침자극과 이완요법이 시험 스트레스에 미치는 영향 -심박변이도와 동공크기변이도를 사용하여- = The Effects of Acupuncture Stimulation and Progressive Relaxation Therapy on Examination Stress of Students -Using Heart Rate Variability and Pupil Size Variability-

다국어 초록 (Multilingual Abstract)

Objectives: The purpose of this study was to investigate the effects of acupuncture stimulation and relaxation therapy on autonomic nervous system for students with examination stress by HRV, PSV and to find out relationship with anti-stress effect. Methods: The study group consists of 42 students were classified into three groups randomly: acupuncture stimulation group(male n=8, female n=6), relaxation therapy group(male n=8, female n=6) and rest group(male n=8, female n=6). Using heart rate variability and pupil size variability, we measured the value of HRT, SDNN, SDSD, LF norm, HF norm, LF/HF ratio, Pupil area, and compared the changes the sympathetic- parasympathetic activity. Measurement value were compared before and after, during midterm examination and normal times. Results: 1. HRT, LF/HF ratio, LF norm of acupuncture group was significantly decreased and HF norm were significantly increased in HRV after acupuncture stimulation at a term of examination. While variables of the other group were no significantly different. 2. SDNN of acupuncture group were significantly increased in HRV after acupuncture stimulation at normal times. 3. Pupil area, LF norm, HF norm of three group were no significantly different in PSV at a term of examination. 4. Pupil area of relaxation group were significantly decreased in PSV at normal times. While variables of the other group were no significantly different. 5. HRT of rest group were significantly decreased in HRV between three groups at a term of examination and normal times. 6. Pupil area of relaxation group were significantly decreased in PSV between three groups at a term of examination and normal times. Conclusion: The results suggest that acupuncture stimulation is associated with changed activity in the sympathetic and parasympathetic nervous system. Measurement values of HRV and PSV are suitable to estimate the activity of automatic nervous system.

참고문헌 (Reference)

1 "최신정신의학" 일조각 129 -130, 1999

2 "제이콥슨 박사의 긴장이완법" 학지사 106-142, 1995

3 "전침 자극이 정상 성인의 심박 변동에 미치는 영향" 20 (20): 157-169, 2003

4 "전반적인 스트레스평가 척도 한국판의 타당도 및 신뢰도" 8 (8): 201-211, 2000

5 "외래용 스트레스량 측정도구 개발 연구" 13 (13): 809-20, 1992

6 "연령별 맥박변이도 표준화에 관한 연구" 2002

7 "신문자침이 인체의 혈장 Norepinephrine β-Endorphin 및 Cortisol에 미치는 영향" 1990

8 "시험스트레스가 안압 및 혈압에 미치는 영향" 대한안과학회잡지 26 (26): 5-13, 1985

9 "사관혈에 대한 문헌적 고찰" 113-47, 1993

10 "명상이 대학생의 스트레스와 자기효능에 미치는 효과" 36 (36): 403-414, 1996

11 "단전호흡 수련이 불안,심박수, 혈압 및 뇌파에 미치는 영향" 8 (8): 45-55, 1997

12 "뇌졸중 환자의 성별과 부위에 대한 Heart Rate Variability의 변화" 1999

13 "뇌졸중 환자에서 심박변동의 Power Spectrum 분석에 의한 자율신경기능 평가" 22 (22): 778-783, 1998

14 "기공외기요법의 항 스트레스 효과 연구" 1 (1): 95-109, 1996

15 "귀비온담탕이 흰쥐의 항스트레스와 면역반응에 미치는 영향" 6 (6): 1-17, 1995

16 "간경변증 환자에서 24시간 심박동수변이를 이용한 자율신경 장애 측정" 53 (53): 371-379, 1997

17 "東醫寶鑑 外形篇" 大星文化社 113-23, 1981

18 "丹溪心法附餘" 大星文化社 45-6, 1982

19 "三因極一病證方論" 일중사 19-, 1992

20 "The pupillary light reflex" 204 : 134-42, 1992

21 "The pupillary light reflex" 204 : 134-42, 1992

22 "The Study on Power Spectral Analysis of Heart Rate Variability for Assessment of Autonomic Function in Cardiovascular Control Institute of Biomedical Engineering" Keio Univ 1995

23 "The Stress of Life" McGraw-hill 118-27, 1978

24 "The Response of Eye-movement and Pupil Size to Audio Instruction while a Moving Target" 131-138, 2000

25 "STRESS의 한의학적 이해" 4 (4): 19-26, 1993

26 "Relaxation therapy for insomnia: Night and day time effects." 38 : 665-678, 2000

27 "Power spectral analysis of heart rate variability after spinal anaesthesia" 71 : 523-7, 1993

28 "Power spectral analysis of heart rate fluctuation a quantitative probe of beat-to-beat cardiovascular control" 220-1, 1981

29 "Influence of academic examination stress on hematological measurements in subjectively healthy volunteers" Janca A 80 : 201-212, 1998

30 "Emotional stability, anxiety and natural killer activity under examination stress" 24 : 613-627, 1999

31 "Effect of sensory stimulation on sympathetic and parasympathetic activities in healthy subjects Journal of the Autonomic Nervous System" 79 : 52-59, 2000

32 "Decreased heart rate by acupuncture stimulation in human via facilitation of cardiac vagal activity and suppression of cardiac sympathetic nerve" 227 : 165-168, 1997

33 "Daytime variations in central nervous system activation measured by a pupillographic sleepiness test" 10 : 1-7, 2001

34 "Baroceptor-sensitive Fluctuations of human pupil diameter" 26 : 233-236, 1999

35 "Assessment of autonomic function in humans by heart rate spectral analysis" 248 : -3, 1985

36 "Alternative Approaches to the Management of Prostatitis progressive relaxation and the concept of functional somatic syndromes" 2 : 34-37, 2003

37 "Acupuncture inhibits sympathetic activation during mental stress in advanced heart failure patient" 8 (8): 399-406, 2002

38 "A global assessment of recent stress International Journal of Psychiatry Medicine" 47-59, 1985

39 "12주간의 뇌호흡 명상 프로그램에 따른 세포성 면역 반응 분석" 42 (42): 121-133, 2003