불면환자 175명의 심박변이도, 체성분 분석 및 동반증상의 특징에 관한 연구 (Study on the Characteristics of Heart Rate Variability, Body component analysis and accompanying symptoms in 175 Insomnia Patients)

서지정보

· 발행기관 : 대한한방신경정신과학회
· 수록지 정보 : 동의신경정신과학회지 / 21권 / 4호 / 21 ~ 39페이지
· 저자명 : 하지원, 김보경

초록

Objectives :This study was to investigate the characteristics of the heart rate variability(HRV), types of insomnia and accompanying symptoms of 175 insomnia patients.


Methods :For this study we carried out HRV, Inbody of 175 patients with insomnia who have come to Dongeui oriental hospital of Dongeui university from the period of Janaury 2008 to September 2010. We studied the association of the insomnia patients' age and gender with HRV, accompanying symptoms and the types of insomnia. The information of the accompanying symptoms and types of insomnia was based on each patients' progress note.


Results :1. There was no significant differences in the characteristics of HRV between male and female.
2. The most frequent symptom shown among the insmonia patents' was headache(41.14%).
3. Comparing the symptoms between the gender, female patients had more dry mouth, alternative periodic chill and fever, and hot flush symptoms than the male patients.
4. Comparing the symptoms between the age groups(divided in two), the lower age group(20~59) had more dizziness and constipation symptoms than the higher age group(over 60).
5. Comparing the types of insomnia between the age group, the higher age group(over 60) had more termination insomnia.
6. The types of insomnia of the entire insomnia patients were onset insomnia(73.1%), maintenance insomnia(20.6%), termination insomnia(17.1%), shallow sleep(52.6%), listed by order of frequency.
7. The patients who takes hypnotics had more anorexia symptoms than the patients who doesn't take hypnotics.
8. There was no visible differences of the average fractal portrait between male and female. The age group of 20~30yrs. had the highest average fractal portrait, and the age group of 30~59yrs. the second highest, and the age group over 60yrs. the lowest.
9. The average of the regulation reserves of the autonomic nervous system(B2) - was lower than the regulation level of the ANS at the present(B1).
10. When compared the priority of the function of the ANS, it showed that the proportion of HF(38.61±29.19%)was the most, and than VLF(30.65±23.36%), LF(20.04±19.13%) the least.
11. The average of the compensation level of the central nervous system at present(C1) - was lower than the compensation reserves of the CNS(C2).
12. The average of the control reserves of the cerebrum(D2) - was lower than the control level of the cerebrum at the present(D1).
13. There was no visible differences between different sexes and ages in pulse rate.
14. The abdomen fat ratio above the line of the insomnia patients was 77.97% in male and 93.1% in female. Both sexes showed that insomnia patients had more abdomen fat that the standard, and female patients had more abd. fat than male patients.


Conclusions :This study shows that the HRV of insomnia patients had no significant differences between gender. Fractal portrait, HF, LF and VLF of the insomnia patients are in inverse proportion to the age.
The study of the Body Component Analysis showed that female had more abdomen fat than male, and both gender showed more abdomen fat than the standard.
When looked into the accompanying symptoms of the insomnia patients, the symptoms show differences according to gender, age and hypnotics taking, as shown as below. In the entire patients, Headache was the most accompanying symptom. Female had more dry mouth, alternative periodic chill and fever, and hot flush symptoms than male. Higher age groups had more dizziness and constipation as accompanying symptoms than lower age groups. Patients who takes hypnotics had more anorexia than those who don't.

영어초록

Objectives :This study was to investigate the characteristics of the heart rate variability(HRV), types of insomnia and accompanying symptoms of 175 insomnia patients.


Methods :For this study we carried out HRV, Inbody of 175 patients with insomnia who have come to Dongeui oriental hospital of Dongeui university from the period of Janaury 2008 to September 2010. We studied the association of the insomnia patients' age and gender with HRV, accompanying symptoms and the types of insomnia. The information of the accompanying symptoms and types of insomnia was based on each patients' progress note.


Results :1. There was no significant differences in the characteristics of HRV between male and female.
2. The most frequent symptom shown among the insmonia patents' was headache(41.14%).
3. Comparing the symptoms between the gender, female patients had more dry mouth, alternative periodic chill and fever, and hot flush symptoms than the male patients.
4. Comparing the symptoms between the age groups(divided in two), the lower age group(20~59) had more dizziness and constipation symptoms than the higher age group(over 60).
5. Comparing the types of insomnia between the age group, the higher age group(over 60) had more termination insomnia.
6. The types of insomnia of the entire insomnia patients were onset insomnia(73.1%), maintenance insomnia(20.6%), termination insomnia(17.1%), shallow sleep(52.6%), listed by order of frequency.
7. The patients who takes hypnotics had more anorexia symptoms than the patients who doesn't take hypnotics.
8. There was no visible differences of the average fractal portrait between male and female. The age group of 20~30yrs. had the highest average fractal portrait, and the age group of 30~59yrs. the second highest, and the age group over 60yrs. the lowest.
9. The average of the regulation reserves of the autonomic nervous system(B2) - was lower than the regulation level of the ANS at the present(B1).
10. When compared the priority of the function of the ANS, it showed that the proportion of HF(38.61±29.19%)was the most, and than VLF(30.65±23.36%), LF(20.04±19.13%) the least.
11. The average of the compensation level of the central nervous system at present(C1) - was lower than the compensation reserves of the CNS(C2).
12. The average of the control reserves of the cerebrum(D2) - was lower than the control level of the cerebrum at the present(D1).
13. There was no visible differences between different sexes and ages in pulse rate.
14. The abdomen fat ratio above the line of the insomnia patients was 77.97% in male and 93.1% in female. Both sexes showed that insomnia patients had more abdomen fat that the standard, and female patients had more abd. fat than male patients.


Conclusions :This study shows that the HRV of insomnia patients had no significant differences between gender. Fractal portrait, HF, LF and VLF of the insomnia patients are in inverse proportion to the age.
The study of the Body Component Analysis showed that female had more abdomen fat than male, and both gender showed more abdomen fat than the standard.
When looked into the accompanying symptoms of the insomnia patients, the symptoms show differences according to gender, age and hypnotics taking, as shown as below. In the entire patients, Headache was the most accompanying symptom. Female had more dry mouth, alternative periodic chill and fever, and hot flush symptoms than male. Higher age groups had more dizziness and constipation as accompanying symptoms than lower age groups. Patients who takes hypnotics had more anorexia than those who don't.

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