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전침을 포함한 한의학적 치료로 호전된 2명의 뇌졸중 환자의 연하장애 : 증례보고

Two Cases of Post-Stroke Dysphagia by Korean Medical Treatment with Electroacupuncture

  • 김윤정 (동의대학교 부속한방병원 한방내과학교실) ;
  • 제유란 (동의대학교 부속한방병원 한방내과학교실) ;
  • 김광록 (동의대학교 부속한방병원 한방내과학교실)
  • Kim, Yoon-jung (Dept. of Oriental Medicine, College of Oriental Medicine, Dong-Eui University) ;
  • Je, Yu-ran (Dept. of Oriental Medicine, College of Oriental Medicine, Dong-Eui University) ;
  • Kim, Koang-lok (Dept. of Oriental Medicine, College of Oriental Medicine, Dong-Eui University)
  • 투고 : 2019.03.28
  • 심사 : 2019.05.30
  • 발행 : 2019.05.30

초록

Objectives: The aim of this study is to report the effects of Korean medical treatment with electroacupuncture on post-stroke dysphagia. Methods: Two stroke patients with dysphagia received Korean medical treatment including electroacupuncture for about six months and three months respectively. A Numerical Rating Scale (NRS), Video Fluoroscopic Swallowing Study (VFSS) were used to confirm efficacy of electroacupuncture therapy as outcome measurements. Results: After treatment, swallowing function was improved, and symptoms related to dysphagia were decreased. NRS, VFSS showed improvement in stroke patients with dysphagia. Conclusions: This study shows that Korean medical treatment with electroacupuncture can be useful for dysphagia.

키워드

참고문헌

  1. Lee KW, Kim SB, Lee JH, Lee SJ, Ri JW, Park JG. The effect of early neuromuscular electrical stimulation therapy in acute/subacute ischemic stroke patients with Dysphagia. Ann Rehabil Med2014;38(2):153-9. https://doi.org/10.5535/arm.2014.38.2.153
  2. Mann G, Hankey GJ, Cameron D, Swallowing disorders following acute stroke: prevalence and diagnostic accuracy, Cerebrovasc Dis 2000;10(5):380-6. https://doi.org/10.1159/000016094
  3. Lim KB, Lee HJ, Lim SS, Choi YI. Neuromuscular electrical and thermal-tactile stimulation for dysphagia caused by stroke: A randomized controlled trial. J Rehabil Med 2009;41(3):174-8. https://doi.org/10.2340/16501977-0317
  4. Gomez BF, Andia MV, Sarabia M, Ruiz AL, Gonzalez VI, Lopez MN, et al. Gelatinous nutritional supplements: a useful alternative in dysphagia. Nutr Hosp 2011;26(4):775-83.
  5. Seki T, Kurusu M, Tanji H, Arai H, Sasaki H. Acupuncture and swallowing reflex in poststroke patients. J Am Geriatr Soc 2003;51(5):726-7.
  6. Iwasaki K, Kato S, Monma Y, Niu K, Ohrui T, Okitsu R, et al. A Pilot Study of Banxia Houpu Tang, a Traditional Chinese Medicine, for Reducing Pneumonia Risk in Older Adults with Dementia. J Am Geriatr Soc 2007;55(12):2035-40. https://doi.org/10.1111/j.1532-5415.2007.01448.x
  7. Kim TH, Na BJ, Rhee JW, Lee CR, Park YM, Choi CM, et al. The Effect of Moxibustion at Chonjung(CV17, Shanzhong) on Patients with Dysphagia after Stroke. J Korean Orient Int Med 2005;26(2):353-9.
  8. Kim MK, Lu HY, Cho SY, Jung WS, Moon SK, Park JM, et al. Efficacy of Electroacupuncture with Dysphagia Caused by Stroke-Double-blind Randomized Controlled Trial. J Korean Orient Med 2014;35(1):26-40. https://doi.org/10.13048/jkm.14003
  9. Byun SB, Yu JH, Moon AJ, Park BW, Lee SY, Yun JM, et al. Literature Review of Clinical Research Electro-Acupuncture Treatment on Post-stroke Dysphagia. J Korean Orient Physiology & Pathology2014;28(3):280-7.
  10. Baek KM, Kim MJ, Lee HU, Lim SM, An JJ, Yoo HR, et al. A clinical Study of 3 Cases of Stroke Patients with Dysphagia Treated by Simultaneous Scalp-acupuncture and Electroacupuncture. J Korean Orient Int Med2007;28(3):632-44.
  11. Paek EK, Moon KH, Kim HJ, Lee ES, Lee JH, Lee SH, et al. Dysphagia assessment tool for post-stroke patients. Clinical Nursing Research 2007;13(2):19-30.
  12. Lee HS, Cha SJ, Park HJ, Seo JC, Park JB, Lee HJ. Revised Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) : Extending the CONSORT Statement. J Korean Acupunture 2010;27(3):1-23.
  13. Kim KO, Choi GA, Kim WC, Kim KS. The Preliminary Study for Pain Measurements of Headache Patients used by Pain Face Scale. J Oriental Neuropsychiatry2010;21(3):65-75.
  14. O'Neil KH, Purdy M, Falk J, Gallo L. The dysphagia outcome and severity scale. Dysphagia 1999;14(3):139-45. https://doi.org/10.1007/PL00009595
  15. Ono T, Hori K, Nokubi T. Pattern of tongue pressure on hard palate during swallowing. Dysphagia 2004;19(4):259-64. https://doi.org/10.1007/s00455-004-0010-9
  16. Han MA, Kim DW. Clinical review about dysphagia associated with acute ischemic stroke. J Korean Orient Med 2001;22(3):42-50.
  17. Eslick GD. Talley NJ. Dysphagia: epidemiology, risk factors and impact on quality of life-a population-based study, Alimentary pharmacology and therapeutics2008;27(10):971-9. https://doi.org/10.1111/j.1365-2036.2008.03664.x
  18. Carnaby-Mann GD, Crary MA. Examining the Evidence on Neuromuscular Electrical Stimulation for Swallowing. Arch Otolaryngol Head Neck Surg 2007;133(6):564-71. https://doi.org/10.1001/archotol.133.6.564
  19. Lee MG, Yun JM, Park SW, Lee SW, Son JW, Kim YJ, et al. Case Report on Dysphagia Related to The Wallenberg's Syndrome Improved by Acupuncture Therapy. J Korean Orient Physiology & Pathology2005;19(6):1701-5.
  20. Zeng HL, Zhou CX. Therapeutic Effect of Electroacupuncture on Dysphagia after Stroke. J Guangming Chinese Medicine 2007;22(12):45-6.
  21. McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, et al. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults:III Documentation of reliability and validity. Dysphagia 2002;17(2):97-114. https://doi.org/10.1007/s00455-001-0109-1