본문 바로가기
KERD
논문KCI 등재

원발성 월경통 환자의 월경기 HRV 특성에 대한 문헌고찰 및 메타분석

Heart Rate Variability (HRV) Characteristics of Patients with Primary Dysmenorrhea at the Menstrual Phase: A Literature Review and Meta-Analysis

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류한의학

초록

Objectives: The aim of this study is to investigate Heart Rate Variability (HRV) characteristics of patients with primary dysmenorrhea at the menstrual phase. Methods: 7 databases (Pubmed, Cochrane library, CNKI, RISS, KISS, OASIS, ScienceON) were searched for eligible studies published before 2021 December. The studies comparing HRV between patients with primary dysmenorrhea and controls were included. A random-effects model was used to evaluate differences of HRV parameters between patients with primary dysmenorrhea and controls. Results: 4 articles were included in this review based on inclusion and exclusion criteria. SDNN (Standard deviation of NN intervals), RMSSD (Square root of the mean squared difference of successive NN intervals), mean PR (Mean of pulse rate), LF (Low frequency), HF (High frequency), was the most frequently used as HRV parameters. RMSSD was significantly lower in patients with primary dysmenorrhea than controls. There was no statistically significant difference of other HRV parameters between patients with primary dysmenorrhea and controls. Conclusions: This study suggests that parasympathetic activity and overall functions of autonomic nervous system might be decreased in patients with primary dysmenorrhea at the menstrual phase. In the future, well-designed clinical studies using HRV and additional meta-analysis should be conducted to obtain a wealth of information about HRV characteristics of patients with primary dysmenorrhea.

Abstract

Objectives: The aim of this study is to investigate Heart Rate Variability (HRV) characteristics of patients with primary dysmenorrhea at the menstrual phase. Methods: 7 databases (Pubmed, Cochrane library, CNKI, RISS, KISS, OASIS, ScienceON) were searched for eligible studies published before 2021 December. The studies comparing HRV between patients with primary dysmenorrhea and controls were included. A random-effects model was used to evaluate differences of HRV parameters between patients with primary dysmenorrhea and controls. Results: 4 articles were included in this review based on inclusion and exclusion criteria. SDNN (Standard deviation of NN intervals), RMSSD (Square root of the mean squared difference of successive NN intervals), mean PR (Mean of pulse rate), LF (Low frequency), HF (High frequency), was the most frequently used as HRV parameters. RMSSD was significantly lower in patients with primary dysmenorrhea than controls. There was no statistically significant difference of other HRV parameters between patients with primary dysmenorrhea and controls. Conclusions: This study suggests that parasympathetic activity and overall functions of autonomic nervous system might be decreased in patients with primary dysmenorrhea at the menstrual phase. In the future, well-designed clinical studies using HRV and additional meta-analysis should be conducted to obtain a wealth of information about HRV characteristics of patients with primary dysmenorrhea.

참고문헌 (43)

  1. Campbell MA, "Use of medication by adolescents for the management of menstrual discomfort", Arch Pediatr Adolesc Med, 151(9), pp.905~913 (1997)
  2. Polat A, "Prevalence of primary dysmenorrhea in young adult female university students", Arch Gynecol Obstet, 279(4), pp.527~532 (2009)
  3. Korean society of obstetrics and gynecology, "Gynecology", pp.129~132 (2015), Korea Medical Book Publishing Co
  4. Lim KT, "A study on patterns of menarches and menstrual disorders in urban middle school girls", Korean J Obstet Gynecol, 37(4), pp.663~672 (1994)
  5. 김형옥, "한국 청소년의 월경전증후군 및 월경통에 관한 연구", Obstetrics & Gynecology Science, 51(11), pp.1322~1329 (2008), 대한산부인과학회
  6. Jeon EM, "A study on menstrual symptoms, coping and relief of symptoms in female college students", Korean J Women Health Nurs, 9(2), pp.161~169 (2003)
  7. Kim YH, "A study on the dysmenorrhea in college female students", Korean J Women Health Nurs, 8(1), pp.85~95 (2002)
  8. Wong LP, "Dysmenorrhea in a multiethnic population of adolescent Asian girls", Int J Gynecol Obstet, 108(2), pp.139~142 (2010)
  9. Kim JS, "The menstruation discomfort and quality of life of female university students", Journal of the Nursing Academic Association of Ewha Womans University, 45(1), pp.13~28 (2011)
  10. NurAzurah A, "The quality of life of adolescents with menstrual problems", J Pediatr Adolesc Gynecol, 26(2), pp.102~108 (2013)
  11. The society of Korean medicine obstetrics and gynecology, "Korean medicine obstetrics & gynecology (2nd vol)", pp.106~113 (2021), Euiseongdnag
  12. Son SM, "Essential prescriptions worth a thousand in gold for every emergency", pp.16~ (1982), Renmin Weisheng Book Publishing Co
  13. Ryu HY, "The effect of moving up and down stressor(seven modes of emotions)on the function of five jang organs", J Orient Neuropsychiatry, 1(1), pp.49~60 (1990)
  14. Kasper D, "Harrison’s principles of internal medicine", pp.131~132 (2006), McGrew-Hill
  15. Task force of the European society of cardiology, "Heart rate variability: standards of measurement, physiological interpretation and clinical use", Circulation, 93(5), pp.1043~1065 (1996)
  16. Rajendra Acharya U, "Heart rate variability : a review", Med Biol Eng Comput, 44(12), pp.1031~1035 (2006)
  17. 김상호, "한의학 임상연구에서의 심박변이도 검사 활용현황과 측정조건에 대한 고찰", Journal of Acupuncture Research, 29(5), pp.127~137 (2012), 대한침구의학회
  18. 이지영, "일부 月經痛 환자의 심박변이도(Heart Rate Variability) 고찰", 대한한방부인과학회지, 20(3), pp.164~177 (2007), 대한한방부인과학회
  19. 이지영, "일부 月經痛 환자의 스트레스 반응 척도와 심박변이도상의 특징 고찰", 대한한방부인과학회지, 21(1), pp.216~230 (2008), 대한한방부인과학회
  20. 김은숙, "월경통 환자의 월경주기에 따른 심박변이도(Heart Rate Variability) 차이에 대한 고찰", 대한한방부인과학회지, 23(2), pp.124~130 (2010), 대한한방부인과학회
  21. 이수정, "원발성 월경통 환자와 속발성 월경통 환자의 심박변이도, 체성분, 적외선 체열 촬영, 맥전도 검사 상 특징 비교 고찰", 대한한방부인과학회지, 32(4), pp.25~36 (2019), 대한한방부인과학회[DOI]
  22. 김경철, "여대생 月經의 심박변이도 변화에 대한 연구", 동의생리병리학회지, 26(5), pp.745~752 (2012), 한의병리학회
  23. Singh K, "Cardiac autonomic activity in young females with primary dysmenorrhea", Indian J Physiol Pharmacol, 57(3), pp.246~254 (2013)
  24. Wang YJ, "A prospective comparison study of heart rate variability during menses in young women with dysmenorrhea", Biol Res Nurs, 18(4), pp.465~472 (2016)
  25. Jayamala AK, "Comparative analysis of heart rate variability during different phases of menstrual cycle in eumenorrhea & dysmenorrhea subjects", Experimental and clinical physiology and biochemistry, 77(1), pp.12~17 (2017)
  26. Choi YD., "Clinical gynecology", pp.145~147 (2001), Korea Medical Book Publishing Co
  27. The society of Korean medicine obstetrics and gynecology, "Korean medicine obstetrics & gynecology (1st vol)", pp.44~46 (2021), Euiseongdnag
  28. Park MK, "Specific physiological responses in women with severe primary dysmenorrhea during the menstrual cycle", J Physiol Anthropol Appl Human Sci, 24(6), pp.601~609 (2005)
  29. Kim ES, "Effect of acupuncture on heart rate variability in primary dysmenorrheic women", Am J Chin Med, 39(2), pp.243~249 (2011)
  30. Sun-Geon Park, "The effect of sacroiliac joint manual therapy on heart rate variability in women with primary dysmenorrhea", Physical Therapy Rehabilitation Science, 9(4), pp.252~260 (2020), 물리치료재활과학회
  31. Zhang JY, "Complete compendium of Zhang Jingyue", pp.103~ (2006), Hanmi Medical Publishing Co
  32. 우종민, "심박동수 변이(Heart Rate Variability) 측정법의 개념과 임상적 활용", 정신신체의학, 12(1), pp.3~14 (2004), 한국정신신체의학회
  33. 조민경, "불안장애 환자에서 육체적 및 정신적 스트레스 시 심박변이도의 변화", 수면정신생리, 21(2), pp.69~73 (2014), 대한수면의학회[DOI]
  34. 박기종, "심박변이에 대한 평가방법", Annals of Clinical Neurophysiology, 16(2), pp.49~54 (2014), 대한임상신경생리학회[DOI]
  35. 남은영, "수부 냉증 정도와 Heart Rate Variability(HRV)의 상관성 연구", 대한한방부인과학회지, 28(4), pp.46~56 (2015), 대한한방부인과학회[DOI]
  36. 장은혜, "스트레스에 대한 심리 반응 유형과 심박변이도의 관련성", 감성과학, 21(1), pp.71~82 (2018), 한국감성과학회[DOI]
  37. Kleiger RE, "Time domain measurements of heart rate variability", Cardiol Clin, 10(3), pp.487~498 (1992)
  38. Kollipaka R, "Does psychosocial stress influence menstrual abnormalities in medical students?", J Obstet Gynaecol, 33(5), pp.489~493 (2013)
  39. Ju H, "The prevalence and risk factors of dysmenorrhea", Epidemiol Rev, 36(1), pp.104~113 (2014)
  40. 김지수, "여대생의 월경특성, 스트레스, 불안 및 생활습관자세가 월경통에 미치는 영향", 한국간호교육학회지, 20(2), pp.349~356 (2014), 한국간호교육학회[DOI]
  41. Cain KC, "Heart rate variability is related to pain severity and predominant bowel pattern in women with irritable bowel syndrome", Neurogastroenterol Motil, 19(2), pp.110~118 (2007)
  42. Cho DS, "Heart rate variability in assessment of autonomic dysfunction in patients with chronic prostatitis", chronic pelvic pain syndrome, 2011, pp.78(6), 1369~1372
  43. Hallman DM, "Autonomic regulation, physical activity and perceived stress in subjects with musculoskeletal pain : 24-hour ambulatory monitoring", Int J Psychophysiol, 86(3), pp.276~282 (2012)

관련 논문AI추천

이 간행물의 다른 논문 (8건)