Circadian changes of autonomic function in patients with zoster-associated pain: A heart rate variability analysis

被引:0
|
作者
Mao, Peng [2 ]
Hu, Hui-Min [1 ]
Li, Ran [1 ]
Zhang, Yuan-Jing [1 ]
Zhang, Yi [2 ]
Li, Yi-Fan [2 ]
Fan, Bi-Fa [2 ]
机构
[1] Beijing Univ Chinese Med, Grad Sch, Beijing, Peoples R China
[2] China Japan Friendship Hosp, Dept Pain Med, Beijing 100029, Peoples R China
来源
BRAIN AND BEHAVIOR | 2024年 / 14卷 / 05期
关键词
autonomic function; circadian changes; heart rate variability; zoster-associated pain; STIMULATION;
D O I
10.1002/brb3.3489
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Objective To investigate the circadian changes of the autonomic function in patients with zoster-associated pain (ZAP). Methods A total of 37 patients with ZAP from April 2022 to October 2022 were enrolled as the observation group, and 37 normal volunteers at the same time were selected as the control group. All participants were required to wear a 24-h Holter, which was used to compare the heart rate variability (HRV) between the two groups. HRV analysis involved time- and frequency-domain parameters. Results There was no statistically significant difference in general information between two groups. Patients with ZAP had an increased mean heart rate and decreased the standard deviation of normal-to-normal (SDNN) R-R interval, the root mean square of the differences (RMSSD) in successive RR interval, low frequency (LF), and high frequency (HF) compared with control groups in all periods (p < .05). The ratio of LF/HF between two groups had no significant difference (p = .245). SDNN had no significant difference between day and night in the control group (p > .05), whereas SDNN of ZAP patients in night period was reduced than that in day period (p < .001). The level of RMSSD during the day was lower than those at night in the control group (p < .05), whereas no significant difference of RMSSD between two periods was observed in patients with ZAP (p > .05). Conclusion The results of this study indicated that ZAP contributes to the decline of autonomic nervous system (ANS) function, especially parasympathetic components. The patients with ZAP lost parasympathetic advantage and had a worse ANS during the night.
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页数:6
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