【摘要】：研究目的：通過(guò)針刺左側(cè)尺澤穴對(duì)腦梗死患者心率變異性影響的研究,探討針刺尺澤穴在不同時(shí)間點(diǎn)引起自主神經(jīng)機(jī)能的影響規(guī)律,為臨床治療腦梗死疾病合并自主神經(jīng)失調(diào)患者提供依據(jù)。試驗(yàn)方法：隨機(jī)選30例腦梗死病人其中男性患者18例,女性患者12例,年齡在40-80歲,平均年齡51歲,進(jìn)行心率變異性檢測(cè)和觀察針刺尺澤穴針刺前、針刺時(shí)、留針5min、行針時(shí)、留針后15min、出針時(shí)、出針后5min患者心率變異性的變化。研究工具為①產(chǎn)于AUSTRIA的medilog⑧AR12動(dòng)態(tài)心電記錄儀。②針灸針,規(guī)格：1.5寸(φ0.35×40mm)。③監(jiān)測(cè)前確定室溫23±2℃,濕度61%±2%rh。試驗(yàn)時(shí)間均飯后1小時(shí)以上,安靜狀態(tài)下。試驗(yàn)前對(duì)被檢測(cè)者詳細(xì)說(shuō)明試驗(yàn)過(guò)程,試驗(yàn)的步驟及安全性,試驗(yàn)用途,經(jīng)志愿者同意后開(kāi)始試驗(yàn),整個(gè)試驗(yàn)的取穴者為一名具有多年工作經(jīng)驗(yàn)的針灸師。將所取的最快心率(HRmax).最慢心率(HRlllin)、平均心率(HRx).RR間期標(biāo)準(zhǔn)差(SDNN).相鄰RR間期之差絕對(duì)值的平均值(MSD)、相鄰RR間期之差的均方根值(RMSSD).愛(ài)丁堡指數(shù)(PNN50),進(jìn)行針刺前后的對(duì)照分析。將所有數(shù)據(jù)錄入SPSS20.0,建立數(shù)據(jù)庫(kù),計(jì)量資料用均數(shù)±標(biāo)準(zhǔn)差(x±s)表示,應(yīng)用SPSS20.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)學(xué)分析針刺前、留針、行針、出針后各指標(biāo)的變化規(guī)律。應(yīng)用方差分析t檢驗(yàn),P(0.05為在統(tǒng)計(jì)學(xué)上有顯著性差異。結(jié)果：(1)針刺左側(cè)尺澤穴進(jìn)針時(shí)、進(jìn)針后5min、針后10min(行針時(shí))、針后15min、針后20min、出針后5min與進(jìn)針前5min對(duì)比在HF%.LF％. LogLF/HF.ULF％.VLF％,經(jīng)過(guò)統(tǒng)計(jì)學(xué)分析,均有顯著性差異(P0.01)。而HF在進(jìn)針時(shí)、針刺后5min、針刺后10min、針后20mmin,經(jīng)統(tǒng)計(jì)學(xué)軟件分析后有顯著性差異(P0.01)。(2)針刺左側(cè)尺澤穴,進(jìn)針前5min、進(jìn)針時(shí)、進(jìn)針后5min、針后10min(行針時(shí))、針后15min、針后20min(出針時(shí))、出針后5min在LF. PNN50、RMSSD、SDNN、VLF,經(jīng)過(guò)統(tǒng)計(jì)學(xué)分析后,沒(méi)有顯著差異。而ULF在進(jìn)針時(shí)與針刺前5min、針刺后5min、針刺后10min(行針時(shí))、針刺后15min、針刺后20min(出針時(shí))、出針后5min對(duì)比,經(jīng)統(tǒng)計(jì)學(xué)軟件分析后有顯著性差異(P0.05)。結(jié)論：(1)針刺左側(cè)尺澤穴能夠使腦梗死患者迷走神經(jīng)抑制；(2)針刺左側(cè)尺澤穴能夠使腦梗死患者交感神經(jīng)興奮；(3)針刺左側(cè)尺澤穴能夠調(diào)節(jié)使腦梗死患者自主神經(jīng)系統(tǒng)平衡性；(4)時(shí)域分析SDNN、RMSSD、PNN50無(wú)影響,提示針刺左側(cè)尺澤穴對(duì)腦梗死患者心率變異性大致無(wú)改變；
[Abstract]:Objective: to study the effect of acupuncture on heart rate variability (HRV) of patients with cerebral infarction (CI), and to explore the effect of Acupuncture on autonomic nerve function at different time points. To provide the basis for clinical treatment of cerebral infarction patients with autonomic nervous disorders. Methods: thirty patients with cerebral infarction were randomly selected, including 18 male patients and 12 female patients, aged 40-80 years with an average age of 51 years. Heart rate variability was measured and observed before and after acupuncture at Zhize point. Changes of heart rate variability in patients with 5min at 15 min after needle retention. The research tool is a medilog8AR12 dynamic ECG recorder produced in AUSTRIA. 2 acupuncture needles, 1: 1.5 inch (蠁 0.35 脳 40mm). 3. Before monitoring, room temperature 23 鹵2 鈩，

本文編號(hào)：2199647