Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

Effect of Sim-eui Point on Allergic Rhinitis, Rhinosinusitis, and Other Causes of Nasal Obstruction

비폐색에 대한 심의혈(心醫穴)의 임상 효과

  • Kwon, Hyo-Jung (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Jae-Kyu (Dep. of Acupuncture and Moxibustion, Pusan National University School of Korean Medicine) ;
  • Lee, Sang-Hoon (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Chang-Hwan (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Yong-Suk (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
  • 권효정 (경희대학교 한의과대학 침구학교실) ;
  • 김재규 (부산대학교 한의학전문대학원 침구학교실) ;
  • 이상훈 (경희대학교 한의과대학 침구학교실) ;
  • 김창환 (경희대학교 한의과대학 침구학교실) ;
  • 김용석 (경희대학교 한의과대학 침구학교실)
  • Received : 2010.05.19
  • Accepted : 2010.05.31
  • Published : 2010.06.20
Download PDF
⟨ Previous Next ⟩

Abstract

목적 : 이 연구는 알레르기 비염 또는 비부비동염으로 인한 비폐색증에 대한 침치료의 효과를 입증하고, 신혈인 심의혈의 임상적 효과를 알아보고자 시도하였다. 방법 : 2009년 9월 22일부터 11월 3일까지 2회 이상 경희의료원 동서비염클리닉에 내원하여 침 치료를 받은 비염환자를 대상으로, 무작위배정방법에 따라 실험군 또는 대조군으로 배정하였다. 실험군은 routine 혈위인 신회 상성 신정 양두유 양찬죽 양지창에 심의혈을 추가하였고, 대조군은 routine 혈위에 양영향을 추가하였다. 유침 시간은 각 군에서 15분간으로 하였다. 유효성 평가 도구로는 SNOT-20를 사용하여 비염의 전반적 증상 점수 변화를 측정하였고, VAS를 사용 하여 비폐색 완화 효과의 정도를 측정하였다. 평가시기는 치료 전후로 하였고, 통계분석은 치료 전후 SNOT-20 차이의 경우 Wilcoxon Signed Ranks Test로, VAS 비교는 Mann-Whitney Test를 이용하여 검정하였다.

Keywords

References

  1. Dykewicz MS, Fineman S, Skoner DP et al. Diagnosis and management of rhinitis: Complete guidelines of the Joint Task Force on Practice Paramaters in Allergy, Asthma and Immunology. Ann Allergy Asthma Immunol. 1998 ; 81 : 478. https://doi.org/10.1016/S1081-1206(10)63155-9
  2. Ng MLS, Wardlow RS, Chrishanthan N et al. Preliminary criteria for the definition of allergic rhinitis : A systemic evaluation of clinical parameters in a disease cohort (I). Clin Exp Allergy. 2000 ; 30 : 1314. https://doi.org/10.1046/j.1365-2222.2000.00853.x
  3. Ng MLS, Wardlow RS, Chrishanthan N et al. Preliminary criteria for the definition of allergic rhinitis : A systemic evaluation of clinical parameters in a disease cohort (II). Clin Exp Allergy. 2000 ; 30 : 1417. https://doi.org/10.1046/j.1365-2222.2000.00913.x
  4. Spector SL, Bernstein IL, Li JT et al. Parameters for the diagnosis and management of sinusitis. J Allergy Clin Immunol. 1998 ; 102 : S107. https://doi.org/10.1016/S0091-6749(98)70045-4
  5. Berman SZ, Mathison DA, Stevenson DD et al. Maxillary sinusitis and bronchial asthma: Correlation of roentgenograms, cultures, and thermograms. J Allergy Clin Immunol. 1974 ; 53 : 311. https://doi.org/10.1016/0091-6749(74)90111-0
  6. Salib RJ, Drake-Lee A, Howarth PH. Allergic rhinitis: past, present and the future. Clin Otolaryngol Allied Sci. 2003 ; 28(4) : 291-303. https://doi.org/10.1046/j.1365-2273.2003.00706.x
  7. Craig TJ, McCann JL, Gurevich F, Davies MJ. The correlation between allergic rhinitis and sleep disturbance. J Allergy Clin Immunol. 2004 ; 114(5 Suppl) : S139-45.
  8. de Shazo RD, Kemp SF. Immunotherapy and immunologic treatments for allergic rhinitis UpToDate[serial online] 2009 Feb[cited 2009 May 1] ; [6 screens]. Available from : URL : http://www.uptodate.com/online/content/topic.do
  9. Piccirillo JF, Merritt MGJ Jr, Richards ML. Psychometric and clinimetric validity of the 20-Item Sino-Nasal Outcome Test(SNOT-20). Otolaryngol Head Neck Surg. 2002 ; 126(1) : 41-7. https://doi.org/10.1067/mhn.2002.121022
  10. Baek MK. Latest Otorhinolaryngology. Seoul : Iljogak. 1997 : 171-2.
  11. Wang MB. Structural causes of nasal symptoms : An overview. UpToDate[serial online] 2009 Apr [cited 2009 May 1] ; [17 screens]. Available from : URL : http://www.uptodate.com/online/content/ topic.do
  12. Vercruysse JP, Wojciechowski M et al. Congenital nasal pyriform aperture stenosis : a rare cause of neonatal nasal obstruction. J Pediatr Surg. 2006 ; 41 : e5.
  13. Samadi DS, Shah UK, Handler SD. Choanal atresia : a twenty-year review of medical comorbidities and surgical outcomes. Laryngoscope. 2003 ; 113 : 254. https://doi.org/10.1097/00005537-200302000-00011
  14. Baraniuk JN, Kim D. Nasonasal reflexes, the nasal cycle, and sneeze. Curr Allergy Asthma Rep. 2007 ; 7 : 105. https://doi.org/10.1007/s11882-007-0007-1
  15. Fletcher RH. An overview of rhinits. UpTo- Date[serial online] 2007 Dec[cited 2009 May 1] ; [9 screens]. Available from : URL : http://www. uptodate.com/online/content/topic.do
  16. Lee SH. Allergic Rhinitis. Korean J Asthma Allergy, Asthma and Allergy Diseases. Seoul : Gunja. 2002 : 189-213.
  17. Passali D, Lauriello M, Mezzedimi C, Bellussi L. Nasal allergy and atmospheric pollution. Int J Pediatr Otorhinolaryngol. 1999 Oct 5 ; 49 Suppl 1 : S257-60.
  18. Yeom SC, Lee GM, Cho NG, Lee GH. The Effectiveness of Recent Traditional Korean Medical Therapy on Treating Allergic Rhinitis Examined by Quality of Life Questionnaires. J Korean Acup & Moxib Soci. 2007 ; 24(1) : 79-98.
  19. Rhee CS. Immunotherapy for Allergic Rhinitis: Current and Future. Korean J Otolarngol. 2005 ; 48 : 1312-22.
  20. Lee MS, Pittler MH, Shin BC et al. Acupuncture for allergic rhinitis: a systematic review. Ann Allergy Asthma Immunol. 2009 ; 102 : 269. https://doi.org/10.1016/S1081-1206(10)60330-4
  21. Kim JS, Kim YS, Nam SS. Systemic review: The study on Rhiniti with acupuncture in PubMed and Chinese medical journals. J Korean Acup & Moxib Soci. 2004 ; 21(1) : 70-85.
  22. Park YC, Jo JH, Hong KE, Kang WC, Choi SM. Effect of Acupuncture on Nasal Obstruction in Patients with Persitent Allergic Rhinitis: A Randomized Controlled Trial. J Korean Acup & Moxib Soci. 2005 ; 22(6) : 229-39.
  23. Lee YK, Chae BY. Clinical Study on the Antiallergic Effect of Sin-i cheongpae eum. J Korean Otolaryngol. 2000 ; 13(2) : 165-81.
  24. Wu HS, Kim CH. Oriental Medicine for the Treatment of Allergic Rhinitis. J Korean Med. 2006 ; 27(1) : 155-64.
  25. Kim CH, Kim YS. Practical Acupuncture. Seoul : Jeongdam. 2003 : 278-80.
  26. Choi YT, Lee HJ, Lim S. Scriptures of Acupuncture. Seoul : Iljungsa. 2002 : 5, 158.