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      폐경 후 고혈압 전단계 및 1기 고혈압에 대한 침 치료 효과: 무작위 대조 예비연구 = Acupuncture for Prehypertension and Stage 1 Hypertension in Postmenopausal Women: A Randomized Controlled Pilot Trial

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      https://www.riss.kr/link?id=A103629821

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      다국어 초록 (Multilingual Abstract)

      Objectives : The aim of this study was to assess the effectiveness of acupuncture in treating prehypertension and stage 1 hypertension in postmenopausal women. Methods : The study was a multi-center, four-arm, non-blinded, randomized clinical trial. Sixty participants were randomly assigned to experimental or control groups. The experimental groups received 10 acupuncture sessions over 4 weeks(Group A, n=20) or 20 sessions over 8 weeks(Group B, n=20) along with usual care. The acupoints were GB20, LI11, ST36, and SP6, bilaterally. The acupuncture groups were followed-up for an additional 12 weeks after acupuncture treatment. The control groups received usual care for 16 weeks(Group C, n=10) or 20 weeks(Group D, n=10). The outcomes were blood pressure, blood pressure control rates, lipid profile, and high-sensitivity C-reactive protein(hs-CRP). Results : After 4 weeks, DBP in the acupuncture groups(A+B) showed no significant decrease compared to the control group(C+D). However, after 8 weeks of acupuncture treatment, group B showed a significant decrease in DBP after acupuncture treatment and follow-up period compared to control group. Although there was no difference between the acupuncture and control groups in SBP after acupuncture treatment, group B showed a significant decrease in SBP compared to control group after follow-up period. Lipid profiles and hs-CRP did not differ significantly between acupuncture and control groups. Conclusions : Acupuncture treatment for 8 weeks showed the effect on prehypertension and mild hypertension. To verify the effect of acupuncture on blood pressure, rigorous trials including more participants are required.
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      Objectives : The aim of this study was to assess the effectiveness of acupuncture in treating prehypertension and stage 1 hypertension in postmenopausal women. Methods : The study was a multi-center, four-arm, non-blinded, randomized clinical trial. S...

      Objectives : The aim of this study was to assess the effectiveness of acupuncture in treating prehypertension and stage 1 hypertension in postmenopausal women. Methods : The study was a multi-center, four-arm, non-blinded, randomized clinical trial. Sixty participants were randomly assigned to experimental or control groups. The experimental groups received 10 acupuncture sessions over 4 weeks(Group A, n=20) or 20 sessions over 8 weeks(Group B, n=20) along with usual care. The acupoints were GB20, LI11, ST36, and SP6, bilaterally. The acupuncture groups were followed-up for an additional 12 weeks after acupuncture treatment. The control groups received usual care for 16 weeks(Group C, n=10) or 20 weeks(Group D, n=10). The outcomes were blood pressure, blood pressure control rates, lipid profile, and high-sensitivity C-reactive protein(hs-CRP). Results : After 4 weeks, DBP in the acupuncture groups(A+B) showed no significant decrease compared to the control group(C+D). However, after 8 weeks of acupuncture treatment, group B showed a significant decrease in DBP after acupuncture treatment and follow-up period compared to control group. Although there was no difference between the acupuncture and control groups in SBP after acupuncture treatment, group B showed a significant decrease in SBP compared to control group after follow-up period. Lipid profiles and hs-CRP did not differ significantly between acupuncture and control groups. Conclusions : Acupuncture treatment for 8 weeks showed the effect on prehypertension and mild hypertension. To verify the effect of acupuncture on blood pressure, rigorous trials including more participants are required.

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      참고문헌 (Reference)

      1 양나래, "항고혈압제제를 복용 중인 성인 고혈압 환자의 한열 특성에 관한 연구" 대한한방내과학회 34 (34): 267-277, 2013

      2 김범수, "한국한의학연구원 개발 변증설문지의 신뢰도 연구" 대한한의진단학회 17 (17): 29-44, 2013

      3 정소영, "임상연구의 고혈압 침치료법에 대한 고찰" 대한한의학회 33 (33): 12-23, 2012

      4 김영묵, "고혈압 전단계의 중년과 노년에서 고혈압 발병률과 관련요인: 한림노년연구" 대한심장학회 38 (38): 43-50, 2008

      5 천병렬, "고혈압 전단계 및 고위험군 관리의 과학적 근거" 대한의사협회 54 (54): 1013-1019, 2011

      6 양창섭, "고혈압 단계별 변증특성 분석" 한의병리학회 26 (26): 934-939, 2012

      7 Maas AH, "Women's health in menopause with a focus on hypertension" 17 : 68-72, 2009

      8 Elliott WJ., "What factors contribute to the inadequate control of elevated blood pressure?" 10 (10): 20-26, 2008

      9 Egan BM, "Systolic Blood Pressure Intervention Trial (SPRINT) and Target Systolic Blood Pressure in Future Hypertension Guidelines" 68 (68): 318-323, 2016

      10 Moon JS, "Study on the Development of a Questionnaire Software for Health Examination in Oriental Medicine" 13 (13): 135-142, 2007

      1 양나래, "항고혈압제제를 복용 중인 성인 고혈압 환자의 한열 특성에 관한 연구" 대한한방내과학회 34 (34): 267-277, 2013

      2 김범수, "한국한의학연구원 개발 변증설문지의 신뢰도 연구" 대한한의진단학회 17 (17): 29-44, 2013

      3 정소영, "임상연구의 고혈압 침치료법에 대한 고찰" 대한한의학회 33 (33): 12-23, 2012

      4 김영묵, "고혈압 전단계의 중년과 노년에서 고혈압 발병률과 관련요인: 한림노년연구" 대한심장학회 38 (38): 43-50, 2008

      5 천병렬, "고혈압 전단계 및 고위험군 관리의 과학적 근거" 대한의사협회 54 (54): 1013-1019, 2011

      6 양창섭, "고혈압 단계별 변증특성 분석" 한의병리학회 26 (26): 934-939, 2012

      7 Maas AH, "Women's health in menopause with a focus on hypertension" 17 : 68-72, 2009

      8 Elliott WJ., "What factors contribute to the inadequate control of elevated blood pressure?" 10 (10): 20-26, 2008

      9 Egan BM, "Systolic Blood Pressure Intervention Trial (SPRINT) and Target Systolic Blood Pressure in Future Hypertension Guidelines" 68 (68): 318-323, 2016

      10 Moon JS, "Study on the Development of a Questionnaire Software for Health Examination in Oriental Medicine" 13 (13): 135-142, 2007

      11 Macklin EA, "Stop Hypertension with the Acupuncture Research Program (SHARP): results of a randomized, controlled clinical trial" 48 (48): 838-845, 2006

      12 Kalish LA, "Stop Hypertension with the Acupuncture Research Program (SHARP): clinical trial design and screening results" 25 (25): 76-103, 2004

      13 Choi HM, "Sex differences in hypertension prevalence and control: Analysis of the 2010-2014 Korea National Health and Nutrition Examination Survey" 12 (12): e0178334-, 2017

      14 Chobanian AV, "Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure" 42 (42): 1206-1252, 2003

      15 Ryu So Yeon, "Relations of Plasma High-Sensitivity C-Reactive Protein to Various Cardiovascular Risk Factors" 대한의학회 20 (20): 379-383, 2005

      16 Greenlund KJ, "Prevalence of heart disease and stroke risk factors in persons with prehypertension in the United States, 1999-2000" 164 (164): 2113-2118, 2004

      17 Ministry of Health and Welfare., "Prevalence of Chronic disease"

      18 Kim Y, "Prevalence and Risk Factors Associated with Prehypertension by Gender and Age in a Korean Population in the KNHANES 2010-2012" 44 (44): 1594-1602, 2015

      19 Kim HG, "Literary review on the acupuncture and moxibustion therapy of hypertension" 3 (3): 15-23, 2006

      20 Zhao XF, "Is Acupuncture Effective for Hypertension? A Systematic Review and Meta-Analysis" 10 (10): e0127019-, 2015

      21 O'Hagan TS, "Interactions between estrogen and the renin angiotensin system - potential mechanisms for gender differences in Alzheimer's disease" 1 : 266-279, 2012

      22 Lima R, "Hypertension in Postmenopausal Women" 14 (14): 254-260, 2012

      23 National Institute of Food and Drug Safety Evaluation., "Guideline on clinical trial of medical products in the treatment of hypertension"

      24 Shaw E, "Factors associated with noncompliance of patients taking antihypertensive medications" 30 (30): 201-203, 1995

      25 Seo SM, "Correlations between the level of high-sensitivity C-reactive protein and cardiovascular risk factors in Korean adults with cardiovascular disease or diabetes mellitus: the CALLISTO study" 20 (20): 616-622, 2013

      26 National Institute of Food and Drug Safety Evaluation., "Clinical Trials Guidelines for Hypertension Treatment"

      27 Kshirsagar AV, "Blood pressure usually considered normal is associated with an elevated risk of cardiovascular disease" 119 (119): 133-141, 2006

      28 Pater C., "Beyond the Evidence of the New Hypertension Guidelines. Blood pressure measurement – is it good enough for accurate diagnosis of hypertension? Time might be in, for a paradigm shift (I)" 6 (6): 6-, 2005

      29 Yin C, "Acupuncture, a promising adjunctive therapy for essential hypertension:a double-blind, randomized, controlled trial" 29 (29): S98-S103, 2007

      30 Liu Y, "Acupuncture lowers blood pressure in mild hypertension patients:a randomized, controlled, assessor-blinded pilot trial" 23 (23): 658-665, 2015

      31 Lee H, "Acupuncture for lowering blood pressure: systematic review and meta-analysis" 22 (22): 122-128, 2009

      32 Lee H, "Acupuncture for lowering blood pressure: systematic review and meta-analysis" 22 (22): 122-128, 2009

      33 Li DZ, "Acupuncture for essential hypertension: a meta-analysis of randomized sham-controlled clinical trials" 279478-, 2014

      34 Wang J, "Acupuncture for essential hypertension" 169 (169): 317-326, 2013

      35 Wang, "Acupuncture for essential hypertension" 169 (169): 317-326, 2013

      36 Jung-Eun Kim, "Acupuncture for Prehypertension and Stage 1 Hypertension in Postmenopausal Women: Protocol for a Randomized Controlled Pilot Trial" Society for Meridian and Acupoint 31 (31): 5-13, 2014

      37 Korean Acupuncture and Moxibustion Society., "Acupuncture and Moxibustion" Jipmoondang 2008

      38 Abdi H, "Abdominal and auricular acupuncture reduces blood pressure in hypertensive patients" 31 : 20-26, 2017

      39 James PA, "2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8)" 311 (311): 507-520, 2014

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2027 평가예정 재인증평가 신청대상 (재인증)
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      2015-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2012-04-19 학술지명변경 한글명 : 경락경혈학회지 -> Korean Journal of Acupuncture KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2007-03-29 학회명변경 한글명 : 대한경락경혈학회 -> 경락경혈학회
      영문명 : 미등록 -> Society for Meridian & Acupoint
      KCI등재
      2006-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2005-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.65 0.65 0.63
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.55 0.54 0.542 0.11
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