本文關鍵詞：針刺左側丘墟穴對腦梗死急性期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

  更多相關文章： 丘墟穴 腦梗死急性期 心率變異性

【摘要】：目的:應用心率變異記錄儀,記錄針刺腦梗死急性期患者左側丘墟穴不同時段的心率變異性時域及頻域指標的變化,探究針刺左側丘墟穴對心臟自主神經功能的具體調整作用,以指導臨床更加準確合理的選穴。方法:隨機選取30名符合本次實驗納入標準的腦梗死急性期患者。在入組患者平靜狀態(tài)下,連接medilog@AR12心率變異記錄儀,記錄針刺左側丘墟穴前5min、針刺時、留針時、出針時及出針后5分鐘5個時間點的心率變異各指標(TP、LF、HF、LogLF/HF、RMSSD、SDNN)的變化,分析其變異情況。結果:1.HRV時域指標:RMSSD、SDNN在五個時間點間比較,數值變化不明顯(P0.05)。2.HRV頻域指標:TP在針刺前與針刺時、留針時、出針時、出針后比較顯著降低(P0.05);LogHF在針刺前與針刺時、留針時、出針時、出針后比較顯著降低(P0.05);LF在留針時與針刺前比較,數值變化明顯降低(P0.05);LogLF/HF在針刺前與針刺時、留針時、出針時、出針后比較顯著升高(P0.05)。結論:1.針刺左側丘墟穴可以降低總的心臟自主神經功能;2.針刺左側丘墟穴可以降低腦梗死急性期患者迷走神經活性;3.針刺左側丘墟穴可以提高交感神經與迷走神經張力的平衡性;4.針刺左側丘墟穴對自主神經的影響有一定的后遺效應。
[Abstract]:Objective: to record the changes of time-domain and frequency-domain indexes of heart rate variability (HRV) in patients with acute cerebral infarction at different periods of time by using heart rate variability recorder (HRV). To explore the specific effect of acupuncture at left Qiu Hui on cardiac autonomic nervous function. Methods: 30 patients with acute cerebral infarction who met the criteria of this study were randomly selected. Medilog@AR12 heart rate variability recorder was used to record the time of acupuncture at left Qiu Hui (5 min), acupuncture (5 min) and needle retention (P < 0.05). The changes of heart rate variability (HRV) at five time points (5 minutes after the injection) and the changes of TPLFLF / RMSSDNNs. Results: 1. HRV time domain index: RMSSD SDNN was compared among five time points. The change of numerical value was not obvious (P 0.05). 2. The frequency domain index of HRV: 1: TP was significantly decreased before and after acupuncture, when the needle was kept and when the needle was out. LogHF before and during acupuncture, when the needle was retained, and when the needle was out, the P0.05U was significantly decreased after the needle was given. Compared with that before acupuncture, the value of LF decreased significantly (P 0.05). Before and after acupuncture, LogLF/HF significantly increased P0.05 after acupuncture. Conclusion: 1. Acupuncture at left Qiu Hui can decrease the total autonomic nervous function of the heart. 2.Acupuncture at left Qiu Hui can decrease the vagus nerve activity in patients with acute cerebral infarction. 3.Acupuncture at left Qiu Hui can improve the balance between sympathetic nerve and vagus nerve tension. 4. The effect of acupuncture at left Qiu Hui on autonomic nervous system has certain sequelae effect.
【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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