基于心内电生理观察耳穴压豆对左心房自主神经的调节作用

Regulation of auricular point pressing therapy with beans on left atrial autonomic nerve based on intracardiac electrophysiology

目的:通过心内电生理检查,观察耳穴压豆对左心房神经节自主神经张力的调节作用。方法:纳入80例需行房间隔穿刺治疗的心律失常患者,随机分为对照组和治疗组各40例,治疗组予耳穴压豆治疗,对照组不予任何治疗,采用心内电生理检查的方法,检测两组治疗前后房室结文氏点(A-VnodeWP)、窦房结恢复时间(SNRT)、心房-希氏束间期(AH)、窦性心律周长(SCL)以及迷走神经反应阳性率等指标,观察耳穴压豆对相应指标的影响。结果:治疗组治疗后窦房结恢复功能及房室结传导能力增强,A-V node WP、SNRT、AH及SCL等较治疗前明显缩短,差异有统计学意义(P<0.05);治疗后两组A-VnodeWP、SNRT、AH及SCL等比较,治疗组较对照组明显缩短,差异有统计学意义(P<0.05)。迷走神经反应阳性者在治疗后迷走神经反射受抑制,治疗组迷走神经反应阳性率为55.0%,明显低于对照组的94.7%,差异有统计学意义(P<0.05)。结论:耳穴压豆能抑制心房迷走神经张力,可用于治疗或辅助治疗迷走神经张力升高引起的各种心律失常和相关疾病。

Objective:To observe the regulation effect of auricular point pressing on autonomic nerve tension of left atrial ganglion by intracardiac electrophysiological examination.Methods:Eighty patients with arrhythmia who needed atrial septal puncture were randomly divided into control group and treatment group,40 cases in each group.The treat⁃ment group was treated with auricular point pressing with beans,while the control group was not treated with any treat⁃ment.The method of intracardiac electrophysiological examination was used to detect the atrioventricular node Wen’s point(A-V node WP),sinoatrial node recovery time(SNRT),atrial-His bundle interval(AH),sinus rhythm circumfer⁃ence(SCL)and the positive rate of vagal reaction before and after treatment in the two groups.The effect of auricular point pressing with beans on the corresponding indexes was observed.Results:After treatment,the sinus node recovery function and atrioventricular node conduction ability of the treatment group were enhanced,and the A-V node WP,SNRT,AH and SCL were significantly shorter than those before treatment,and the difference was statistically signifi⁃cant(P<0.05).After treatment,the comparison of A-V node WP,SNRT,AH and SCL between the two groups showed that the treatment group was significantly shorter than the control group,and the difference was statistically significant(P<0.05).The positive rate of vagal reaction in the treatment group(55.0%)was significantly lower than that in the con⁃trol group(94.7%),and the difference was statistically significant(P<0.05).Conclusion:Auricular point pressing with beans can inhibit the tension of atrial vagus nerve,which can be used to treat or assist in the treatment of various ar⁃rhythmias and related diseases caused by elevated vagal tension.