艾灸不同腧穴对健康人体自主神经影响的临床研究

发布时间：2018-04-17 02:01

本文选题：艾灸 + 内关　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的通过艾灸不同腧穴(内关、足三里、关元),观察心率变异性的几个时域指标,探讨艾灸对于自主神经是否存在影响,不同腧穴间是否存在差异,为临床艾灸对自主神经机制科学化提供客观依据。方法本研究共纳入69例受试者,均来自南京中医药大学在校健康大学生,将28名男性,41名女性随机分入内关组、关元组、足三里组,每组23例。每组均温和灸30min,观察艾灸引起的不同组别间心率、心率变异性时域指标RR间期、rMSSD、SDNN、PNN50的变化。结果1艾灸健康人25-30min对自主神经功能有调节作用,不同腧穴效果不同。2艾灸健康人足三里25-30min,心率减缓(P0.05)、RR间期延长(P0.05)、PNN50增大(P0.05)、SDNN增大(P0.05)、RMSSD增大(P0.05),提示艾灸健康人足三里穴25-30mmin,可明显提高迷走神经活性,改善自主神经功能。3艾灸健康人内关25-30min,心率减慢(P0.05)、RR间期延长(P0.05)、PNN50增大(P0.05)、RMSSD减小(P0.05)、SDNN减小(P0.05)。4艾灸健康人关元穴25-30min后,心率减缓(P0.05)、RR间期延长(P0.05)、PNN50增大(P0.05)、RMSSD增大(P0.05)、SDNN减小(P0.05)。5艾灸健康人25-30mmin,观察根据内关组、足三里组、关元组心率、RR间期、PNN50、RMSSSD、SDNN变化的离散图发现,足三里组心率、RR间期变化存在明显趋中性,内关组SDNN变化趋中性相对明显,其余变化趋中性不明显。结论1艾灸能降低健康青年人的心率,增强迷走神经活性,降低交感神经张力,调节自主神经功能,艾灸疗法安全简便且有效。2艾灸不同腧穴存在差异性,艾灸足三里对健康青年人的自主神经功能疗效最明显。3灸法温通疗效与机体状态、腧穴特异性密切相关。
[Abstract]:Objective to observe several time domain indexes of heart rate variability by moxibustion at different acupoints (Neiguan, Zusanli, Guanyuan), and to explore whether moxibustion has influence on autonomic nerve and whether there are differences among different acupoints.To provide the objective basis for clinical moxibustion on the scientific mechanism of autonomic nerve.Methods A total of 69 subjects, all of them from Nanjing University of traditional Chinese Medicine, were randomly divided into three groups: Neiguan group, Guan Yuan group and Zusanli group.Each group was treated with mild moxibustion for 30 minutes. The changes of heart rate and heart rate variability (RR interval) in different groups were observed.Results 1 moxibustion of 25-30min could regulate the function of autonomic nervous system.The effect of different acupoints was different. 2 moxibustion at Zusanli 25-30 mins in healthy people, prolonging the interval of heart rate slowing P0.05P0.05PNN50 and increasing P0.05PNN50, increasing P0.05An and increasing RMSSD, suggesting that moxibustion at Zusanli (25-30mmin) in healthy people can obviously increase the activity of vagus nerve, and it is suggested that moxibustion on Zusanli (25 ~ 30mmin) can obviously increase the activity of vagus nerve.Improving autonomic nervous function. 3 moxibustion of Neiguan in healthy people for 25-30 mins, the heart rate slowed down and the interval of P0.05 / PNN50 was prolonged, P0.05N _ (50) was increased, P0.05N ~ (50) was increased, and P0.05N / SDNN was reduced after moxibustion at Guanyuan (25-30min) in healthy people.The increase of P0.05 / RMSSD and the decrease of P0.05 / 5 / SDNN in healthy persons were observed according to the discrete map of heart rate interval (RMSSDNN) changes in Neiguan group, Zusanli group and Guanyuan group, and it was found that the RR interval of heart rate in Zusanli group was more neutral than that in control group, and the change of RMSSSDSDN interval in Zusanli group was significantly more neutral than that in control group, according to the discrete graph of PNN50 RMSSSDSDNNin interval in Neiguan group, Zusanli group and Guanyuan group, and it was found that the change of RR interval in Zusanli group was more neutral than that in control group.The change of SDNN in Neiguan group was relatively obvious, while the other changes were not obvious.Conclusion 1 moxibustion can reduce heart rate of healthy young people, enhance vagus nerve activity, decrease sympathetic nerve tension, regulate autonomic nerve function, and moxibustion therapy is safe, simple and effective. 2. There are differences in different acupoints between moxibustion and moxibustion.The effect of moxibustion on autonomic nervous function of healthy young people is the most obvious. 3 Therapeutic effect of moxibustion is closely related to the state of body and the specificity of acupoints.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246

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