電針兩側足三里、陽陵泉對脈率變異度、脈搏波，以及皮膚血流和皮膚溫度影響之研究

吳詩儀

doi:10.6830/CMU.2013.00026

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Health & Medical Care > Chinese Medicine & Materia Medica
College of Chinese Medicine > Master's Program, Graduate Institute of Acupuncture Science

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電針兩側足三里、陽陵泉對脈率變異度、脈搏波，以及皮膚血流和皮膚溫度影響之研究

Study on the effect of electroacupuncture at both Zusanli and at both Yanlingquan acupoints on pulse rate variability, pulse wave, skin blood flow and skin temperature

吳詩儀 , Masters　　Advisor：謝慶良　　

繁體中文 DOI： 10.6830/CMU.2013.00026

脈率變異度；脈博波；皮膚血流；皮膚溫度；電針；足三里；陽陵泉； Pulse Rate Variability ； Radial pressure waveform ； Skin Blood Flow ； Skin Temperature ； Electroacupuncture ； Zusanli ； Yanglingquan

Abstract │ Reference (67) │ Times Cited (1) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Acupuncture has became a widely accepted treatment strategy in nervous and cardiovascular system diseases, and a number of studies reported that acupuncture at the Zusanli (ST36) and Yanglingquan (GB34) acupoints were effective to treat blood pressure related disorders. To our knowledge, there is rare study about the difference of modulating cardiovascular activity, and skin blood flow and skin temperature between two adjacent acupoints which belong to different meridians. Besides, although the same-name meridians therapy has been used clinically for the treatments of disease, evidence-based studies still remain inadequate. Therefore, the purpose of this present study was to investigate the effect of electroacupuncture (EA) a both ST36-37 and at both GB34-36 acupoints on cardiovascular modulation , and skin blood flow and skin temperature. We recorded pulse rate variability and pulse waveforms to investigate the change of cardiovascular activities, and recorded distant skin blood flow and skin temperature recordings to investigate the relationship between the same-name meridian of hand and foot. A total of 24 adult healthy volunteers were recruited, they received the three sessions of sham EA, EA at ST36-37 and EA at GB34-36, respectively. Each session was divided into three periods (pre-EA, EA, and post-EA). Each period was 20 min in duration. The ahead 15 min of the period was the skin blood flow and skin temperature recordings at Hoku’s (LI4) and Zhongzhu’s(TE3) region of right hand; the final 5 min of the period was pulse rate variability and pulse waveform recordings of left hand. The data was stored and analyzed finally in a personal computer. The present findings was that angle , height of percussive wave(h1), height of dicrotic wave (h5) in 2 Hz EA at ST36-37 session became less than those in sham EA session and that h1and h1/t1 in EA at GB34-36 session became less than those in sham EA session. EA at ST36-37, EA at GB34-36, and sham EA had no effect on the pulse rate variability, skin blood flow and skin temperature of distant acupoints.
To conclude, the findings were suggested that 2Hz EA at ST36-37 and at GB34-36 could decrease arterial pressure and ejection volume. 2 Hz EA at ST36-37 could also decreased peripheral arterial resistance and aortic reflection. With regard to the effect of 2 Hz EA at ST36-37, 2 Hz EA at GB34-36, and sham EA on pulse rate variability and the skin blood flow and skin temperature recordings at Hoku’s and Zhongzhu’s region, further research is necessary to amass more evidence of clinical curative effects and adequate theoretical basis for this issue.

Reference ( 67 ) 〈TOP〉

2. Li P, Longhurst JC. Neural mechanism of electroacupuncture's hypotensive effects. Auton Neurosci-Basic Clin. 2010; 157: 24-30.
連結：
3. Tjen-A-Looi SC, Li P, Longhurst JC. Medullary substrate and differential cardiovascular responses during stimulation of specific acupoints. Am J Physiol-Regul Integr Comp Physiol. 2004; 287: 852-862.
連結：
4. Zhou W, Fu LW, Tjen-A-Looi SC, Li P, Longhurst JC. Afferent mechanisms underlying stimulation modality-related modulation of acupuncture-related cardiovascular responses. J Appl Physiol. 2004; 98: 872-880.
連結：
5. Chiu YJ, Chi A, Reid I. Cardiovascular and endocrine effects of acupuncture in hypertensive patients. Clin Exp Hyptens. 1997; 19: 1047-1063.
連結：
6. Tsuchiya M, Sato EF, Inoue M, Asada A. Acupuncture enhances generation of nitric oxide and increases circulation. Anesth Analg. 2007; 104: 301-307.
連結：

Times Cited (1) 〈TOP〉

魏儀嘉(2014)。脈波圖像的變異性研究。中國醫藥大學中醫學系碩士班學位論文。2014。1-56。

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