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만성 근골격계 통증환자에 대한 태극침법의 임상적 유효성: 후향적 의무기록 분석 연구

Taegeuk Acupuncture for Patients with Chronic Musculoskeletal Pain: A Retrospective Analysis of Medical Records

  • 김재규 (부산대학교 한의학전문대학원 임상의학부) ;
  • 김건형 (부산대학교 한의학전문대학원 임상의학부) ;
  • 노승희 (부산대학교 일반대학원 한의학과) ;
  • 김유리 (부산대학교한방병원 침구의학과)
  • Kim, Jae Kyu (Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Kim, Kun Hyung (Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Noh, Seung Hee (Department of Korean Medicine, Graduate School, Pusan National University) ;
  • Kim, Yu Ri (Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital, Pusan National University)
  • 투고 : 2014.05.09
  • 심사 : 2014.06.04
  • 발행 : 2014.06.20

초록

Objectives : This study aimed to assess the effectiveness and safety of Taegeuk acupuncture for patients with chronic musculoskeletal pain. Methods : A retrospective analysis of the electronic medical records of Pusan National University Korean Medicine Hospital from March 2012 to March 2013 was performed. Eligible cases were outpatients who had received at least six sessions of Taegeuk acupuncture for their pain and had agreed to the use of their medical records for research purposes. Pain levels, heart rate variability, and patients' perceptions of the safety of acupuncture were investigated through the medical records and follow-up telephone interviews. Results : Fifteen cases were selected for analysis. All had suffered from musculoskeletal pain for at least one year. After six sessions of Taegeuk acupuncture, the average score on the pain numeric rating scale decreased from $6.7{\pm}2.0$ to $2.9{\pm}2.2$(a 43 % reduction). Follow-up telephone interviews revealed that patients experienced no adverse event after Taegeuk acupuncture. Conclusions : Patients with chronic musculoskeletal pain showed a reduction of more than half of the baseline pain after six sessions of Taegeuk acupuncture. However, the beneficial effects observed in this retrospective analysis should be interpreted with caution due to selection and recall bias. Further randomized controlled trials of Taegeuk acupuncture for chronic musculoskeletal pain are warranted.

키워드

참고문헌

  1. LEE JM. Donguisusebowon. Seoul : Hanglim. 1970 : 7, 57.
  2. Kim JK. Clinical opinion of Taegeuk acupuncture treatment by Sasang(4-type) constitutional medicine. Journal of Korean Acupuncture and Moxibustion Society. 2011 ; 28(2) : 69-73.
  3. Poleshuck EL, Talbot NL, Moynihan JA, Chapman BP, Heffner KL. Depressive symptoms, pain, chronic medical morbidity, and Interleukin-6 among primary care patients. Pain Med. 2013 ; 14(5) : 686-91. https://doi.org/10.1111/pme.12089
  4. Kim JK, Chae H, Kim KH, Noh SH. Clinical observation on effectiveness of Taegeuk acupuncture for patients in sub-health status : a case series. Journal of Korean Acupuncture and Moxibustion Society. 2011 ; 28(4) : 111-7.
  5. Seyd PTA, Ahamed VIT, Jacob J, Joseph KP. Time and frequency domain analysis of heart rate variability and their correlations in diabetes mellitus. International Journal of Biological and Life Sciences. 2008 ; 4(1) : 24-7.
  6. Noh SH, Kim KH, Kim JK. Fibromyalgia treated with Taegeuk acupuncture: a case report. Journal of PNU Korean Medicine Hospital. 2012 ; 1(1) : 69-77.
  7. Kim DH. Heart rate variability. Current practice in cardiology. 2011 ; 5(10) : 16-24.
  8. Evans S, Seidman LC, Tsao JC, Lung KC, Zeltzer LK, Naliboff BD. Heart rate variability as a biomarker for autonomic nervous system response differences between children with chronic pain and healthy control children. J Pain Res. 2013 ; 6 : 449-57.
  9. Anderson B, Nielsen A, McKee D, Jeffres A, Kligler B. Acupuncture and heart rate variability: a systems level approach to understanding mechanism. Explore(NY). 2012 ; 8(2) : 99-106. https://doi.org/10.1016/j.explore.2011.12.002
  10. Matsubara T, Arai YC, Shiro Y et al. Comparative effects of acupressure at local and distal acupuncture points on pain conditions and autonomic function in females with chronic neck pain. Evid Based Complement Alternat Med. 2011 ; 2011. pii: 543291.
  11. Kim NS, Kim SJ, Ryu HJ, Nam SS, Kim YS. Effects of Taegeuk acupuncture on the autonomic nervous system by analyzing heart rate variability in Soyangin. Journal of Korean Acupuncture and Moxibustion Society. 2012 ; 29(3) : 81-8.
  12. Lee JH, Seo EH, Ha JH, Choi AR, Woo CH, Goo DM. A study on the Sasang constitutional differences in heart rate variability. Journal of Sasang Constitutional Medicine 2007 ; 19(3) : 176-87.
  13. Ashburn MA, Staats PS. Management of chronic pain. Lancet. 1999 ; 353(9167) : 1865-9. https://doi.org/10.1016/S0140-6736(99)04088-X

피인용 문헌

  1. 태극침지표에 따른 사상체질감별에 대한 객관적 방법연구 vol.40, pp.2, 2014, https://doi.org/10.13048/jkm.19019