DOI QR코드

DOI QR Code

Effects of Bee Venom Acupuncture on the Rehabilitation and Quality of Life in Rheumatoid Arthritis Patients

봉독약침이 류마티스 관절염 환자의 기능회복 및 삶의 질에 미치는 영향

  • Lee, Sang-Hoon (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Lee, Hyun-Jong (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Park, Sang-Min (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Kim, Su-Young (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Park, Jae-Kyung (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Hong, Seung-Jae (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Yang, Hyung-In (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Choi, Do-Young (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Kim, Keon-Sik (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Lee, Doo-Ik (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Lee, Yun-Ho (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University) ;
  • Lee, Jae-Dong (Research Group of Pain and Neuroscience in Vision2000 Project, East-West Medical Research Institute, Kyung Hee University)
  • 이상훈 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 이현종 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 박상민 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 김수영 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 박재경 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 홍승재 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 양형인 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 최도영 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 김건식 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 이두익 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 이윤호 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀) ;
  • 이재동 (경희대학교 동서의학연구소 경희비젼2000 통증 및 신경의학 연구팀)
  • Published : 2002.12.01

Abstract

Objective: To evaluate the effects of bee venom acupuncture(BVA) on the rehabilitation and quality of life in rheumatoid arthritis(RA) patients Methods: Patients with RA were treated with the BVA therapy twice a week for 3 months. Tender joint counts, swollen joint counts, morning stiffness, Erythrocyte Sedimentation Rate(ESR), C-reactive protein(CRP), patient global assessment, physician global assessment, Korean health assessment questionnaire(KHAQ) were estimated and analyzed before and after BVA therapy. Results: Tender joint counts, swollen joint counts, morning stiffness showed significant decrease after BVA therapy. But, as acute inflammatory reactants, ESR showed no significant difference and CRP showed significant increase after BVA therapy. Patient global assessment, physician global assessment, and KHAQ index showed significant improvement after BVA therapy. Conclusions: BVA therapy can improve rehabilitation and health-related quality of life in RA patients as well as clinical symptoms and signs. Further study is required in more population with large scale including acute inflammatory reaction of BVA therapy.

Keywords

References

  1. Soc Sci Med v.41 The world health organization Quality of Life Assessment (WHOQOL):position paper from the world health organization Kuyken, W.;Orley, J.;Power, M. https://doi.org/10.1016/0277-9536(95)00112-K
  2. control Clin Trials v.12 The hierarchy o fquality of life assessment, the health assessment questionnaire(HAQ), and issues mandating development of a toxicity index Fries, J.F. https://doi.org/10.1016/S0197-2456(05)80016-9
  3. J. Rheumatol v.24 'Arthrits specific' global health analogue scales assess 'generic' health-related quality of life in patients with rheumatoid arthritis Fries, J.F.;Ramey, D.R.
  4. 대한류마티스학회지 v.9 한국인 류마티스 관절염 환자의 건강 관련 삶의 질 김채기;오광택;최정윤;배상철
  5. Arthritis Rheum v.46 no.2 Guideline for the management of rheumatoid arthritis:2002 Update American College of Rheumatology https://doi.org/10.1002/art.10148
  6. Arthritis Rheum v.42 Listening to the patient. A practical guide to self-report questionnaires in clinical care Wolfe, F.;Pincus, T. https://doi.org/10.1002/1529-0131(199909)42:9<1797::AID-ANR2>3.0.CO;2-Q
  7. Rheumatology v.39 Functional disability and quality-of-life assessment in clinical practice Guillemin, F. https://doi.org/10.1093/oxfordjournals.rheumatology.a031489
  8. 대한류마티스학회지 v.2 한국인 류마티스 질환과 건강 관련 삶의 질 오광택;곽은주;주은경;김태환;이지현;정원태;최정윤;배상철
  9. SF-36 Health Survey Manual and Interpretation Guide Ware, J.E.;Snow, K.K.;Kosinske, M.;Gandek, B.
  10. Med care v.35 Modeling valuatin for EuroQol health states Dolan, P. https://doi.org/10.1097/00005650-199711000-00002
  11. Health policy v.16 EuroQol-a new facility for the measurement of health-related quality of life EuroQol group https://doi.org/10.1016/0168-8510(90)90421-9
  12. Ann intern Med v.116 Cost-effectiveness and cost-benefit analyses in the medical literature Udvarhelyi, S.;Colditz, G.A.;Rai, A.;Epstein, A.M. https://doi.org/10.7326/0003-4819-116-3-238
  13. Arthritis Rheum v.33 Measurement of functional status, quality of life, and utility in rheumatoid arthritis Bell, M.J.;Bombardier, C.;Tugwell, P. https://doi.org/10.1002/art.1780330420
  14. 1996년 최신지견 내과학 서울대학교 의과대학 내과학교실편
  15. Arthritis Rheum v.23 Measurement of patient outcome in arthritis Fries, J.F.;Spitz, P.;Kraines, R.G.;Holman, H.R. https://doi.org/10.1002/art.1780230202
  16. Arthritis Rheum v.43 no.7 Determining minimally important changes in generic and disease-specific health-related quality of life questionnaires in clinical trials of rheumatoid arthritis Kosinski, M.;Zhao, S.Z.;Dedhiya, S.;Osterhaus, J.T.;Ware, J.E.Jr. https://doi.org/10.1002/1529-0131(200007)43:7<1478::AID-ANR10>3.0.CO;2-M