The Effect Of Needling Of Left Quze On Heart Rate Variability In Patients With Cerebral Infarction

Objective:Through the research of heart rate variability indicators of the needling of the Quze point of patients with cerebral infarction, explore the regularities of the changes of the autonomic nerve function change in patients with cerebral infarction caused by acupuncture treatment of the Quze point so as to provide the clinical treatments of autonomic nerve disorders in patients with cerebral infarction with important basis.Method:Prior to the testing of the dynamic ECG recorder first have the subject lie on their backs for 10 min, and start the device for recording; in 5min, apply The needling of the left Quze point, with a straight needling depth of 1～1.5in, and when the sensation is obtained through needling, the needle is retained, and at 10min after needle retention and 20min after needle retention, the manipulations of even reinforcing-reducing is applied for 15 s, at 6rev/s, with a total of 90r, followed by needle withdrawal; after needle withdrawal, an observation was made for 10m. The parameter values of needling 8 time points as the first 5min, during needling,5min after needle retention, 10min after needle retention,15min after needle retention,20min after needle retention,5min after needle withdrawal, and 10min after needle withdrawal. The values are recorded into the SPSS20.0 statistical software for analysis, and the paired t test in the analysis of variance was adopted so as to contrast the different time points of the various parameters with those before The needling. P<0.05 represents significant differences, and P<0.01 means the differences are very significant, all featuring statistical significance.Result:1 The changes of the indicators of The needling of the left the Quze point in the time domain analysis of different time sections:1.1 In the comparison of the parameter values of the indicators Min BPM in the various time sections with those before the, the values of parameters in some time sections were reduced and featured statistical significance (5min after needle retention:P<0.05; during needling, 10min after needle retention 15min after needle retention:P<0.01), and the remaining time sections featured no statistical significance (P>0.05). The parameter values of mean BPM during needling were reduced and featured statistical significance (P<0.05). There were changes in the parameter values of the various time sections of Max BPM,and featured no statistical significance (P>0.05)1.2 In the comparisons of the values of the various time sections of the indicators SDNN, RMSSD and PNN50 with those before the needling, the values of some times sections were elevated and featured statistical significance (SDNN:during an acupuncture treatment, P<0.01,10min after needle retention,5min after needle withdrawal and 10min after needle withdrawing:P<0.05; RMSSD:15min after needle retention, P<0.01,20min after needle retention,5min after needle withdrawal and 10min after needle withdrawal, P<0.05; PNN50:20min after needle retention, P<0.05). The remaining time sections had no statistical significance (P>0.05)2 Changes in the parameters in the analysis of The needling of the left the Quze point on the frequency domains of different time sections:2.1 In the comparisons of the parameter values of the various time sections of the indicators ULF and VLF with those before needling, the parameter values of some time sections were elevated, and featured statistical significance (ULF:during needling,5min after needle retention,15min after needle retention, 10min after needle withdrawal, P<0.05; VLF:during needling,5min after needle retention, 10min after needle withdrawal, P<0.05,15min after needle retention,5min after needle withdrawal, P<0.01), and the remaining time sections featured no statistical significance(P>0.05). In the comparisons of the parameter values of the various time sections of the indicators LF and HF with those before The needling, the parameter values of some time sections were reduced and featured statistical significance (LF: 20min after needle retention, P<0.01, HF:during needling,5min after needle retention, lOmin after needle retention 15min after needle retention,20min after needle retention,5min after needle withdrawal, 10min after needle withdrawal:P<0.01), and the remaining time sections featured no statistical significance (P>0.05). There were changes in the parameter values of the various time sections of TP and they featured no featured no statistical significance (P>0.05)2.2 In the comparisons of the parameter values of the various time sections of the indicators logLF/HF, ULF% and VLF% with those before The needling, the parameters of some time sections were elevated and featured statistical significance (logLF/HF:during needling, 10min after needle withdrawal, P<0.01; ULF%:during needling,5min after needle retention, 10min after needle retention 15min after needle retention,20min after needle retention,5min after needle withdrawal:P<0.01, 10min after needle withdrawal:P<0.05; VLF%:during needling,5min after needle retention, 10min after needle retention 15min after needle retention,20min after needle retention,5min after needle withdrawal, 10min after needle withdrawal, P<0.01), and the remaining time sections featured no statistical significance (P>0.05). The parameter values of the various time sections of LF% and HF% were lowered in comparison to those before needling, and featured statistical significance (P<0.01)Conclusion1.a The needling of the left the Quze point of patients with cerebral infarction can reduce such HRV time domain indicators as Min BPM and Mean BPM and elevate RMSSD, PNN50 and SDNN, indicating The needling of the left the Quze point reduce the minimal heart rate and the mean hart rate of patients with cerebral infarction, elevate the vagus nerve tension, thus enhancing the activities of the autonomous nerves.2.The needling of the left the Quze point of patients with cerebral infarction can reduce the HRV frequency domain indicators HF, HF%, LF and LF% and elevate the logLF/HF values, indicting The needling of the left the Quze point can reduce the tensions of both the nervi vagus and the sympathetic nerves of patients with cerebral infarction, thus re-regulating the balance of the autonomous nerves.3. After The needling of the left the Quze point of patients with cerebral infarction, there were some differences in the methods of HRV frequency domains and the methods of time domain analysis.