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집속초음파 치료의 한의 임상 활용에 대한 고찰

Clinical Application of Focused Ultrasound in Korean Medicine

  • 최유민 (우석대학교 한의과대학 침구의학교실) ;
  • 이마음 (한방레이저의학회) ;
  • 허나연 (우석대학교 한의과대학 한방내과학교실) ;
  • 이은희 (우석대학교 한의과대학 한방부인과학교실) ;
  • 최혁용 (법무법인 태평양) ;
  • 서형식 (부산대학교한방병원 한방안이비인후피부과) ;
  • 황의형 (부산대학교 한의학전문대학원 임상의학3교실) ;
  • 장인수 (우석대학교 한의과대학 한방내과학교실)
  • Yoomin Choi (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Woosuk University) ;
  • Maeum Lee (Korean Medical Association for Laser Therapy) ;
  • Nayeon Hur (Department of Internal Medicine, College of Korean Medicine, Woosuk University) ;
  • Eunhee Lee (Department of Korean Obstetrics & Gynecology, College of Korean Medicine, Woosuk University) ;
  • Hyugyong Choi (Bae, Kim & Lee LLC lawyer) ;
  • Hyung-Sik Seo (Department of Ophthalmology, Otolaryngology and Dermatology, Pusan National University Hospital) ;
  • Eui-Hyoung Hwang (Third Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Insoo Jang (Department of Internal Medicine, College of Korean Medicine, Woosuk University)
  • 투고 : 2023.08.04
  • 심사 : 2023.09.11
  • 발행 : 2023.09.27

초록

Objectives : The purpose of this study is to investigate various application methods of focused ultrasound and apply them to clinical use in Korean medicine. Methods : Search was performed using the search engines of electronic databases, including PubMed, ScienceDirect, Cumulative Index to Nursing and Allied Health Literature (CINAHL), ScienceON, Oriental Medicine Advanced Searching Integrated System (OASIS), China National Knowledge Infrastructure (CNKI), Wanfang Data, Japan Science Technology Information Aggregator, Electronic (J-STAGE) and Citation Information by NII (CiNii), from inception to July 2023 without language limitation. Inclusion criteria were clinical studies including randomized controlled trials (RCTs), and animal experimental studies related with focused ultrasound treatments for acupoints or meridian sinews. Results : Total 17 papers, 7 for RCT, 6 for in vivo animal studies, and other experimental studies, were finally selected. Indications used in studies were shoulder pain, back pain, chronic back pain, and degenerative knee arthritis. In experimental studies, studies on animal models of hypoxic ischemic brain damage and hyperlipidemia were also conducted. As for the acupoints, LR3, LI4, and ST36 were used in clinical studies and, in animal experimental studies, GV20, KI1, and ST36 were used. As for the dose, 4 studies below 3 W/cm2 and 3 studies in the range of 0.625 to 5 W/cm2 in clinical studies, and all studies did not exceed 5 W/cm2. In animal experimental studies, 0.5 W/cm2, 2 W/cm2, 7.5 WW/cm2, 15 W/cm2, 10~20 W/cm2 were used. In all three studies describing the penetration depth during irradiation, it was less than 1 cm. Conclusions : We suggest that focused ultrasound is an appropriate treatment tool for stimulating the acupoints to transfer heat energy. Future studies with rigorous and well-designed RCTs for various diseases will be required to ascertain the focused ultrasound stimulate acupoints or meridian sinews.

키워드

과제정보

이 성과는 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(No. 2022R1C1C1011096). 연구비 지원기관은 연구의 설계, 자료 수집과 분석, 출판결정, 원고 작성에 어떠한 영향도 없었음을 밝힌다.

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