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。

The Influence of Cervical Spine Massotherapy on Autonomic Nerve Function in Healthy Volunteers

Objective Spinal massotherapy is one of the therapeutic methods of traditional Chinese medicine.The regulative effect of cervical spine massotherapy on the function of autonomic nervous system was investigated according to the traditional Chinese medical theory of the correlativity between viscera and channels.Methods Healthy adult male volunteers were selected and treated by cervical massotherapy including a press of bilateral cervical transverse processes,right and left rotation and a pulling method.Heart rate and heart rate variability were selected as the indices.A change in the tonicity of autonomic nervous system was observed after massotherapy.Results The results observed in 30 normal adult male volunteers showed that heart rate significantly decreased(R-R interval lengthened),SDNN in a time domain analysis significantly increased and the total power spectrum in a frequency domain analysis significantly increased after massotherapy.All the above results suggested that the vagotony increased.Conclusion Cervical spine massotherapy can regulate the tonicity of autonomic nervous system,suggesting the possibility that acupuncture-moxibustion and massotherapy are clinically used to treat cardiovascular diseases,eg arrhythmia.