本文關(guān)鍵詞：針刺左側(cè)曲澤穴對腦梗死患者心律變異性的影響　出處：《黑龍江中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的：通過針刺曲澤穴對腦梗死患者心率變異性指標(biāo)的研究,探討針刺曲澤穴引起腦梗死患者自主神經(jīng)功能變化的規(guī)律,為臨床治療腦梗死患者的自主神經(jīng)失調(diào)提供依據(jù)。方法：進(jìn)行動(dòng)態(tài)心電記錄儀測試之前先讓被測者安靜仰臥10 min,啟動(dòng)儀器開始記錄,5min后針刺左側(cè)曲澤穴,直刺深度1～1.5寸,進(jìn)針得氣后留針,留針后10min、留針后20min,施以平補(bǔ)平瀉手法15 s,,每秒6轉(zhuǎn),共90轉(zhuǎn),繼而出針,出針后觀察10分鐘。記錄針刺前5min,針刺時(shí),留針后5min,留針后10min,留針后15min,留針后20min,出針后5min,出針后10min共8個(gè)時(shí)間點(diǎn)的參數(shù)值。將數(shù)值錄入SPSS20.0統(tǒng)計(jì)學(xué)軟件分析,選用配對t檢驗(yàn),使各個(gè)指標(biāo)不同時(shí)間點(diǎn)與針刺前比較。P0.05代表差異顯著,P0.01代表差異極顯著,均有統(tǒng)計(jì)學(xué)意義。結(jié)果：1.針刺左側(cè)曲澤穴在不同時(shí)間段時(shí)域分析中指標(biāo)的變化：1.1指標(biāo)Min BPM各時(shí)間段參數(shù)值與針刺前作比較,一些時(shí)間段參數(shù)值降低,有統(tǒng)計(jì)學(xué)意義(留針后5min:P0.05;針刺時(shí)、留針后10min、留針后15min:余時(shí)間段無統(tǒng)計(jì)學(xué)意義(P0.05)。指標(biāo)Mean BPM針刺時(shí)的參數(shù)值降低,有統(tǒng)計(jì)學(xué)意義(P0.05)。Max各時(shí)間段參數(shù)值有改變,無統(tǒng)計(jì)學(xué)意義(P0.05)。1.2指標(biāo)SDNN、RMSSD、PNN50各時(shí)間段參數(shù)值與針刺前比較,有些時(shí)間段參數(shù)值增高,有統(tǒng)計(jì)學(xué)意義(SDNN:針刺時(shí),P0.01,留針后10min、出針后5min、出針后lOmin:P0.05; RMSSD:留針后15min, P0.01,留針后20min、出針后5min、出針后lOmin,P0.05; PNN50:留針后20min, P0.05)。余時(shí)間段無統(tǒng)計(jì)學(xué)意義(P0.05)。2.針刺左側(cè)曲澤穴對不同時(shí)間段頻域分析中指標(biāo)的變化：2.1指標(biāo)ULF、VLF各時(shí)間段參數(shù)值與針刺前比較,一些時(shí)間段參數(shù)值升高,有統(tǒng)計(jì)學(xué)意義(ULF：針刺時(shí)、留針后5min、留針后15min、出針后10min,P0.05; VLF:針刺時(shí)、留針后5min、出針后10min,P0.05,留針后15min,出針后5min,P0.01),余時(shí)間段無統(tǒng)計(jì)學(xué)意義(P0.05)。指標(biāo)LF、HF各個(gè)時(shí)間段參數(shù)值與針刺前比較,一些時(shí)間段參數(shù)值降低,有統(tǒng)計(jì)學(xué)意義(LF：留針后20min,P0.01,HF:針刺時(shí)、留針后5min、留針后10min、留針后15min、留針后20min、出針后5min、出針后10min:P0.01),余時(shí)間段無統(tǒng)計(jì)學(xué)意義(P0.05)。TP各時(shí)間段參數(shù)值有改變,無統(tǒng)計(jì)學(xué)意義(P0.05)。2.2指標(biāo)logLF/HF、ULF%、VLF%各時(shí)間段的參數(shù)值與針刺前比較,一些時(shí)間段參數(shù)值升高,有統(tǒng)計(jì)學(xué)意義(logLF/HF:針刺時(shí)、出針后1Omin, P0.01:ULF%:針刺時(shí)、留針后5min、留針后10min、留針后15min、留針后20min、出針后5min:P0.01,出針后10min:P0.05:VLF%:針刺時(shí)、留針后5min、留針后10min、留針后15min、留針后20min、出針后5min、出針后10min,P0.01),余時(shí)間段無統(tǒng)計(jì)學(xué)意義(P0.05)。 LF%、HF%各時(shí)間段的參數(shù)值與針刺前比較降低,有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論1.針刺腦梗死患者左側(cè)曲澤穴可以使HRV時(shí)域指標(biāo)Min BPM、MeanBPM降低,RMSSD、PNN50、SDNN增高,提示針刺左側(cè)曲澤穴使腦梗死患者的最低心率和平均心率降低,迷走神經(jīng)張力增高,自主神經(jīng)活動(dòng)增強(qiáng)。2.針刺腦梗死患者左側(cè)曲澤穴可以使HRV頻域指標(biāo)HF、HF%、LF、 LF%降低,10gLF/HF值升高,提示針刺左側(cè)曲澤穴后,可以使腦梗死患者的迷走神經(jīng)、交感神經(jīng)張力均降低,重新調(diào)節(jié)自主神經(jīng)的均衡性。3.頻域分析方法和時(shí)域分析方法在對針刺腦梗死患者左側(cè)曲澤穴HRV的影響分析結(jié)果上存在差異。
[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，

本文編號：1410342