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1、要目的:觀察針刺靈臺、神道穴對原發(fā)性高血壓(EH)患者心率變異性(HRV)5rain頻域指標(biāo)LF(低頻)、HF(高頻)、LF/HF(低頻/高頻)的影響,并與針刺雙側(cè)懸鐘穴對照,以期證實(shí)靈臺、神道穴對HRV的相對特異性影響,從而為臨床上針刺治療高血壓及其相關(guān)的心臟并發(fā)癥優(yōu)選腧穴提供客觀依據(jù)。方法:研究中共納入38例患者,隨機(jī)分為觀察組23例和對照組15例。觀察組針刺靈臺、神道穴,觀察針刺前后HRV5min頻域指標(biāo)LF、HF、LF/HF的變化,對照組針刺雙側(cè)懸鐘穴,觀察針刺前后上述指標(biāo)的變化。對所得數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)分析,觀察兩組是否存在統(tǒng)計(jì)學(xué)差異。結(jié)果:組內(nèi)比較:觀察組HRV5min頻域指標(biāo)L
2、F在針刺后明顯降低,針刺前后比較有顯著性差異(P〈0.05);HF在針刺后有所提高,但針刺前后比較無統(tǒng)計(jì)學(xué)意義;LF/HF針刺前后比較有顯著性差異(P〈0.05);對照組HRV5min頻域指標(biāo)在針刺后有變化,但無統(tǒng)計(jì)學(xué)意義。組間比較:觀察組和對照組的LF、HF、LF/HF在針刺前比較無統(tǒng)計(jì)學(xué)意義,針刺后觀察組LF、LF/HF較對照組改善明顯(P<0.05),HF的比較無統(tǒng)計(jì)學(xué)意義?!Y(jié)論:針刺靈臺、神道穴能降低原發(fā)性高血壓(EH)患者HRV5min頻域指標(biāo)中的LF及LF/HF,提示針刺這兩個(gè)穴位可能具有降低交感神經(jīng)活性、調(diào)整自主神經(jīng)均衡性的作用。關(guān)鍵詞針刺效應(yīng);穴,靈臺;穴,神道;原發(fā)性
3、高血壓;心率變異性TheEffectsofAcupuncturingLingtaiandShendaoPointsonHeartRateVariabilityinPatientswithEssentialHypertensionSpeciality:AcupunctureandMoxibustionAuthor:FangLijunTutor:Prof.WangRuiAbstractObjective:ToconfirmtherelativelyspecificeffectsofLingtaiandShendaoonHRVwiththe5minFrequencydomainindexeso
4、fLF,HFandLF/HFinPatientswithEssentialHypertension.whichwillgiveenlightmentstochoosethewell-targetedacupuncturepointintheclinicalwork.Methods:38casesofpatientswithEHwererandomlydividedintotwogroups.23patientsofthetreatmentgroupwereacupuncturedinLingtaiandShendao,and15patientsofthecontrolgroupinthe
5、bilateralXuanzhong.ThenthedataofLF,HF,LF/HFbeforeandaftertheacupuncturetherapywererecordedandstatisticallyanalyzed.Results:Itwasshowedbyt-testthat,therewasnostatisticalsignificanceoftheaboveindexesbetweenthetwogroupsbeforetreatment.Afterthetreatment,verysignificantdifferencesofLF,LF/HFexistedinco
6、ntrasttothepre—treatmentdatainthetreatmentgroup,andtherewerealsosignificantdifferencesofLF.LF/HFbetweenthetwogroups.ButnosignificantchangeofHFwasshown.Conclusion:AcupuncturingLingtaiandShendaocanreduceLF、LF/HFindexofHRVinpatientswithEH,whichmeansthatmaybethetwopointshavetheeffectsofloweringsympat
7、heticnerveactivityandadjustingautonomicnervesbalance.KeywordAcupunctureeffecttion;Lingtai;Shendao;Essentialhypertension;HeartRateVariability(HRV)弓丨t1■啦2一、病例選擇2(一)一般資料2(二)病例選擇標(biāo)準(zhǔn)2二、研究方法3(一)治療方法3(二)觀察方法及指標(biāo)4