본문 바로가기
KERD
논문KCI 등재

대사증후군의 습담 변증군과 심박변이도의 관련성에 관한 고찰

A Clinical Study on Relevance between Classified Dampness-Phlegm Pattern of Metabolic Syndrome and Heart Rate Variability

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류한의학

초록

Objectives : This study was performed to investigate characteristic indice of heart rate variability (HRV) according to presence of metabolic syndrome (MS), pattern identification. Methods : We analyzed 167 subjects who participated in a stroke check-up. We classified the subjects into two groups as MS (n=48) and non-MS (n=119) based on NCEP ATP Ⅲ. First, we investigated pattern identification of all subjects based on Korean Standard Pattern Identifications for Stroke-Ⅲ. Second, we surveyed significance of HRV indices between MS and non-MS groups. Third, we investigated significance of HRV indices between classified DP of MS and classified DP of non-MS. Fourth, we investigated significance of HRV indices between classified DP of MS and non-MS. Fifth, we investigated significance between components of MS and HRV indices. Results :1. SDNN, RMS-SD, HF, Ln(HF), and HF (NORM) were significantly lower in the MS than non-MS group. LN (TP), LF/HF were significantly higher in the MS than non-MS. 2. Ln (HF), Ln (TP), and LF/HF were statistically significant in the classified DP of MS group. 3. RMS-SD, and Ln (HF) were significantly lower in the abdominal obesity group than in the non-abdominal obesity group. SDNN, RMS-SD, TP, Ln (TP), VLF, Ln (VLF), and Ln (LF) were significantly lower in the hypertension group than in the non-hypertension group. RMS-SD was significantly lower in the diabetes group than in the non-diabetes group. Mean HRT,LF/HF were significantly higher in the hypertriglyceridemia than non-hypertriglyceridemia group, but Ln (HF), RMS-SD, and HF (NORM) were significantly lower in the hypertriglyceridemia than non-hypertriglyceridemia group. Conclusions : We found a few significant relationships between classified DP of MS and HRV indices. The resluts demonstrate that MS has potentially negative effects on the cardiovascular system, and these effects could be detected by HRV.

Abstract

Objectives : This study was performed to investigate characteristic indice of heart rate variability (HRV) according to presence of metabolic syndrome (MS), pattern identification. Methods : We analyzed 167 subjects who participated in a stroke check-up. We classified the subjects into two groups as MS (n=48) and non-MS (n=119) based on NCEP ATP Ⅲ. First, we investigated pattern identification of all subjects based on Korean Standard Pattern Identifications for Stroke-Ⅲ. Second, we surveyed significance of HRV indices between MS and non-MS groups. Third, we investigated significance of HRV indices between classified DP of MS and classified DP of non-MS. Fourth, we investigated significance of HRV indices between classified DP of MS and non-MS. Fifth, we investigated significance between components of MS and HRV indices. Results :1. SDNN, RMS-SD, HF, Ln(HF), and HF (NORM) were significantly lower in the MS than non-MS group. LN (TP), LF/HF were significantly higher in the MS than non-MS. 2. Ln (HF), Ln (TP), and LF/HF were statistically significant in the classified DP of MS group. 3. RMS-SD, and Ln (HF) were significantly lower in the abdominal obesity group than in the non-abdominal obesity group. SDNN, RMS-SD, TP, Ln (TP), VLF, Ln (VLF), and Ln (LF) were significantly lower in the hypertension group than in the non-hypertension group. RMS-SD was significantly lower in the diabetes group than in the non-diabetes group. Mean HRT,LF/HF were significantly higher in the hypertriglyceridemia than non-hypertriglyceridemia group, but Ln (HF), RMS-SD, and HF (NORM) were significantly lower in the hypertriglyceridemia than non-hypertriglyceridemia group. Conclusions : We found a few significant relationships between classified DP of MS and HRV indices. The resluts demonstrate that MS has potentially negative effects on the cardiovascular system, and these effects could be detected by HRV.

참고문헌 (34)

  1. 보건복지부, "2010년도 주요 만성질환관리사업 안내", ~ (2010)
  2. Pearson TA, "AHA guidelines for primary prevention of cardiovascular disease and stroke: 2002 update: consensus panel guide to comprehensive risk reduction for adult patient without coronary or other atherosclerotic vascular diseases", Circulation, 106, pp.388~391 (2002)
  3. 엄은진, "대사증후군 환자군과 정상군의 뇌혈류 측정 비교를 통한 뇌졸중 위험인자에 대한 TCD의 진단적 가치 고찰", 대한한의진단학회지, 14(2), pp.85~100 (2010), 대한한의진단학회
  4. Reaven GM, "Role of insulin resistance in human disease", Diabetes, 37, pp.1595~1607 (1988)
  5. Alberti KG, "Definition, diagnosis and classification of diabetes mellitus and its complications, part 1: diagnosis and classification of diabetes mellitus, provisional report of a WHO consultation", Diabetic Med, 15, pp.539~553 (1998)
  6. "Third Report of the National Cholesterol Education Program(NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults(Adult Treatment Panel Ⅲ) Final Report", Circulation, 106(25), pp.3143~3421 (2002)
  7. 유미경, "진단기준별 대사증후군 유병률과 심혈관질환 발생위험", 석사, pp.2010
  8. Liu J, "Ten-year risk of cardiovascular incidence related to diabetes, prediabetes, and the metabolic syndrome", Am Heart J, 153(4), pp.552~558 (2007)
  9. Wang J, "The metabolic syndrome predicts cardiovascular mortality: a 13-year follow-up study in elderly non-diabetic Finns", EHJ, 28(7), pp.857~864 (2007)
  10. 전국한의과대학 심계내과학교실, "한방 순환 신경내과학", pp.65~68 (2010), 군자출판사
  11. 김효진, "심박변이도를 통한 급성, 기능성, 기질성 소화불량증의 비교연구", 동의신경정신과학회지, 21(2), pp.75~85 (2010), 대한한방신경정신과학회
  12. 이인환, "중풍 환자의 심박변이도 특성에 대한 임상적 연구", 대한중풍학회지, 11(1), pp.1~8 (2010)
  13. 최양식, "심박변이도(Heart Rate Variability) 분석을 통한 특발성 안면신경마비와 자율신경실조의 상관성 연구", 대한침구의학회지, 25(6), pp.109~116 (2008), 대한침구의학회
  14. 민경복, "일부 지역 주민에서 심박동수 변이와 대사증후군의 상관관계", Annals of Occupational and Environmental Medicine, 16(4), pp.459~466 (2004), 대한직업환경의학회
  15. 장세진, "직무스트레스, 심박동수 변이 및 대사증후군", Annals of Occupational and Environmental Medicine, 16(1), pp.70~81 (2004), 대한직업환경의학회
  16. 민인규, "중풍환자의 습담변증과 대사증후군과의 관련성 연구", 석사, 한의학과, pp.2008
  17. 이주아, "한의 중풍변증표준안-Ⅲ에 대한 보고", 대한한방내과학회지, 32(2), pp.232~242 (2011), 대한한방내과학회
  18. 이원로, "임상심장학", pp.748~ (1998), 고려의학
  19. The Asia-Pacific perspective: redefining obesity and its treatment, "WHO Western pacific Region, International Association for the Study of Obesity, International Obesity Task Force", WHO Western pacific Region, International Association for the Study of Obesity, International Obesity Task Force, ~ (2000)
  20. Steinberger J, "Progress and Challenges in Metabolic Syndrome in Children and Adolescents", Circulation, 119, pp.628~647 (2009)
  21. 김용재, "대사증후군과 뇌졸중", 대한신경과학회지, 23(5), pp.585~594 (2005), 대한신경과학회
  22. Grundy SM, "Diagnosis and Management of the Metabolic Syndrome", Circulation, 112, pp.2735~2752 (2005)
  23. 이동국, "성인 남녀에서 복부 비만과 심박동수변이의 감소와의 관계", 대한여성건강학회지, 5(1), pp.63~79 (2004)
  24. 장경순, "지역사회 주민에서 당뇨병 실태 및 관련요인이 심박동수 변이에 미치는 영향", Diabetes and Metabolism Journal, 33(6), pp.537~546 (2009), 대한당뇨병학회
  25. 김경호, "HRV을 통한 자율신경계의 변화에 따른 고혈압의 연관성에 관한 연구", 한국정보과학회 추계학술발표회, 통권 : 37, pp.227~230 (2010), 한국정보과학회
  26. 정회현, "대사증후군과 심박동 변이의 연관성", 대한비만학회지, 14(4), pp.220~227 (2005)
  27. 이용제, "대사증후군과 심박동수 변이와의 관계", Korean Journal of Family Medicine, 23(12), pp.4~1439 (2002), 대한가정의학회
  28. Klerger RE, "Decreased heart rate variability and its association with increased mortality after acute myocardial infarction", Am J Cardiol, 59, pp.256~262 (1987)
  29. 민성순, "심전도상 이상 소견환자의 심박변이도(HRV)에 관한 고찰", 대한한방내과학회지, 27(4), pp.798~810 (2006), 대한한방내과학회
  30. Malik M, "Circadian rhythm of heart rate variability after acute myocardial infarction and its influence on the prognosticvalue of heart rate variability", Am J Cardiol, 66(15), pp.1049~1054 (1990)
  31. 김상영, "심박변이도 지표에 나타난 자율신경 상태와 우울, 불안 및 분노 설문검사 척도 간의 상관성 평가", 동의신경정신과학회지, 22(4), pp.87~100 (2011), 대한한방신경정신과학회
  32. 임정태, "중풍환자에서 대사증후군과 적혈구변형능의 관련성", 대한한방내과학회지, 30(4), pp.761~771 (2009), 대한한방내과학회
  33. 박찬국, "병인병기학", pp.436~437 (1992), 전통의학연구소
  34. Lauralee Sherwood, "인체생리학", pp.587~634 (2011), 라이프사이언스

관련 논문AI추천

이 간행물의 다른 논문 (8건)