5단계 가압에 대한 맥파 변화 분석에 의한 맥 패턴 분류와 부침맥(浮沈脈) 연구

A study on floating and sinking pulse by classification of pulse pattern through analysis of P-H volume-curve at 5 applied pressure levels

  • 권선민 (연세대학교 보건과학대학 의공학과 한의공학연구실) ;
  • 강희정 (대요메디(주)) ;
  • 임윤경 (대전대학교 한의과대학 경락경혈학교실) ;
  • 이용흠 (연세대학교 보건과학대학 의공학과 한의공학연구실)
  • Kown, Sun-Min (Dept. of Biomedical Engineering, College of Health Science, Yonsei University) ;
  • Kang, Hee-Jung (Daeyomedi Co., Ltd.) ;
  • Yim, Yun-Kyoung (Dept. of Meridian & Acupoints, College of Oriental Medicine, DaeJeon University) ;
  • Lee, Yong-Heum (Dept. of Biomedical Engineering, College of Health Science, Yonsei University)
  • 투고 : 2010.02.26
  • 심사 : 2010.03.19
  • 발행 : 2010.03.27

초록

Objectives: The information on the depth where pulse wave appears is as important as pulse waveform. The aim of this study was to classify pulse pattern using pressure-height(P-H) volume-curve by 5 applied pressure levels to find out the information on the depth of pulse and interpret the floating & sinking pulse in oriental medical pulse diagnosis. Methods: We used 3 dimensional pulse imaging analyser (DMP-3000, DAEYOMEDI Co., Korea), which measures radial pulse waveforms noninvasively by way of tonometric method at 5 applied pressure levels, and shows P-H volume-curves by applied pressure. 448 subjects were enrolled, pulse waveforms were measured and the P-H volume-curves were gained on the three locations of Chon, Kwan, and Cheok. Results: Gained P-H volume curves were classified into 3 types ; increase type, decrease type, and increase-decrease type. Increase-decrease type appeared more often on Chon and Kwan, while increase type appeared more often on Cheok. In a few cases, decrease-type appeared on Chon and Kawn, however it never appeared on Cheok. Conclusions: Through the classification of pulse by P-H volume-curve, we gained the information on the depth of pulse. We speculate the decrease type as floating pulse, the increase-decrease type as middle pulse, and the increase type as sinking pulse in oriental medical pulse diagnosis. After more researches on P-H volume-curve by applied pressure, the P-H volume-curve may be used as an important factor for pulse diagnosis.

키워드

참고문헌

  1. 강희정, 김경철. 전통맥진의 현대적 객관화를 위한 3차원 맥파 진단시스템 개발. 동의한의연구. 2005 ; 9 : 19-24.
  2. 송낙근, 김중길, 신선화, 김용호, 황규동, 안규석 외. 설문지 통계분석을 통한 변증 진단 객관화 연구. 한의학연구원논문집. 2005 ; 11(1) : 127-38.
  3. 조동욱, 조황성, 홍석철, 이의주, 권건혁, 이창수. 사상의학의 객관화를 위한 유전적 분석 연구. 한의학연구원논문집. 1996; 2(1): 402-6.
  4. 신병철, 이시형. 맥진기를 이용한 중풍환자의 임상적 고찰. 대한동의병리학회. 1999 ; 13(2) : 123-7.
  5. 신상훈, 임혜원, 박영재, 박영배. 심혈관 노화가 맥상에 미치는 영향. 대한한의진단학회지. 2005 ; 9(1) : 59-68.
  6. 김경철, 강희정. 여성 노인의 좌관맥상에 대한 실험적 연구. 동의생리병리학회지. 2006 ; 20(1) : 83-7.
  7. 박영배. 침자극이 맥파에 미치는 영향. 경희의학. 1986 ; 2(4) : S131-3.
  8. 허웅, 한순천, 박영배. 맥동파의 특징점 검출. 대한한의진단학회지. 2000 ; 4(2) : 66-70.
  9. Davies JI, Struthers AD. Pulse wave analysis and pulse wave velocity: a critical review of their strengths and weaknesses. J Hypertension. 2003 ; 21 : 463-72. https://doi.org/10.1097/00004872-200303000-00004
  10. Harold Smulyan, Danish S. Siddiqui, Raymond J. Carlson, Gerard M. London, Michel E. Safar. Clinical Utility of Aortic Pulses and Pressures Calculated From Applanated Radial-Artery Pulses. Hypertension. 2003 ; 42 : 150-5. https://doi.org/10.1161/01.HYP.0000084051.34269.A9
  11. R Kelly, C Hayward, A Avolio, M O'Rourke. Noninvasive determination of age-related changes in the human arterial pulse. Circulation. 1989 ; 80 : 1652-9. https://doi.org/10.1161/01.CIR.80.6.1652
  12. 권선민, 강희정, 이상훈, 임윤경, 이용흠. 측정 자세의 변화에 따른 맥의 변화 특성: 선 자세, 앉은 자세, 누운 자세. 경락경혈학회지. 2009 ; 26(4) : 13-22.
  13. Denardo SJ, Nandyala R, Freeman GL, Pierce GL, Nichols WW. Pulse Wave Analysis of the Aortic Pressure Waveform in Severe Left Ventricular Systolic Dysfunction. Circulation Heart Failure. 2010 ; 3(1) : 149-56. https://doi.org/10.1161/CIRCHEARTFAILURE.109.862383
  14. Staier K, Wiesenack C, Gunkel L, Keyl C. Cardiac output determination by thermodilution and arterial pulse waveform analysis in patients undergoing aortic valve replacement. Canadian journal of anaesthesia. 2008 ; 55(1) : 22-8. https://doi.org/10.1007/BF03017593
  15. 홍순석. 중의진단학. 1판. 서울 : 군자출판사. 2009 : 131-73.
  16. 김경철, 강희정. 맥 의공학 연구방법론. 1판. 안산 : 대요메디(주). 2008 : 78-169.
  17. Mackay RS, Marg E, Oechsli R. Automatic tonometer with exact theory: Various biological applications. Science. 1960 ; 131 : 1688-9. https://doi.org/10.1126/science.131.3414.1688
  18. 윤영준, 정현민, 신학수, 조정현, 소광섭, 정찬길 외. 압력에 따른 맥파의 진폭 특성 -부.침, 대.소, 허.실의 계량화-. 대학물리학회. 2000 ; 40(5) : 494-8.