대한한의학회지 (The Journal of Korean Medicine)

  • 제33권1호
  • /
  • Pages.12-23
  • /
  • 2012
  • /
  • 1010-0695(pISSN)
  • /
  • 2288-3339(eISSN)
대한한의학회 (The Society of Korean Medicine)
권호 표지

임상연구의 고혈압 침치료법에 대한 고찰

Review of Acupuncture Treatment for Hypertension in Clinical Trials

  • 정소영 (한국한의학연구원 의료연구부 침구경락연구그룹) ;
  • 박지은 (한국한의학연구원 의료연구부 침구경락연구그룹) ;
  • 김정은 (한국한의학연구원 의료연구부 침구경락연구그룹) ;
  • 김애란 (한국한의학연구원 의료연구부 침구경락연구그룹) ;
  • 최선미 (한국한의학연구원 의료연구부 침구경락연구그룹)
  • Jung, So-Young (Acupuncture, Moxibustion & Meridian Research Group, Division of Medical Research, Korea Institute of Oriental Medicine) ;
  • Park, Ji-Eun (Acupuncture, Moxibustion & Meridian Research Group, Division of Medical Research, Korea Institute of Oriental Medicine) ;
  • Kim, Jung-Eun (Acupuncture, Moxibustion & Meridian Research Group, Division of Medical Research, Korea Institute of Oriental Medicine) ;
  • Kim, Ae-Ran (Acupuncture, Moxibustion & Meridian Research Group, Division of Medical Research, Korea Institute of Oriental Medicine) ;
  • Choi, Sun-Mi (Acupuncture, Moxibustion & Meridian Research Group, Division of Medical Research, Korea Institute of Oriental Medicine)
  • 투고 : 2011.10.04
  • 심사 : 2011.11.09
  • 발행 : 2012.03.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study evaluated clinical trials of acupuncture treatment for hypertension and to assess their methodology and results. Methods: Eight Korean databases and four international databases were searched for clinical trials of acupuncture treatment for hypertension up to June 2011. Study quality was assessed using the risk of bias (ROB) tool. Results: Twenty-four trials of acupuncture for hypertension were included. There were 14 randomized and 1 non-randomized controlled trials and 9 before-after studies. The most frequently used acupuncture points were zsnli (ST36), qch (LI11), fngch (GB20), snynjio (SP06), snjin (LI03) and hgu (LI04). In more than half of the studies, needle retention time was 20~30 minutes. Compared to baseline, change of blood pressure after treatment was significant in all studies. However, the results of effect on blood pressure between acupuncture and control were not consistent. Conclusions: There is insufficient evidence to suggest that acupuncture is an effective treatment for hypertension. Further well-designed clinical trials will be required to evaluate the effects and safety of acupuncture treatment for hypertension.

키워드

참고문헌

  1. Lee SH, Kim JI, Cho WH, Lee JJ. A Study on the Patient Satisfaction Survey at the General Hospitals in Korea. Journal of Korean Society of Quality Assurance in Health Care. 1998;5(1):42-57.
  2. 전국한의과대학심계내과학교실. 心系內科學. 2006:154-5.
  3. Guilbert JJ. The world health report 2002-Reducing risks, promoting healthy life. Educ Health. 2003;16:230.
  4. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365(9455):217-23.
  5. Statistics Korea, Korea national health & nutrition examination survey, 2009.
  6. Ketola E, Sipila R, Makela M. Effectiveness of individual lifestyle intervention in reducing cardiovascular disease and risk factors. Annals of Medicine. 2000;32(4):239-51.
  7. Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, et al. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. N Engl Med. 2001;344:3-10.
  8. Neal B, MacMahon S, Chapman N. Effects of ACE inhibitors, calcium antagonists, and other blood-pressure-lowering drugs: resutls of prospectively designed overviews of randomized trials. Lancet. 2000;356:1955-64.
  9. Mensah GA. The global burden of hypertension: good news and bad news. Cardiol Clin. 2002;20(2):181-5.
  10. Kim LW, Zhu J. Acupuncture for essential hypertension. Alternative therapies. 2010;16(2):18-29.
  11. Lee HL, Kim SY, Park JB, Kim YJ, Lee HJ, Park HJ. Acupuncture for lowering blood pressure: Systemic review and meta-analysis. American Journal of Hypertension. 2009;22(1):122-8.
  12. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence Based Medicine : what it is and what it isn't. BMJ. 1996;312(7023):71-2.
  13. Higgins JPT, Altman DG (editors). Cochrane Hand-book for Systematic Reviews of Interventions Version 5.0.1 (updated September 2008) Chapter 8: Assessing risk of bias in included studies. 2008. Available at: URL:http://www.cochrane.handbook.org. Accessed Aug. 2, 2011.
  14. Park CJ, Lee SR. Effect of electro acupuncture at Kugmun(P4) and Naegwan(P6) on EKG of hypertension patients. Korean Journal of Meridian & Acupoint. 2006, 23(4):123-33.
  15. Park JM, Shin AS, Park SU, Sohn IS, Jung WS, Moon SK. The Acute Effect of Acupuncture on Endothelial Dysfunction in Patients with Hypertension: A Pilot, Randomized, Double-Blind, Placebo-Controlled Crossover Trial. Journal of Alternative and Complementary Medicine. 2010;16(8):883-8.
  16. Chiu YJ, Chi A, Reid IA. Cardiovascular and endocrine effects of acupuncture in hypertensive patients. Clinical & Experimental Hypertension (New York). 1997;19(7):1047-63.
  17. Rivas-Vilchis JF, Hernandez-Sanchez F, Gonzalez-Camarena R, Suarez-Rodriguez LD, Escorcia-Gaona R, Cervantes-Reyes JA, et al. Assessment of the vascular effects of PC6(Neiguan) using the second derivative of the finger photoplethysmogram in healthy and hypertensive subjects. The American Journal of Chinese Medicine. 2007;35(3):427-36.
  18. Robinson RC, Wang Z, Victor RG, Vongpatanasin W, Zhang W, Abbas A, et al. Lack of effect of repetitive acupuncture on clinic and ambulatory blood pressure. American Journal of Hypertension. 2004;17:33A.
  19. Tam KC, Yiu HH. The effect of acupuncture on essential hypertension. American Journal of Chinese Medicine. 1975;3(4):369-75.
  20. Sugioka K, Mao W, Woods J, Mueller RA. An unsuccessful attempt to treat hypertension with acupuncture. American Journal of Chinese Medicine. 1977; 5(1):39-44.
  21. Kim DD, Pica AM, Duran RG, Duran WN. Acupuncture reduces experimental renovascular hypertension through mechanisms involving nitric oxide synthases. Microcirculation. 2006;13(7):577-85.
  22. Michikami D, Kamiya A, Kawada T, Inagaki M, Shishido T, Yamamoto K, et al. Short-term electroacupuncture at Zusanli resets the arterial baroreflex neural arc toward lower sympathetic nerve activity. American Journal of Physiology Heart and Circulatory Physiology. 2006;291:318-26.
  23. Williams T, Mueller K, Cornwall MW. Effect of acupuncture-point stimulation on diastolic blood pressure in hypertensive subjects: a preliminary study. Journal of the American Physical Therapy. 1991;71(7):523-9.
  24. Yu YT, Tang LM. Investigation into the potential synergism between body and auricular acupuncture points for the treatment of hypertension. American Journal of Acupuncture. 1995;23(2):184-5.
  25. Yao W, Liu H. Clinical observation on the immediate hypotensive effect of zanzhu point. Journal of Traditional Chinese Medicine. 1996;16(4):273-4.
  26. Yin ZF. Acupuncture treatment of hypertension. International Journal of Clinical Acupuncture. 1998;9(1):57-60.
  27. Ying Z. Clinical study on decreasing blood pressure by different acupuncture therapies. International Journal of Clinical Acupuncture. 2002;13(2):95-9.
  28. Jiang X. Effects of magnetic needle acupuncture on blood pressure and plasma ET-1 level in the patient of hypertension. J Tradit Chin Med. 2003;23(4):290-1.
  29. Macklin EA, Wayne PM, Kalish LA, Valaskatgis P, Thompson J, Pian-Smith MCM, et al. Stop Hypertension with the Acupuncture Research Program (SHARP) - Results of a randomized, controlled clinical trial. Hypertension. 2006;48(5):838-45.
  30. Yin CS, Seo BK, Park HJ, Cho MR, Jung WS, Choue R, et al. Acupuncture, a promising adjunctive therapy for essential hypertension: a double-blind, randomized, controlled trial. Neurological Research. 2007;29(1):98-103.
  31. Flachskampf FA, Gallasch J, Gefeller O, Gan J, Mao J, Pfahlberg AB, et al. Randomized trial of acupuncture to lower blood pressure. Circulation. 2007;115(24):3121-9.
  32. Ha BC. The effect of acupuncture stimulation of Hapgok Taechung points and Sagwan Four joints points on lowering blood pressure of essential hypertension patients. Gyeonggi-do Pocheon: The Graduate School of Complementary & Alternative Medicine, CHA University; 2009.
  33. Park SU, Jung WS, Park JM, Ko CN, Bae HS, Lee IW. Effects of acupuncture at ST36 on blood pressure and endothelial dependent vasodilation in hypertensive patients. Atherosclerosis Supplements. 2009;10(2).
  34. Zhang J, Derek Ng, Amy Sau. Effects of electrical stimulation of acupuncture points on blood pressure. Journal of Chiropractic Medicine. 2009;8(1):9-14.
  35. Han CH, Han CH, Shin MS, Kang BK, Kim GJ, Park SH, et al. The antihypertensive effect of acupuncture treatment(Gyeok pal sang saeng yeok chim) in hypertension patients; control study. Journal of Korean Acupuncture & Moxibution Society. 2008;25(6):13-22.
  36. Ionescu-Tirgoviste C, Bigu V, Danciu A, Cheta D. Results of acupuncture in treatment of essential arterial-hypertension. American Journal of Acupuncture. 1978; 6(3):185-90.
  37. Chiu YJ, Chi A, Reid IA. Acupuncture decreases blood pressure and plasma renin activity in hypertensive patients. Faseb Jounal. 1994;8(4):A580.
  38. Han CH, Park KH, Shin MS, Shin SH, Chio SM. The depressive effect of Hwa-acupuncture treatment in hypertension patients. Journal of Korean Acupuncture & Moxibution Society. 2006;23(6):165-76.
  39. Han CH, Han CH, Shin MS, Shin SH, Chio SM. The antihypertensive effect of Gyeok pal sang saeng yeok chim acupuncture treatment in hypertension patients. Journal of Korean Acupuncture & Moxibution Society. 2006;23(4):49-60.