말초성 안면신경마비 환자에서 EMG(Electromyography)와 HRV(Heart Rate Variability)의 임상적 예후인자로서의 유용성 및 상관성 연구 = A Study of Correlation between Electromyography(EMG) and the Heart Rate Variability(HRV) Test, and Their Role as Predicting Factors for Peripheral Facial Palsy Prognosis

다국어 초록 (Multilingual Abstract)

Objectives : This study was performed in order to investigate the effectiveness of electromyography and the Heart Rate Variability(HRV) test as prognosis factors, and to clarify correlation between Electro- myography and the Heart Rate Variability test.
Methods : 44 Bell’s palsy patients who were graded V on the House-Brackmann scale and underwent HRV and EMG testing were retrospectively reviewed based on medical records. Results from both tests were analyzed via simple linear regression, and bivariate correlation analysis was performed to investigate the correlation between results from the two tests. The severity of the facial palsy at onset and at 2 weeks after treatment were evaluated with the H-B grade and Yanagihara grading system, and was converted into improvement scores.
Results : Mean axonal loss according to electromyography showed a statistically significant correlation in predicting peripheral facial palsy improvement(p<0.01).
HR, SDNN, TP, LF, HF, VLF, and LF/HF ratio on the Heart Rate Variability test showed no significant correlation in predicting peripheral facial palsy improvement.
Mean axonal loss determined by electromyography, and HR, SDNN, TP, LF, HF, VLF, and LF/HF ratio recorded with the Heart Rate Variability test was analyzed with the bivariate correlation analysis method. Mean axonal loss and SDNN showed a statistically significant correlation(p<0.01).
Conclusions : The Heart Rate Variability test has no statistical significance in predicting peripheral facial palsy improvement. SDNN has a statistically significant correlation with mean axonal loss as deter- mined by electromyography.

참고문헌 (Reference)

1 나건호, "특발성안면신경마비환자군과 건강검진군의 양도락 진단결과에 대한 비교연구" 대한침구학회 23 (23): 27-38, 2006

2 김남옥, "특발성 말초성 안면신경마비에 대한 한방치료와 양방병용치료의 비교 고찰" 18 (18): 107-, 2001

3 강성길, "침치료에 의한 말초성 안면신경마비의 임상적 고찰" 16 (16): 9-16, 1995

4 민성길, "최신정신의학" 서울 : 일조각 463-, 2000

5 김행범, "체질에 따른 침치료가 특발성 파킨슨 환자의 심박변이도에 미치는 영향" 대한침구학회 24 (24): 163-174, 2007

6 노관택, "이비인후과(두경부외과)" 서울 : 일조각 169-174, 1999

7 김종인, "안면신경평가기준에 따른 口眼？斜의 임상관찰" 대한침구학회 19 (19): 112-123, 2002

8 전중선, "심박변동의 Power Spectrum 분석에 의한 정상 성인의 자율신경기능 평가" 21 (21): 928-934, 1997

9 대한심신스트레스학회, "스트레스과학의 이해" 서울 : 신광출판사 23-152, 1997

10 의학교육연수원, "개정판 가정의학" 서울 : 서울대학교출판부 520-522, 2001

11 김경태, "韓方複合治療가 STRESS로 유발된 末梢性顔面神經麻痺에 미치는 영향" 대한침구학회 21 (21): 53-64, 2004

12 洪元植, "精校 黃帝內經靈樞" 서울 : 東洋醫學硏究院 102-124, 1985

13 金賢濟, "東洋醫學槪要" 서울 : 東洋醫學硏究院 7-, 1977

14 박인범, "末梢性 顔面神經麻痺에 대한 韓方 治療 및 韓·洋方 協診 治療의 臨床的 考察" 대한침구학회 21 (21): 191-204, 2004

15 Task Force of the European Society of Car- diology and the North American Society of Pa- cing and Electrophysiology, "Heart rate variabi- lity. Standards of measurement, physiological in- terpretation, and clinical use" 17 (17): 354-381, 1996

16 정기삼, "HRV의 개요" 25 (25): 528-532, 2004

17 임대정, "HRV(Heart Rate Variability)를 통한 말초성 안면신경마비와 자율신경실조의 상관성 연구" 대한침구학회 22 (22): 51-60, 2005

18 Yanagihara N., "Grading of Facial Palsy. In Fa- cial Nerve Surgery" Amstelveen, Netherlands : Kugler Medical Pu- blications. Birmingham, Al : Aesculapius Publi- shing Co 533-535, 1976

19 House JW, "Facial nerve grading systems" 93 : 146-147, 1985

20 Marra CM., "Bell’s palsy and HSV-1 infection" 22 : 1476-1478, 1999

21 Victor M, "Adams and Victor’s prin- ciples of neurology" New York : McGraw- Hill 1452-1453, 2001