本文關(guān)鍵詞： 更年期 短程心率變異性 交感神經(jīng)系統(tǒng) 副交感神經(jīng)系統(tǒng)　出處：《山西醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:用短程心率變異檢測儀分析有更年期癥狀婦女的自主神經(jīng)功能狀態(tài)。其次,探討無癥狀更年期婦女在絕經(jīng)前后的自主神經(jīng)功能變化。方法:收集2016年3-10月在山大一院處于更年期年齡段(40-60歲)的婦女,篩選在婦科門診診斷為更年期綜合征的患者57例收入有癥狀組(A組),把體檢中心無更年期癥狀婦女61例收入無癥狀組(B組),B組依據(jù)是否絕經(jīng),進一步分為絕經(jīng)前組(B1組)與絕經(jīng)后組(B2組)。采用5min心率變異檢測儀監(jiān)測靜息狀態(tài)下的HRV,記錄頻域分析方法下每位受試者的高頻功率(HF)、低頻功率(LF)、低頻標(biāo)準(zhǔn)化單位(LF%)、低高頻功率比值(LF/HF)。使用兩獨立樣本t檢驗分別比較A組與B組,B1組與B2組。結(jié)果:A組與B組間比較:相對于B組,A組HF明顯升高(P0.05),而LF/HF、LF%明顯降低(P0.05);B1組與B2組間比較:B2組HF、LF低于B1組(P0.05)。結(jié)論:與無癥狀更年期婦女相比較,有癥狀的更年期婦女副交感神經(jīng)張力增高,交感神經(jīng)張力降低,副交感神經(jīng)功能處于明顯優(yōu)勢地位;無癥狀更年期婦女中,絕經(jīng)后自主神經(jīng)的總體功能偏向交感,主因是副交感神經(jīng)張力降低。
[Abstract]:Objective: to analyze the autonomic nervous function of women with climacteric symptoms by short range heart rate variability (HRV) instrument. To investigate the changes of autonomic nervous function in asymptomatic climacteric women before and after menopause. A total of 57 patients diagnosed as climacteric syndrome in gynecological outpatient clinic were selected as group A, and 61 women without climacteric symptoms in physical examination center were included in asymptomatic group B or B according to whether menopause or not. It was further divided into premenopausal group (group B1) and postmenopausal group (group B 2). HRVs in resting state were monitored by a 5 min HRV detector. The high frequency power, low frequency power and low frequency standardized single were recorded in frequency domain analysis method. Two independent sample t-tests were used to compare group A with group B, group B and group B.Results compared with group B, the HF of group A was significantly higher than that of group B: compared with group B, the HF of group A was significantly higher than that of group B, and that of group B was significantly lower than that of group B, and that of group B was significantly lower than that of group B (P < 0.05). Conclusion: compared with asymptomatic climacteric women, HFLF is lower than B1 group (P 0.05). In symptomatic climacteric women, the tension of parasympathetic nerve increased, the tension of sympathetic nerve decreased, and the function of parasympathetic nerve was in a dominant position, while in asymptomatic climacteric women, the overall function of autonomic nerve in postmenopausal women tended to be sympathetic. The main reason is the decrease of parasympathetic tension.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R711.75

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