針刺靈臺、神道穴對原發(fā)性高血壓患者心率變異性的影響

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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)進行統(tǒng)計學(xué)分析，觀察兩組是否存在統(tǒng)計學(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t1■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