著者

近藤 桃子 篠原 ひとみ Kondo Momoko Shinohara Hitomi

出版者

秋田大学大学院医学系研究科保健学専攻

雑誌

秋田大学大学院医学系研究科保健学専攻紀要 (ISSN:18840167)

巻号頁・発行日

vol.28, no.2, pp.21-29, 2020-10-31

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目的:三陰交への灸刺激が,女子大学生の月経随伴症状,体温および自律神経活動に及ぼす効果を明らかにする.方法:31名の女子大学生を対象に,月経終了後から次回の月経終了日まで約一か月間,三陰交への灸刺激を各自で行ってもらった.灸刺激前後の黄体期,卵胞期に修正MSQ スコア,月経痛,体温,自律神経活動値(心拍変動解析)を測定した.結果:灸刺激後,黄体期の月経随伴症状は軽減した(p=0.025).修正MDQ スコア下位項目では,黄体期の「痛み(p=0.0016)」「行動の変化(p=0.044)」「否定的感情(p=0.037)」「PMS 症状(p=0.025)」スコアが有意に下降し,「気分の高揚」スコアが有意に上昇した(p=0.025).また,月経痛のスコアは有意に減少した(p=0.005).灸刺激後,黄体期の足部深部温は有意に上昇し(p=0.047),自律神経活動は黄体期に,HF の有意な低下(p=0.029)とLF/HF の有意な上昇(p=0.044)がみられた.結論:三陰交への灸刺激は若年女性の足部の体温を上昇させ,月経随伴症状や月経痛を軽減させることが示唆された.また,灸刺激は副交感神経活動の低下と交感神経活動の上昇を促す可能性がある.Purpose: This study aimed to clarify the changes in menstruation-associated symptoms, temperature, and autonomic nervous activity after moxibustion in Sp6.Methods: Thirty-one female college students underwent moxibustion in Sp6 during the period from the last day of menstruation to the beginning day of the next menstruation, and their menstruation-associated symptoms (modified MDQ score), body temperature (sole and abdominal), and autonomic nervous activity (measures from heart rate variability), during the luteal and follicular phases were assessed.Result: After performing moxibustion, the modified MDQ score during the luteal phase decreased (p=0.025). Among the nine factors of the modified MDQ score, significant reductions were observed in the scores for "pain (p=0.0016)", "change in behavior (p=0.044)", "negative feelings (p=0.037)" and "PMS symptoms (p=0.025)", However a significant increase in the "arousal" score was observed(p=0.025). The menstrual colic score also significantly decreased (p=0.005). The temperature of the deep part of the foot significantly increased after moxibustion (p=0. 047). Concerningautonomic nervous activity, a significant decrease in HF (p=0.029) and increase in LF/HF (p=0.044) were observed in the luteal phase.Conclusion: The present findings suggest that the moxibustion in Sp6 increases the foot’s temperature and reduces menstruation-associated symptoms. Moxibustion in Sp6 may decrease parasympathetic nerve activity and increase sympathetic nerve activity.