【摘要】：恐懼是被研究得最為廣泛的情緒之一,其失調(diào)會(huì)誘發(fā)許多心理疾病,如創(chuàng)傷后應(yīng)激障礙、抑郁癥和焦慮癥等�？謶值男睦響�(yīng)激可以引起多種自主神經(jīng)反應(yīng)模式,包括了經(jīng)典拮抗模式、共同模式和非伴隨模式等九種反應(yīng)模式。心率變異性(Heart Rate Variability,HRV)是指逐次心動(dòng)周期的細(xì)小變異,可定量評估心臟交感神經(jīng)和副交感神經(jīng)的活動(dòng),廣泛用于量化心臟自主神經(jīng)活動(dòng)情況。傳統(tǒng)醫(yī)學(xué)認(rèn)為,手厥陰心包經(jīng)經(jīng)穴內(nèi)關(guān)、間使主治心胸及心、脈相關(guān)疾病。大量臨床觀察證實(shí),針刺能緩解和控制恐懼,其效應(yīng)與自主神經(jīng)功能密切相關(guān)�，F(xiàn)代實(shí)驗(yàn)研究也表明,手厥陰心包經(jīng)穴位與心臟存在著密切的聯(lián)系,并且存在形態(tài)學(xué)基礎(chǔ)依據(jù)。綜上,本研究通過采用Actiheart心電記錄儀觀察電針內(nèi)關(guān)、間使刺激下恐懼狀態(tài)志愿者HRV的變化情況,分析電針過程中心臟自主神經(jīng)的變化,探究針刺緩解恐懼情緒的作用機(jī)制,為針刺治療恐懼情緒引起的相關(guān)疾病的提供理論支持。目的:基于自主神經(jīng)反應(yīng)模式觀察電針內(nèi)關(guān)、間使對恐懼狀態(tài)志愿者HRV的影響,分析電針內(nèi)關(guān)、間使的作用機(jī)制。方法:招募200名志愿者,男女比例1:1。80名進(jìn)行音頻試驗(yàn),120名進(jìn)行電針試驗(yàn)。音頻試驗(yàn)中,80名志愿者隨機(jī)均分為中性音頻組和恐怖音頻組,分別接受中性和恐怖音頻刺激。音頻試驗(yàn)成功后進(jìn)行電針試驗(yàn),120名志愿者隨機(jī)均分為電針組和對照組,兩組志愿者接受恐怖音頻刺激后,電針組接受電針內(nèi)關(guān)、間使刺激,對照組不接受干預(yù)。觀察兩組在電針前、中、后心率變異性的變化。結(jié)果:根據(jù)恐怖音頻刺激前后VLF和HF的差值情況把志愿者分類成對抗模式Ⅰ(交感興奮,副交感抑制)、對抗模式Ⅱ(交感抑制,副交感興奮)、共同興奮模式(交感副交感共同興奮)和共同抑制模式(交感副交感共同抑制)。對抗模式Ⅰ:電針組與對照組比較,針刺中SD、RMSSD和VLF顯著提高;HF在針刺中及針刺后均顯著提高,余指標(biāo)無顯著性差異(p0.05)。對抗模式Ⅱ:各項(xiàng)指標(biāo)在針刺前、中、后均無顯著性差異(p0.05)。共同興奮模式:電針組與對照組比較,針刺中LF顯著提高;針刺后各項(xiàng)指標(biāo)無顯著性差異(p0.05)。共同抑制模式:電針組與對照組比較,針刺中、針刺后HF均顯著提高,余指標(biāo)在針刺前、中、后均無顯著性差異(p0.05)。結(jié)論:恐懼情緒下,電針內(nèi)關(guān)、間使對不同自主神經(jīng)反應(yīng)模式有不同的影響。
[Abstract]:Fear is one of the most widely studied emotions, which can induce many mental disorders, such as post-traumatic stress disorder, depression and anxiety disorder. Fear of psychological stress can lead to a variety of autonomic nervous response patterns, including the classic antagonistic model, common model and non-adjoint model. Heart rate variability (Heart Rate Variability,HRV) refers to the small variation of cardiac cycle, which can quantitatively evaluate the activity of cardiac sympathetic and parasympathetic nerves, and is widely used to quantify cardiac autonomic nerve activity. According to traditional medicine, hand-jueyin pericardium meridian internal clearance, the main treatment of heart-chest and heart, pulse-related diseases. A large number of clinical observations confirmed that acupuncture can relieve and control fear, and its effect is closely related to autonomic nervous function. Modern experimental studies also show that there is a close relationship between the acupoints of the pericardial meridian of the hand and the heart, and there is a morphological basis. To sum up, this study observed the changes of HRV of volunteers in fear state under electroacupuncture (EA) Neiguan by using Actiheart ECG recorder, analyzed the changes of cardiac autonomic nerves during electroacupuncture, and explored the mechanism of acupuncture to relieve fear emotion. To provide theoretical support for acupuncture treatment of related diseases caused by fear emotion. Aim: to observe the effect of electroacupuncture (EA) on the HRV of volunteers in fear state based on autonomic nerve response model and to analyze the mechanism of EA Neiguan. Methods: 200 volunteers were recruited, the ratio of male and female was 1: 1.80 for audio frequency test and 120 for electroacupuncture. In the audio test, 80 volunteers were randomly divided into neutral audio group and terror audio group. 120 volunteers were randomly divided into electroacupuncture group and control group. After the two groups received scary audio stimulation, the electroacupuncture group received electroacupuncture Neiguan stimulation, the control group did not accept intervention. The changes of heart rate variability before, during and after electroacupuncture were observed. Results: according to the difference between VLF and HF before and after terror audio stimulation, the volunteers were classified into two groups: antagonistic mode 鈪，

本文編號(hào)：2396735