颈部脊柱推拿对健康志愿者自主神经功能的影响

目的脊柱推拿是传统医学的治疗方法之一。根据中医学脏腑经络相关理论,观察颈部脊柱推拿对自主神经系统功能的调节作用。方法选择成年健康男性志愿者,通过对受试者颈部进行推拿操作,包括触压双侧颈椎横突(C2-5水平)、左右旋转和扳法,以心率和心率变异性的改变为指标,观察推拿前后自主神经系统紧张性的改变。结果对30名正常成年男性志愿者的观察结果表明,推拿后心率显著降低(R-R间期延长);时域分析中SDNN显著性增加,频域分析中总功率谱显著性增加。以上结果皆提示迷走性张力增高。结论颈部脊柱推拿可调节自主神经系统张力,提示了针灸推拿方法治疗临床心血管疾病如心律失常的可能性。

心率和心率变异性用于评定颈部手法刺激对自主神经系统的影响

目的应用心率和心率变异性分析,评定颈部手法刺激对自主神经系统的影响。方法选择正常青年男性志愿者,对受试者进行颈部手法刺激,刺激前和刺激后各记录5min动态心电图,以心率和心率变异性作为观测指标,判断颈部手法刺激对自主神经系统的影响。结果对30名正常青年男性志愿者观察发现,颈部手法刺激后,心率显著降低(RR间期延长);时域分析中SDNN有显著性增加,频域分析中VLF和总功力谱有显著性增加。结论心率和心率变异性是一项评定颈部手法刺激对自主神经系统效应的有用指标。

Effect of Cervical Manipulation on Autonomic Nervous Function in Healthy Volunteers

Objective： According to the theory of traditional Chinese medicine, the effect of cervical stimulation on autonomic nervous system activity in humans was investigated. Methods： Healthy young male volunteers were selected as subjects of the trial. The upper cervical spine （C2-5） was stimulated bilaterally with spinal manipulation, and changes in heart rate and heart rate variability were calculated as measures of effects on autonomic nervous system tone. Results： Thirty healthy young male volunteers were tested. It was found that heart rate decreased （R-R interval prolonged） significantly. SDNN and total power spectrum increased significantly, indicating an increase in sympathetic tone. Conclusion： Cervical manipulation can regulate the autonomic nervous system tone in healthy young men, and it suggests a possibility of treating cardiovascular diseases such as arrhythmia with cervical manipulation.