交感神經活性測量　15分鐘測出自律神經是否「走鐘」

2021-12-03  17:40   記者許高祥／高雄報導

高醫在2021台灣醫療科技展上，免費供民眾體驗皮膚交感神經活性測量。

長期處於壓力之下，容易造成自律神經失調，進而影響身心健康。高雄醫學大學附設中和紀念醫院於2021年臺灣醫療科技展中，推出創新醫療「皮膚交感神經活性測量」，只需15分鐘即可測出自律神經是否「走鐘」？

高醫心臟加護室主任蔡維中醫師表示，人體大部分的生理活動都靠自律神經調控，如果維持生理平衡的機制出了狀況，健康就會亮起紅燈。而在心血管疾病中，有很多屬於自律神經系統異常的疾病，如頑固性高血壓、心衰竭、動脈硬化疾病、心律不整、心肌病變、瓣膜性心臟病、心胞膜病變、昏厥、血管病變、肺高壓等；這些疾病可能因疾病本身異常的活化自律神經系統、或次發於自律神經的不平衡所產生。

然而，目前對於自律神經系統異常狀態，少有可信賴且可再現的簡單檢查方法。高醫心臟內科團隊特別引進新穎且非侵入性的方法「neuECG」，來記錄皮膚交感神經活性(skin sympathetic nerve activity, SKNA與心律變異(heart rate variability, HRV)在各種疾病不同階段的變化。受試者僅需平躺休息紀錄15分鐘，即可得知自律神經的參數，如SKNA、HRV等，可協助醫師進一步為病人設計一套客製化、個人化的醫療。

測量過程中，以「冷壓試驗」與「伐氏操作」等會誘發交感神經活性的手法，的確可以看到SKNA上顯示出交感神經的活化，證明SKNA測量的確可以反映出交感神經活性。當SKNA有活性變化時，可看到心電圖的變化與心跳上升的現象，也證明SKNA測量與傳統以心跳作為交感神經評估相符。高醫的臨床研究證實，心肌梗塞與昏厥病人的皮膚交感神經活性確有變化。

蔡維中醫師表示，長期處於壓力者或疾病狀態如心肌梗塞者，可能與自律神經失調相關，並造成進一步的健康危害。如果能儘早知道自身的自律神經狀態，對身體健康的維持有一定幫助。現場免費供民眾做體驗，了解自己的自律神經狀態。

2021年臺灣醫療科技展至5日止，於台北南港展覽館舉行，高醫醫療體系包含高雄醫學大學、附設中和紀念醫院、小港醫院、大同醫院、旗津醫院及高醫岡山醫院籌設營運處等一校五院資源，於J518展區以「智慧高醫、科技防疫」為主題，展示多項高端科技及創新醫療，並由附設中和和紀念醫院副院長戴嘉言發表「原鄉E護、 高醫守護」專題演講。現場並致贈高醫口罩、提袋、濕紙巾等防疫用品，民眾反應熱烈，似乎不受疫情影響，歡迎專業人士及一般民眾前往參觀、體驗。

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