• 제목/요약/키워드: cold pressor test

검색결과 7건 처리시간 0.018초

남녀별 및 실험자의 성별에 따른 동통역치와 동통내성의 차이 (Sex Differences in Pain Threshold and Pain Tolerance and the Effects of Experimenter Gender on Pain Report)

  • Yun-Kyung Hur;Jae-Kap Choi
    • Journal of Oral Medicine and Pain
    • /
    • 제20권1호
    • /
    • pp.97-103
    • /
    • 1995
  • The purpose of this study was to evaluate the effect of experimenter gender on pain report as well as the sex differences in pain threshold and pain tolerance. Cold pressor test and pressure pain threshold (PPT) test were performed on forty dental students by both of a male and a female experimenter separately with 1 day interval. The obtained results were as follows : There were no differences in pain threshold and pain tolerance between males and females when they were examined by the same gender experimenter in the cold pressor test, but when they were examined by the opposite gender experimenter the pain threshold of males was significantly higher than females. When the pain threshold was measured by the same gender experimenter, using a algometer, there was no differences in PPT between males and females. However, when the same measurements were done by the opposite gender experimenter, the PPT of males was significantly higher than females at anterior temporalis and inferior masseter. For cold pressor test, females tended to report lower levels of pain threshold and pain tolerance to a male experimenter than a female, but the differences were not significant. Although both pain threshold and pain tolerance were increased when males were examined by a female experimenter in the cold pressor test, the statistical significance was found only in pain tolerance. When subjects were examined by the opposite gender experimenter in the PPT text, females reported significantly higher levels of pain at inferior masseter and males reported significantly lower levels of pain at anterior temporalis and inferior masseter.

  • PDF

흡연자에서 관상동맥 내피세포 의존성 심근 혈류 예비능: $H_2^{15}O\;PET$ 찬물자극 검사에 의한 평가 (Evaluation of Endothelium-dependent Myocardial Perfusion Reserve in Healthy Smokers; Cold Pressor Test using $H_2^{15}O\;PET$)

  • 황경훈;이동수;이병일;이재성;이호영;정준기;이명철
    • 대한핵의학회지
    • /
    • 제38권1호
    • /
    • pp.21-29
    • /
    • 2004
  • 목적: 젊은 흡연자 및 비흡연자에서 찬물자극 후 심근혈류 예비능을 $H_2^{15}O\;PET$을 이용하여 측정한 후 비교함으로써 흡연에 의한 관상동맥 내피세포의 기능저하를 평가하고자 하였다. 대상 및 방법: 젊은 흡연자 9명($23.8{\pm}1.1$세; $6.6{\pm}2.5$ pack-years) 및 비흡연자 9명($23.8{\pm}2.9$세)에 대하여 안정상태 및 찬물자극 후, 그리고 아데노신 주입 중에 $H_2^{15}O$를 순간주사하고 동적 PET영상을 획득한 뒤, NMF 방법으로 입력 방사능곡선 및 조직 방사능곡선을 처리하여 심근혈류량을 산출하였다. 결과: 흡연자군 및 비흡연자군 사이에 심박수혈압곱 및 안정시 혈류량에는 유의한 차이가 없었다. 그러나, 찬물자극 자극 후에는 심근혈류가 흡연자군에서 비흡연자군에 비하여 유의하게 낮았으며(흡연자군 심근혈류 : $1.25{\pm}0.34$ ml/g/min, 비흡연자군 심근혈류=$1.59{\pm}0.29$ ml/g/min ; p=0.019), 특히 안정시 심근혈류에 대한 찬물자극 후의 심근혈류의 비(내피세포 기능에 의한 심근혈류의 예비능)도 흡연자에서 유의하게 낮았다(흡연자군=$90{\pm}24%$, 비흡연자군=$122{\pm}28%$ ; p=0.024). 한편, 아데노신 주입시의 심근혈류는 두군 간에 유의한 차이가 관찰되지 않았다(흡연자군 심근혈류=$5.81{\pm}1.99$ ml/g/min, 비흡연자군 심근혈류=$5.11{\pm}1.31$ ml/g/min ; p=NS). 결론: 젊은 흡연자에서 찬물자극 후에 $H_2^{15}O\;PET$을 이용하여 측정하여 산출한 심근혈류의 예비능이 젊은 비흡연자에 비하여 감소되어 있어서 흡연에 의한 관상동맥 내피세포의 기능장애를 확인할 수 있었다.

운동부하 및 각종 신체조건이 혈압 및 ECG에 미치는 영향 -제2보- (각종 Stress에 의한 심전도 변화) (Effect of Exercise and Physical Stresses on the Electrocardiogram)

  • 박원균;채의업
    • The Korean Journal of Physiology
    • /
    • 제16권2호
    • /
    • pp.129-136
    • /
    • 1982
  • We studied this experiment to compare the effects of exercise and other body conditions: i.e., Flack test, cold pressor test and bicycle ergometry on the electrocardiogram. We had sixty healthy college students who were thirty nine men and twenty one women. Their $mean{\pm}SD$ values of physical characteristics were as follows: age; $22.0{\pm}1.4$, weight; men $61.7{\pm}5.6\;kg$, women $46.2{\pm}7.47\;kg$. We observed the changes of P-Q and Q-T interval, R and T amplitude, mean QRS vector, S-T segment deviation, and P and T vector. The result obtained were summarized as follows: P vector was shifted rightward regardless of the type of stress. T vector was shifted var-in each stress but in the bicycle ergometry T vector was shifted leftward. Mean QRS vector was shifted rightward immediately after the bicycle ergometry. Percentage of the occurrence of the depression of S-T segment was 21.7% at the immediately after the submaximal bicycle ergometry in lead II. The elevation of S-T segment was often observed after the mild stresses. Increased amplitude of T wave in the cold pressor test and decreased amplitude of T wave in the bicycle ergometry were observed. In the bicycle ergometry and other stresses, the precise mechanism of S-T segment changes was unexplained but insufficient repolarization in base or apex of the left ventricle due to heart strain was indicated by so called S-T vector analysis.

  • PDF

Physiological variations in the autonomic responses may be related to the constitutional types defined in Ayurveda

  • Rapolu, Sunil Buchiramulu;Kumar, Manoj;Singh, Girish;Patwardhan, Kishor
    • 셀메드
    • /
    • 제5권1호
    • /
    • pp.7.1-7.7
    • /
    • 2015
  • According to Ayurveda, an individual can be classified into any one of the seven constitutional types (Prakriti) depending on the dominance of one, two, or three Doshas. A 'Dosha' is representative of fundamental mechanisms that are responsible for homeostasis, and thus, to health. In the recent years, there have been several efforts to see whether certain physiological, haematological or biochemical parameters have any relationship with the constitutional types or not. The objective of the present study was to see if the results of autonomic function tests vary according to Prakriti of an individual. We conducted this study in clinically healthy volunteers of both the gender belonging to the age group of 17 to 35 years after obtaining their written consent. The Prakriti of these volunteers was assessed on the basis of a validated questionnaire and also by traditional method of interviewing. After confirming that the primary Dosha ascertained by both these methods matched, 106 volunteers were grouped into three on the basis of primary Dosha and were subjected to various autonomic function tests such as cold pressor test, standing-to-lying ratio, Valsalva ratio and pupillary responses such as pupil cycle time and pupil size measurement in light and dark. The results suggest that, the autonomic function tests in the healthy individuals may correlate linearly with the primary Dosha expressed in an individual. In particular, people with Kapha as the most dominant Dosha showed a tendency to have either a higher parasympathetic activity or a lower sympathetic activity with respect to their cardiovascular reactivity in comparison to the individuals with Pitta or Vata as the most dominant Dosha.

Sucrose solution for alleviating needle pain during inferior alveolar nerve block in children aged 7-10 years: a randomized clinical trial

  • Supriya Thambireddy;Nirmala SVSG;Sivakumar Nuvvula
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • 제23권5호
    • /
    • pp.273-280
    • /
    • 2023
  • Background: Intraoral local anesthesia is essential for delivering dental care; however, injection of this local anesthetic is perceived as the most painful and distressing agent for children, parents, and healthcare providers. Reducing pain as much as possible is essential to ensure smooth subsequent treatment procedures, especially in pediatric dentistry. In clinical practice, oral sucrose administration has been reported to decrease the pain during heel lance and cold pressor tests in neonates and children. This study aimed to determine whether the prior administration of a 30% sucrose solution reduced the pain related to inferior alveolar nerve block in children. Methods: A total of 42 healthy children aged 7-10 years requiring dental treatment of mandibular molars involving inferior alveolar nerve block were recruited. The participants' demographic details were recorded, height and weight were measured, and the anesthetic injection was delivered after receiving the respective intraoral sucrose solution and distilled water by the intervention (group 1) and control (group 2) group participants for 2 min. The subjective pain perceived during injection was measured using an animated emoji scale. The pain scores between the groups were compared using the Mann-Whitney U test. Results: The median pain score and range for the intervention and control groups were 4 (2 - 6) and 6 (4 - 8), respectively, and statistically significant differences (P < 0.001) were observed in the intervention group. Age, sex, height, and weight did not influence the analgesic effect of the sucrose solution. Conclusion: Oral administration of sucrose may relieve pain associated with inferior alveolar nerve block in children.

음악 청취가 교감신경 활성화에 대한 심혈관 및 자율신경 반응 완화에 미치는 영향 (The effect of listening to music on cardiovascular and autonomic reactivity to sympathoexcitation in young adults)

  • 권정인;김현정;조민정;오유성;제세영
    • 한국응용과학기술학회지
    • /
    • 제40권4호
    • /
    • pp.674-684
    • /
    • 2023
  • 스트레스 자극에 대한 심혈관계 및 교감신경계 과활성화 반응은 향후 심혈관계 질환 발생 및 심장 돌연사의 위험을 증가시킨다. 음악 청취는 자율신경계 기능을 향상시켜 안정 시 긴장 이완을 유도하는 것으로 알려져 있으나 음악이 스트레스 상황에서의 과도한 심혈관 반응을 완화 시킬 수 있는지에 대한 연구는 부족하다. 본 연구는 음악청취가 스트레스 자극에 대한 심혈관 반응성을 완화시켜 줄 수 있을지 검증하였다. 15명의 건강한 성인(남자 9명, 여성 6명)을 대상으로 무작위 교차 실험 설계로 진행하였다. 음악 처치는 음악을 30분간 청취하였고 통제 처치는 30분간 휴식을 취하였다. 냉압박 검사로 교감신경계를 자극하였으며, 변인으로 심박수, 상완 및 중심동맥 혈압과 심박변이도(heart rate variability)를 측정하였다. 연구 결과, 음악 처치와 통제 처치 모두 냉압박 검사 중 심박수와 혈압 반응이 유의하게 증가하였으나(p < .001), 처치와 시기 간 상호작용 효과는 유의하지 않았다. 회복 구간에서 상완동맥 수축기혈압이 음악처치 그룹에서만 유의하게 감소하였다(p = 0.008). 나머지 혈압 변인들도 음악중재 그룹에서 더 완화되는 경향이 나타났으나 통계적으로 유의하지는 않았다. 심박변이도는 음악 처치 전후로 음악 처치 그룹에서만 SDNN(standard deviation of the NN intervals), TP(total power)와 HF(high frequency)값이 유의하게 증가하였다(p = 0.001, p = 0.002, p = 0.011). 따라서 음악 청취는 스트레스 이후의 회복력을 촉진시킬 가능성이 있다. 음악 처치의 구체적인 변인들을 고려하여 과도한 심혈관 반응에 대한 보호 효과로서의 음악 청취에 대한 추가적인 연구가 필요하다.