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耳压对健康志愿者自主神经功能调节的脑调制作用。

Brain-modulated effects of auricular acupressure on the regulation of autonomic function in healthy volunteers.

机构信息

TCM Research Center Graz and Research Unit of Biomedical Engineering in Anesthesia and Intensive Care Medicine, Medical University of Graz, Auenbruggerplatz 29, 8036 Graz, Austria.

出版信息

Evid Based Complement Alternat Med. 2012;2012:714391. doi: 10.1155/2012/714391. Epub 2011 Aug 29.

Abstract

Auricular acupuncture has been described in ancient China as well as Egypt, Greece, and Rome. At the end of the 1950s, ear acupuncture was further developed by the French physician Dr. Paul Nogier. The goal of this study was to develop a new system for ear acupressure (vibration stimulation) and to perform pilot investigations on the possible acute effects of vibration and manual ear acupressure on heart rate (HR), heart rate variability (HRV), pulse wave velocity (PWV), and the augmentation index (AIx) using new noninvasive recording methods. Investigations were performed in 14 healthy volunteers (mean age ± SD: 26.3 ± 4.3 years; 9 females, 5 males) before, during, and after acupressure vibration and manual acupressure stimulation at the "heart" auricular acupuncture point. The results showed a significant decrease in HR (P ≤ 0.001) and a significant increase in HRV total (P = 0.008) after manual ear acupressure. The PWV decreased markedly (yet insignificantly) whereas the AIx increased immediately after both methods of stimulation. The increase in the low-frequency band of HRV was mainly based on the intensification of the related mechanism of blood pressure regulation (10-s-rhythm). Further studies in Beijing using animal models and investigations in Graz using human subjects are already in progress.

摘要

耳针疗法在古中国、埃及、希腊和罗马都有记载。20 世纪 50 年代末,法国医生保罗·诺吉尔(Paul Nogier)进一步发展了耳部针灸。该研究的目的是开发一种新的耳部穴位按压(振动刺激)系统,并使用新的非侵入性记录方法,对振动和手动耳部穴位按压对心率(HR)、心率变异性(HRV)、脉搏波速度(PWV)和增强指数(AIx)的可能急性影响进行初步研究。该研究在 14 名健康志愿者(平均年龄 ± 标准差:26.3 ± 4.3 岁;9 名女性,5 名男性)中进行,在按压振动和手动耳穴“心”点刺激前后进行。结果表明,在手动耳穴按压后,心率(HR)显著下降(P ≤ 0.001),总 HRV 显著增加(P = 0.008)。PWV 明显下降(但无统计学意义),而 AIx 在两种刺激方法后立即升高。HRV 的低频带增加主要基于血压调节相关机制的强化(10 秒节律)。在北京,使用动物模型进行的进一步研究和在格拉茨,使用人体进行的研究已经在进行中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf2/3163402/9fc15c7d6f6a/ECAM2012-714391.001.jpg

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