ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
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  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

內關-公孫 자침이 스트레스 상태의 정상성인 자율신경계에 미치는 영향

Effects of Acupuncture on Autonomic Nervous System in NormalSubjects under Mental Stress

대한한의학회지 / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2008, v.29 no.2, pp.107-115
박성욱 (경희대학교)
정우상 (경희대학교)
문상관 (경희대학교)
박정미 (경희대학교)
고창남 (경희대학교)
조기호 (경희대학교)
김영석 (경희대학교)
배형섭 (경희대학교)
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Abstract

Objectives: The objective of this study was to assess the effects of acupuncture applied at PC6 and SP4 points on heart rate variability (HRV) in normal subjects under mental stress Methods: 24 healthy male subjects were recruited and randomized to a treatment group (12 subjects) or a control group (12 subjects). Both groups performed a mental arithmetic stress test and then acupuncture needles were inserted on PC6 and SP4 for the study group. In the control group, they took sham acupuncture as a control. Heart rate variability (HRV) was measured during the whole study period by FM-150 (digital Holter ECG recorder). Results: In the both groups, low frequency (LF) power 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 and ratio of low frequency to high frequency (LF/HF) which were increased after mental stress test. But sham acupuncture induced no changes. Results: In both groups, low frequency (LF) power and ratio of low frequency to high frequency (LF/HF) significantly increased after mental stress. Acupuncture induced significant decrease in low frequency (LF) power and ratio of low frequency to high frequency (LF/HF) which increased after mental stress test. In contrast, sham acupuncture induced no changes. Conclusions: Acupuncture on PC6 and SP4 could be useful to decrease sympathetic activity and balance autonomic nervous system for those who are under stress.

keywords
Heart rate variability (HRV), acupuncture, autonomic nervous system, mental stress


참고문헌

1

1. Wang JD, Kuo TBJ, Yang CCH. An alternative method to enhance vagal activities and suppress sympathetic activities in humans. Auton Neur- osci-Basic Clin. 2002;100(1–2):90–5.

2

2. Middlekauff HR, Nguyen AH, Negrao CE, Nitzsche EU, Hoh CK, Natterson BA, Hamilton MA, Fonarow GC, Hage A, Moriguchi JD. Impact of acute mental stress on sympathetic nerve activity and regional blood flow in advanced heart failure: implications for ‘trigg- ering’ adverse cardiac events. Circulation. 1997; 96(6):1835-42.

3

3. Richter, A, Herliz J, Hjalmarsson A. Effect of acupuncture in patients with angina pectorus. Eur Heart J. 1991;12:175-8.

4

4. Tam, KC, Yiu HH. The effect of acupuncture on essential hypertension. Am J Chin Med. 1975;3:369-75.

5

5. Chao DM, Shen LL, Tjen-A-Looi S, Pitsillides KF, Li P, Longhurst JC. Naloxone reverses inhibitory effect of electro-acupuncture on sympathetic cardiovascular reflex responses. Am J Physiol Heart Circ Physiol. 1999;276: H2127–H34.

6

6. Li, P, Pitsillides KF, Rendig SV, Pan HL, and Longhurst JC. Reversal of reflex-induced myocardial ischemia by median nerve stimu- lation: a feline model of electroacupuncture. Circulation. 1998;97:1186-94.

7

7. Yao, T, Andersson S, Thoren P. Long-lasting cardiovascular depression induced by acupun- cture-like stimulation of the sciatic nerve in unanaesthetized spontaneously hypertensive rats. Brain Res. 1982;240:77-85.

8

8. Haker E, Egekvist H, Bjerring P. Effect of sensory stimulation (acupuncture) on sympa- thetic and parasympathetic activities in normal subjects. J Auton Nerv Syst. 2000;79:52–9.

9

9. Middlekauff HR, Yu JL, Hui KK. Acupu- ncture effects on reflex responses to mental stress in humans. Am J Physiol Regul Integr Comp Physiol. 2001;280:R1462–R1468

10

10. Li ZY, Jiao K, Chen M, Wang CT. Effect of magnitopuncture on sympathetic and parasym- pathetic activities in normal drivers during simulated driving. Eur J Appl Physiol. 2003; 88:404–10.

11

11. Li Z, Wang C, Mak AF, Chow DH. Effects of acupuncture on heart rate variability in normal subjects under fatigue and non-fatigue state. Eur J Appl Physiol. 2005;94(5-6):633-40.

12

12. Piccirillo G, Munizzi MR, Fimognari FL, Marigliano V. Heart rate variability in hypert- ensive subjects. Int J Cardiol. 1996;53(3):291-8.

13

13. 이기성, 윤종화. 奇經八脈과 八脈八會穴에 관한 연구. 대한기공학회지. 1998;2(1):103-18.

14

14. 김남각, 이현, 이병렬. 팔맥교회혈 중 내관 공손에 대한 문헌적 고찰. 대전대학교 한의학연구소 논문집. 2001;10(1):221-235.

15

15. Cao QJ, Lin J, Chen S, Han Z. Effect of electroacupuncture at Neiguan on myocardial microcirculation in rabbits with acute myoca- rdial ischemia. J. Tradit. Chin. Med. 1998;18: 134-9.

16

16. Ho RT, Jawan B, Fung ST, Cheung HK, Lee JH. Electro-acupuncture and postoperative emesis. Anaesthesia. 1989;45:327-9.

17

17. Shi X, Wang ZP, Liu KX. Effect of acupu- ncture on heart rate variability in coronary heart disease patients. Zhongguo Zhong Xi Yi Jie He Za Zhi. 1995;15(9):536-8.

18

18. Huang ST, Chen GY, Lo HM, Lin JG, Lee YS, Kuo CD. Increase in the vagal modulation by acupuncture at neiguan point in the healthy subjects. Am J Chin Med. 2005;33(1):157-64.

19

19. Reims HM, Sevre K, Hoieggen A, Fossum E, Eide I, Kjeldsen SE. Blood viscosity: effects of mental stress and relations to autonomic nervous system function and insulin sensit- ivity. Blood Press. 2005;14(3):159-69.(336)

20

20. Fauchier L, Babuty D, Autret ML, Poret P, Cosnay P, Fauchier JP. Influence of duration and hour of recording on spectral measure- ments of heart rate variability. J Auton Nerv Syst. 1998;73:1–6.

21

21. Pagani M, Lombardi F, Guzzetti S, Rimoldi O, Furlan R, Pizzinelli P, Sandrone G, Malfatto G, Dellorto S, Piccaluga E, Turiel M, Baselli G, Cerutti S, Malliani A. Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympat- hovagal interaction in man and conscious dog. Circ Res. 1986;58:178–93.

22

22. Malliani A, Pagani M, Lombardi F. Cardiova- scular neural regulation explored in the frequ- ency domain. Circulation. 1991;84:482–92.

23

23. Montano N, Gnecchi Ruscone T, Porta A, Lombardi F, Pagani M, Malliani A. Power spectrum analysis of heart rate variability to assess the changes in sympathovagal balance during graded orthostatic tilt. Circulation. 1994;90:1826–31.

24

24. Sugiyama Y, Xue Y, Mano T. Transient increase in human muscle sympathetic nerve activity during manual acupuncture. Jpn J Physiol. 1995;45:337–45.

25

25. Pagani M, Furlan R, Pizzinelli P, Crivellaro W, Cerutti S, Malliani A. Spectral analysis of R-R and arterial pressure variables to assess sympatho-vagal interaction during mental stress in humans. J Hypertension. 1989;7:S14–S15

26

26. Pagani M, Montano N, Porta A, Malliani A, Abboud FM, Birkett C, Somers VK. Relatio- nship between spectral components of cardio- vascular variabilities and direct measures of muscle sympathetic nerve activity in humans. Circulation. 1997;95:1441–8.

27

27. De Aloysio, D. and P. Penacchioni. Morning sickness control in early pregnancy by Neiguan point acupressure. Obstet. Gynecol. 1992;80: 852-4.

28

28. Belluomini, J, Litt RC, Lee KA, Katz M. Acupressure for nausea and vomiting of pregnancy: a randomized, blinded study. Obstet. Gynecol. 1994;84:245-248.

29

29. Fan CF, Tanhui E, Joshi S, Trivedi S, Hong Y, Shevde K. Acupressure treatment for preve- ntion of postoperative nausea and vomiting. Anesth. Analg. 1997;84:821-5.

30

30. 유경환, 임인환, 김동현, 나병조, 이범준, 박성욱, 고창남. 內關(PC6)·公孫(SP4) 자침이 정상인의 자율신경계에 미치는 영향 연구. 대한한방내과학회지. 2006;27(3):698-705.

31

31. Shi X, Wang ZP, Liu KX. Effect of acupuncture on heart rate variability in coronary heart disease patients. Zhongguo Zhong Xi Yi Jie He Za Zhi. 1995;15(9):536-8.

32

32. Li Z, Jiao K, Chen M, Wang C. Effect of magnitopuncture on sympathetic and parasy- mpathetic nerve activities in healthy drivers - assessment by power spectrum analysis of heart rate variability. Eur J Appl Physiol. 2003;88(4-5):404-10.(337)

33

33. Huang ST, Chen GY, Lo HM, Lin JG, Lee YS, Kuo CD. Increase in the vagal modulation by acupuncture at neiguan point in the healthy subjects. Am J Chin Med. 2005;33(1):157-64.

34

34. Sato A, Sato Y, Suzuki A, Uchida S. Reflex modulation of catecholamine secretion and adrenal sympathetic nerve activity by acupun- cture-like stimulation in anesthetized rat. Jpn J Physiol. 1996;46:411– 21.

35

35. Nishijo K, Mori H, Yosikawa K, Yazawa K. Decreased heart rate by acupuncture stimul- ation in humans via facilitation of cardiac vagal activity and suppression of cardiac sympathetic nerve. Neurosci Lett. 1997;227 (3):165–8.

36

36. Malik M, Camm AJ. Components of heart- rate-variability what they really mean and what we really measure. American Journal of Cardiology. 1993;72(11):821–2.

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