针刺曲泉穴对脑梗死患者心率变异性的影响

发布时间：2018-07-11 10:41

本文选题：脑梗死 + 曲泉穴　；参考：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的：通过探讨针刺曲泉穴对脑梗死患者心率变异性的影响,以及针刺时不同时间点的相关性,为临床使用曲泉穴治疗脑梗死提供理论依据,为选择针刺曲泉穴的安全性奠定理论基础。方法：随机选取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患者30例,男女各15人,身高、体重不限,进行针刺曲泉穴的心率变异性监测,记录针刺前5分钟,进针并得气时,针刺后5min,针刺后10 min(行针时),针刺后15min,出针时(针刺后20 min),出针后5分钟,七个时间点的参数值。将所取的RR间期标准差(SDNN).相邻RR间期之差的均方根值(RMSSD).爱丁堡指数(PNN50),高频(HF)成分和低频(LF)和低频成分和高频成分的比值(LF/HF),进行分析和测定HRV的变化,从而判断针刺曲泉穴对自主神经系统功能的影响,为临床提供治疗依据。结果：针刺曲泉穴在针刺时对LF的影响与针刺前5分钟相比有明显变化(P0.05)；针刺曲泉穴HF在针刺时,针刺后5分钟,针刺后10分钟(行针),行针后5分钟,出针时,与针刺前5分钟相比具有明显变化(P＜0.05)：LF/HF在针刺后5分钟,行针后5分钟与针刺前5分钟相比有明显变化(P0.05)；SDNN在针刺时,针刺后5分钟,针刺后10分钟(行针),行针后5分钟,行针后10分钟,出针后5分钟与针刺前5分钟相比均没有明显变化(P0.05)；RMSSD在针刺时,针刺后5分钟,针刺后10分钟(行针),行针后5分钟,行针后10分钟,出针后5分钟与针刺前5分钟相比均没有明显变化(P)0.05):VLF在针刺时,针刺后5分钟,针刺后10分钟(行针),行针后5分钟,行针后10分钟,出针后5分钟与针刺前5分钟相比均没有明显变化(P0.05)。结论：1、针刺曲泉穴进针时LF减小,提示针刺时交感神经张力降低。2、针刺曲泉穴HF减小,提示针刺曲泉穴可以降低迷走神经张力。3、针刺曲泉穴对LF/HF值有影响,提示针刺曲泉穴能调节自主神经系统的平衡状态。
[Abstract]:Objective: to explore the effect of acupuncture on heart rate variability of patients with cerebral infarction and the correlation of different time points during acupuncture, so as to provide a theoretical basis for clinical use of Ququan point in the treatment of cerebral infarction. For the selection of acupuncture Ququan point safety lay a theoretical foundation. Methods: thirty patients with cerebral infarction, 15 male and 15 male, were randomly selected from the Department of Acupuncture and moxibustion Department of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. The heart rate variability was monitored by acupuncture at Ququan point and recorded 5 minutes before acupuncture. 5 minutes after acupuncture, 10 min after acupuncture, 15 minutes after acupuncture, and 5 minutes after acupuncture (20 min), after acupuncture, 7 time points). The RR interval standard deviation (SDNN) is obtained. The root mean square value (RMSSD) of the difference between adjacent RR intervals. Edinburgh index (PNN50), high frequency (HF) and low frequency (LF) and low frequency (LF / HF) ratio (LF / HF) were analyzed and determined to determine the effect of acupuncture on the function of autonomic nervous system. Results: the effect of acupuncture at Ququan point on LF was significantly different from that at 5 minutes before acupuncture (P0.05), while at acupuncture point HF, 5 minutes after acupuncture, 10 minutes after acupuncture, 5 minutes after acupuncture and 5 minutes after acupuncture. Compared with the first 5 minutes of acupuncture, there were significant changes (P < 0.05) in 5 minutes after acupuncture, 5 minutes after acupuncture and 5 minutes before acupuncture (P0.05) SDNN in acupuncture, 5 minutes after acupuncture, and 5 minutes after acupuncture. 10 minutes after acupuncture, 5 minutes after acupuncture, 10 minutes after acupuncture, 5 minutes after acupuncture and 5 minutes before acupuncture (P0.05), 5 minutes after acupuncture, 5 minutes after acupuncture. 10 minutes after acupuncture, 5 minutes after acupuncture, 10 minutes after acupuncture, 5 minutes after acupuncture and 5 minutes after acupuncture (P) 0.05): at acupuncture, 5 minutes after acupuncture, 10 minutes after acupuncture, 5 minutes after acupuncture and 5 minutes after acupuncture. 10 minutes after acupuncture, 5 minutes after acupuncture and 5 minutes before acupuncture had no significant change (P0.05). Conclusion the LF decreased when acupuncture at Ququan point, indicating that the tension of sympathetic nerve was decreased by 0.2 and HF was decreased by acupuncture at Ququan point, indicating that acupuncture at Ququan point could decrease the tension of vagus nerve, and the acupuncture of Ququan point had an effect on LFP-HF value. The results suggest that acupuncture at Ququan can regulate the balance of autonomic nervous system.
【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】：2016
【分类号】：R246.6

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