The Effect of Acupuncture Therapy of Tian-zong (SI11) on Pulmonary Function Test of Patients with Dyspnea

천종혈(SI11) 자침이 자각적 호흡곤란 환자의 폐기능변화에 미치는 영향

  • 주창엽 (경희대학교 한의과대학 폐계내과학교실) ;
  • 이재성 (경희대학교 한의과대학 폐계내과학교실) ;
  • 황우석 (경희대학교 한의과대학 폐계내과학교실) ;
  • 정희재 (경희대학교 한의과대학 폐계내과학교실) ;
  • 정승기 (경희대학교 한의과대학 폐계내과학교실) ;
  • 이형구 (경희대학교 한의과대학 폐계내과학교실)
  • Published : 2002.09.01

Abstract

Objectives : Dyspnea is one of the most common symptoms that we meet, but so far there has been no research about the effects of acupuncture therapy on it. This study was performed in order to evaluate the effect of acupuncture therapy on dyspnea by means of using objective indexes. Methods : The effect of acupuncture therapy was assessed by analyzing the pulmonary function test (PFT) in 10 patients, who had suffered from dyspnea and had pain at the acupuncture point Tian-zong (SI11) when it was compressed by a finger, at our outpatient department. Each patient was treated with acupuncture therapy at both sides of Tian-zong. We compared the results of pre-treatment and post-treatment PFTs, including forced vital capacity (FVC), forced expiratory volume in one second (FEV 1.0), and peak expiratory flow rate (PEFR). Results : FVCs of pre-treatment and post-treatment PFTs were $2.23{\pm}0.34(L)$ and $2.40{\pm}0.36(L)$ respectively (P<0.01). FEV1.0s of pre-treatment and post-treatment PFTs were $1.54{\pm}0.37(L)$ and $1.65{\pm}0.41(L)$ respectively (p<0.05). PEFRs of pre-treatment and post-treatment PFTs were $3.41{\pm}1.26(L)$ and $3.93{\pm}1.42(L)$ respectively (p<0.05). Conclusions From the above data, we conclude that FVC, FEV1.0, and PEFR in dyspneic patients have been improved after acupuncture therapy of Tian-zong, so acupuncture therapy of Tian-zong may relieve the dyspnea symptom.

Keywords

References

  1. Harrison' principles of internal medicine.(15th ed.) Dyspnea and pulmonary edema. Ingram RH, Jr.;Braunwald E.;Braunwald E; Fauci AS;Kasper DL;Hauser SL;Longo DL;Jameson JL(eds.)
  2. 결핵 및 호흡기질환 v.46 no.2 만성폐질환자의 폐기능손상 및 장애 평가에 있어서 호흡곤란정도의 유용성. 박재민;이준구;김영삼;장윤수;안강현;조현명;김세규
  3. 대한응급의학회지 v.7 no.4 급성 천식환자의 Salbutamol 분무치료에서 응급 페기능검사의 의의. 안성태;이용주;이준희;한승태;백광제
  4. Chest. v.96 no.6 The relationship between pulmonary function and dyspnea in obstructive lung disease. Wolkove N;Dajczman E;Colacone A;Kreisman H.
  5. 동의폐계내과학(12판) 전국한의과대학 폐계내과학교실(편저)
  6. 내과학의 최신지견Ⅱ. (1판) 김원동(편저)
  7. 대한내과학회지 v.55 no.4 호흡곤란증의 감별진단. 신동호
  8. 증상감별치료(1판2쇄) 이봉교(편역)
  9. 임상호흡기학(1판9쇄) 한용철
  10. Clin Chest Med. v.11 no.3 Dyspnea in the patient with chronic obstructive pulmonary disease. Etiology and management. Sweer L;Zwillich CW.
  11. ATS News. v.8 Task group on surveillance for respiratory hazards in the occupational setting: surveillance for respiratory hazards. Brooks SM.
  12. Int J Rehabil Res. v.3 no.2 Dyspnoea, disability and distance walked:comparison of estimates of exercise performance in respiratory disease. McGavin CR;Artvinli M;Nace H;McHardy GJ.
  13. Chest. v.85 no.6 The measurement of dyspnea. Contents, interobserver agreement, and physiologic correlates of two new clinical indexes. Mahler DA;Weinberg DH;Wells CK;Feinstein AR.
  14. Med Sci Sports Exerc. v.14 no.5 Psychophysical bases of perceived exertion. Borg GA.
  15. Chest. v.88 no.2 Suppl The objective measurement of breathle-ssness. Killian KJ.
  16. Am Rev Respir Dis v.135 no.6 Comparison of clinical dyspnea ratings and psychophysical measurements of respiratory sensation in obstructive airway disease. Mahler DA, Rosiello RA;Harvel A;Lentine T;McGovern JF;Daubenspeck JA.
  17. 대한내과학회지 v.42 no.6 호흡곤란을 호소하는 환자에서 호홉곤란 지수와 6분 걷기 검사의 임상적 유용성에 대한 연구. 이홍렬;김세규;장준;김성규;이원영
  18. 대전대학교 한의학 연구소 논문집 v.4 no.2 천식의 침구치료에 대한 문헌적 고찰. 홍권의;채우석
  19. Chest. v.93 no.3 Evaluation of clinical methods for rating dyspnea. Mahler DA;Wells CK.
  20. Chest. v.88 no.2 Suppl Assessment and management of breathlessness. Altose MD.
  21. 대한한의학회지 v.12 no.1 天宗(SI11)의 문헌적 고찰. 윤영식;엄태식
  22. 黃帝針灸甲乙經 皇甫謐
  23. 침구학(상) (4판) 전국한의과대학 침구경혈학교실(편저)
  24. 호흡관리의 실제.(1판) 김동수
  25. Manual of Pulmonary Function Testings. (6th ed.) Ruppel GE.
  26. Am Rev Respir Dis. v.136 no.1 Standards for the diagnosis and care of patients with chronic obstructive pulmnonary disease (COPD) and asthma. This official statement of the American Thoracic Society was adopted by the ATS Board of Directors,November 1986. American Thoracic Society.