한방안이비인후피부과학회지 (The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology)

  • 제37권4호
  • /
  • Pages.13-25
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  • 2024
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  • 1738-6640(pISSN)
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  • 2234-4020(eISSN)
대한한방안이비인후피부과학회 (The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology)
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침과 뜸의 이명 치료에서의 혈류역학적 영향-가속도맥파를 중심으로

Hemodynamic Impact of Acupuncture and Moxibustion in Tinnitus Patients through Acceleration Photoplethysmogram Analysis

  • 이지원 (동국대학교 한방안이비인후피부과 ) ;
  • 박성윤 (동국대학교 한의과대학 진단학교실) ;
  • 홍승욱 (동국대학교 한방안이비인후피부과 )
  • Ji-Won Lee (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, Dongguk University) ;
  • Sung-Yun Park (Department of Diagnostics, College of Korean Medicine, Dongguk University) ;
  • Seung-Ug Hong (Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, Dongguk University)
  • 투고 : 2024.09.05
  • 심사 : 2024.11.06
  • 발행 : 2024.11.25
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초록

Objectives : 본 연구는 후향적 차트 리뷰를 통해 이명 환자에서 침술과 뜸 치료의 혈류역학적 효과를 분석하고자 Acceleration Photoplethysmogram (APG) 지표의 변화를 조사하였다. Methods : 2024년 4월부터 7월까지 동국대학교일산한방병원을 방문한 이명 환자들의 의무기록을 후향적으로 분석하였다. 매 외래 방문 시 침술과 뜸 치료를 시행하였으며, 치료 전후 APG를 측정하였다. 연구 대상자는 주관적 이명을 호소하며 APG 데이터를 이용할 수 있는 환자로 한정하였다. Results : 침술 및 침술과 뜸의 복합치료 후 c/a 비율이 유의미하게 증가하여 동맥 경직도가 감소했음을 시사하였다 (각각 P= 0.002, P= 0.020). 반면, b/a, d/a, e/a 비율에서는 유의미한 변화가 나타나지 않았다. 또한, 개별 환자 분석에서는 특정 환자들(Subject 3, 4, 8)에서 b/a, c/a, d/a 비율에 유의한 변화가 관찰되었다. Conclusion : 이명 환자에서 침술이나 침술과 뜸의 복합치료가 혈류역학적 변화를 유도할 수 있으며, 특히 동맥 경직도 감소와 관련된 c/a 비율의 유의미한 변화를 확인하였다. 또한, 개별 환자 분석에서는 일부 환자에서 특정 APG 지표에 유의한 변화가 나타났다.

키워드

참고문헌

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