• 한국자연치유학회지
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• 제7권2호
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• pp.39-46
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• 2018

교래자연휴양림을 탐방한 대상자들이 삼림욕을 한 후에 자율신경의 활성도에 미치는 영향을 평가하는 것이 목적이었다. 방법: 삼림욕 전후에 유비맥파기를 이용하여 맥파를 측정하였다. 결과: 삼림욕 후에 교감신경 활성(LF)의 변화에서는 대조군의 사전과 사후의 평균치 차이는 유의성이 없었으나, 실험군에서는 사전보다 사후에는 증가하여 유의성이 있었으며(p<.038), 분산분석에서는 그룹간(p<.014), 전후 차( p<.026) 및 그룹과 전후 차에서도 유의하였다(p<.018). 부교감신경 활성도(HF)의 변화에서는 대조군과 실험군 간에 모두 유의성이 없었다. LF/HF 비율에서는 실험군에서는 사전보다 사후에 증가하여 유의성이 있었고(p<.019), 그리고 분산분석에서는 그룹간, 사전 및 사후 차간에서도 유의성이 있었다(p<.04). 평균맥박의 변화에서는 대조군은 사전보다 사후에 유의성이 없이 감소하였으나, 실험군에서는 사전보다 사후에 증가하여 유의성이 있었다(p<.026). 맥박표준편차(SDNN)의 변화에서는 대조군 및 실험군의 사전보다 사후의 평균치는 감소하였으나 유의성이 없었으나, 분산분석에서는 그룹간에서는 유의성이 있었다(p <.014). 심박변이평균편차(RMSSD)의 변화에서는 대조군 및 실험군의 사전과 사후의 평균치 차이는 유의성이 없었다. 결론: 교래곶자왈 숲 삼림욕 후에는 자율신경의 활성이 변화되고 평균맥박도 높아져서 자연치유의 장소로 유용하다고 판단한다.

• 정신신체의학
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• 제14권2호
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• pp.94-101
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• 2006

연구목적 : 본 연구는 불안장애 환자들과 정상대조군을 대상으로, 심박변이도(heart rate variability, HRV)를 이용해서 자율신경계의 심장조절기능을 비교하고 그 생리학적 의미를 살펴보고자 한 것이다. 또한 불안장애 환자들에게 세로토닌재흡수억제제 (selective serotonin reuptake inhibitor, SSRI)를 투여한 뒤 투여전과 투여후를 비교해보고 치료효과를 판정하여 임상적 적용가능성을 고찰해보고자 하였다. 방법: DSM-IV의 진단기준에 의하여 불안장애로 진단받은 환자 30명과 정상대조군 30명을 대상으로 연구를 수행하였다. 불안증상의 심각도를 평가하기 위하여 Hamilton Anxiety Scale을 사용하였으며 정상대조군은 학생과 의사, 간호사 그리고 병원에 근무하는 직원들이었다. 검사는 불안장애 환자군과 정상대조군의 HRV를 측정한 후 시영역과 주파수 영역별로 분석하였다. 그리고 불안장애 환자들을 대상으로 SSRI 투여전과 투여 뒤 4주후 HRV를 측정하였다. SSRI 약물로는 fluoxetine, paroxetine, citalopram, sertraline을 사용하였다. 통계적 검증은 SPSS-Windows (version 10.0)을 이용하여 independent t-test, chi-square test, 그리고 paired t-test를 사용하였다. 결과: 불안장애 환자군과 정상대조군의 연령, 성별의 유의한 통계적 차이는 없었으며, 치료 후의 Hamilton Anxiety Scale 점수는 치료전과 비교하여 유의하게 감소되었다.(p<0.05). 정상대조군과 치료전 불안장애군을 비교하였을 경우, 치료전 불안장애군이 시간영역변수들인 RMSSD, SDNN에서 유의한 감소를 나타내었다. 또 주파수 영역 변수들을 살펴보면, 치료 전 불안장애 환자군이 정상대조군에 비해 TP, VLF, LF, HF에서 유의한 감소를 나타내었으며 LF/HF는 유의한 차이가 없었다. 그리고 불안장애 환자군에서 SSRI 치료 전과 치료 후의 HRV 변인들은 통계적으로 유의한 차이가 없었다. 결론: 치료전 불안장애군이 정상대조군에 비하여 감소된 HRV를 나타내었고, 불안장애 환자군을 대상으로 한 SSRI 치료전후 비교에서는 두 군간에 유의한 차이가 없었다. SSRI제제들이 자율신경의 활성을 반영하는 HRV의 인자에 영향을 미치지 않는 것으로 결과가 나타난 것이지만, 향후 더 많은 환자를 대상으로 한 연구가 진행되어야 할 것이다.

• 대한한방내과학회지
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• 제28권4호
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• pp.717-726
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• 2007

Objectives : This study was conducted to assess the effect of Uhwangchungsimwon on the autonomic nervous system. Methods : Eligible subjects were enrolled from healthy people in their 20s-30s. They were divided into two groups, the UC group (n=22) and the control group (n=20). We monitored ECG from 14:00 to 18:00 in both groups. In the UC group, subjects were administered UC at 15:00. HRV analysis was conducted at 14:00, 16:00, and 17:00 for 512 seconds. Results : The degree of LF/HF ratio change was significantly higher in the UC group at 1 hour after administration. Conclusion : We suggest Uhwangchungsimwon may be useful for stabilization of the autonomic nervous system by activating parasympathetic nerve in healthy people.

• The Journal of Korean Physical Therapy
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• 제14권3호
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• pp.174-202
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• 2002

Twenty five patients, 14 males and 11 females with an average age of 75years with chronic Low Back Pain were tested before, during, and after 10minutes transcutaneous electrical nerve stimulation. It is important to consider the effect of TENS on the autonomic function because the pain pathway and the ANS pathway are somehow correlated to each other. There is still controversy among researchers who have reported the effect of TENS on autonomic function. So the purpose of this study is to measure the effect of TENS on the ANS and to see the relation of the pain control mechanism and the change in the ANS. The results were as follows : 1) Systolic blood pressure between before and during the experiment was apt to be a little increased, but statistically there was no significant change(P>.05). 2) Systolic blood pressure between during and after 10 minutes the experiment was apt to be a little decreased, but statistically there was no significant change(P>.05). 3) Systolic blood pressure between before and after 10 minutes experiment was apt to be a little decreased, but statistically there was no significant change(P>.05). 4) Diastolic blood pressure between before and during experiment was apt to be a little increased, but statistically there was no significant change(P>.05). 5) Diastolic blood pressure between during and after 10 minutes experiment was significantly decreased(P<.05). 6) Diastolic blood pressure between before and after 10 minutes the experiment was apt to be a little decreased, but statistically there was no significant change(P>.05). 7) Heart rate between before and during the experiment was apt to be a little decreased, but statistically there was no significant change(P>.05). 8) Heart rate between during and after 10 minutes the experiment was significantly decreased(P<.05). 9) Heart rate between before and after 10 minutes the experiment was significantly decreased(P<.05). 10) Skin temperature between before and during the experiment was significantly increased(P<.05). 11) Skin temperature between during and after 10 minutes the experiment was apt to be a little increased, but statistically there was no significant change(P>.05). 12) Skin temperature between before and after 10 minutes the experiment was significantly increased(P>.05). 13) Respiratory rate between before and during the experiment was apt to be a little increased, but statistically there was no significant change(Pgt;.05). 14) Respiratory rate between during and after 10 minutes the experiment was apt to be a little decreased, but statistically there was no significant change(Pgt;.05). 15) Respiratory rate between before and after 10 minutes the experiment was apt to be a little decreased, but statistically there was no significant change(P>.05).

• 대한한방내과학회지
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• 제25권4호
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• pp.25-33
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• 2004

Objective : The effects of Indium-Gallium-Aluminium-Phosphide(InGaAlP) laser transcutaneous irradiation on heart rate variability(HRV) in healthy adults are investigated with power spectrum analysis(PSA) of HRV. Methods : The control group consisted of 20 healthy volunteers (10 men, 10 women). The experiment was divided into 5 different periods, the pre-1st laser period(10 minutes), the 1st laser period(30 minutes), the post-1st laser period(5 minutes), the 2nd laser period( 30 minutes) and the post-2nd laser period(30 minutes). HRV was measured for 5 minutes at the pre-1 st laser period, the post-l st laser period and the post-2nd laser period. The laser period is the period in which InGaAlP laser transcutaneous Irradiation treatment occurs. Results : 1. SDNN of volunteers at post-1st laser period and post-2nd laser period significantly increased compared with that of the pre- 1 st laser period. 2, Ln(VLF) at post-I st laser period significantly increased compared with that of pre-1st laser period, while Ln(HF) at post-2nd laser period significantly decreased compared with those of pre- I st laser period and post-1st laser period, 3. Ln(TP) at post-1st laser period and post-2nd laser period significantly increased compared with that of pre-1st laser period, 4, LF/HF Ratio at post-2nd laser period significantly increased compared with those of pre-1st laser period and post-1st laser period. But the other variables did not significantly change. Conclusions : The results suggest that InGaAlp laser transcutaneous Irradiation in healthy adults is associated with the autonomic nervous systems. Further study is needed for investigating the effects of laser irradiation on autonomic nervous systems.

• Journal of Acupuncture Research
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• 제30권3호
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• pp.39-49
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• 2013

Objectives : The purpose of this study is to assess the effect of Taegeuk acupuncture on reducing mental stress by analyzing heart rate variability in Soeumin. Methods : Six Soeumin-diagnosed men participated in this study. They were randomly divided into group A and group B. Each participant went through 4 sessions every week with 1 week of washout period in between each session. HRV was measured three times at every session; at baseline, after administering mentally stressful circumstances and after applying Soeumin Taegeuk acupuncture or Soyangin Taegeuk acupuncture. This study was designed as a crossover clinical trial. Group A participants were treated with two sets of Soeumin Taegeuk and Soyangin Taegeuk acupuncture treatment in respective order (i.e. Soeumin Taegeuk - Soyangin Taegeuk - Soeumin Taegeuk - Soyangin Taegeuk acupuncture treatment). Group B participants were treated with reverse-ordered acupuncture treatment (i.e. Soyangin Taegeuk - Soeumin Taegeuk - Soyangin Taegeuk - Soeumin Taegeuk acupuncture treatment ). Bayesian analysis was performed by using WinBUGS(Ver. 1.4.3) for comparison between Soeumin Taegeuk acupuncture and Soyangin Taegeuk acupuncture. Results : Overall, Soeumin Taegeuk acupuncture tends to reduce LF/HF ratio, LF, HF, LF(Norm) and increase HF(Norm) more than Soyangin Taegeuk acupuncture, but the difference was not statistically significant. In one participant, however, Soeumin Taegeuk acupuncture reduced LF/HF ratio, LF(Norm) and increased HF(Norm) more than Soyangin Taegeuk acupuncture, and the difference was stastatistically significant. Conclusions : This study suggests that Soeumin Taegeuk acupuncture might be an effective means of stabilizing mental stress-induced imbalance of autonomic nervous system for Soeumin.

• 대한토목학회논문집
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• 제42권5호
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• pp.729-740
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• 2022

본 연구는 야간 근무 도시철도승무원을 대상으로 직무스트레스와 수면장애가 낮 시간대 졸음에 미치는 영향을 분석하였다. 분석결과 낮 시간대 졸음 지수는 타 근무시간대 보다 높게 측정되어 졸음 정도가 심한 것으로 나타났다. 이후 일반적으로 수면장애 및 스트레스 완화에 도움이 된다고 알려진 아로마에센셜 오일을 야간근무 근무자들에게 처치하여 스트레스와 자율신경계에 미치는 효과를 검증하였다. 아로마테라피를 처치 받은 실험군은 아무것도 처치하지 않은 대조군과 비교하여 스트레스의 감소, 자율신경계의 전체 활성도가 개선되는 것으로 나타났다. 본 연구는 도시철도승무원의 야간근무가 스트레스 증가와 자율신경계에 부정적으로 영향을 미치며, 이를 완화하기 위하여 아로마테라피 처치가 좋은 대안이 될 수 있음을 입증하였다. 본 연구를 통하여 야간 근무자들의 스트레스를 완화시켜 잠재적인 안전사고 예방에도 도움이 될 것으로 기대된다.

• 생물정신의학
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• 제4권1호
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• pp.54-59
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• 1997

Objects : Sanjoin, the seeds of Zizyphus vulgaris var. spinosus has been used as the most important hypnotic agent in chinese medicine to treat insomnia. This research was performed in order to examine the effect of betulinic acid and sanjoinine-A which are components of Sanjoin. Method : Sleeping time, sleep recordings of EEG, EMG, serum serotonin level, and locomotor activity were measured in rats which received betulinic acid and sanjoinine-A as sleep induction material extracted from Sanjoin. Results : 1) Groups received betulinic acid, sanjoinine-A, and lorazepam showed increased sleep time than control group with saline. 2) Groups with betulinic acid, sanjoinine-A, lorazepam and saline recorded ${\beta}$-wave in sleep recordings of EEG. In EMG, there was no significant difference among all groups. 3) No significant difference in serum serotonin level among all groups was found. 4) In autonomic activity testing, groups of betulinic acid, sanjoinine-A, and lorazepam showed significantly more decreased in activity than saline group. In comparison of groups of betulinic acid and sanjoinine-A with a group of lorazepam, there was no significant difference. Conclusion : These results suggest that betulinic acid and sanjoinine-A have the sedative effect like lorazepam rather than sleep effect.

• 생물정신의학
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• 제15권3호
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• pp.186-193
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• 2008

Objectives : The authors tried to investigate the characteristics of Heart Rate Variability(HRV) among the subjects with metabolic syndrome for testing the possibility of clinical application of HRV in evaluating metabolic syndrome. Methods : We examined the difference of the means of HRV between 122 subjects of metabolic syndrome and 1057 healthy controls using T-test, and the change of means in HRV according to increasing risk factors of metabolic syndrome. Using multiple regression analysis, we examined the association of HRV with the risk factors of metabolic syndrome. Results : The HRV indices including SDNN(Standard Deviation of all normal NN intervals), RMSSD(the square Root of the Mean Squared Differences of successive all normal NN interval), TP(Total Power), LF(Low Freuency), and HF(High Frequency) were significantly lower in the metabolic syndrome group than in the normal control group, and the means of all HRV indices except LF/HF were decreased consistently according to increasing risk factors of metabolic syndrome. The fasting glucose, triglyceride, and waist circumference were dependent factors that contributed significantly to the change of HRV. Conclusion : These findings suggest metabolic syndrome adversely affects cardiac autonomic system and HRV could be a useful method for evaluating metabolic syndrome.

• 대한약리학회지
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• 제19권2호
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• pp.1-8
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• 1983

Prostaglandin(PG) is ubiquitously distributed in most mammalian tissue and their actions are complicated. Especially in autonomic nervous system, there are evidences indicating that PGs act as neuromodulators i.e., PGs, which are released in the vicinity of autonomic neuroeffector junctions, influence the release and the response of the neurotransmitter. Present study was undertaken to elucidate the interrelationship between $PGF_{2\alpha}$ and adrenergic ${\alpha}_2-receptor$ function in electrical field stimulation induced contractile response of vas deferens in rat. Male rat, weighing 150{\sim}200\;g, was sacrificed and vas deferens was obtained. The isolated vas deferens strip was placed between two platinum electrodes in temperature controlled $(37^{\circ}C)$ muscle chamber containing Tyrode's solution and the electrical field stimulation(EFS) induced contraction was recorded with Grass Polygraph(Model 7) via force displacement transducer (FT .03, Grass). The results are summarized as follows: 1) Electrical field stimulation for 1sec( 1 msec, 40 cps) induced contraction of vas deferens was completely blocked by tetrodotoxin. 2) Bretylium caused marked inhibition of the EFS-induced contraction, hut tyramine and cocaine augmented the contraction. 3) EFS-induced contraction was inhibited or little affected in distal portion of vas deferens by norepinephrine or methoxamine, but the contraction was rather augmented by the ${\alpha}-agonists$ in proximal portion. 4) Clonidine inhibited the EFS-induced contraction proportionally to the concentration in distal portion, which was blocked by yohimbine pretreatment, but in the presence of $PGF_{2\alpha}$ the blockade by yohimbine was reversed. 5) Indomethacin pretreatment reduced the effect of clonidine, but addition of $PGF_{2\alpha}$ after washing-out the indomethacin caused the contraction to the control level. From these results it is suggested that PG synthesis is a necessary step and the PG itself has a permissive role in ${\alpha}_2-adrenoceptor$ action in rat vas deferens.