合谷(LI4), 太衝(Liv3) 刺鍼이 정신적 스트레스를 가한 정상 성인의 심박변이도에 미치는 영향
Effects of LI4, Liv3 Acupuncture for Mental Stress on Short-term Analysis of Heart Rate Variability
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Objectives :The objective of this study was to assess the effects of acupuncture applied at LI4 and Liv3 points on heart rate variability (HRV) in normal subjects under mental stress. Methods :36 healthy male and female subjects were recruited and randomized to a treatment group(18 subjects) or a control group (18 subjects). After 10-minutes rest period and instrumentation, both groups performed a mental stress test(Stroop color word test, Arithmetic test, four rule of arithmetic task) for 16-minutes. HRV was recorded before and after the mental stress. And then acupuncture needles were inserted on LI4 and Liv3 for the study group. In the control group, they rested for 15-minutes. And Heart rate variability(HRV) was measured. Results :In the both groups, low frequency(LF) power, normalized low frequency power(LF(norm)) and ratio of low frequency to high frequency(LF/HF) was significantly increased after mental stress. Acupuncture induced significant decrease in low frequency(LF) power, normalized low frequency power(LF(norm)) and ratio of low frequency to high frequency (LF/HF) which was increased after mental stress test. In contrast, control group induced no changes. Conclusions :Acupuncture on LI4 and Liv3 could be useful to decrease sympathetic activity and prevent the alteration of autonomic nervous system due to mental stress.
Abstract
Objectives :The objective of this study was to assess the effects of acupuncture applied at LI4 and Liv3 points on heart rate variability (HRV) in normal subjects under mental stress. Methods :36 healthy male and female subjects were recruited and randomized to a treatment group(18 subjects) or a control group (18 subjects). After 10-minutes rest period and instrumentation, both groups performed a mental stress test(Stroop color word test, Arithmetic test, four rule of arithmetic task) for 16-minutes. HRV was recorded before and after the mental stress. And then acupuncture needles were inserted on LI4 and Liv3 for the study group. In the control group, they rested for 15-minutes. And Heart rate variability(HRV) was measured. Results :In the both groups, low frequency(LF) power, normalized low frequency power(LF(norm)) and ratio of low frequency to high frequency(LF/HF) was significantly increased after mental stress. Acupuncture induced significant decrease in low frequency(LF) power, normalized low frequency power(LF(norm)) and ratio of low frequency to high frequency (LF/HF) which was increased after mental stress test. In contrast, control group induced no changes. Conclusions :Acupuncture on LI4 and Liv3 could be useful to decrease sympathetic activity and prevent the alteration of autonomic nervous system due to mental stress.
참고문헌 (28)
- 한대석, "심박변이도 측정에 의한 한국인의 스트레스 상태 분석", 스트레스 硏究, 15(3), pp.163~169 (2007), 대한스트레스학회
- 대한한방신경정신과학회, "한방신경정신의학", pp.188~599 (2005), 집문당
- 고선영, "Type D 성격 여대생의 급성 스트레스에 따른 자율신경계 반응 : 심박률 변동성을 중심으로", 한국심리학회지: 건강, 14(2), pp.277~292 (2009), 한국건강심리학회
- 김 원, "정신과에서 심박 변이도(Heart Rate Variability)의 이용", 신경정신의학, 44(2), pp.176~184 (2005), 대한신경정신의학회
- Melzack R, "Myofascial trigger points : relation to acupuncture and mechanisms of pain", Arch Phys Med Rehabil, 62(3), pp.114~117 (1981)
- Sakatani K, "Effects of acupuncture on autonomic nervous function and prefrontal cortex activity", Advances in experimental medicine and biology, 662, pp.455~460 (2010)
- 최용태, "정해침구학", pp.228~229 (1974), 행림출판사
- Fauchier L, "Influence of duration and hour of recording on spectral measurements of heart rate variability", J Auton Nerv Syst, 73(1), pp.1~6 (1998)
- 안영기, "경혈학총서", pp.104~611 (2002), 성보사
- 강문수, "정신적 스트레스와 神門(HT7) 刺鍼이 정상성인의 심박변이도(HRV)에 미치는 영향", 동의신경정신과학회지, 20(1), pp.165~176 (2009), 대한한방신경정신과학회
- Holly RM, "Acupuncture effects on reflex responses to mental stress in humans", Am J Physiol Endocrinol Metab, 280, pp.1462~1468 (2001)
- Jason R, "Ray. Sympathetic neural responses to mental stress: responders, nonresponders and sex differences", Am J Physiol Heart Circ Physiol, 296, pp.847~853 (2009)
- 박성욱, "內關-公孫 자침이 스트레스 상태의 정상성인 자율신경계에 미치는 영향", 대한한의학회지, 29(2), pp.107~115 (2008), 대한한의학회
- Shin-ichi S, "of effort and distress coping processes on psychophysiological and psychological stress responses", International Journal of Psychophysiology, 47, pp.117~128 (2003)
- 주진형, "(신편)단계심법부여", pp.515~ (1993), 대성문화사
- 김영주, "肩井에 주입한 녹용 약침과 생지황 약침이 정상인의 심박변이도(HRV)에 미치는 영향", 우석대학교 대학원, ~ (2010)
- 김정신, "少府(HT8) 刺針이 정신적 스트레스를 가한 성인의 심박변이도에 미치는 영향", 대한침구학회지, 21(5), pp.227~240 (2004), 대한침구학회
- 성일환, "合谷 太衝 四關穴에 대한 문헌적 고찰", 대전대학교 한의학연구소 논문집, 133~147 (1993)
- 전국한의과대학 침구경혈학교실, "침구학(상)", pp.323~668 (2001), 집문당
- 김광호, "四關穴의 임상효과에 관한 실험적 연구", 동서의학, 6(2), pp.5~19 (1981)
- 문상관, "SPECT를 이용한 뇌경색환자의 건측 합곡-곡지 전침치료가 뇌관류에 미치는 영향", 대한침구학회지, 21(1), pp.111~118 (2004), 대한침구학회
- 황우준, "合谷 침자극이 동통억제에 미치는 영향", 대한침구학회지, 15(2), pp.369~382 (1998), 대한침구학회
- 손영주, "흰쥐의 족삼리 및 태충 전침자극에 따른 뇌대사활성의 변화", 대한침구학회지, 19(1), pp.159~174 (2002), 대한침구학회
- Hon EH, "Electronic evalutions of the fetal heart rate patterns preceding fetal death, further observation", Am J Obsret Gynecol, 87, pp.814~818 (1963)
- Akselrod S, "Power spectrum analysis of heart rate fluctuation: A quantitative probe of beat to beat cardiovascular control", Science, 213, pp.220~222 (1981)
- Malik M, "Heart rate variability. standards of measurement physiological interpretation, and clinical use", Eur Hear J, 17, pp.354~381 (1996)
- Sloan RP, "Effect of mental stress throughout the day on cardiac autonomic control", Biol Psychol, 37, pp.89~99 (1994)
- Hall M, "Acute stress affects heart rate variability during sleep", Psychosom Med, 66, pp.56~62 (2004)