개 빈맥에 대한 내관(PCO6) 및 심수(BLl5) 자침의 효과

The Efficacy of Needle-Acupuncture at Nei Guan (PC06) and Xin Shu (BL15) on Canine Tachycardia

  • 조영호 (충남대학교 수의과대학) ;
  • 전형규 (충남대학교 수의과대학) ;
  • 김남주 (충남대학교 수의과대학) ;
  • 임수정 (충남대학교 수의과대학) ;
  • 정해성 (충남대학교 수의과대학) ;
  • 김상훈 (충남대학교 수의과대학) ;
  • 유명조 (전북대학교 수의과대학) ;
  • 김덕환 (충남대학교 수의과대학)
  • Cho, Young-Ho (College of Veterinary Medicine Chungnam National University) ;
  • Jun, Hyung-Kyou (College of Veterinary Medicine Chungnam National University) ;
  • Kim, Nam-Joo (College of Veterinary Medicine Chungnam National University) ;
  • Lim, Soo-Jung (College of Veterinary Medicine Chungnam National University) ;
  • Jeong, Hae-Seong (College of Veterinary Medicine Chungnam National University) ;
  • Kim, Sang-Hun (College of Veterinary Medicine Chungnam National University) ;
  • You, Myung-Jo (College of Veterinary Medicine, Chonbuk National University) ;
  • Kim, Duck-Hwan (College of Veterinary Medicine Chungnam National University)
  • 발행 : 2008.10.31

초록

본 연구는 개 빈맥에 대한 내관 (PC06) 및 심수 (BLl5)자침의 효과를 입증하고자 실시하였다. 총 18두의 비글견을 대조군 (6두), PC06 군 (6두) 및 BL15 군 (6두)로 각각 나누었다. 빈맥은 glycopyrrolate를 근육주사하여 유발하였다. 대조군은 아무런 처치를 하지 않았으나, 실험군은 glycopyrrolate 투여와 동시에 각각 PC06 및 BL15에 20분간 유침하였으며, R-R 간격의 변화 및 호흡수의 변화를 측정하였다. PC06군과 BL15군에서의 R-R 간격은 대조군에 비하여 유의성 있는 증가를 나타내었으며, BL15군의 R-R 간격은 PC06군에 비하여 유의성 있는 증가를 나타내었다. PC06군의 호흡수는 대조군과 비슷한 경향을 나타냈으나 BL15군은 대조군 및 PC06군에 비하여 유의성 있는 감소를 나타내었다. 결과적으로, PC06 및 BL15의 자침은 개 빈맥의 회복에 도움이 되며, BL15가 PC06보다 효과적인 것으로 판단된다.

This study examined the efficacy of needle-acupuncture (AP) at Nei Guan (PC06) and Xin Shu (BL15) on canine tachycardia. A total of 18 beagle dogs were divided into three groups: a control (6 heads), PC06 (6 heads) and PC06 (6 heads) group. Tachycardia was induced by an intramuscular injection of glycopyrrolate. No treatment was given to the control group. Needle-AP at PC06 and BL15 were applied simultaneously at the same time as the glycopyrrolate injection for 20 minutes in PC06 and BL15 groups, respectively. The changes in R-R intervals and respiration rates were determined. The changes in the R-R intervals in the PC06 and BL15 groups were significantly higher than the control group. The R-R intervals of the BL15 group were significantly higher than in the PC06 group. The changes in the respiration rates in the PC06 group were similar to those of the control group. However, the respiration rates in the BL15 group were significantly lower than the control and PC06 groups. In conclusion, needle-AP at PC06 and BL15 is effective in assisting in the recovery from induced canine tachycardia. However, needle-AP at BL15 is more effective than that at PC06.

키워드

참고문헌

  1. Cai RL, Hu L, Zhou YP, Wu ZJ, Wang KM, Tang XM, Li M, Li ZH. Effect of electroacupuncture of 'Shenmen' (HT7) and 'Zhizheng'(SI7) on cardiac function and electrical activities of cardiac sympathetic nerve in acute myocardial ischemia rabbits. Zhen Ci Yan Jiu 2007; 32: 243-246
  2. Chao DM, Shen LL, Tjen-A-Looi S, Pitsillides KF, Li p, Longhurst JC. Naloxone reverses inhibitory effect of electroacupuncture on sympathetic cardiovascular reflex responses. Am J Physiol 1999; 276: 2127-2134
  3. Diker E, Ozdemir M, Tezcan UK, Aydogdu S, Korkmaz S, Sozutek Y, Kutuk E. Can isolated, Symptomaic, frequent ventricular premature depolarizations be a predictor of an inducible ventricular tachycardia? Treatment by radiofrequency catheter ablation. Jpn Heart J 1997; 38: 127-132 https://doi.org/10.1536/ihj.38.127
  4. Duncan B, White A, Rahman A. Acupuncture in the treatment of fibromyalgia in tertiary care-a case series. Acupunct Med 2007; 25: 137-147 https://doi.org/10.1136/aim.25.4.137
  5. Ga H, Choi JH, Park CH, Yoon HJ. Acupuncture needling versus lidocaine injection of trigger points in myofascial pain syndrome in elderly patients-a randomized trial. Acupunct Med 2007; 25: 130-136 https://doi.org/10.1136/aim.25.4.130
  6. Hansson Y, Carisson C, Olsson E. Intramuscular and periosteal acupuncture for anxiety and sleep quality in patients with chronic musculoskeletal pain-an evaluator blind, controlled study. Acupunct Med 2007; 25: 148-157 https://doi.org/10.1136/aim.25.4.148
  7. Hsu CC, Weng CS, Liu TS, Tsai YS, Chang YH. Effects of electrical acupuncture on acupoint BL15 evaluated in terms of heart rate variability, pulse rate variability and skin conductance response. Am J Chin Med 2006; 34: 23-36 https://doi.org/10.1142/S0192415X06003606
  8. Imai K, Ariga H, Chen C, Mantyh C, Pappas TN, Takahashi T. Effects of electroacupuncture on gastric motility and heart rate variability in conscious rate. Auton Neurosci 2008; 138: 91-98 https://doi.org/10.1016/j.autneu.2007.11.003
  9. Jung DS, Han CH, Park SJ, K YK. The Effect of Non- Invasive Sobu(H8) point stimulus by 'DONG CHU CHIM' on HRV. Kor J Orien Med 2007; 13: 129-138
  10. Lee HH, Oh HW, Han JW, Jun HK, Kim DH. The efficacy of needle-acupuncture at Nei Guan (PC06) and Xin Shu (BL15) on bradycardia in dogs. J Vet Clin 2007; 24: 345-349
  11. Lipski J, Cohen L, Espinoza J, Motro M, Dack S, Donoso E. Value of holter monitoring in assessing cardiac arrhythmias in symptomatic patients. Am J Cardiol 1976; 37: 102-107 https://doi.org/10.1016/0002-9149(76)90507-5
  12. Lu JX, Zhou PH, Wang J, Li X, Cao YX, Zhou X, Zhu DN. Medullary ventrolateral nitric oxide mediates the cardiac effect of electroacupuncture at 'Neiguan' acupoint on acute myocardial ischemia in rats. Sheng Li Xue Bao 2004; 56: 503-508
  13. Marine JE. Catheter ablation therapy for supraventricular arrhythmia. JAMA 2007; 298: 2768-2778 https://doi.org/10.1001/jama.298.23.2768
  14. Nelson RW, Couto CG. Cardiac rhythm disturbances and antiarrhythmic therapy. In: small animal internal medicine 3rd ed. St. Louis: Mosby. 2003: 73-97
  15. Schoen AM. Canine acupuncture atlas. In: Veterinary Acupuncture, 1st ed. St. Louis: Mosby 1994: 269-275
  16. Schulze V, Steiner S, Hennersdorf M, Strauer BE. Ivabradine as an alternative therapeutic trial in the therapy of inappropriate sinus tachycardia. A case report. Cardiol 2007; 110: 206-208
  17. Shen XY, Ding GH, Gao JP, Zhao L, Wei JZ, Deng HP, Wang LZ. Effect of infrared laser on pituitrin-induced bradycardia in rabbits. Zhong Xi Yi Jie He Xue Bao 2006; 4: 644-668
  18. Smile DH. Acute alcohol withdrawal complicated by supraventricular tachycardia: treatment with intravenous propranolol. Ann Emerg Med 1984; 13: 53-55 https://doi.org/10.1016/S0196-0644(84)80386-8
  19. Szymkiewicz-Dangel J. Fetal arrhythmia-own experience. Med Wieku Rozwoj 2003; 7: 241-254
  20. Zhou L, Zhang HX, Liu LG, Wan WJ. Effect of electroacupuncture at Fengiong (GV16) on nitric oxide and endothelin in rats with hyperlipidemia. Zhong Xi Yi Jie He Xue Bao 2008; 6: 89-92 https://doi.org/10.3736/jcim20080117
  21. Zhu QF, Zhang FB, Wang KM, Zhou YP. CGRP may take part in the effect of electroacupuncture in resisting acute myocardial ischemic injury. Zhen Ci Yan Jiu 2007; 32: 20-23