较。P0.05代表差异显著,P0.01代表差异极显著,均有统计学意义。结果：1.针刺左侧曲泽穴在不同时间段时域分析中指标的变化：1.1指标Min BPM各时间段参数值与针刺前作比较,一些时间段参数值降低,有统计学意义(留针后5min:P0.05;针刺时、留针后10min、留针后15min:余时间段无统计学意义(P0.05)。指标Mean BPM针刺时的参数值降低,有统计学意义(P0.05)。Max各时间段参数值有改变,无统计学意义(P0.05)。1.2指标SDNN、RMSSD、PNN50各时间段参数值与针刺前比较,有些时间段参数值增高,有统计学意义(SDNN:针刺时,P0.01,留针后10min、出针后5min、出针后lOmin:P0.05; RMSSD:留针后15min, P0.01,留针后20min、出针后5min、出针后lOmin,P0.05; PNN50:留针后20min, P0.05)。余时间段无统计学意义(P0.05)。2.针刺左侧曲泽穴对不同时间段频域分析中指标的变化：2.1指标ULF、VLF各时间段参数值与针刺前比较,一些时间段参数值升高,有统计学意义(ULF：针刺时、留针后5min、留针后15min、出针后10min,P0.05; VLF:针刺时、留针后5min、出针后10min,P0.05,留针后15min,出针后5min,P0.01),余时间段无统计学意义(P0.05)。指标LF、HF各个时间段参数值与针刺前比较,一些时间段参数值降低,有统计学意义(LF：留针后20min,P0.01,HF:针刺时、留针后5min、留针后10min、留针后15min、留针后20min、出针后5min、出针后10min:P0.01),余时间段无统计学意义(P0.05)。TP各时间段参数值有改变,无统计学意义(P0.05)。2.2指标logLF/HF、ULF%、VLF%各时间段的参数值与针刺前比较,一些时间段参数值升高,有统计学意义(logLF/HF:针刺时、出针后1Omin, P0.01:ULF%:针刺时、留针后5min、留针后10min、留针后15min、留针后20min、出针后5min:P0.01,出针后10min:P0.05:VLF%:针刺时、留针后5min、留针后10min、留针后15min、留针后20min、出针后5min、出针后10min,P0.01),余时间段无统计学意义(P0.05)。 LF%、HF%各时间段的参数值与针刺前比较降低,有统计学意义(P0.01)。结论1.针刺脑梗死患者左侧曲泽穴可以使HRV时域指标Min BPM、MeanBPM降低,RMSSD、PNN50、SDNN增高,提示针刺左侧曲泽穴使脑梗死患者的最低心率和平均心率降低,迷走神经张力增高,自主神经活动增强。2.针刺脑梗死患者左侧曲泽穴可以使HRV频域指标HF、HF%、LF、 LF%降低,10gLF/HF值升高,提示针刺左侧曲泽穴后,可以使脑梗死患者的迷走神经、交感神经张力均降低,重新调节自主神经的均衡性。3.频域分析方法和时域分析方法在对针刺脑梗死患者左侧曲泽穴HRV的影响分析结果上存在差异。
[Abstract]:Objective: To study the acupuncture points on Quze index of heart rate variability in patients with cerebral infarction, and to explore the mechanism of Quze point caused by the change of autonomic nervous function in patients with cerebral infarction of the law, provide the basis for clinical treatment of autonomic nerve disorder in patients with cerebral infarction. Methods: the ECG recorder recorded before the test let the subjects supine quiet 10 min. Start the instrument began to record, after 5min left Quze acupuncture point, into the depth of 1 to 1.5 inches, the needle was left after the gas needle, after 10min, 20min after the needle, with reinforcing reducing techniques, 15 s, 6 rpm, 90 rpm, and the needle, the needle was observed after 10 minutes. 5min records before acupuncture, acupuncture, needle needle after 5min, 10min, 15min, 20min after the needle, needle after the needle, after 5min, the parameter values of 10min a total of 8 time points after the needle. The numerical input SPSS20.0 statistical analysis software, the distribution of t test, each index of different Time with before treatment.P0.05 represents significant difference, P0.01 represents significant differences were statistically significant. Results: 1. acupuncture points left Quze in different time domain analysis changes in the index: 1.1 index Min BPM each time the parameter values compared with that before acupuncture, some time parameters decreased, there was statistical meaning (after retaining needles 5min:P0.05; acupuncture, needle 10min, 15min: over time after the needle had no statistical significance (P0.05). The parameters of Mean BPM when acupuncture decreased, with statistical significance (P0.05) parameters of.Max each time the value has changed, no statistical significance (P0.05).1.2 index SDNN, RMSSD, comparison and before acupuncture parameters PNN50 each time, some parameters of time value is increased, with statistical significance (SDNN: P0.01, acupuncture, needle 10min after the needle after the needle 5min, lOmin:P0.05; RMSSD: 15min P0.01, after the needle, the needle after 20min, 鍑洪拡鍚，

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