The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
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A Study about Heart Rate Variability(HRV) of Examinees with Dysmenorrhea

월경통을 호소하는 수험생의 Heart Rate Variability(HRV) 특성에 관한 연구

  • Kim, Eun-Gyung (KangNam Kyung-Hee Oriental Hospital) ;
  • Lee, Mi-Joo (KangNam Kyung-Hee Oriental Hospital) ;
  • Hwang, Deok-Sang (Dept. of Oriental Gynecology, College of Oriental Medicine, Kyung-Hee University) ;
  • Lee, Jin-Moo (Dept. of Oriental Gynecology, College of Oriental Medicine, Kyung-Hee University) ;
  • Jang, Jun-Bock (Dept. of Oriental Gynecology, College of Oriental Medicine, Kyung-Hee University) ;
  • Lee, Kyung-Sub (KangNam Kyung-Hee Oriental Hospital) ;
  • Lee, Chang-Hoon (KangNam Kyung-Hee Oriental Hospital)
  • 김은경 (강남경희한방병원) ;
  • 이미주 (강남경희한방병원) ;
  • 황덕상 (경희대학교 한의과대학 한방부인과교실) ;
  • 이진무 (경희대학교 한의과대학 한방부인과교실) ;
  • 장준복 (경희대학교 한의과대학 한방부인과교실) ;
  • 이경섭 (강남경희한방병원) ;
  • 이창훈 (강남경희한방병원)
  • Received : 2011.10.31
  • Accepted : 2011.11.07
  • Published : 2011.11.25
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Abstract

Purpose: This study was performed to analyse autonomic nerve function of some examinees with dysmenorrhea by comparing the characteristics of dysmenorrhea patients' Heart Rate Variability(HRV) in examinees group with non-examinees group. Methods: We studied 110 patients visiting OO Korean hospital to take medical treatment for dysmenorrhea from September, 2006 to August, 2010. The subjects were categorized in two groups, 36 examinees and 57 non-examinees controls. We investigated the difference of HRV between two groups by student's T-test using SPSS for Windows(version 12.0). Results: 1. SDNN in examinees group is statistical significantly lower than non-examinees group. RMS-SD in examinees group is lower than non-examinees group non-statistical significantly. Mean PR in examinees group is higher than non-examinees group non-statistical significantly. 2. VLF, ln TP, ln VLF and ln HF are statistically significantly lower than non-examinees group. TP, HF and ln LF are lower than non-examinees group non-statistical significantly. LF is higher than non-examinees group non-statistical significantly. Conclusions: The results suggest that stress is related to especially examinees in dysmenorrhea patients by effecting autonomic nerve function. HRV can be useful to diagnose examinees' dysmenorrhea. The further studies would be needed to study about relation between stress, dysmenorrhea and HRV for settling this.

Keywords

References

  1. 한의과대학 교재편찬위원회. 한의부인과학. 서울:정담. 2001:53-54, 177-178.
  2. 임미희. 치과위생사 국가시험을 앞둔 수험생의 스트레스 영향요인에 관한연구. 한국치위생학회지. 2010;10(4) :735-744.
  3. 정병천, 김동철. 고3 수험생의 월경별 태분석을 통한 Stress와 월경의 상관관계 조사(Stress와 월경의 상관관계). 대한한의학회지. 2000;21(4):93-103.
  4. 우종민. 일차진료에서의 직장인 스트레스대처법. 대한가정의학회지. 2005;26 :375-383.
  5. 전중선 등. 심박변동의 Power Spectrum 분석에 의한 정상 성인의 자율신경기능 평가. 대한재활의학회지. 1997;21(5) :928-935.
  6. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Hart rate variability: standards of measurement, physiological intepretation and clinical use. Circulation. 1996: 17(3);354-381.
  7. Cowan MJ. Measurement of heart rate variability. Western J Nurshing Res. 1995;17:32-48. https://doi.org/10.1177/019394599501700104
  8. 김탁. 월경통의 병인 및 치료지침. 대한산부인과학회지. 2005;48(7):1613-1620.
  9. Pickles VR. A Plain Muscle Stimulant in the Menstrum. Nature. 1957;180 :1198-1199. https://doi.org/10.1038/1801198a0
  10. 양나래 등. 여고생의 소화기능 및 BMI에 따른 월경통 차이 연구. 대한한방부인과학회지. 2009;22(4):110-122.
  11. 張介賓. 景岳全書. 서울:한미의학. 2006 :103, 160, 1732.
  12. 傅山. 傅靑主男女科.葉天士女科. 서울:대성문화사. 1995:198-201.
  13. 박경선 등. 월경전 증후군(PMS) 환자의 Heart Rate Variability(HRV)특성에 관한 연구. 대한한방부인과학회지. 2008;21(3):99-110.
  14. Murata A. Measurement of mental workload by heart rate variability indexes, Ergonomics. 1992;28(2):91-98. https://doi.org/10.5100/jje.28.91
  15. Horn EF, Lee ST. Electronic evaluations of the fatal heat rate patterns preceeding fetal death: further observation. Am J Obster Gynecol. 1995;87:824-826.
  16. Kamath MV, Fallen EL. Power spectral analysis of heart rate variability: a noninvasive signature of cardiac autonomic function. Crit Rev Biomed Eng. 1993;21(3):245-311.
  17. 기삼. HRV의 개요. 대한가정의학회지. 2004;25(11):528-532.
  18. Akselrod S et al. Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science. 1981; 213(4504):220-222. https://doi.org/10.1126/science.6166045
  19. Pomeranz B et al. Assessment of autonomic function in humans by heart rate spectral analysis. Am J Physiol. 1985;248(1) Pt 2:151-153.
  20. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Hart rate variability: standards of measurement, physiological intepretation and clinical use. Circulation. 1996; 93(5):1043-1065. https://doi.org/10.1161/01.CIR.93.5.1043
  21. Malik M et al. Influence of the recognition artefact in autonomic anlysis of long term electrocardiograms on time-domain measurement of heart rate variability. Med Biol Eng Comput. 1993;31(5):539-544. https://doi.org/10.1007/BF02441992
  22. 김정신 등. 少府(HT8) 刺針이 정신적 스트레스를 가한 성인의심박변이도에 미치는 영향. 대한침구학회지. 2004;21(5):227-239.
  23. McCraty R, Watkins A. Autonomic assessment report: A comprehensive heart rate variability analysis. Institute of Heart Math. 1996;1-42.
  24. 양동훈, 박영배. 맥파와 심박변이도의 상관성 연구. 대한한의진단학회지. 2006; 12(2):104-120.
  25. 이윤재 등. 산후풍 환지의 심박변이도 특성 관찰 연구. 대한한방부인과학회지. 2007;20(3):178-184.
  26. 조성연 등. 內關(PC6) 艾灸가 정신적 스트레스를 가한 성인의 심박변이도에 미치는 영향. 대한침구학회지. 2010;27(2):51-58.
  27. 이미주 등. PCOS 여성의 HRV 특성 분석을 통한 한의학적 진단 활용성에 관한 연구. 대한한방부인과학회지. 2010;23(4):155-163.
  28. 김은숙 등. 월경통 환자의 월경주기에 따른 심박변이도(Heart Rate Variability) 차이에 대한 고찰. 대한한방부인과학회지. 2010;23(2):124-130.
  29. 이지영 등. 일부 月經痛 환자의 심박변이도(Heart Rate Variability) 고찰. 대한한방부인과학회지. 2007;20(3) :164-177.
  30. 최가야 등. SCL-90-R을 이용한 월경통 환자의 심리적 특성 분석. 대한한방부인과학회지. 2003;16(2):177-186.
  31. 문승준 등. STAXI-K를 이용한 원발성 월경통 양상과 분노 감정 표현 정도와의 상관성 고찰. 2009;22(1):140-147.
  32. Fredrikson M, Matthews KA. Cardiovascular response to behavioral stress and hypertension: A meta-analytic review. Annals of Behavioral Medicine. 1990; 12:17-29. https://doi.org/10.1207/s15324796abm1201_2
  33. Hijortskov N et al. The effect of mental stress on heart rate variability and blood pressure during computer work. Eur J Appl Physiol. 2004;92 :84-89. https://doi.org/10.1007/s00421-004-1055-z
  34. Bertson GG, Cacioppo JT. Heart rate variability: stress and psychiatric conditions. 2003;56-59.
  35. Aylin Y et al. Effect of menstrual cycle on cardiac autinomic innervation as assessed by heart rate variability. Ann Noninvasive Electrocardiol. 2002; 7(1):60-63.
  36. Park MK, Shigeki W. Specific physiological responses in women with severe primary dysmenorrhea during the menstrual cycle. J Physiol Anthropol Appll human Sci. 2005;24(6):601-609. https://doi.org/10.2114/jpa.24.601

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