The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
권호 표지
DOI QR코드

DOI QR Code

Comparative Analysis of the Heart Rate Variability, Body Composition, Digital Infrared Thermal Imaging and Electro Pulse Graph Between Primary Dysmenorrhea Patients and Secondary Dysmenorrhea Patients

원발성 월경통 환자와 속발성 월경통 환자의 심박변이도, 체성분, 적외선 체열 촬영, 맥전도 검사 상 특징 비교 고찰

  • Lee, Su-Jeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ji, Hae-Ri (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Hwang, Deok-Sang (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Chang-Hoon (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Jang, Jun-Bock (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Jin-Moo (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University)
  • 이수정 (경희대학교 대학원 임상한의학과) ;
  • 지해리 (경희대학교 대학원 임상한의학과) ;
  • 황덕상 (경희대학교 한의과대학 부인과교실) ;
  • 이창훈 (경희대학교 한의과대학 부인과교실) ;
  • 장준복 (경희대학교 한의과대학 부인과교실) ;
  • 이진무 (경희대학교 한의과대학 부인과교실)
  • Received : 2019.07.18
  • Accepted : 2019.11.29
  • Published : 2019.11.29
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study is to analysis differences of heart rate variability (HRV), body composition, digital infrared thermal imaging (DITI), and electro pulse graph by whether there are some causes of dysmenorrhea or not. Methods: We studied 89 patients who took at least one test among HRV, Body composition, DITI, and electro pulse graph visiting Kyung Hee University Hospital at Gangdong from March 1, 2014 to May 7, 2019. Results: There were statistically significant differences in Low frequency (LF), LF norm and High frequency norm (HF norm) of HRV between primary dysmenorrhea patients and secondary dysmenorrhea patients. There were statistically significant differences in Body Mass Index (BMI) and body fat percentage of Body composition between two groups. But both BMI were included in normal range. There were no statistically significant difference in DITI results. And there was significant difference of Estimated circulation resistance (ECR) between two groups. Conclusions: The results suggest that hormone imbalance of secondary dysmenorrhea patients can affect HRV results. And because of high ECR, phlegm pathology can be more considered in secondary dysmenorrhea patients. Further study should be conducted to confirm the results of body composition and DITI differences.

Keywords

References

  1. Osayande AS, Mehulic S. Diagnosis and initial management of dysmenorrhea. Am Fam Physician. 2014;89(5):341-6.
  2. Committee of oriental gynecology textbook compilation. Oriental gynecology. Seoul :Jeongdam. 2002:180-1.
  3. The Society of Korean Medicine obstetrics & gynecology. Oriental obstetrics & gynecology. Seoul:Euisungdang. 2012:86-97.
  4. Chang SY, et al. Effect of Hominis Placenta Herbal Acupuncture on Dysmenorrhea. J Acupunct Res. 2005;22(6):85-92.
  5. Yoo HS, et al. Effects of Hominis Placenta Herbal Acupuncture(HPA) on Menstrual Cramps. Journal of Pharmacopuncture. 2005;8(1):45-9. https://doi.org/10.3831/KPI.2005.8.1.045
  6. Ju BJ, et al. A Clinical Study on the Effect of Immediate Decrease of Pain for Acupuncture treatment in Adolescent Primary Dysmenorrheic Patients. J Korean Obstet Gynecol. 2003;16(2):232-41.
  7. Jung HS, et al. A Clinical Study on the Effect of Auricular Acupuncture Treatment for Adolescent Dysmenorrheic women. J Korean Obstet Gynecol. 2002;15(4):183-92.
  8. Cho JH, et al. A Clinical Study on the Effect of Aroma Ceramic Moxibustion for Primary Dysmenorrhea. J Korean Obstet Gynecol. 2009;22(1):172-81.
  9. Jang JB, et al. Clinical Study on the Efficacy and Safety of Chiljehyangbu-hwan in the Treatment of Dysmenorrhea. J Korean Obstet Gynecol. 2005;18(1):156-68.
  10. Lim JH, et al. Clinical efficacy of Hyunburikyung-tang-gagam for dysmenorrhea caused qi-stagnation and blood clots. J Korean Obstet Gynecol. 2002;15(4):228-37.
  11. Moon DB, et al. Clinical study on the Efficacy Jujadanggui-hwan for Dysmenorrhea with Cold hypersensitivity. J Korean Obstet Gynecol. 2005;18(2):83-99.
  12. Kim BN, et al. Clinical study on the Efficacy of Electroacupuncture on Dysmenorrhea. J Korean Obstet Gynecol. 2004;17(2):138-46.
  13. Kim ES, et al. Effects of Menstrual Cycle on Heart Rate Variability in Dysmenorrhea Patients. J Korean Obstet Gynecol. 2010;23(2):124-30. https://doi.org/10.15204/JKOBGY.2010.23.2.124
  14. Lee JY, et al. Analysis on the Stress Response Inventory and Heart Rate Variability of Dysmenorrhoea Patients. 2008;21(1):216-30.
  15. Jeong JH, et al. A Study on the Relation of Dysmenorrhea of some patients and Body Composition Analysis. J Korean Obstet Gynecol. 2007;20(3):164-77.
  16. Kim HW, et al. DITI of the Abdomen on twenties' Dysmenorrhea Patients. J Korean Obstet Gynecol. 2001;14(1):311-8.
  17. Yang SW, et al. Study of Clinical Characteristics in Dysmenorrhea Patients. J Korean Obstet Gynecol. 2001;14(3):156-72.
  18. Ha JW, et al. A Study on the Correlation of the accompanying symptoms, Heart Retainability and Body Component Analysis in 350 Insomnia Patients. Journal of Oriental Neuropsychiatry. 2012;23(3):47-62. https://doi.org/10.7231/JON.2012.23.3.047
  19. Lee JY, et al. Analysis on the Heart Rate Variability of Dysmenorrhoea Patients. J Korean Obstet Gynecol. 2007;20(3):164-77.
  20. Yang DH, et al. Correlation between pulse-respiration ratio and heart rate variability. J Korean institute of oriental medical diagnostics. 2006;10(2):104-20.
  21. Task Force of the European Society and The North American Society of Pacing and Electrophysiology. Heart rate variability Standards of measurement, physiological interpretation, and clinical use. European Heart Journal. 1996;17(3):354-81. https://doi.org/10.1093/oxfordjournals.eurheartj.a014868
  22. Anthony M Dart, et al. Gender, sex hormones and autonomic nervous control of the cardiovascular system. Cardiovascular Research. 2002;53(3):678-87. https://doi.org/10.1016/S0008-6363(01)00508-9
  23. von Holzen JJ, et al. Impact of endoand exogenous estrogens on heart rate variability in women: a review. Climacteric. 2016;19(3):222-8. https://doi.org/10.3109/13697137.2016.1145206
  24. Diminutive DA, et al. Features of cardiovascular functioning during different phases of the menstrual cycle. Ross Fiziol Zh Im I M Sechenova. 2007;93(3):300-5.
  25. Neves VFC, et al. Autonomic modulation of heart rate of young and postmenopausal women undergoing estrogen therapy. Braw J Med Biro Res. 2007;40(4):491-9. https://doi.org/10.1590/S0100-879X2007000400007
  26. Submittal H, et al. In situ estrogen synthesized by aromata P450 in uterine leiomyoma cells promotes cell growth probably via an authoring/interacting mechanism. Endocrinology. 2000;141(10):3852-61. https://doi.org/10.1210/endo.141.10.7719
  27. Mehasseb MK, et al. Estrogen and progesterone receptor isotherm distribution through the menstrual cycle in utter with and without Adenomyosis. Fertility and Sterility. 2011;95(7):2228-35. https://doi.org/10.1016/j.fertnstert.2011.02.051
  28. Bulun SE. Endometriosis. N Engl J Med. 2009;360(3):268-79. https://doi.org/10.1056/NEJMra0804690
  29. Kim GM, Woo JM. Determinants for Heart Rate Variability in a Normal Korean Population. J Korean Med Si. 2011;26(10):1293-8. https://doi.org/10.3346/jkms.2011.26.10.1293
  30. Ju H, et al. A U-shaped Relationship Between Body Mass Index and Dysmenorrhea: A longitudinal Study. PLoS One. 2015;10(7):e0134187. https://doi.org/10.1371/journal.pone.0134187
  31. L Di Renzo, et al. Oxidative stress in normal weight obese syndrome. Obesity. 2010;18(11):2125-30. https://doi.org/10.1038/oby.2010.50
  32. Choi CK, et al. Comparition of physical fitness, metabolic syndrome risk factors, and resting metabolic rate according to body mass index and percent body fat in 20s females. Korean Journal of Sport science. 2018;29(3):416-29. https://doi.org/10.24985/kjss.2018.29.3.416
  33. Kim MK, et al. Normal weight obesity in Korean adults. Clin Endocrinol(Oxf). 2014;80(2):214-20. https://doi.org/10.1111/cen.12162
  34. Shah DK, et al. Body size and endometriosis:results from 20 years of follow-up within the Nurses' Health study II prospective cohort. Hum Reprod. 2013;28(7):1783-92. https://doi.org/10.1093/humrep/det120
  35. Vilos GA, et al. The management of uterine leiomyomas. J Obstet Gynaecol Can. 2015;37(2):157-81. https://doi.org/10.1016/S1701-2163(15)30338-8
  36. Kang HJ, et al. A study on wiry pulse in hypertensive patients analyzed at 5 levels of applied pressure using 3 dimensional pulse imaging analyzer. Korean J of acupuncture. 2010;27(1):1-12.
  37. Park MW, et al. Clinical Study of Correlation between Retention of Fluid and PWV/ABI. Korean J Orient Med. 2004;10(2):73-8.
  38. Kim ES, et al. Effects of Qi Gong Exercise on the Immune Response, Pulse Wave Parameter and Heart Rate Variability(HRV) for Post Mastectomy Women. J Korea Instit Orient Med Diagn. 2015;19(2):75-90.
  39. Jung WW, Lee WC. The Literature Rearches on “Dam-eum”, resulted in Stroke. The Journal of Dong Guk Oriental Medicine. 1999;8(1):133-44.
  40. National oriental medical Department of Heart internal medicine. Circulation of Internal Medicine nerve. Seoul: Gunja publishing company. 2006:169.