알레르기 비염 환자의 변증별 자율신경계 특성 분석 연구
Autonomic Conditions in Allergic Rhinitis Depending on Various Pattern Identifications
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초록
Objectives : We performed a clinical study to investigate autonomic conditions in persistent allergic rhinitisdepending on various pattern identifications and the availability of heart rate variability (HRV) as a patternidentification diagnostic tool. Methods : 32 patients with persistent allergic rhinitis were asked to interview with doctor of Korean Medicineand perform the four pattern questionnaires (Cold–Heat Pattern, Phlegm Pattern, Yin Deficiency pattern, bloodstasispattern). Then, they were examined their autonomic conditions with heart rate variability test. Results : Patients were classified as three pattern groups (Lung-stomach heat, Lung qi deficiency cold,Lung-spleen qi deficiency) by doctor. In the Lung qi deficiency cold group, Total power of the HRV (TP) and thepower of the low frequency component (LF) significantly higher than in the Lung-stomach heat or Lung-spleen qideficiency group (P < 0.05). Also, Patients were classified as 8 pattern groups (Cold/Heat, Phlegm/Non-phlegm,Yin deficiency/Non-yin deficiency, Bloodstasis/Non-bloodstasis) by four pattern questionnaires. Only in the Yindeficiency group, the power of the low frequency component (LF) significantly lower than in the Non-yindeficiency group (P < 0.05). There were not any significant differences in the rest groups. Conclusions : The result may provide that HRV doesn't reflect well the differences in the various pattern groups,and the HRV's availability is low. Continuous studies are needed to develop the objective and standardized patternidentification diagnostic tool for allergic rhinitis.
Abstract
Objectives : We performed a clinical study to investigate autonomic conditions in persistent allergic rhinitisdepending on various pattern identifications and the availability of heart rate variability (HRV) as a patternidentification diagnostic tool. Methods : 32 patients with persistent allergic rhinitis were asked to interview with doctor of Korean Medicineand perform the four pattern questionnaires (Cold–Heat Pattern, Phlegm Pattern, Yin Deficiency pattern, bloodstasispattern). Then, they were examined their autonomic conditions with heart rate variability test. Results : Patients were classified as three pattern groups (Lung-stomach heat, Lung qi deficiency cold,Lung-spleen qi deficiency) by doctor. In the Lung qi deficiency cold group, Total power of the HRV (TP) and thepower of the low frequency component (LF) significantly higher than in the Lung-stomach heat or Lung-spleen qideficiency group (P < 0.05). Also, Patients were classified as 8 pattern groups (Cold/Heat, Phlegm/Non-phlegm,Yin deficiency/Non-yin deficiency, Bloodstasis/Non-bloodstasis) by four pattern questionnaires. Only in the Yindeficiency group, the power of the low frequency component (LF) significantly lower than in the Non-yindeficiency group (P < 0.05). There were not any significant differences in the rest groups. Conclusions : The result may provide that HRV doesn't reflect well the differences in the various pattern groups,and the HRV's availability is low. Continuous studies are needed to develop the objective and standardized patternidentification diagnostic tool for allergic rhinitis.
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