• 제목/요약/키워드: acupuncture evaluation

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침술과 관련된 아토피 피부염 임상연구의 최근 동향 분석 및 제언 (Recent Trend and Proposal for Acupuncture Clinical Trial on Atopic Dermatitis)

  • 이성은;윤화정;고우신
    • 한방안이비인후피부과학회지
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    • 제30권3호
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    • pp.76-87
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    • 2017
  • Objectives : This study aimed to analyze the recent acupuncture clinical trial on atopic dermatitis and to suggest the plan about how to improve its quality. Methods : Data were collected through electronic database including MEDLINE. We set up the search terms for "atopic dermatitis AND acupuncture" and limited period of data within 6 years and type for RCT(Randomized Clinical Trial), SR(Systemic Review). Results : Total 5 studies were selected. Two were RCTs, and the rest were SRs. RCTs were insufficient about acupoint selection criteria and foundation. SRs both pointed out that systematic clinical trial is required. Conclusions : Based on these, we suggested the plan as follows. 1. Selection criteria - We should reevalute the participants by using diagnostic criteria and scales. 2. Selection acupoints - We should present the foundation that why we choose these acupoints. 3. Establishing acupuncture and control group - We should make control group clearly after calculating the number of participants statistically. 4. Blinding - We should propse the method, type, procedure and evaluation about randomization. 5. Evaluation scale - We should select the suitable scales for research objectives.

침진통 효과에서 스트레스에 의한 진통 효과 개입 여부 평가 - 침굵기, 침자극 부위를 중심으로 - (Evaluation of stress-induced analgesia in acupuncture analgesic effect - An Approach on diameters of acupuncture needles and acupuncture point needlings -)

  • 정병주;최일환;신희섭;임사비나
    • Korean Journal of Acupuncture
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    • 제25권3호
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    • pp.65-80
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    • 2008
  • Objective : In recent years, many investigators have questioned whether the analgesic effect of acupuncture is simply related to the stress-induced analgesia (SIA). However, there has been lack of studies on this issue. In this study, the stress levels induced by manual acupunctures are compared with the stress in animal experiment models. The experiments have been carried out with Sprague Dawley (SD) rats. Method : For stress level evaluation, Hot plate test has been used. Maximum Possible Effect (MPE) has been measured by checking the pre-test time and post-test time. Cortisol and corticosterone concentrations in serum were measured by enzyme-linked immunosorbent assay (ELISA). Results : In the hot plate test, MPE values of post-test time were significantly decreased after 10 minutes than after 5 minutes. Therefore, optimal time interval was chosen as 10 minutes. There was significant difference of MPE values between Suspension group and all other treatment groups. However, there were no significant differences of MPE values between Sham group and all other treatment groups. However, MPE values showed tendency to decrease when acupuncture needle diameter increased. MPE values of ST040, ST040(lido), NAP040(lido) groups were markedly decreased than that of Suspension group, while that of NAP040 group was substantially increased than that of Sham group increased in acupoint and nonacupoint models. Serum cortisol concentrations of treatment groups were not significantly different from that of Suspension and Sham groups. Serum corticosterone concentration of 0.25 mm group was substantially increased than that of compared with Sham group. Serum cortisol and corticosterone concentrations of treatment groups were not significantly different from those of Suspension and Sham groups in acupoint and nonacupoint models. Conclusion : From hot plate test and serum stress hormones concentrations, it is found that manual acupuncture treatment induces negligible stress or SIA on ST36. And the stress induced by manual acupuncture is more closely related to acupuncture point needlings than diameters of acupuncture needles.

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침치료가 폐암 환자의 피로도에 미치는 영향: Pilot Study (The Effectiveness of Acupuncture for Fatigue Severity in Lung Cancer Patients: Pilot Study)

  • 현대성;김종대;권효정;정현정
    • Korean Journal of Acupuncture
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    • 제29권4호
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    • pp.623-633
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    • 2012
  • Objectives : Fatigue is a common and distressing symptom that is a concern for cancer patients. It has a decisive effect on quality of life. The purpose of this study was to examine the feasibility of clinical trial to evaluate of efficacy and safety of acupuncture on cancer related fatigue of lung cancer patients. Methods : Total lung cancer 9 patients complained of fatigue were treated by acupuncture twice a week for four weeks(8 times in total). Evaluation of the severity of fatigue was measured by FSS(Fatigue Severity Score). In visit 1, 10, we checked FSS. For check safety of acupuncture treatment, we did blood test. Results : After 4 weeks of acupuncture treatment, the FSS was significantly decreased from $4.92{\pm}1.06$ to $3.74{\pm}1.37$(p=0.008). And the level of hemoglobin was significantly increased from 10.87 g/dl to 12.01 g/dl(p=0.014). No other lab measures indicated any significant differences between before and after acupuncture treatment. Conclusions : This study suggests that acupuncture treatment will be beneficial for lung cancer patients to improve the fatigue severity. And acupuncture treatment is safe method for lung cancer patients. A large-scale study to confirm efficacy and safety of acupuncture is needed.

The Effects of Miniscalpel Acupuncture on Cervicogenic Headache: A report of three cases

  • Jun, Seungah;Lee, Jung Hee;Gong, Han Mi;Chung, Yeon Joong;Kim, Ju Ran;Park, Chung A;Choi, Seong Hun;Lee, Geon Mok;Lee, Hyun Jong;Kim, Jae Soo
    • Journal of Acupuncture Research
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    • 제34권3호
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    • pp.131-138
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    • 2017
  • Objectives : This study examined the effects of miniscalpel acupuncture (MA) in three patients with cervicogenic headache. Methods : Patients were treated with MA, which was performed once per week for three weeks. A headache score, visual analogue scale (VAS), and neck disability index (NDI) were used for the evaluation of treatment effects. Results : In cases 1, 2, and 3, the headache score decreased from 4 to 1, 3 to 0, and 3 to 1, respectively. The VAS score decreased from 8.5 to 1.9, 5 to 0.4, and 5.3 to 2 in cases 1, 2, and 3, respectively. The NDI score decreased from 28 to 4, 50 to 4, and 38 to 16 in cases 1, 2, and 3, respectively. Conclusion : MA appears to be effective for the treatment of cervicogenic headache. Further data should be collected and a comparative study using other treatment methods should be performed.

금주사액약침(金注射液藥鍼)이 제2형 콜라겐 유도 관절염(關節炎)에 미치는 영향(影響) (The Effects of Aurothiomalate acupuncture on Type II Collagen-induced Arthritis)

  • 김경민;최도영;박동석;이윤호
    • Journal of Acupuncture Research
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    • 제19권3호
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    • pp.14-25
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    • 2002
  • Objective : The purpose of this study was to investigate the effects of Aurothiomalate acupuncture containing Sodium Aurothiomalate on Type II collagen-induced arthritic DBA/1 mice. Methods : The mice were divided into three groups, one control group and two test groups. The control group was injected with saline on Choksamni(ST36) and the two test groups were injected either with Aurothiomalate acupuncture into Choksamni(AT1 group), or with Aurothiomalate acupuncture into Hwando(G30, AT2 group). We measured the incidence of arthritis, the mean index of arthritis, the number of arthritic limbs for the clinical examination and evaluation. We also examined the changes in the level of TNF-$\alpha$ and IL-$1{\beta}$. Results : 1. The incidence of arthritis in mice of the AT1 and AT2 groups were significantly lower than that of the control group. 2. The mean indices of arthritis in mice of the AT1 and AT2 groups were significantly lower than that of the control group. 3. The mean number of arthritic limbs in mice of the AT1 and AT2 groups were significantly lower than that of the control group. 4. The levels of TNF-$\alpha$ of the mice in the AT1 and AT2 groups were significantly different from that of the control group. 5. The levels of IL-$1{\beta}$ of the mice in the AT1 and AT2 groups were not significantly different from that of the control group. Conclusion : These results indicate that the treatment with Aurothiomalate acupuncture could improve the clinical status of Arthritis by suppressing immune responses in the mice of Type II collagen-induced arthritic.

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아건강(亞健康) 치료[치미병(治未病)]에 미치는 태극침법의 효능에 대한 임상적 관찰 (Clinical Observation on Effectiveness of Taegeuk Acupuncture for Patients in Sub-health Status: a Case Series)

  • 김재규;채한;김건형;노승희
    • Journal of Acupuncture Research
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    • 제28권4호
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    • pp.111-117
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    • 2011
  • Objectives : This study aimed to report observed effectiveness and safety of Taegeuk acupuncture for patients in sub-health status. Methods : We analyzed clinical medical records of 36 outpatients who have visited the Pusan national university Korean medicine hospital between March and June, 2010. Patients received 6 sessions of Taegeuk acupuncture according to their constitutional types. Hepatic dullness sound and symptom reduction were used for the evaluation of clinical effectiveness of Taegeuk acupuncture. One traditional Korean medicine doctor performed all treatment procedures and assessments. Patients were allowed to continue their previous medication during acupuncture treatment. However, no additional traditional Korean medicinal interventions except the acupuncture were conducted during the whole treatment period. Results : After 6 sessions of Taegeuk acupuncture, mean hepatic dullness sound scores (0~100) were reduced from $97.3{\pm}9.0$ to $24.3{\pm}23.7$ with statistical significance (n=36, p<0.001). Mean symptom reduction scores (0~100) were changed from 0 to $53.3{\pm}29.6$ with statistical significance (n=24, p<0.001). 24 patients reported 44 cases of additional improvements of perceived health condition during or after the treatment course. No serious adverse events related to the Taegeuk acupuncture treatment were observed. Conclusions : Taegeuk acupunture may be a feasible, effective and safe treatment intervention for patients with chronic symptoms. Further well-designed studies are needed to confirm those observed improvements and evaluate benefits of Taegeuk acupuncture.

화상의 침 치료에 대한 체계적 문헌고찰 (Acupuncture for the Treatment of Burns: A Systematic Review of Randomized Controlled Trials and Case Controlled Trials)

  • 이지은;정서윤;최유민;정민정
    • 대한한방소아과학회지
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    • 제31권4호
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    • pp.19-30
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    • 2017
  • Objectives The study was conducted to evaluate the acupuncture treatment for burns by reviewing international randomized controlled studies and case controlled studies. Methods In the review, ten academic literature archives; NDSL, OASIS, PubMed, Cochrane library, CNKI, WANFANG, CINAHL, J-STAGE, CiNii, and EMBASE were used as the main databases to search for the randomized controlled trials or the case controlled trials about acupuncture treatment of burns using the keywords "burns AND acupuncture", "burn AND acupuncture", and "scald AND acupuncture". Results Initially, a total of 852 studies were founded except duplicate studies. 801 studies were excluded after screening of title and abstract. After reviewing 51 papers, a total of four randomized controlled trials and two case controlled trials were selected. These studies were analyzed by year, subjects, treatment intervention, evaluation criteria, treatment effect, adverse events, and 'Risk of Bias' assessment for randomized studies and non-randomized studies. From the six papers out of 51 papers those were reviewed, patients with burns were divided into two groups. The experimental group received acupuncture treatment, while the control group did not. The results of the completed studies have shown that the experimental group receiving acupuncture treatment demonstrated significant improvement compared to the control group, and there was no serious adverse events. Conclusions According to some of the studies, acupuncture in burn treatment is worth to try. However, additional well-designed randomized controlled studies will be required to justify the effectiveness of acupuncture treatment of burns.

견비통(肩臂痛)에 대한 Trigger Point 자침(刺鍼)과 원위취혈(遠位取穴)의 치료효과(治療效果)에 대한 임상적(臨床的) 비교(比較) 연구(硏究) (Clinical Study of Different Effect between Trigger Point Needling and Remote Acupuncture Point Needling on Shoulder Pain Patient)

  • 이진석;송계화;이성노;김대중;유정석;남효익;김회영;손현수
    • Journal of Acupuncture Research
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    • 제24권5호
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    • pp.89-96
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    • 2007
  • Objectives : This report is to compare Remote Acupuncture Point Needling group with Trigger Point Needling group about Shoulder pain treatment. Methods : From November 11th 2006 to May 10th 2007, 30 cases of shoulder pain patients were divided into 2 groups ; one group(test I group) took remote acupuncture point needling, and the other group(test II group) took trigger point needling. For evaluating change of pain, Visual Analog Scale(VAS) and clinical evaluation grade and Range of Motion was checked before and after Treatment. Results : Both acupuncture therapy showed good effect on shoulder pain. And test II group showed better effect on decreasing pain than test I group. It was proved by the difference between VAS and ROM checked before treatment and what checked after treatment. But it was only significant statistically for adduction, inversion and eversion of shoulder joint motion. Conclusion : Trigger point needling can be recommended as a useful therapy to treat shoulder pain.

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Anti-arthritic effect of radix Paeoniae rubra herb-acupuncture: a behavioral evaluation on adjuvant-induced arthritis rats

  • Kim, Seung-Tae;Hahm, Dae-Hyun;Kim, Gun-Ho;Park, Jong-Bae;Han, Dong-Oh;Park, Hi-Joon;Shim, In-Sop;Park, Hee-Myung;Kim, Ki-Hyun;Kim, Jang-Hyun;Choi, Seong-Hun;Lee, Hye-Jung
    • Advances in Traditional Medicine
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    • 제7권4호
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    • pp.348-356
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    • 2007
  • Radix Paeoniae rubra (PR) has been widely used for recovering acute inflammation with swelling and pain in Far East Asian countries. In order to investigate the anti-arthritic effect of PR herbacupuncture, several behavioral parameters such as body weight, knee circumference, squeaking threshold, and weight distribution ratio were investigated in an adjuvant-induced mono-arthritis rat model. We performed PR herb-acupuncture on Zusanli (ST36) of the right hind-leg once every second day for a total of 6 times from the second day of initiating arthritis with adjuvant injection, while the control group was treated with saline in the same way. In the experimental group, body weight significantly increased, knee circumference and squeaking threshold significantly decreased indicating the reduction of edema, and both the pain and inflammatory swelling of the hind paws measured by incapacitance meter decreased. Conclusively, PR herb-acupuncture has more promising effect in alleviating arthritic pain and inflammation than saline-acupuncture in rat model, hence further clinical study is required.

원형탈모로 시작된 전신형탈모 환자에 대한 봉독약침 효과에 관한 임상증례보고 (A Case Study of Beevenom Effect on Alopecia Universalis Started from Alopecia Areata)

  • 이승원;고정민;이소영;이민호;김영진;이승훈;유승연;정지윤;권효정;이윤호
    • Journal of Acupuncture Research
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    • 제25권6호
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    • pp.163-173
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    • 2008
  • Objectives : The purpose of this study is to see the effect of beevenom on inhibition of Alopecia Universalis. Methods : Beevenom was injected subcutaneously through the borderline of head scalp alopecia starting and, also, region feeling stiff tension. Results : Hair falling off seized and scalp tension was vanished. Conclusions : Beevenom seemed to inhibit the progression of Alopecia by recirculating the blood flow as stiff tension over head was solved and anti-inflammatory effect of beevenom seizing inflammation on the scalp. Further evaluation with big sample size control study would be required to manifest the rationale and effectness of Beevenom over Alopecia Universalis.

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