CAJ | 학술논문

目的:脊柱推拿是传统医学的治疗方法之一.根据中医学脏腑经络相关理论,观察颈部脊柱推拿对自主神经系统功能的调节作用.方法:选择成年健康男性志愿者,通过对受试者进行颈部进行推拿操作,包括触压双侧颈椎横突(C2-5)、左右旋转和扳法,以心率和心率变异性的改变为指标,观察推拿前后自主神经系统紧张性的改变.结果:对30名正常成年男性志愿者的观察结果表明,推拿后心率显著降低(RR间期延长);时域分析中SDNN显著性增加,频域分析中总功率谱显著性增加.以上结果皆提示迷走性张力增高.结论:颈部脊柱推拿可调节自主神经系统张力,提示了针灸推拿方法治疗临床心血管疾病如心律失常的可能性.
목적:척주추나시전통의학적치료방법지일.근거중의학장부경락상관이론,관찰경부척주추나대자주신경계통공능적조절작용.방법:선택성년건강남성지원자,통과대수시자진행경부진행추나조작,포괄촉압쌍측경추횡돌(C2-5)、좌우선전화반법,이심솔화심솔변이성적개변위지표,관찰추나전후자주신경계통긴장성적개변.결과:대30명정상성년남성지원자적관찰결과표명,추나후심솔현저강저(RR간기연장);시역분석중SDNN현저성증가,빈역분석중총공솔보현저성증가.이상결과개제시미주성장력증고.결론:경부척주추나가조절자주신경계통장력,제시료침구추나방법치료림상심혈관질병여심률실상적가능성.
Objective: According to the theory of traditional Chinese medicine, the effect of cervical stimulation on autonomic nervous system activity in humans was investigated.Methods: Healthy young male volunteers were selected as subjects of the trial. The upper cervical spine (C2-5) was stimulated bilaterally with spinal manipulation, and changes in heart rate and heart rate variability were calculated as measures of effects on autonomic nervous system tone. Results: Thirty healthy young male volunteers were tested. It was found that heart rate decreased (R-R interval prolonged) significantly. SDNN and total power spectrum increased significantly, indicating an increase in sympathetic tone. Conclusion: Cervical manipulation can regulate the autonomic nervous system tone in healthy young men, and it suggests a possibility of treating cardiovascular diseases such as arrhythmia with cervical manipulation.