침 관련 근거중심의학의 연구 동향 -Randomized Controlled Trial을 중심으로-

이로민,남상수,이상훈,김용석 대한침구의학회 2009 대한침구의학회지 Vol.26 No.2

Objectives : The purpose of this study is to review the recent research trends of evidence based medicine, especially human randomized controlled trials on acupuncture. Methods : The articles were collected by retrieving the database of Pubmed and Journal of Korean Acupuncture & Moxibustion Society. The retrieving period was from October 2003 to September 2008, and the search term was ‘acupuncture’. The articles were classified according to their publication journals, countries, publication years, targeted diseases, types of acupuncture and types of control. Results : In total, 558 articles in Pubmed and 35 articles in Journal of Korean Acupuncture & Moxibustion Society were searched. The number of articles on acupuncture research has increased with higher rate since 2006, but the qualitative development has not achieved the same amplitude. Studies in Korea were insufficient both in qualitative and quantitative aspects. In countries, China had the most papers, and in targeted diseases, pain diseases were most dominant. In the types of acupuncture, classical acupuncture, and in the types of control, conventional western treatment showed the highest frequency. Conclusions : We need to do many-sided and more high quality researches on acupuncture. For that, well-designed randomized trials are absolutely necessary.

腦卒中 後 手部浮腫에 대한 走罐法의 效果

이로민,이상훈,남상수,김용석 대한침구의학회 2008 대한침구의학회지 Vol.25 No.3

Objectives : This study was designed to evaluate the effect of moving cupping therapy on the edema of paretic hand in stroke patients. Methods : The subjects were stroke patients with flaccid hemiplegia. Each subject’s routine therapy program was maintained throughout single subject ABAB design. During the first week, baseline data were gathered. During the second and fourth week, intervention was provided(total 20minutes of moving cupping therapy, from contralateral to ipsilateral, distal to proximal). During third and fifth week, data were gathered with treatment withdrawn. Edema was measured with hand volumeter and measuring tape. Basically Bayesian analysis was performed using WinBUGS(ver. 1.4), for addition, visual graph and mean score were also presented for comparison between treatment(moving cupping therapy) and non-treatment. Results : The visual graph and mean score showed decrease in edema during the treatment weeks. Overall decrease in edema by moving cupping therapy was verified significantly by using Bayesian ana- lysis(95% credibility intervals). Conclusions : This study suggests that moving cupping therapy could be applicable for reducing post- stroke hand edema. Further research would be needed to establish guidelines for use.

慢性腰痛 患者에 대한 壓蓬療法의 臨床的 觀察

고영진,이로민,김주희,남상수,김창환 대한침구의학회 2007 대한침구의학회지 Vol.24 No.3

Objectives : This study was designed to evaluate the effect of Moxa Pellet therapy on chronic low back pain. Methods : Subjects were voluntarily recruited by newspapers and internet. The Moxa Pellet therapy was performed for 4 weeks. Patients were randomized to three groups: Moxa Pellets, Control-1 and Control-2 group. Moxa Pellets group administered with Moxa Pellets, Control-1 group administered with moxa pellet-shaped moxa pellet without available components and Control-2 group administered with round bonded fabric that could not give pressing stimulation. Acupuncture points used in this study were GV3, BL23, BL24, BL25 and BL22. The patient's symptoms were assessed before and after 4 weeks treatments by VAS, SF-MPQ and SF-36. Results : The results are follows; 1. VAS score showed significant difference in Moxa Pellet group and Control-1 group after treatment. 2. SF-MPQ score showed significant difference only in Moxa Pellet group. 3. Moxa Pellet group showed significant difference in PF, RE, MH, and BP of SF-36 score after treatment; Control-1 group showed no significant difference; Control-2 group showed significant difference in BP. There were no significant difference among the groups. Conclusions : This study suggests that Moxa Pellet therapy can be applicable to improve symptoms in the patients with chronic low back pain. Further studies on the Moxa Pellet therapy and other treatment in the patients with chronic low back pain is recommended.

침 치료가 오십견(五十肩) 환자의 적외선 체열촬영에 미치는 영향

김건형,이로민,남동우,김종인,임사비나,이두익,최도영,이윤호,이재동 경희대학교 동서의학연구소 2006 東西醫學硏究所 論文集 Vol.2006 No.-

Objectives : To observe the effect of acupuncture treatment on Digital Infrared Thermographic Imaging(DITI) in frozen shoulder patients. Methods : 17 voluntary patients received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwanand Gyun-joong, twice a week for 4 weeks. The patients were instructed to practice self exercise during their daily lives. Evaluations were made before treatment, after 1 week of treatment, after 2 weeks, 3 weeks and after 4 weeks of treatment. Constant Shoulder Assessment(CSA), Shoulder Pain and Disability Index(SPADI), Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). DITI was measured before treatment and after 4weeks of treatment. The obtained data was analyzed. Results : CSA, SPADI, VAS, adduction and extension showed significant(p<0.05) improvement. Abduction and flexion both improved after 4 weeks of treatment, but the improvement was statistically insignificant(p>0.05). DITI showed improvement but the improvement was insignificant(p>0.05). Conclusion : 4 weeks of acupuncture treatment significantly improved CSA, SPADI, VAS, adduction and extension in frozen shoulder patients(p<0.05). The improvement of abduction and flexion after 4 weeks of acupuncture treatment was insignificant(p>0.05). DITI results improved after 4 weeks of acupuncture treatment. But the change of thermal difference was insignificant(p>0.05).

퇴행성 슬관절염 환자에서 근육 내 봉독약침과 피내 봉독약침의 효능 비교연구

김행범,이로민,이민호,최양식,김종인,이윤호,이재동 대한침구의학회 2008 대한침구의학회지 Vol.25 No.2

Objectives : This study was designed to compare the effects on Korean Western Ontario and McMaster Universities Osteoarthritis Index(KWOMAC), 36-Items Short-Form Health Survey(SF-36), Visual Analog Scale(VAS) and Nine Point Scale between ‘Intramuscular Bee Venom Herbal Acupuncture’ and ‘Intracu- taneous Bee Venom Herbal Acupuncture’ in knee osteoarthritis patients for 4weeks. Methods : All the voluntary subject were diagnosed as knee osteoarthritis. Patients were randomly assigned either to two groups : Intramuscular bee venom herbal acupuncture treatment group(IM-BV group) or Intracutaneous bee venom herbal acupuncture treatment group(IC-BV group). The IM-BV group received bee venom herbal acupuncture intramuscularly on muscles closest to the pathologic site on ultrasonography. The IC-BV group received bee venom herbal acupuncture intracuta- neously on LE110, LE201, ST35, ST36 and LR8. Bee venom herbal acupuncture was applied twice a week for 4 weeks by an oriental medical doctor at Kyung-hee Oriental Medical Hospital. Both groups were checked of pathologic site by ultrasonography before treatment and follow up after four-week treatment. The patients were assessed by KWOMAC and SF-36 before and after four-week treatment. The changes in patients’ pain was measured by VAS before treatment and after one-, two-, three- and four-week treatment. The patients’ overall treatment outcome assesment was measured by Nine Point Scale after four-week treatment. Results : The results were as follows ; 1. The IM-BV group showed significant improvement on total, pain, stiffness and physical function in KWOMAC, and the IC-BV group showed significant improvement on total and physical function in KWOMAC after 4weeks compared to the pre-treatment. In KWOMAC, the IM-BV group showed more improvement on average compared to the IC-BV group, but there were no significant difference bet- ween two groups. 2. The IM-BV group showed significant improvement on VAS after one-week treatment. The IC-BV group showed significant improvement on VAS after two-week treatment. But there were no significant dif- ference between two groups. 3. The IM-BV group showed significant improvement on physical functioning(PF) and bodily pain(BP) in SF-36, and the IC-BV group showed significant improvement on vitality(VT) and bodily pain(BP) in SF-36 after 4weeks compared to the pre-treatment. But there were no significant difference bet- ween two groups. 4. 88.2% of IM-BV group and 93.3% of IC-BV group graded their improvement as ‘Fair’ or better on Nine Point Scale. But there were no significant difference between two groups. Conclusions : This study suggests that in the treatment of knee osteoarthtitis patients, effects of ‘In- tramuscular Bee Venom Herbal Acupuncture’ were not different from ‘Intracutaneous Bee Venom Herbal Acupuncture’ statistically. But both treatment showed effects on pain and physical function in knee osteo- arthtitis patients.

침 치료가 오십견(五十肩) 환자의 적외선 체열촬영에 미치는 영향

김건형,김건형,이로민,남동우,김종인,임사비나,이두익,최도영,이윤호,이재동 대한침구의학회 2006 대한침구의학회지 Vol.23 No.5

Objectives : To observe the effect of acupuncture treatment on Digital Infrared Thermographic Imaging(DITI) in frozen shoulder patients. Methods : 17 voluntary patients received acupuncture treatment on LI15, TE14, GB21 and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The patients were instructed to practice self exercise during their daily lives. Evaluations were made before treatment, after 1 week of treatment, after 2 weeks, 3 weeks and after 4 weeks of treatment. Constant Shoulder Assessment(CSA), Shoulder Pain and Disability Index(SPADI), Range of Motion(ROM) and the patient's satisfaction concerning the treatment was measured by Visual Analogue Scale(VAS). DITI was measured before treatment and after 4weeks of treatment. The obtained data was analyzed.Results : CSA, SPADI, VAS, adduction and extension showed significant(p<0.05) improvement. Abduction and flexion both improved after 4 weeks of treatment, but the improvement was statistically insignificant(p>0.05). DITI showed improvement but the improvement was insignificant(p>0.05). Conclusion : 4 weeks of acupuncture treatment significantly improved CSA, SPADI, VAS, adduction and extension in frozen shoulder patients(p<0.05). The improvement of abduction and flexion after 4 weeks of acupuncture treatment was insignificant(p>0.05). DITI results improved after 4 weeks of acupuncture treatment. But the change of thermal difference was insignificant(p>0.05).

편측안면경련 환자에서 미세혈관 감압수술 후 발생한 구안와사 환자 3례

김종인,김행범,김주희,이로민,김건형,이재동,강성길,고형균 대한침구의학회 2006 대한침구의학회지 Vol.23 No.6

Objective : The purpose of this case is to report the improvement after treatment about tonic spasm of a transverse myelitis patient. Methods : We treated the patient with acupuncture therapy and herbal medicine from the 19th July 2006 to the 4th October 2006. At first we used Ssanghwa-tang until the 24th July 2006. After that we used Samul-tang until 2nd August. Lastly we used Yukmigihwang-tang until the 4th October 2006. And we used acupuncture at Asi points and used Sheng Ge of Liver from beginning to end. We checked the patient with frequency of tonic spasm and other symptoms. Results : After two months of treatments, frequency of tonic spasm decreased and abdominal muscle rigidity, visual disturbance, ocular discomfort and oppressed feeling in the chest were improved.

알레르기 비염 환자에 대한 압봉치료의 임상효과 연구-증상과 삶의 질을 중심으로-

김주희,고정민,이승원,김건형,고영진,이로민,김창환,박동석 대한침구의학회 2007 대한침구의학회지 Vol.24 No.3

Objectives : The purpose of this study is to evaluate the clinical effect of Moxa-Pellet treatment for nasal symptoms and quality of life(QOL) in patients with allergic rhinitis. Methods : Subjects were voluntarily recruited through newspaper and internet advertisement. In this randomized, single blind and controlled study, experimental group (n=19) received real Moxa-Pellet treatment and control group(n=20) received sham Moxa-Pellet treatment for 3 weeks. Acupuncture points used were LI4, ST36, LU7, GV14 and GB20. Patient's nasal symptoms and QOL were assessed before and after 3 weeks treatment by the Nasal Symptom Scores(NSS) and the Medical Outcomes Study 36-Item Short-Form Health Survey(SF-36). Results : The results were as follows; 1. Among items of NSS, Sneezing․ Rhinorrhea․ Itching scores and Total Nasal Symptom Scores(TNSS) were significantly improved in experimental group after 3 weeks Moxa- Pellet treatment(p<0.05). In control group, there was no significant difference in all items except Headache item of NSS. 2. Among 8 domains of SF-36, experimental group showed significant difference in Role-Emotional(RE), Mental Health(MH) and Bodily Pain(BP) after 3 weeks Moxa- Pellet treatment(p<0.05). Control group showed no significant difference in all domains except one domain(Role limitation-physical). Conclusions : These results suggest that Moxa-Pellet treatment can be applicable to improve nasal symptoms and QOL in the patients with allergic rhinitis. Further long term studies on the Moxa-Pellets treatment's sustaining power and safety is needed.