本文關(guān)鍵詞： 針刺 神門(mén) 腦梗死 心率變異性　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：目的:在神門(mén)穴的針刺過(guò)程中對(duì)腦梗死患者心率變異性各個(gè)指標(biāo)變化加以分析,討論神門(mén)穴是否能影響腦梗死患者自主神經(jīng)功能,從而為臨床治療提出新的方法。方法:隨機(jī)選取在黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院針灸二科門(mén)診治療30例腦梗死患者作為研究對(duì)象,其中男性16人,女性14人,年齡40-70歲,平均年齡53.33±8.55歲。所有患者均選取左側(cè)神門(mén)穴,囑患者平臥,保持安靜。針刺之前對(duì)該穴和操作者雙手給予日常清潔,實(shí)驗(yàn)儀器為AR12動(dòng)態(tài)心電記錄儀,以5分鐘為時(shí)間間隔,對(duì)針刺前5分鐘、針刺時(shí)、針刺后5分鐘、行針時(shí)、行針后5分鐘、出針時(shí)和出針后5分鐘,共7個(gè)時(shí)間點(diǎn)進(jìn)行數(shù)據(jù)記錄,實(shí)驗(yàn)完成并關(guān)機(jī)后,將全部數(shù)據(jù)導(dǎo)出,錄入SPSS17.0后采用統(tǒng)計(jì)學(xué)處理,選擇 meanBPM、SDNN、RMSSD、LF、HF、VLF、LF%、HF%、LF/HF作為觀察指標(biāo),觀察各指標(biāo)在不同時(shí)間的的變化規(guī)律,并分別與針刺前5分鐘進(jìn)行比較,分析實(shí)驗(yàn)結(jié)果并得出結(jié)論。結(jié)果:1.mean BPM的數(shù)值在針刺時(shí)與針刺前5分鐘比較,稍有減小,P0.05有統(tǒng)計(jì)學(xué)意義;mean BPM在針刺后5分鐘、行針時(shí)、行針后5分鐘這三個(gè)點(diǎn)的數(shù)值與針刺前5分鐘比較,有所減小,P0.01有顯著的統(tǒng)計(jì)學(xué)意義;其余各點(diǎn)與針刺前5分鐘比較,數(shù)值雖然減小,但P0.05無(wú)統(tǒng)計(jì)學(xué)意義。2.RMSSD在針刺時(shí)、針刺后5分鐘、行針時(shí)、行針后5分鐘、出針時(shí)、出針后5分鐘與針刺前5分鐘比較,數(shù)值有所增大,但P0.05無(wú)統(tǒng)計(jì)學(xué)意義。3.SDNN在針刺時(shí)、行針時(shí)、出針時(shí)、出針后5分鐘與針刺前5分鐘比較,數(shù)值有所增大,但P0.05無(wú)統(tǒng)計(jì)學(xué)意義;其余時(shí)間點(diǎn)與針刺前5分鐘比較,數(shù)值有所減小,但P0.05也無(wú)統(tǒng)計(jì)學(xué)意義。4.HF、LF的數(shù)值在各個(gè)時(shí)間點(diǎn)與針刺前5分鐘比較,明顯減小P0.01有顯著統(tǒng)的計(jì)學(xué)意義。5.VLF的數(shù)值在針刺時(shí)、行針時(shí)與針刺前5分鐘比較,略微減小,P0.05無(wú)統(tǒng)計(jì)學(xué)意義;其余時(shí)間點(diǎn)與針刺前5分鐘比較,數(shù)值有所增大,但P0.05也無(wú)統(tǒng)計(jì)學(xué)意義。6.LF/HF的數(shù)值在針刺時(shí)、行針時(shí)與針刺前5分鐘比較,明顯增大,P0.01有顯著的統(tǒng)計(jì)學(xué)意義;LF/HF的數(shù)值在針刺后5分鐘、行針后5分鐘、出針后5分鐘與針刺前5分鐘比較,有所增大,P0.05有統(tǒng)計(jì)學(xué)意義;LF/HF的數(shù)值在出針時(shí)與針刺前5分鐘比較,雖有所增大,但P0.05無(wú)統(tǒng)計(jì)學(xué)意義。7.HF%的數(shù)值在針刺后5分鐘與針刺前5分鐘比較,略有減小,P0.05有統(tǒng)計(jì)學(xué)意義;HF%的數(shù)值在行針時(shí)、行針后5分鐘、出針時(shí)、出針后分鐘與針刺前5分鐘比較,明顯減少,P0.01有顯著的統(tǒng)計(jì)學(xué)意義;HF%的數(shù)值在針刺時(shí)與針刺前5分鐘比較,雖然有所減小,但P0.05無(wú)統(tǒng)計(jì)學(xué)意義。8.LF%的數(shù)值在針刺時(shí)、針刺后5分鐘、行針后5分鐘、出針時(shí)、出針后5分鐘與針刺前5分鐘比較,有所減小,P0.01有顯著的統(tǒng)計(jì)學(xué)意義;LF%的數(shù)值在行針時(shí)與針刺前5分鐘比較,有所減小,P0.05有統(tǒng)計(jì)學(xué)意義。結(jié)論:1、針刺神門(mén)穴降低腦梗死患者HF、HF%的數(shù)值,提示針刺神門(mén)穴可以使迷走神經(jīng)的興奮性加以抑制。2、針刺神門(mén)穴降低腦梗死患者LF、LF%的數(shù)值,提示針刺神門(mén)穴可以使交感神經(jīng)的興奮性加以抑制。3、針刺神門(mén)穴增大腦梗死患者LF/HF的比值,提示針刺神門(mén)穴使交感神經(jīng)和迷走神經(jīng)的張力平衡加以調(diào)節(jié)。4、針刺神門(mén)穴對(duì)腦梗死患者心率變異性有顯著影響,而且有一定的后遺效應(yīng)。
[Abstract]:Objective: in the process of acupuncture Shenmen on cerebral infarction in patients with heart rate variability of each index change to analyze, discuss whether Shenmen can affect the autonomic nerve function in patients with cerebral infarction, so as to put forward a new method for clinical treatment. Methods: Acupuncture in the First Affiliated Hospital of Heilongjiang University Of Chinese Medicine two out-patient treatment of 30 cases of cerebral infarction patients as research the object, of which 16 were male, 14 female, age 40-70 years, mean age 53.33 + 8.55 years. All patients were selected on the left Shenmen, ask the patient supine, keep quiet. Give daily cleaning of the hole and the operator hands before acupuncture, experimental instrument for AR12 dynamic ECG recorder, in 5 minute intervals on 5 minutes, before acupuncture, acupuncture, acupuncture needle, after 5 minutes, 5 minutes after the needle, 5 minutes out of the needle and the needle, a total of 7 time points according to the number of records, and complete the experiment After the shutdown, all data will be derived, input using SPSS17.0 statistical processing, meanBPM, SDNN, RMSSD, LF, HF, VLF, LF%, HF%, LF/HF as observation index, observation indexes changes at different time, and separately with acupuncture 5 minutes before the comparison, analysis of experimental results and draw conclusions results: 1.mean BPM numerical in acupuncture and acupuncture before 5 minutes, slightly decreased, there was statistical significance in P0.05; mean BPM in 5 minutes after acupuncture, acupuncture, acupuncture and acupuncture for 5 minutes after the value of the three points in the first 5 minutes, decreased, there was statistical significance of P0.01; the rest of the 5 minutes before acupuncture point and numerical comparison, although reduced, but there was no statistical significance of P0.05.2.RMSSD in acupuncture, acupuncture after 5 minutes, 5 minutes after the needle, needle, needle, a needle for 5 minutes and 5 minutes before acupuncture, numerical increase, but no statistical P0.05 Significance of.3.SDNN in acupuncture, needle, needle, a needle for 5 minutes and 5 minutes before acupuncture, the value has increased, but there was no statistical significance of P0.05; the rest of the time point and acupuncture 5 minutes before the comparison, numerical decreases, but P0.05 has no statistical significance of.4.HF, LF values at each time acupuncture point and 5 minutes before the comparison, P0.01 has significantly reduced significantly the numerical statistically significant.5.VLF in acupuncture, acupuncture and acupuncture before 5 minutes, slightly decreased, P0.05 was not statistically significant; the rest of the time point and acupuncture 5 minutes before the comparison, the numerical increase, but P0.05 has no numerical statistical significance.6.LF/HF in acupuncture, needle and acupuncture before 5 minutes, significantly increased, there was a statistically significant difference P0.01; LF/HF value after acupuncture in 5 minutes, 5 minutes after the needle, the needle for 5 minutes and 5 minutes before acupuncture, increased, P0.05 system In terms of meaning; the value of LF/HF in the needle and acupuncture before 5 minutes, although increased, but P0.05 had no statistical significance in numerical.7.HF% acupuncture after 5 minutes and 5 minutes before acupuncture, slightly decreased, there was statistical significance in P0.05; the HF% value in 5 minutes after the needle, needle, needle when the needle and acupuncture minutes after 5 minutes before the comparison, significantly reduced, there was a statistically significant difference P0.01; HF% value in acupuncture and acupuncture before 5 minutes, although somewhat reduced, but P0.05 had no statistical significance in numerical.8.LF% acupuncture, acupuncture after 5 minutes, 5 minutes after the needle, a needle when the needle for 5 minutes and 5 minutes before acupuncture, decreased, there was a statistically significant difference P0.01; LF% value in 5 minutes before the needle and acupuncture, decreased, P0.05 was statistically significant. Conclusion: 1, Shenmen decreased HF in patients with cerebral infarction, the value of HF%. Show Shenmen can make the excitability of the vagus nerve to inhibit.2, Shenmen decreased LF in patients with cerebral infarction, the value of LF%, it is suggested that acupuncture Shenmen can make sympathetic nerve excitability by inhibiting.3, the ratio of Shenmen increased LF/HF in patients with cerebral infarction, acupuncture Shenmen sympathetic tension balance and the vagus nerve to adjust.4, Shenmen acupuncture has significant effect on heart rate variability in patients with cerebral infarction, and residual effects.

【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R246.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 趙文景;;燈盞花素注射液配合中醫(yī)辨證治療腦梗死臨床觀察[J];光明中醫(yī);2016年12期

2 莫玉婷;李鐵;王富春;;針刺神門(mén)穴治療失眠癥研究概況[J];上海針灸雜志;2016年06期

3 李輝;涂慧慧;;不同程度阻塞性睡眠呼吸暫停低通氣綜合征的心率變異性分析[J];中國(guó)醫(yī)刊;2016年01期

4 張利軍;白宇;侯育青;程記偉;陳黎佶;;三七三醇皂苷對(duì)局灶性腦缺血再灌注大鼠微管相關(guān)蛋白2、膠質(zhì)纖維酸性蛋白表達(dá)的影響[J];中國(guó)老年學(xué)雜志;2015年03期

5 許利平;楊鑫偉;李情琴;商碩;郭晶晶;劉鳳琪;張楠;侯睿;陳敏;趙含森;;祛瘀化痰方對(duì)動(dòng)脈粥樣硬化大鼠血液流變學(xué)的影響[J];中華中醫(yī)藥學(xué)刊;2014年01期

6 鄭偉;孟冬婭;胡曉芳;羅軍;韓笑;李言;;hs-CRP、Hcy在急性腦梗死發(fā)病機(jī)制中作用的研究[J];實(shí)驗(yàn)與檢驗(yàn)醫(yī)學(xué);2012年02期

7 岳紅;王迎;張華屏;柳潔;;同型半胱氨酸及其代謝酶基因多態(tài)性與腦梗死的關(guān)系[J];山西醫(yī)藥雜志;2010年02期

8 王欣;劉婧;汪克明;;電針對(duì)心肌缺血大鼠下丘腦內(nèi)單胺類(lèi)遞質(zhì)含量的影響[J];安徽中醫(yī)學(xué)院學(xué)報(bào);2009年05期

9 廖韓波;王升旭;黃泳;Gustav Wik;;針刺對(duì)心率變異性影響的臨床觀察[J];上海針灸雜志;2009年06期

10 張?jiān)螺x;詹成;林文;;亞低溫療法治療大面積腦梗死患者的療效觀察[J];實(shí)用全科醫(yī)學(xué);2008年03期

相關(guān)博士學(xué)位論文 前1條

1 耿躍華;磁刺激神門(mén)穴誘發(fā)腦電信號(hào)分析[D];河北工業(yè)大學(xué);2010年

，

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