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不同中医证型焦虑抑郁病人心率变异特点

Characteristics of Heart Rate Variability in Anxiety or Depressive Diseases with Different Traditional Chinese Medicine Syndrome Types.

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【作者】 张谦栾童吴爱勤沈洁潘能荣何焕荣梅其一

【Author】 Zhang Qian,Luan Tong,Wu Aiqin,Shen Jie,Pan Nengrong,He Huanrong,Mei Qiyi.Su Zhou Traditional Chinese Medical Hospital,Jiangsu,215003,China

【机构】 江苏省苏州市中医院苏州大学附属第一医院苏州市广济医院

【摘要】 目的探讨不同中医证型的焦虑抑郁病人的植物功能的变化。方法对焦虑抑郁病人按不同中医证型分组,测定其心率变异性的时域、频域指标,并与正常对照组进行比较。结果肝郁痰阻型、心脾二虚型和肝郁气滞型焦虑抑郁病人心率变异性的时域、频域指标明显低于对照组(P<0.01),并且以迷走神经指标下降尤为明显。肝郁痰阻型和肝郁气滞型比心脾二虚型焦虑抑郁病人上述改变更明显。结论肝郁痰阻型、心脾二虚型和肝郁气滞型焦虑抑郁病人存在心率变异性植物功能的紊乱和心率变异性的降低,以迷走神经功能的降低更明显。肝郁痰阻型和肝郁气滞型比心脾二虚型焦虑抑郁病人上述改变更明显,更需尽早发现植物功能紊乱引起的病变。

【Abstract】 Objective To explore the changes on autonomic nervous function of the patients with different Traditional Chinese medicine syndrome types.Methods The cases of anxiety or depressive diseases were divided into different types according to traditional Chinese medicine syndrome types,and then heart rate variability(HRV) were tested and compared with normal controls.Results Indicators of time or frequency of heart rate variability(HRV) in anxiety or depressive disease patients with Gan-Yu-Tan-Zu Zheng or Xin-Pi-Liang-Xu Zheng or Gan-Yu-Qi-Zhi Zheng were lower than those of controls group,especially in parasympathetic nervous.The abever disorders of the patients with Gan-Yu-Tan-Zu Zheng or Gan-Yu-Qi-Zhi Zheng was more significant than those in patients with Xin-Pi-Liang-Xu Zheng.Conclusions The autonomic nervous function of anxiety or depressive diseases with Gan-Yu-Tan-Zu Zheng or Xin-Pi-Liang-Xu Zheng or Gan-Yu-Qi-Zhi Zheng is disordered and their HRV of was lower than that of control(P<0.01),especially in parasympathetic nervous.The abover disorders in patients with Gan-Yu-Tan-Zu Zheng or Gan-Yu-Qi-Zhi Zheng were more significant than those in Xin-Pi-Liang-Xu Zheng,We should detect the disease caused by the disorder of autonomic nervous function for the fomer pationt.

【基金】 苏州市科教兴卫青年专项资金资助项目(2005SWQ07)
  • 【文献出处】 医学研究杂志 ,Journal of Medical Research , 编辑部邮箱 ,2008年09期
  • 【分类号】R277.7
  • 【被引频次】12
  • 【下载频次】284
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