针刺不同经穴对心率变异性的影响及自主神经调节机制研究进展

Research progress in the influence of needling different acupoints on heart rate variabilityand the mechanism of autonomic nerve regulation

总结和分析针刺不同经穴对心率变异性(HRV)及自主神经功能影响的研究现状,发现内关、足三里、神门为心率变异性(HRV)分析常用穴,涉及通里、合谷、太冲、中脘、膻中、心俞、脾俞、肾俞等穴位,针刺不同穴位对HRV的影响各异,但有一定规律可循,可能与经穴主治作用、所属经络和分布部位有关,针刺同一穴位对HRV影响的结论也有差异,可能受到样本量、干预对象、数据处理方法等因素影响,需规范测量过程并进一步研究。

By summarizing and analyzing the research status of the influence of needling different acupoints on heart rate variability(HRV)and autonomic nervous function,it is found that Neiguan(PC 6),Zusanli(ST 36)and Shenmen(HT 7)are common acupoints for HRV analysis involving Tongli(HT 5),Hegu(LI 4),Taichong(LR 3),Zhongwan(RN 12),Danzhong(RN 17),Xinshu(BL 15),Shenshu(BL 23)and other acupoints.Different acupoints have different influences on HRV but followed by some rules,which are possibly related to the efficacy of acupoints,meridian tropism and acupoint distributions.Needling on the same acupoint also has different influences on HRV,which is possibly affected by sample size,intervention object,data processing method and other factors,so more standardized measurement process is required in further studies.