CAJ | 학술논문

目的：探讨电针内关、间使对恐惧情绪状态心率及心率变异性的影响。方法：将120例健康试验者随机分为针刺组和对照组，各60例，分别给予恐怖音频刺激20 min后，针刺组接受电针双侧内关、间使穴刺激20 min，出针后继续静卧20 min；对照组在清醒状态下静卧40 min。同时用心电记录仪记录整个过程中心率和心率变异性的变化。结果：本试验分听音频后心率上升和听音频后心率下降或不变两部分作分析。与听音频20 min差值比较，听音频后心率上升者针刺/对照20 min平均心率、HF、LF/HF差异有统计学意义（P约0.05）；听音频后心率下降或不变两组静息20 min平均心率、RMSSD、HF差异有统计学意义（P约0.05）。结论：电针内关、间使对自主神经调节有即刻效应和后效应，且能双向调节惊恐引起的自主神经功能紊乱，可兴奋或抑制迷走神经功能，从而治疗疾病。
목적：탐토전침내관、간사대공구정서상태심솔급심솔변이성적영향。방법：장120례건강시험자수궤분위침자조화대조조，각60례，분별급여공포음빈자격20 min후，침자조접수전침쌍측내관、간사혈자격20 min，출침후계속정와20 min；대조조재청성상태하정와40 min。동시용심전기록의기록정개과정중심솔화심솔변이성적변화。결과：본시험분은음빈후심솔상승화은음빈후심솔하강혹불변량부분작분석。여은음빈20 min차치비교，은음빈후심솔상승자침자/대조20 min평균심솔、HF、LF/HF차이유통계학의의（P약0.05）；은음빈후심솔하강혹불변량조정식20 min평균심솔、RMSSD、HF차이유통계학의의（P약0.05）。결론：전침내관、간사대자주신경조절유즉각효응화후효응，차능쌍향조절량공인기적자주신경공능문란，가흥강혹억제미주신경공능，종이치료질병。
This study was aimed to investigate effects of electroacupunture on PC6-Ne iguan and PC5-Jians hi points on heart rate and heart rate variability (HRV) in fear emotion. A total of 120 healthy volunteers were randomly allo-cated into the acupuncture group and control group, with 60 cases in each group. After 20 min frightening audio stimulation, volunteers in the acupuncture group received electroacupunture on PC6 and PC5 of both sides for 20 min and continued to repose for 20 min after needles were removed. Volunteers in the control group reposed for 40 min in the waking state. The heart rate and HRV of each subject was recorded during the whole process through Actiheart. The results showed that the experiment data was divided into two parts, rate rise and decreased or un-changed parts, after listening to audio and analyzed, respectively. Compared to the period of listening for 20 min, there were significant differences on average heart rate, HF, LF/HF of the post listening period between the acupunc-ture group and the control group (P < 0.05). There were significant differences on average heart rate, RMSSD, HF under the condition of heart rate decreasing or unchanging after 20 min (P < 0.05). It was concluded that elec-troacupunture on PC6 and PC5 had immediate regulating and post effects on autonomic nerve and bidirectional regu-lations of the plant nerve function disorder caused by fear, which can treat diseases through excitatory or inhibitory vagus nerve function.