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題 名 | The Effect of Acupuncture at Ear Shenmen on Heart Rate Variability: A Subject-Assessor-Blinded, Randomized, Sham-Controlled Crossover Study=針刺耳神門穴對於自律神經功能的影響:受試者及評估者雙盲、隨機、偽穴對照臨床交叉研究 |
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作 者 | 曾啟權; 曾國倫; 林昭庚; 張恒鴻; | 書刊名 | 中醫藥雜誌 |
卷 期 | 26:2 2015.12[民104.12] |
頁 次 | 頁(3)1-(3)8 |
分類號 | 413.91 |
關鍵詞 | 耳神門穴; 心率變異性頻譜分析; Auricular acupuncture; Ear Shenmen; Heart rate variability; |
語 文 | 英文(English) |
中文摘要 | 耳針是一種廣泛應用於互補醫學的臨床治療方法。其中最常被應用的耳穴之一是耳神門穴(MA-TF1),臨床經常應用於穩定情緒和減輕壓力。因此,我們推測針刺耳神門穴可以有效提高迷走神經活性和 /或抑制交感神經調節功能。為了測試這一假設,我們進行受試者及評估者雙盲、隨機、偽穴對照的臨床交叉研究,觀察針刺耳神門穴對於自律神經功能的影響。二十八個婦女被隨機分成兩組:耳神門穴組和對照組。受試者在各組分別接受針刺,經過兩週後,再交換進入另組接受針刺。利用心率變異性頻譜分析儀在針刺前(N)、針刺後每隔 5分鐘,連續五次(A1~A5)及取針後每隔5分鐘,連續兩次(R1~R2)的階段分別評估自律神經功能。結果顯示兩組之間在高頻 (HF, p = 0.92)、低頻 (LF%, p = 0.94),和低頻高頻功率比 (LF/HF, p= 0.93) 沒有顯著差異。比較各組在 R1與 N時期的 LF%及LF/HF,耳神門穴組沒有顯著差異 (adjusted p = 0.96),偽穴對照組有顯著差異 (adjusted p = 0.0032)。比較各組在 R1與 N時期的HF,耳神門穴組 (adjusted p = 0.26)與偽穴組 (adjusted p = 0.96)都沒有顯著差異。綜合上述,我們的研究認為針刺耳神門穴對於自律神經活性調節沒有顯著的效果,未來還需要進一步的研究來完全確定耳神門穴的有效性。 |
英文摘要 | Auricular acupuncture is a widely used alternative medical treatment. One of the mostrecognized auricular acupuncture points is the Ear Shenmen (MA-TF1), which allegedly calmsthe mind and reduces stress. We therefore hypothesized that acupuncture at the Ear Shenmenmay effectively enhance vagal nerve activity and/or suppresses cardiac sympathetic regulation.To test this hypothesis, we conducted a subject-assessor-blinded, randomized, sham-controlledcrossover study to observe the effects of single-point acupuncture at the auricular acupoint EarShenmen on autonomic nervous activity. Twenty-eight healthy women were randomly distributed into two groups: the Ear Shenmen group and the control group. Subjects entered a two weekswashout period after receiving their group's treatment. After the washout period, the subjectsswitched groups. Autonomic cardiac function was evaluated by power spectral indices of heart rate variability. The results show that there were no significant differences between the two groups inthe high-frequency component (HF, p = 0.92), the normalized low-frequency component (LF%, p= 0.94), and the low-frequency power to high-frequency power ratio (LF/HF, p = 0.93). The resultssuggest that auricular acupuncture on the Ear Shenmen has no significant effect on autonomiccardiac modulation in healthy women. Further studies are needed to fully determine the validity ofauricular acupoint Ear Shenmen. |
本系統中英文摘要資訊取自各篇刊載內容。