대한한의학회지 (The Journal of Korean Medicine)

  • 제31권4호
  • /
  • Pages.178-186
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  • 2010
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  • 1010-0695(pISSN)
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  • 2288-3339(eISSN)
대한한의학회 (The Society of Korean Medicine)
권호 표지

뜸치료가 뇌졸중 편마비의 요골동맥 혈류변화에 대해 미치는 영향

Noninvasive Estimation of Moxibustion Effect on Peripheral Blood Flow by Doppler Ultrasound in Stroke Patients with Hemiplegia: Case Series

  • 윤승규 (경희대학교 한의과대학 심계내과학교실) ;
  • 이상훈 (경희대학교 한의과대학 침구학교실) ;
  • 정우상 (경희대학교 한의과대학 심계내과학교실) ;
  • 배영민 (한국전기연구원 SOI-KOREA 센터)
  • Yoon, Seung-Kyou (Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Lee, Sang-Hoon (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Jung, Woo-Sang (Department of Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Bae, Young-Min (SOI-KOREA Center, Korea Electrotechnology Research Institute (KERI))
  • 투고 : 2010.04.09
  • 심사 : 2010.07.05
  • 발행 : 2010.07.31
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초록

Objectives: This study was to investigate the effect of moxibustion on peripheral blood flow by Doppler ultrasound in post-stroke hemiplegia patients. Methods: Moxibustion was applied on the points of LI4, TE3, TE5 and LI11 on the affected side, and blood flow of the radial artery was measured using the Minimax-Doppler-K device. Blood flow velocity and pulsation index were analyzed before, during, and after moxibustion. Results: The mean value of blood flow velocity in 13 patients showed a tendency of increase during moxibustion, but there was no significant difference in blood flow velocity before and after moxibustion, or pulsation index during and after moxibustion. In addition, among the five patients who showed marked increase tendency on the blood velocity graph, there was significant increase in blood velocity during, and after moxibustion compared with before moxibustion. Conclusions: This study suggests that moxibustion has an effect on peripheral blood flow in stroke patients with hemiplegia. Further validity tests with a larger scale sample are needed for the evidence of its practical use.

키워드

참고문헌

  1. Park YC, Chae JS, Eom JY, Son SS, Choe IS. Thermographic Study on the Effects of Deep Acupuncture at Hapkok(LI4) in Cerebrovascular Hemiplegia. The Journal of Korean Acupuncture & Moxibustion. 2003;20(4):134-44.
  2. Lee SH, Lee YH. Clinical Study with Thermography on Shoulder Hand Syndrome after Stroke. The Journal of Korean Oriental Medical Society. 1997:18(1);25-39.
  3. Han SM, Lee SC. The Change of Blood Flow Velocity of Radial Artery after Linear Polarized Infrared Light Radiation near the Stellate Ganglion: Comparing with the Stellate Ganglion Block. The Korean Journal of Pain. 2001;14(1):37-40.
  4. Seo YS. Flow Velocity Changes of Carotid, Axillary, Brachial and Radial Artery after Stellate Ganglion Block. The Korean Journal of Pain. 1995;8(1):55-9.
  5. Park JS, Lee JH. Effects of Interferential Current Stimulation on the Peripheral Blood Velocity in Healthy Subjects. The Journal of Korean Society of Physical Theraphy. 1999;11(2):37-42.
  6. Kim HS, Ahn KH, Lee JH, Kim EG, Yoon DH, Kim JS, et al. Assessment of Soft Tissue Blood Flow in Hemiplegic Patients with Type I of Complex Regional Pain Syndrome by Power Doppler Sonography. Department of Rehabilitation Medicine, Kyung-Hee University, College of Medicine. 2007;23(1):36-41.
  7. Lee SH, Kim JK, Son YH, Jeong HY, Kim JH, Kwon JN, et al. A Clinical Study of Moxibustion Therapy's Effect on Functional Recovery in Hemiplegia on Stroke. Korean J Orient Int Med. 2008:29(1);278-84.
  8. Lee SH, Kim JK, Son YH, Jeong HY, Kim YK, Kwon JN. The clinical study of Moxibustion Therapy effect on functional recovery in stroke patients. Korean J Orient Int Med. 2008:fal; 243-50.
  9. Choi YS, Kim TK, Jung WS, Moon SK, Lee KS. Effects of Moxibustion on the Edematous Hand in Hemiplegic Patients. Korean J Orient Int Med. 2003:spr;93-103.
  10. Choi YS, Kim TK, Jung WS, Moon SK. Effects of Moxibustion on the Hemiplegic Upper Extremity After Stroke. 2003:24(2);283-9.
  11. Hwang WJ, Yang KP. The Study on the effects of moxibustion on peripheral blood circulation. The Journal of Korean Oriental Medical Society. 1997:18(1);499-505.
  12. Sung KK, Hwang CY, Lee SK, Lee SY, Cheong SS, Kang SY, et al. The Clinical Effect of High Voltage AC Field Therapy(HEALTHTRON) on Peripheral Circulatory Disturbance and Functional Outcome of Rehabilitaion in CVA Patients. Korean Journal of Oriental Physiology & Pathology. 2002:16(3);609-15.
  13. Jeong YH, Huh H, Kim BM. Measurement of blood flow during thermo-therapy. Optical Society of Korea Summer Meeting. 2003:sum; 252-3.
  14. Petrofsky J, Schwab E, LoE T, Cuneo M, Lawson D. The thermal effect on the blood flow response to electriacl stimulation. Med Sci Monit. 2007:13(11);498-504.
  15. Chen CC, Johnson MI, McDonough S, Cramp F. The effect of transcutaneous electrical nerve stimulation on local and distal cutaneous blood flow following a prolonged heat stimulus in healthy subjects. Clin Physiol Funct Imaging. 2007:27;154-61. https://doi.org/10.1111/j.1475-097X.2007.00731.x
  16. Moon SK, Whang YK, Park SU, Ko CN, Kim YS, Bae HS, et al. Antispastic effect electroacupuncture and moxibustion in stroke patients. AJCM 31(3):2003:467-74. https://doi.org/10.1142/S0192415X03001077