电针内关、间使对恐惧情绪状态心率及心率变异性的影响  

Effects of Electroacupuncture on PC6-Neiguan and PC5-Jianshi Points on Heart Rate and Heart Rate Variability in Fear Emotion

作　　者：邓桂珠[1] 黄焕琳[1] 岑曦[1] 潘洪权[1] 李雨捷[1] 黄泳[1] 

机构地区：[1]南方医科大学中医药学院,广州510515

出　　处：《世界科学技术-中医药现代化》2014年第10期2112-2117,共6页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：广东省发展和改革委员会广东省"211工程"三期重点学科建设项目(粤发改社[2009]431号):疑难病证中西医结合诊疗方案优化及新制剂研发;主课题负责人:吕志平;子课题负责人:黄泳;南方医科大学中医药学院与挪威Bergen大学临床医学院合作课题:电针内关;间使对恐惧情绪状态志愿者心率变异性的影响;负责人:黄泳;广东省教育厅"大学生创新实验计划"项目(1212111051):电针内关;间使对恐惧情绪状态志愿者心率变异性的影响;负责人:黄焕琳

摘　　要：目的:探讨电针内关、间使对恐惧情绪状态心率及心率变异性的影响。方法:将120例健康试验者随机分为针刺组和对照组,各60例,分别给予恐怖音频刺激20 min后,针刺组接受电针双侧内关、间使穴刺激20 min,出针后继续静卧20 min;对照组在清醒状态下静卧40 min。同时用心电记录仪记录整个过程中心率和心率变异性的变化。结果:本试验分听音频后心率上升和听音频后心率下降或不变两部分作分析。与听音频20 min差值比较,听音频后心率上升者针刺/对照20 min平均心率、HF、LF/HF差异有统计学意义(P约0.05);听音频后心率下降或不变两组静息20 min平均心率、RMSSD、HF差异有统计学意义(P约0.05)。结论:电针内关、间使对自主神经调节有即刻效应和后效应,且能双向调节惊恐引起的自主神经功能紊乱,可兴奋或抑制迷走神经功能,从而治疗疾病。This study was aimed to investigate effects of electroacupunture on PC6-Neiguanand PC5-Jianshipointson heart rate and heart rate variability（HRV） in fear emotion. A total of 120 healthy volunteers were randomly allo-cated into the acupuncture group and control group, with 60 cases in each group. After 20 min frightening audiostimulation, volunteers in the acupuncture group received electroacupunture on PC6 and PC5 of both sides for 20 min and continued to repose for 20 min after needles were removed. Volunteers in the control group reposed for 40 min in the waking state. The heart rate and HRV of each subject was recorded during the whole process throughActiheart. The results showed that the experiment data was divided into two parts, rate rise and decreased or unchanged parts, after listening to audio and analyzed, respectively. Compared to the period of listening for 20 min,there were significant differences on average heart rate, HF, LF/HF of the post listening period between the acupuncture group and the control group（P〈0.05）. There were significant differences on average heart rate, RMSSD, HFunder the condition of heart rate decreasing or unchanging after 20 min（P〈0.05）. It was concluded that electroacupunture on PC6 and PC5 had immediate regulating and post effects on autonomic nerve and bidirectional regulations of the plant nerve function disorder caused by fear, which can treat diseases through excitatory or inhibitoryvagus nerve function.

关 键 词：恐惧情绪 电针 内关 间使 心率 心率变异性 

分 类 号：R246.1[医药卫生—针灸推拿学]