The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Systematic Review and Meta-analysis of Electoacupunture Efficacy on Acute Gout

급성 통풍에 적용한 침전기자극술에 대한 체계적 문헌 고찰 및 메타 분석

  • Hwang, Ji Hye (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Gachon University) ;
  • Song, Aejin (Gachon Institute of Korean Medicine) ;
  • Song, Ho-Sueb (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Gachon University)
  • 황지혜 (가천대학교 한의과대학 침구의학과) ;
  • 송애진 (가천대학교 한의학연구소) ;
  • 송호섭 (가천대학교 한의과대학 침구의학과)
  • Received : 2022.04.12
  • Accepted : 2022.05.25
  • Published : 2022.06.01
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Abstract

Objectives: The objective of this study was to appraise the effect of electroacupuncture (EA) for the treatment of acute gout. Methods: Since no suitable study could be found in the domestic database, we performed a literature search up to the end of December 2020 using four international electronic databases. Randomized controlled trials (RCTs) evaluating the effectiveness of EA in the treatment of acute gout were included. The risk of bias was evaluated from the Cochrane risk of bias tool. Results: Eight appropriate RCTs were included and analyzed. Three evaluation tools were mainly used: Total Effective Rate (TER), Uric acid (UA), and Pain score (VAS). In the case of TER, in all eight cases, electroacupuncture alone and combined treatment showed a statistically significant level of improvement compared to Western medicine treatment. In the case of VAS score, electroacupuncture alone and combined treatment showed a more significant effect than Western medicine treatment. In the case of UA level, electroacupuncture combined treatment showed a more significant effect than western medicine treatment. Although not all three evaluation tools were used in all studies, the majority of studies showed that electroacupuncture was effective for acute gout patients. Conclusions: The results of this study suggest that EA treatment may be effective for acute gout. It should be noted, however, that the studies included in this study were geographically biased, small in number, and mostly at high risk of bias. More well-designed studies are needed in the future.

Keywords

Acknowledgement

This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), which is funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HF20C0179).

References

  1. Lee EB. (2011). Clinical Manifestations and Diagnosis of Gout. Korean J Med, 80(3), 255-259.
  2. Roddy E, Doherty M. (2010). Gout. Epidemiology of gout. Arthritis research & therapy, 12(6), 1-11.
  3. Chai W, Tai Y, Shao X, Liang Y, Zheng GQ, Wang P, et al. (2018). Electroacupuncture alleviates pain responses and inflammation in a rat model of acute gout arthritis. Evidence-Based Complementary and Alternative Medicine, 2018, 2598975. https://doi.org/10.1155/2018/2598975
  4. Dalbeth N, Haskard DO. (2005). Mechanisms of inflammation in gout. Rheumatology, 44(9), 1090-1096. https://doi.org/10.1093/rheumatology/keh640
  5. Terkeltaub RA. (2003). Gout. The New England Journal of Medicine, 349(17), 1647-1655. https://doi.org/10.1056/NEJMcp030733
  6. Song JS. (2016). Recent advances in management of gout. J Korean Med Assoc, 59(5), 379-384. https://doi.org/10.5124/jkma.2016.59.5.379
  7. Terkeltaub R. (2010). Update on gout: new therapeutic strategies and options. Nature Reviews Rheumatology, 6(1), 30-38. https://doi.org/10.1038/ nrrheum.2009.236
  8. Bishop FL, Barlow F, Coghlan B, Lee P, Lewith GT. (2011). Patients as healthcare consumers in the public and private sectors: a qualitative study of acupuncture in the UK. BMC Health Serv Res, 11, 129. https://doi.org/10.1186/1472-6963-11-129
  9. Zhao ZQ. (2008). Neural mechanism underlying acupuncture analgesia. Prog Neurobiol, 85, 355 -375. https://doi.org/10.1016/j.pneurobio.2008.05.004
  10. Carlsson CPO. (2002). Acupuncture mechanisms for clinical long-term effects, a hypothesis. Int Congr Ser, 1238, 31-47. https://doi.org/10.1016/s0531-5131(02)00407-7
  11. Hui KK, Liu J, Marina O, Napadow,V, Haselgrove C, Kwong KK, et al.(2005). The integrated response of the human cerebro-cerebellar and limbic systems to acupuncture stimulation at ST 36 as evidenced by fMRI. Neuroimage, 27, 479-496. https://doi.org/10.1016/j.neuroimage.2005.04.037
  12. Feng Y, Lin H, Zhang Y, Li L, Wu X, Wang T, et al. (2008). Electroacupuncture promotes insulin-like growth factors system in ovariectomized osteoporosis rats. Am J Chin Med, 36, 889-897. https://doi.org/10.1142/s0192415x08006326
  13. Korean Acupuncture & Moxibution Society. (2020). Acupuncture Medicine. Paju, Korea: Hanmi Medical Publishing Co.
  14. Lee WB, Woo SH, Min BI, Cho SH. (2013). Acupuncture for gouty arthritis: a concise report of a systematic and meta-analysis approach. Rheumatology (Oxford), 52, 1225-1232. https://doi.org/10.1093/rheumatology/ket013
  15. Lu WW, Zhang JM, Lv ZT, Chen AM. (2016). Update on the clinical effect of acupuncture therapy in patients with gouty arthritis: systematic review and meta-analysis. Evid Based Complement Alternative Med, 2016, 9451670. https://doi.org/10.1155/2016/9451670
  16. Kim SW, Kim KJ, Im CK. (2012). Analysis on the research situations on gout in oriental medicines. Journal of East-West Medicine, 37(4), 21-29.
  17. Kim SW, Byun SH, Kim KJ, Kim SH. (2015). Analysis on the gout-related experiment literatures in Korean medicine. Journal of East-West Medicine, 40(4),15-27.
  18. Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Son HJ, Suh HS, Shin CM. (2011). NECA's guidance for undertaking systematic reviews and meta-analysis for intervention. 1st ed. Seoul:National Evidence-based Healthcare Collaborating Agency, 24-5, 64-75.
  19. Xie JY, Li ZH, Luo HY, Li QX. (2007). Therapeutic observation on the acute goute arthritis mainly treated with electro acupuncture. Journal of Clinical Acupuncture and Moxibustion, 23(10), 23-24. https://doi.org/10.3969/j.issn.1005-0779.2007.10.016
  20. Yin YZ, Zhang HX, Zhang TF. (2005). Clinical observation on electroacupuncture combined with medicine for treatment of acute gouty arthritis. Chinese Acupuncture and Moxibustion, 25(10), 683.
  21. Zou R, Zhang HX, Zhang TF, Xu Y. (2006). Treatment of acute gouty arthritis with electroacupuncture at different frequencies versus medication. Chinese Journal of Clinical Rehabilitation, 10(43), 188-189. https://doi.org/10.13703/j.0255-2930.2005.10.006
  22. Jin Z, Zhang BB. (2012), Electroacupuncture plus Blood -letting Puncture in the Treatment of Acute Gouty Arthritis. Journal of Clinical Acupuncture and Moxibustion, 28(02), 37-39.
  23. Yan HD. (2018). Observation on curative effect of Yang needling combined with bloodletting in the treatment of acute gouty arthritis. Journal of Guangxi University of Chinese Medicine, 21(02), 41-44.
  24. Zhong WQ. (2009). Treatment of 34 Cases of Acute Gouty Arthritis with Acupuncture and Jing Point Bloodletting. The Journal of Practical Medicine, 25(15), 2580-2581.
  25. Guo QY. (2017). Observation of Therapeutic Effect of Triple Therapy on Acute Gouty Arthritis. Journal of Practical Traditional Chinese Medicine, 33(07), 837-838.
  26. Zou R, Zhang HX, Zhang TF, Xu Y. (2007). Observation on therapeutic effect of electroacupuncture combined with acupoint-injection on acute gouty arthritis. Chinese Acupuncture & Moxibustion, 01, 15-17. https://doi.org/10.13703/j.0255-2930.2007.01.009
  27. Health Insurance Review and Assessment Service. (2018). 100 Disease Statistics in Daily Life, 84-85. Available from URL: https://opendata.hira.or.kr/home.do
  28. Park JH. Lee JH, Lee SH, Shin JY, Kim TH. (2020). Adverse events related to electroacupuncture: a systematic review of single case studies and case series. Acupuncture in Medicine, 38(6), 407-416. https://doi.org/10.1177/0964528420920287