| Objective:By studying penetration needling through shangxing to shenting point of heart rate variability in patients with cerebral infarction,provide acupuncture prescriptions for treating cerebral infarction patients combined autonomic nervous disorder in clinical acupuncture.Method:The patients were selected from the wards of The First Affiliated Hospital of Heilongjiang Traditional Chinese Medicine College,Random selection 30 cases,including 11 male patients,19 female patients.age range 40-75,average age 58.1 ± 7.8-Penetration needling through shangxing to shenting point,before acupuncture enjoins the patient to maintain peacefully.Start Medilog(?)AR12 dynamic ECG Recorder,5 min after acupuncture,retaining needle,10 min after acupuncture walking needle,with a flat-out technique in 15 s,frequency 360/min,20 min after acupuncture out of the needle,5 min after out of the needle,close the instrument and remove the electrodes.In the experiment,the measurement of HRV was analyzed by means of short-time recording(once every 5min).ECG record 7 point in time the value of HRV automatically:5 min before acupuncture,into the needle,5 min after acupuncture,walking needle,15 min after acupuncture,out of the needle and 5 min after out of the needle,Input the value into SPSS 25.0 statistical software,choose repetitive measurement of variance analysis,significant differences(P<0.05),with significant statistical differences(P<0.01).Results:1.Time domain methods indicators:1.1 Min BPM indicators:compared with the 5min before acupuncture,at the time of into the needle、walking needle and out of the needle,the indicator was significantly reduced(P<0.01),and the indicators was reduced by 5 min after acupuncture(P<0.05).Although the indicators of Mean BPM and Max BPM were changed,but there was no significant difference(P>0.05).1.2 SDNN indicators:compared with the 5min before acupuncture,at the time of into the needle、5 min after acupuncture、walking needle and out of the needle,the indicator was significantly increased(P<0.01),and the indicators was increased by 15 min after acupuncture and 5 min after out of the needle(P<0.05).Although the indicators of RMSSD and PNN50 were changed,but there was no significant difference(P>0.05).2.Frequency domain methods indicators:2.1 ULF and VLF indicators:compared with the 5min before acupuncture,at the time of into the needle、5 min after acupuncture、walking needle.15 min after acupuncture and out of the needle,the indicator was significantly increased(P<0.01),and the indicators was increased by 5 min after out of the needle(P<0.05).Although the indicators of TP were changed,but there was no significant difference(P>0.05).2.2 LF and HF indicators:compared with the 5min before acupuncture,all the other time points were significantly reduced(P<0.01).LogLF/HF indicators:compared with the 5min before acupuncture,all the other time points were significantly increased(P<0.01).2.3 ULF%and VLF%indicators:compared with the 5min before acupuncture,all the other time points were significantly increased(P<0.01).LF%and HF%indicators:compared with the 5min before acupuncture,all the other time points were significantly reduced(P<0.01).Conclusion:1.Penetration needling through shangxing to shenting point increase sympathetic activity of cerebral infarction patients and decrease vagal activity;2.Penetration needling through shangxing to shenting point can adjust the balance of autonomic nerve in patients with cerebral infarction;3.Penetration needling through shangxing to shenting point can adjust the heart rate variability of patients with cerebral infarction.And there is a posthumous effect after the injection. |
