本文關鍵詞：針刺太沖穴對腦梗死患者心率變異性的影響　出處：《黑龍江中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

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【摘要】：目的:通過比較針刺腦梗死恢復期患者左側太沖穴前后HRV各項指標的改變,探討針刺太沖穴對腦梗死患者自主神經功能的影響,為臨床運用太沖穴治療腦梗死后自主神經功能失調的療效提供參考。方法:在符合納入標準的前提下,隨機選取30例來自黑龍江中醫(yī)藥大學附屬第一醫(yī)院針灸科門診的腦梗死恢復期患者。男患18例,女患12例,平均年齡58.3±7.85歲,平均病程47.07±14.81天。針刺受試者左側太沖穴,使用medilog(?)AR12動態(tài)心電記錄儀分別記錄進針前(第Omin時)、進針時(第5min時)、進針后5min(第1 Omin時)、行針時(第15min時)、行針后5min(第20min時)、出針時(第25min時)和出針后5min(第30min時)的各項 HRV 指標,包括 SDNN、RMSSD、PNN50、ULF、ULF%、LF、HF、LF%、HF%以及LF/HF。運用重復測量方差分析法對所得數據進行統(tǒng)計學分析。結果:1.平均心率與針刺左側太沖穴前相比降低,行針時p0.01,出針時p0.05;2.LF與針刺左側太沖穴前相比降低,所有時間均p0.01;3.HF與針刺左側太沖穴前相比降低,所有時間均p0.01;4.LF%與針刺左側太沖穴前相比降低,出針時p0.05,其余時間點p0.01;5.HF%與針刺左側太沖穴前相比降低,所有時間均p0.01;6.LF/HF與針刺左側太沖穴前相比,行針后5min、出針時、出針后的數值降低,p0.01,進針時的數值升高,p0.05;7.ULF與針刺左側太沖穴前相比升高,進針時、出針后p0.05,行針時p0.01;8.ULF%與針刺左側太沖穴前相比升高,所有時間均p0.01;9.SDNN、RMSSD、PNN50與針刺左側太沖穴前相比無明顯變化,p0.05。結論:1.針刺太沖穴可以使腦梗死患者交感神經張力降低;2.針刺太沖穴可以使腦梗死患者迷走神經張力降低;3.針刺太沖穴可以調整腦梗死患者交感神經和迷走神經的均衡性,主要效應為使其向迷走神經占優(yōu)的方向移動。
[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.

【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.6

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