针刺左侧大钟穴对右侧脑梗死恢复期患者自主神经功能影响  

Effect of Acupuncture at Left Dazhong(KI4)on Autonomic Nerve Function in Patients in the Convalescence Stage After Right Side Cerebral Infarction

作　　者：文立杨 程为平[2] 程光宇[2] 张奇 肖飞[2] 刘玥 WEN Li-yang;CHENG Wei-ping;CHENG Guang-yu;ZHANG Qi;XIAO Fei;LIU Yue(Heilongjiang University of Chinese Medicine,Harbin 150040,China;First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150040 [2]黑龙江中医药大学附属第一医院,哈尔滨150040

出　　处：《上海针灸杂志》2021年第5期541-545,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：黑龙江省中医药科研项目(ZHY19-021);黑龙江省自然科学基金项目(H201470)。

摘　　要：目的通过针刺右侧脑梗死恢复期患者左侧大钟穴,记录患者针刺过程中不同时间段的频域指标的变化,观察针刺左侧大钟穴对右侧脑梗死恢复期患者自主神经功能的影响。方法80例右侧脑梗死恢复期患者,随机分为大钟穴组和非经非穴组,每组40例。大钟穴组予以左侧大钟穴针刺,非经非穴组给予左侧大钟穴下1 cm针刺。观察两组针刺前、针刺时、留针时、出针时、出针后5个时间点的频域指标[低频功率(LF)、高频功率(HF)、低频功率百分比(LF%)、高频功率百分比(HF%)、低频功率与高频功率比值(LF/HF)、信号总功率(TP)]变化。结果两组针刺各个时间段LF、HF、LF%、HF%、TP与针刺前比较,差异有统计学意义(P<0.01);大钟穴组针刺各个时间段LF、HF、LF%、HF%、TP低于非经非穴组,差异具有统计学意义(P<0.05)。两组针刺各个时间段LF/HF与针刺前比较,差异具有统计学意义(P<0.01);大钟穴组针刺各个时间段LF/HF高于非经非穴组,差异具有统计学意义(P<0.05)。结论对右侧脑梗死恢复期患者予以左侧大钟穴针刺,可以降低患者交感神经活性和迷走神经活性,降低患者总的自主神经功能,提高患者交感神经与自主神经的平衡张力,同时还具有一定的针刺遗留效应。Objective To record the changes in the frequency domain parameters at different time points during acupuncture at left Dazhong(KI4)of patients in the convalescence stage after right side cerebral infarction,and to observe the effect of acupuncture at left Dazhong point on the autonomic nervous function in the patients.Method Eighty patients in the convalescence stage after right side cerebral infarction were randomized into a Dazhong point group and a non-meridian non-acupoint group,with 40 cases in each group.The Dazhong point group was given acupuncture at left Dazhong point,while the non-meridian non-acupoint group was punctured at the spot 1 cm beneath Dazhong point of the left side.Changes in the frequency domain parameters[low frequency(LF),high frequency(HF),LF%,HF%,LF/HF and total power(TP)]at five time points,namely before needling,at needing,during needle retaining,at needle removal and after needle removal,were observed in the two groups.Result The LF,HF,LF%,HF%and TP at the rest time points were significantly different from those before needling in both groups(P<0.01);the LF,HF,LF%,HF%and TP in the Dazhong point group were significantly lower than those in the non-meridian non-acupoint group at each time point(P<0.05).The LF/HF at the rest time points was significantly different from that before needling in both groups(P<0.01);the LF/HF was significantly higher in the Dazhong point group than in the non-meridian non-acupoint group at each time point(P<0.05).Conclusion Acupuncture at left Dazhong point in patients in the convalescence stage after right side cerebral infarction can lower the sympathetic and vagal nervous activities,reduce the total autonomic nervous function,enhance the equilibrium tension between sympathetic and autonomic nerves and produce certain acupuncture residual effects.

关 键 词：针刺疗法 穴 大钟 中风 脑梗死 心率变异性 

分 类 号：R246.6[医药卫生—针灸推拿学]