Journal of Acupuncture Research

  • 제30권3호
  • /
  • Pages.39-49
  • /
  • 2013
  • /
  • 2586-288X(pISSN)
  • /
  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
권호 표지
DOI QR코드

DOI QR Code

태극침법이 정신적 스트레스를 가한 20대 소음인 남성의 심박변이도에 미치는 영향

Effects of Taegeuk Acupuncture on the Autonomic Nervous System by Analyzing Heart Rate Variability in 20's Soeumin

  • 김남식 (경희대학교 한의과대학 침구의학교실) ;
  • 김진엽 (경희대학교 한의과대학 침구의학교실) ;
  • 곽상규 (대구가톨릭대학교 의과대학 의학통계학교실) ;
  • 신임희 (대구가톨릭대학교 의과대학 의학통계학교실) ;
  • 남상수 (경희대학교 한의과대학 침구의학교실) ;
  • 김용석 (경희대학교 한의과대학 침구의학교실)
  • Kim, Nam Sik (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Jin Youp (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kwak, Sang Gyu (Department of Medical Statistics, School of Medicine, Daegu Catholic University) ;
  • Shin, Im Hee (Department of Medical Statistics, School of Medicine, Daegu Catholic University) ;
  • Nam, Sang Soo (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Yong Suk (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University)
  • 투고 : 2013.04.19
  • 심사 : 2013.06.12
  • 발행 : 2013.06.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives : The purpose of this study is to assess the effect of Taegeuk acupuncture on reducing mental stress by analyzing heart rate variability in Soeumin. Methods : Six Soeumin-diagnosed men participated in this study. They were randomly divided into group A and group B. Each participant went through 4 sessions every week with 1 week of washout period in between each session. HRV was measured three times at every session; at baseline, after administering mentally stressful circumstances and after applying Soeumin Taegeuk acupuncture or Soyangin Taegeuk acupuncture. This study was designed as a crossover clinical trial. Group A participants were treated with two sets of Soeumin Taegeuk and Soyangin Taegeuk acupuncture treatment in respective order (i.e. Soeumin Taegeuk - Soyangin Taegeuk - Soeumin Taegeuk - Soyangin Taegeuk acupuncture treatment). Group B participants were treated with reverse-ordered acupuncture treatment (i.e. Soyangin Taegeuk - Soeumin Taegeuk - Soyangin Taegeuk - Soeumin Taegeuk acupuncture treatment ). Bayesian analysis was performed by using WinBUGS(Ver. 1.4.3) for comparison between Soeumin Taegeuk acupuncture and Soyangin Taegeuk acupuncture. Results : Overall, Soeumin Taegeuk acupuncture tends to reduce LF/HF ratio, LF, HF, LF(Norm) and increase HF(Norm) more than Soyangin Taegeuk acupuncture, but the difference was not statistically significant. In one participant, however, Soeumin Taegeuk acupuncture reduced LF/HF ratio, LF(Norm) and increased HF(Norm) more than Soyangin Taegeuk acupuncture, and the difference was stastatistically significant. Conclusions : This study suggests that Soeumin Taegeuk acupuncture might be an effective means of stabilizing mental stress-induced imbalance of autonomic nervous system for Soeumin.

키워드

참고문헌

  1. Wang JD, Kuo TBJ, Yang CCH. An alternative method to enhance vagal activities and suppress sympathetic activities in humans. Auton Neurosci. 2002 ; 100(1-2) : 90-5. https://doi.org/10.1016/S1566-0702(02)00150-9
  2. Cho JJ. Job Stress and Cardiovascular Disease. J Korean Acad Fam Med. 2002 ; 23(7) : 841-54.
  3. Kamath MV, Fallen EL. Power spectral analysis of heart rate variability: A noninvasive signature of cardiac autonomic function. Crit Rev Biomed Eng. 1993 ; 21(3) : 245-311.
  4. Kim JS, Hwang W, Bae KT, Nam SS, Kim YS. Effects of Acupuncture for Mental Stress on Short-term Analysis of Heart Rate Variability (HRV). J Kor Acu Mox Soc. 2004 ; 21(5) : 227-39.
  5. Wang L, Valentini J, Sugimoto K et al. Biomedical Teleacupuncture between China and Austria Using Heart Rate Variability, Part 1: Poststroke Patients. Evid Based Complement Alternat Med. Published online(9 Jun 2011).
  6. Kim JN, Lee JS, Hong JS, Kim SJ, Moon SI. Effect of Simple Acupuncture and Electroacupuncture at Bai Hui(GV20) on Heart Rate Variability in Healthy Adults with Stress Task. J Kor Acu Mox Soc. 2012 ; 29(3) : 89-99.
  7. Shi X. Wang ZP, Liu KX. Effect of acupuncture on heart rate variability in coronary heart diseas pationts. Zhongguo Zhong Xi Yi Jie He Za Zhi. 1995 ; 15(9) : 536-8.
  8. Park JS, Ahn MS, Lee JJ et al. Study on the Effect of Acupuncture at Jeonjung(CV17) on the Heart Rate Variability in Healthy Adults. J Kor Acu Mox Soc. 2011 ; 28(2) : 13-25.
  9. Kang MS, Kim LH. The Effect of Mental Stress Stimulation and Acupuncture at Shinmun(HT7) on Heart Rate Variability. Journal of Oriental Neuropsychiatry. 2009 ; 20(1) : 165-76.
  10. Li Z, Wang C, Mak AF, Chow DH. Effects of acupuncture on heart rate variability in normal subjects under fatigue and nonfatigue state. Eur J Appl Physiol. 2005 Aug ; 94(5-6) : 633-40. https://doi.org/10.1007/s00421-005-1362-z
  11. Park SU, Jung WS, Moon SK et al. Effects of Acupuncture on Autonomic Nervous System in Normal Subjects under Mental Stress. J Korean Oriental Med. 2008 ; 29(2) : 107-15.
  12. Lee SS, Kim EJ, Park YC, Koh YJ, Nam DW. Effect of Acupuncture Stimulation on Heart Rate Variability in Stroke Patients. J Kor Acu Mox Soc. 2006 ; 23(1) : 135-43.
  13. Kim HB, Lee MH, Lee SY et al. The Comparative Study on the Effect of Constitution- dependent Acupuncture Treatment for Idiopathic Parkinson's Disease on Heart Rate Variability. J Kor Acu Mox Soc. 2007 ; 24(3) : 163-74.
  14. Haker E, Egekvist H, Bjerring P. Effect of sensory stimulation(acupuncture) on sympathetic and parasympathetic activities in healthy subjects. J Auton Nerv Syst. 2000 ; 79(1) : 52-9. https://doi.org/10.1016/S0165-1838(99)00090-9
  15. Jang BH, Lee JH, Mun KS, Kim JW, Kwon OS. Effect of Auricular Acupuncture for Mental Stress on Heart Rate Variability(HRV). J Kor Acu Mox Soc. 2005 Dec ; 22(6) : 173-80.
  16. Kim HK, Lee SH, Kim YS. Effects of Sa-am Acupuncture(Damjeonggyeok) on Autonomic Nervous System in Night Nurses. J Kor Acu Mox Soc. 2007 ; 24(4) : 13-23.
  17. Cho SY, Jang JY, Kim SJ, Nam SS, Kim YS. Effect of PC6 Moxibustion for Mental Stress on Short-term Analysis of Heart Rate Variability. J Kor Acu Mox Soc. 2010 ; 27(2) : 51-8.
  18. Lee JJ, Kim SJ, Park OJ, Lee SM, Park MC, Jo EH. The Effect of Moxibustion at Jeonjung (CV17) on the Heart Rate Variability in Healthy Adults. J Kor Acu Mox Soc. 2012 ; 29(4) : 43-53.
  19. Jang JY, Cho SY, Kim SJ, Kim YS, Nam SS. The Effect of Laser Acupuncture at HT7(Sinmun) for Mental Stress on Short-term Analysis of Heart Rate Variability. J Kor Acu Mox Soc. 2010 ; 27(5) : 51-8.
  20. Lim SK, Lee DH, Kwon YJ et al. Effects of Fixed-intensity and Varied-intensity Electroacupuncture on Heart Rate Variability in Healthy People with Stress Task. J Kor Acu Mox Soc. 2011 ; 28(2) : 107-16.
  21. Yook TH, Yu JS, Jung HS. Effects of Sweet Bee Venom and Bee Venom on the Heart Rate Variability. Journal of Pharmacopuncture. 2008 ; 11(1) : 41-54.
  22. Cho SY, Ha SY, Jang JY, Nam SS, Kim YS. Effect of Hwangryunheadok-tang Pharmacopuncture at CV17(Jeonjung) for Mental Stress on Short-term Analysis of Heart Rate Variability. J Kor Acu Mox Soc. 2009 ; 26(5) : 49-56.
  23. Lee JB, Song BY, Yook TH. The Effects of Carthami Semen Pharmacopuncture and Bovis Calculus · Fei Ursi Pharmacopuncture on the Heart Rate Variability. J Kor Acu Mox Soc. 2010 ; 27(2) : 11-21.
  24. Kim JK. Clinical Opinion of Taegeuk Acupuncture Treatment by Sasang(4-type) Constitutional Medicine. J Kor Acu Mox Soc. 2011 ; 28(2) : 69-73.
  25. Jung IG, Kang SK, Kim CH. A Comparative Study on Acupuncture Using five Su points: Sa-am Acupucture, Taeguk Acupuncture, 8 Constitution Acupuncture. J Kor Acu Mox Soc. 2001 ; 18(2) : 186-99.
  26. Kwak CK, Sohn EH, Lee EJ, Koh BH, Song IB, Hwang W. A Study about Sasang Constitutional difference on Autonomous Function after Acupuncture stimulation. Journal of Sasang Constitutional Medicine. 2004 ; 16(3) : 76-84.
  27. Kim NS, Kim SJ, Ryu HJ, Nam SS, Kim YS. Effects of Taegeuk Acupuncture on the Autonomic Nervous System by Analyzing Heart Rate Variability in Soyangin. J Kor Acu Mox Soc. 2012 ; 29(3) : 81-8.
  28. Shin KS, Minamitani H, Onishi, Yamazaki H, Lee M. Autonomic differences between athletes and non athletes: spectral analysis approach. Med Sci Sports Exerc. 1997 ; 29(11) : 1482-90. https://doi.org/10.1097/00005768-199711000-00015
  29. Pomeranz B, Macaulay R, Caudill M et al. Assessment of autonomic function in humans by heart rate spectral analysis. Am J Physiol.1985 ; 248 : 151-3.
  30. Task force of the European society of cardiology and the north american society of pacing and eletrophysiology. Heart rate variability standards of measurement, physiological interpretation, and clinical use. Circulation. 1996 ; 93 : 1043-65. https://doi.org/10.1161/01.CIR.93.5.1043
  31. Ha SY, Kim DM, Cho SY, Im IH, Kim YS, Nam SS. Analysis of Autonomic Nerve System by Analyzing the Herat Rate Variability(HRV) in Chronic Musculoskeletal Pain. J Kor Acu Mox Soc. 2008 ; 25(6) : 35-46.
  32. Lee JH, Seo EH, Ha JH, Choi AR, Woo CH, Goo DM. A Study on the Sasang Constitutional Differences in Heart Rate Variability. Journal of Sasang Constitutional Medicine. 2007 ; 19(3) : 176-87.
  33. Kim CY, Kown NH, Shin YJ et al. Research on Facial Electromyography and Heart Rate Variability Values of Idiopathic Facial Palsy Inpatients in Relationship with Sasang Constitutional Characteristics. J Kor Acu Mox Soc. 2009 ; 26(6) : 111-9.
  34. Jackson A, MacPherson H, Hahn S. Acupuncture fo tinnitus: A series of six n=1 controlled trials. Complementary therapies in medicine. 2006 ; 14(1) : 39-46. https://doi.org/10.1016/j.ctim.2005.07.005
  35. Zucker DR, Schmid CH, McIntosh MW, D'Agostino RB, Selker HP, Lau J. Combining single patient(N-of-1) trials to estimate population treatment effects and to evaluate individual patient responses to treatment. J Clin Epidemiol. 1997 ; 50(4) : 401-10. https://doi.org/10.1016/S0895-4356(96)00429-5
  36. Lee JC, Koh BH, Song IB. The Validation Study of the Questionnaire for Sasang Constitution Classification. Journal of Sasang Constitutional Medicine. 1996 ; 8(1) : 247-94.
  37. Hwang DS, Cho JH, Lee CH, Jang JB, Lee KS. A Study on Reproducibility Responses to the Questionnaire for Sasang Constitution ClassificationⅡ( QSCCⅡ). J Korean Oriental Med. 2006 ; 27(3) :145-50.

피인용 문헌

  1. Exploring Heart Rate Variability as a Biomedical Diagnostic Tool for the Disympathetic Dimension of Eight-Constitution Medicine vol.2021, pp.None, 2021, https://doi.org/10.1155/2021/6613798