수부 냉증 정도와 Heart Rate Variability(HRV)의 상관성 연구
A Study on the Correlation of Heart Rate Variability and Coldness of Hands
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objectives: Cold hypersensitivity has been regarded to be associated with Autonomic Nervous System (ANS). This study aims to investigate the indicator of cold hypersensitivity of hands and evaluate the correlation between indicator of coldness of hands and Heart Rate Variability (HRV). Methods: We studied 55 patients with cold hypersensitivity of hands who visited in SeMyung University Hospital from 17 August 2015 to 21 August 2015. Thermometer and VAS scale were used for the diagnosis of cold hypersensitivity. After careful examination to rule out other disease which may affect thermometer and HRV data, patients were taken thermometer, those with thermal difference between upper arm (L4) and palm(P8), also asked to answer a VAS scale of cold hypersensitivity of hands, VAS more than 4 were enrolled for evaluation. Results: There was significant correlation between L4-P8 temperature difference and VAS score of cold hypersensitivity. In HRV data, normalized high frequency (HF normal) was significantly correlated with L4-P8 temperature difference, which was objective indicator of cold hypersensitivity of hands. Conclusions: L4-P8 temperature difference using thermometer is objective indicator of cold hypersensitivity, based on VAS scale. Cold hypersensitivity is highly related with ANS, regulating body heat and temperature. HRV is considered to be widely used in cold hypersensitivity in hands for evaluation of ANS.
Abstract
Objectives: Cold hypersensitivity has been regarded to be associated with Autonomic Nervous System (ANS). This study aims to investigate the indicator of cold hypersensitivity of hands and evaluate the correlation between indicator of coldness of hands and Heart Rate Variability (HRV). Methods: We studied 55 patients with cold hypersensitivity of hands who visited in SeMyung University Hospital from 17 August 2015 to 21 August 2015. Thermometer and VAS scale were used for the diagnosis of cold hypersensitivity. After careful examination to rule out other disease which may affect thermometer and HRV data, patients were taken thermometer, those with thermal difference between upper arm (L4) and palm(P8), also asked to answer a VAS scale of cold hypersensitivity of hands, VAS more than 4 were enrolled for evaluation. Results: There was significant correlation between L4-P8 temperature difference and VAS score of cold hypersensitivity. In HRV data, normalized high frequency (HF normal) was significantly correlated with L4-P8 temperature difference, which was objective indicator of cold hypersensitivity of hands. Conclusions: L4-P8 temperature difference using thermometer is objective indicator of cold hypersensitivity, based on VAS scale. Cold hypersensitivity is highly related with ANS, regulating body heat and temperature. HRV is considered to be widely used in cold hypersensitivity in hands for evaluation of ANS.
참고문헌 (17)
- Lee SL, "A literary study of the postpartum care cold hypersensitivity in women", J Korean Obstet & Gynecol, 9(1), pp.55~80 (1996)
- 배경미, "부인과 환자의 냉증과의 관계에 대한 조사 연구", 대한한방부인과학회지, 15(2), pp.101~113 (2002), 대한한방부인과학회
- Sim YS, "Infertility treatment in Korean medicine", pp.231~ (1996), JungSung Publishing Company
- Kasper D, "Harrison’s principles of internal medicine", pp.112~ (2006), McGraw-Hill
- Acharya UR, "Heart rate variability : a review", Medical and biological engineering and computing, 44(12), pp.1031~1051 (2006)
- 우종민, "심박동수 변이(Heart Rate Variability) 측정법의 개념과 임상적 활용", 정신신체의학, 12(1), pp.3~14 (2004), 한국정신신체의학회
- Kim DH, "Standardization of diagnosis of cold hypersensitivity of hands and feet by D.I.T.I", J Korean Obstet & Gynecol, 14(2), pp.129~134 (2001)
- Park YJ, "The review of thermography study", The society of Korean edicine diagnostics, 3(2), pp.18~26 (1999)
- Conny MA, "Heart rate variability", Annals of internal medicine, 118(6), pp.436~447 (1993)
- Task force of the European society of cardiology and the North American society of pacing and electrophysiology, "Heart rate variability: standards of measurement, physiological interpretation and clinical use", Circulation, 93(5), pp.1043~1065 (1996)
- Malik M, "Influence of the recognition artefact in automatic analysis of long term electrocardiograms on time-domain measurement of heart rate variability", Med Biol Eng Comput, 31(5), pp.539~544 (1993)
- Kim GT, "A study on standardization of measuring time for heart rate variability", The journal of Korean medicine diagnostics, 10(2), pp.88~103 (2006)
- 조민경, "불안장애 환자에서 육체적 및 정신적 스트레스 시 심박변이도의 변화", 수면정신생리, 21(2), pp.69~73 (2014), 대한수면의학회[DOI]
- Choi JH, "A clinical study on patients with cold hypersensitivity on hands and feet and their autonomic nervous system function using of heart rate variability(HRV)", J of Oriental Medical Thermology, 5(1), pp.1~13 (2006)
- 이미주, "강남경희한방병원에 내원한 냉증을 호소하는 여성의 Heart Rate Variability 특성 연구", 대한한방부인과학회지, 24(3), pp.109~115 (2011), 대한한방부인과학회
- 박연경, "수족냉증 환자의 HRV 특성연구", 대한한방부인과학회지, 28(1), pp.92~101 (2015), 대한한방부인과학회
- Daanen HAM, "The effect of body temperature on the hunting response of the middle finger skin temperature", European journal of applied physiology and occupational physiology, 76, pp.538~543 (1997)