我們的結論是 2 Hz、15 Hz 和 50 Hz 電針足三里─上巨虛穴能提 升副交感神經的活動，而 2 Hz 電針也能降低交感神經的活動。50 Hz 電針能降低舒張壓和平均動脈壓。因此，推斷 2 Hz、15 Hz 和 50 Hz 電針對人體自律神經活動和血壓扮演部份不同的角色。建議調節自律 神經活動用 2 Hz 電針，而降低血壓採用 50 Hz 電針。
第二節未來展望
本研究僅限於 20 位健康成人的研究，不能代表所有人群或當人體 發生病態時是否同樣的結果有待大規模以及進一步的研究。期望能做 病態下大規模和長時間的研究。
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附錄一：
53
附錄二：
Effects of electroacupuncture at different frequencies on hear Effects of electroacupuncture at different frequencies on hear Effects of electroacupuncture at different frequencies on hear Effects of electroacupuncture at different frequencies on heart t t t
rate variability and blood pressure in normal subjects rate variability and blood pressure in normal subjects rate variability and blood pressure in normal subjects rate variability and blood pressure in normal subjects
participates and plays a modulate role in physiological mechanisms of acupuncture. Several reports find that different frequencies electroacupuncture (EA) produce different physiological action mechanisms. Therefore, the purpose of the present study was to investigate the effect of EA at different frequencies on autonomic nerve activity and blood pressure. A total 20 healthy adult volunteers were studied, the sham, 2 Hz, 15 Hz and 50 Hz EA were applied to bilateral Zusanli (ST36) and Shanjuxu acupoints (ST37), respectively. The individual components of heart rate variability (HRV) and blood pressure were measured in the pre-EA, EA and post EA periods, respectively.
Results indicated that 2 Hz, 15 Hz and 50 Hz EA could increase the values of high frequency (HF), low frequency (LF), total power (TP), and variance of heart rate (VAR); 2 Hz EA also could reduce LF/HF ratio; 50 Hz EA could decrease diastolic pressure and mean arterial pressure.
In conclusion, 2 Hz, 15 Hz and 50 Hz EA apply to bilateral Zusnali-Shanjuxu acupoints can increased parasympathetic activities, and 2 Hz EA also can reduce sympathetic activities.
50 Hz EA can decrease diastolic pressure and mean arterial pressure. Therefore, suggesting 2 Hz, 15 Hz and 50 EA play different partly role on autonomic activities and blood pressure in human. We suggest that 2 Hz may be applied for the modulation of autonomic activities and 50 Hz EA may be applied for the reduction of blood pressure.
55
Keyw Keyw Keyw
Keywords:ords:ords: ords: Heart rate variability; Blood pressure;
Electroacupuncture; Different frequencies;
Zusanli; Shanjuxu.
謝 辭
從本臨床試驗研究開始，到順利的結束，首先最要感謝的是指導教 授謝慶良老師，在身兼附設副院長及針研所所長的忙碌之餘，還花費很 多寶貴的時間在指導我的研究設計及論文寫作，讓我從中獲益良多，另 感謝中醫所唐娜櫻老師及生統中心的師長們，對論文給予寶貴意見，還 有中醫部杜惠娟護理長惠借試驗場地，而後中的學弟妹們熱心的擔任受 試者使試驗能順利完成，更讓人感激。
最後要感謝的是我的妻子教芳，陪伴我整理統計數據到三更半夜，
並在背後默默的支持我，讓我無後顧之憂的完成學業，此後，我將更加 努力投身於中醫臨床及研究，盡己棉薄之力貢獻所學。
賈博安 謹誌 2009 夏