Disorder of Autonomic Nervous System in the Patients of Climacteric Syndrome : Using Microvibration

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  • 更年期障害患者における自律神経機能異常 : Microvibrationを用いて
  • コウネンキ ショウガイ カンジャ ニ オケル ジリツ シンケイ キノウ イジョ

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Abstract

Previously we have examined the patients with menopausal symptoms, that is so called climacteric syndrome. We divided them into four types on the basis of personal interviews ; somatic type, psychosomatic type, neurotic type and depressive type. However, many of the patients with climacteric syndrome complain of lumbago, headache, general faigue, hot flush, insomnia and so on with no relationship to any of the four types. This time, we carried out a Microvibration study (lying position and standing position) with them to examine the state of the autonomic nervous system of women with menopausal symptoms. The fine and invisible tremors on the body surface were recognized by Rohracher in 1946 and they were named Microvibration. It has been found that Microvibration distinctly reflects the autonomic function. The results of Microvibration were analyzed and classified into four types, that is, normal pattern, slow wave pattern, fast wave pattern, and irregular wave pattern. Generally, a slow wave pattern indicates the predominance of sympathetic nerves and fast wave pattern the superiority of parasympathectic nerves. We also examined the plasma hormone value (Estradiol, LH, FSH, Testostorone) of the patients, and gave them Schellong's test and a personality test (the Cornell Medical Index). The results are as follows. 1) An abnormal Microvibration pattern was found 59.1% in lying position. 2) The neurotic type that was divided on the basis of personal interviews showed a significantly higher percentage of abnormal Microvibration patterns than others. 3) There was no significant relationship between Microvibration and the Cornell Medical Index. 4) In normal Microvibration pattern cases, the plasma Estradiol value is significant higher than others. 5) There is no relationship between Microvibration and LH, nor FSH nor Testosterone. 6) FSH/LH is 0.777 on the average (standard deviation is 0.338). 7) InSchellong's test, 4 cases was found to be abnormal and 3 of them was also found abnormal in Microvibration.

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