Journal of Acupuncture Research

  • 제28권6호
  • /
  • Pages.53-68
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  • 2011
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  • 2586-288X(pISSN)
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  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
권호 표지

한의사의 전침사용 임상실태 조사보고

A Survey on the Use of Electroacupuncture by Traditional Korean Medicine Doctor

  • 문진석 (한국한의학연구원 침구경락연구그룹) ;
  • 이상훈 (한국한의학연구원 침구경락연구그룹) ;
  • 김정은 (한국한의학연구원 침구경락연구그룹) ;
  • 김보영 (한국한의학연구원 침구경락연구그룹) ;
  • 최선미 (한국한의학연구원 침구경락연구그룹)
  • Moon, Jin-Seok (Acupuncture, Moxibustion & Meridian Research Center, Korea Institute of Oriental Medicine) ;
  • Lee, Sang-Hun (Acupuncture, Moxibustion & Meridian Research Center, Korea Institute of Oriental Medicine) ;
  • Kim, Jung-Eun (Acupuncture, Moxibustion & Meridian Research Center, Korea Institute of Oriental Medicine) ;
  • Kim, Bo-Young (Acupuncture, Moxibustion & Meridian Research Center, Korea Institute of Oriental Medicine) ;
  • Choi, Sun-Mi (Acupuncture, Moxibustion & Meridian Research Center, Korea Institute of Oriental Medicine)
  • 투고 : 2011.11.09
  • 심사 : 2011.11.29
  • 발행 : 2011.12.20
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초록

Objectives : This study was conducted to investigate status of electroacupuncture(EA) stimulation and adverse effects as a basic information of EA clinical treatment. Methods : The survey was carried twice by e-mail and online service against the traditional Korean medicine doctors registered in the Association of Korea Oriental Medicine. Results : Seventy-eight percent of 284 responders used the EA. The EA was the most widely used for the stimulation of the meridian-muscle on musculo-skeletal pain. In terms of methodological procedure, doctors mainly apply acupuncture with the needle of 2 or 3 pairs of 0.25mm diameter to the depth of 10-50mm for 15 minutes. Respondents used mainly at the frequency of 10Hz and the automatic setting at the intensity of around 3-4 grade. The adverse effects were investigated less then 3% in the 45.9% respondents and non in the 40.5%. The most priority content for better EA treatment was "development of the effective stimulation program". Conclusion : In the result of survey, the frequency of practical use of EA was very high but the applied disease was concentrated in the pain. Hereafter, if the clinical study for safety and effectiveness is secured and more convenient EA tool is developed, the clinical application of the EA is likely to be more expanded.

키워드

참고문헌

  1. 대한침구학회 교재편찬위원회 편저. 鍼灸學 中. 경기 : 集文堂. 2008 : 364-71.
  2. 서동민, 강성길. PubMed 검색을 통한 전침의 최신 연구에 관한 고찰. 대한침구학회지. 2002 ; 19(3) : 168-79.
  3. Coura LE, Manoel CH, Poffo R, Bedin A, Westphal GA. Randomised, controlled study of preoperative electroacupuncture for postoperative pain control after cardiac surgery. Acupunct Med. 2011 ; 29(1) : 5-6. https://doi.org/10.1136/aim.2011.004002
  4. Wang XB, Chen J, Li TJ, Tao J, Chen LD, He J, Chen LR. Effect of electroacupuncture in different frequencies on electromyography and ambulation in stroke patients with lowerextremity spasticity: a randomized controlled study. Zhongguo Zhen Jiu. 2011 ; 31(7) : 580-4.
  5. Dorey G. Conservative treatment of erectile dysfunction. 3: Literature review. Br J Nurs. 2000 ; 9(13) : 859-63.
  6. Shen J, Wenger N, Glaspy J, Hays RD, Albert PS, Choi C, Shekelle PG. Electroacupuncture for control of myeloablative chemotherapyinduced emesis: A randomized controlled trial. JAMA. 2000 ; 284(21) : 2755-61. https://doi.org/10.1001/jama.284.21.2755
  7. Lee A, Done ML. The use of non-pharmacologic techniques to prevent postoperative nausea and vomiting: a meta-analysis. Anesth Analg. 1999 ; 88(6) : 1362-9.
  8. Park J, White AR, Ernst E. Efficacy of acupuncture as a treatment for tinnitus: a systematic review. Arch Otolaryngol Head Neck Surg. 2000 ; 126(4) : 489-92. https://doi.org/10.1001/archotol.126.4.489
  9. Bjorkstrom G. Hellstrom AL, Andersson S. Electro-acupuncture in the treatment of children with monosymptomatic nocturnal enuresis. Scand J Urol Nephrol. 2000 ; 34(1) : 21-6. https://doi.org/10.1080/003655900750016832
  10. Yurtkuran M, Kocagil T. TENS, electroacupuncture and ice massage: comparison of treatment for osteoarthritis of the knee. AM J Acupunct. 1999 ; 23(3-04) : 133-40.
  11. Stener-Victorin E. Waldenstrom U, Tagnfors U, Lundeverg T, Lindstedt G, Janson PO. Effects of electro-acupuncture on anovulation in women with polycystic ovary syndrome. Acta Obstet Gynecol Scand. 2000 ; 79(3) : 180-8. https://doi.org/10.1080/j.1600-0412.2000.079003180.x
  12. Georgiou AJ, Spencer CP, Davies GK, Stamp J. Electrical stimulation therapy in the treatment of cigarette smoking. J Subst Abuse. 1998 ; 10(3) : 265-74. https://doi.org/10.1016/S0899-3289(99)00005-X
  13. Waite NR, Clough JB. A single-blind, placebocontrolled trial of a simple acupuncture treatment in the cessation of smoking. BR J Gen Pract. 1998 ; 48(433) : 1487-90.
  14. Sunamo H, Mateos G. The use of acupuncturelike electrical stimulation for wound healing of lesions unresponsive to conventional treatment. Am J Acupunct. 1999 ; 27(1-2) : 5-14.
  15. Chenge PT, Wong MK, Chang PL. A therapeutic trial of acupuncture in neurogenic bladder of spinal cord injured patients. Spinal Cord. 1998 ; 36(7) : 476-80. https://doi.org/10.1038/sj.sc.3100689
  16. Luo H, Meng F, Jia Y, Zhao X. Clinical research on the therapeutic effect of the electroacupuncture treatment in patients with depression. Psychiatry Clin Neurosci. 1998 ; 52 Suppl : S338-40.
  17. Lin X, Liang j, Ren J, Mu F, Zhang M, Chen JD. Electrical stimulation of acupuncture points enhances gastric myoelectrical activity in humans. Am J Gastroenterol. 1997 ; 92(9) : 1527-30.
  18. Tseng CC, Chang CL, Lee JD, Chen TY, Chang JT. Attenuation of the catecholamine responses by electroacupuncture on Jen-Chung point during post operative recovery period in humans. Neurosci Lett. 1997 ; 228(3) : 187-90. https://doi.org/10.1016/S0304-3940(97)00396-0
  19. 황덕상, 이윤재, 이창훈, 김용석, 장준복, 이경섭. 저주파 전침 위주의 한방비만치료의 체중감량 효과 및 관련 인자에 관한 연구. 대한한방부인과학회지. 2009 ; 22(2) : 140-50.
  20. 정지윤, 김종인, 이상훈, 강성길. 전침이 복부비만 성인의 비만관련 지표에 미치는 영향-무작위배정단일 맹검 예비연구. 대한침구학회지. 2010 ; 27(6) : 43-57.
  21. 이재형. 전기치료학. 2판. 서울 : 대학서림. 2002 : 665-7.
  22. 윤정안, 유윤조, 김강산, 김경식, 김홍훈, 김대중, 조남근. 電鍼의 Parameters에 대한 실험적 연구-자극시간, 시술기간, 자극깊이를 중심으로. 대한침구학회지. 2005 ; 22(1) : 145-53.
  23. CD Lytle, BM Thomas, EA Gordon and V Krauthamer. Electrostimulators for Acupuncture: Safety Issues. The Journal of Alternative and Complementary Medicine. 2000 ; 6(1) : 37-44. https://doi.org/10.1089/acm.2000.6.37
  24. Mike Cummings. Safety aspects of electroacupuncture. Acupunct Med. 2011 ; 29(2) : 83-5. https://doi.org/10.1136/acupmed-2011-010035
  25. 서보명, 서정철, 임성철, 정태영, 한상원. 전침의 임상 연구에 대한 고찰. 東西醫學. 2005 ; 30(2) : 61-9.
  26. 기술표준원. 저주파 치료기 KS C IEC 60601-2-10 : 2008.
  27. 진성순, 송윤경, 임형호. 지방분해를 위한 장침 전기자극 시술의 안정성 및 안전성 연구. 한방재활의학과학회지. 2009 ; 19(1) : 169-86.
  28. Mike Cummings. Report of adverse event with electroacupuncture. Acupunct Med. 2011 ; 29(2) : 147-51. https://doi.org/10.1136/acupmed-2011-010020
  29. 김영석, 홍진우, 정우상, 나병조, 박성욱, 문상관외. 뇌경색 환자의 운동장애에 대한 주파수별 전침치료효과의 비교. 대한한의학회지. 2007 ; 28(3) : 289-98.