[논문]가속도맥파로 평가한 당뇨군과 정상군의 신정격 자침으로 인한 혈관변화

윤인애; 김지나; 이지수; 문성일; 김진이; 정시영

가속도맥파로 평가한 당뇨군과 정상군의 신정격 자침으로 인한 혈관변화
Vascular Responses to Acupuncture at the Kidney Jeonggyeok in Diabetic and Normal Groups Assessed by the Second Derivative of the Finger Photoplethysmogram Waveform 원문보기

大韓鍼灸學會誌= The journal of Korean Acupuncture & Moxibustion Society, v.28 no.1, 2011년, pp.101 - 108

윤인애 (국립중앙의료원 침구과) , 김지나 (국립중앙의료원 침구과) , 이지수 (국립중앙의료원 침구과) , 문성일 (국립중앙의료원 침구과) , 김진이 (국립중앙의료원 신경정신과) , 정시영 (제인한방병원 침구과)

초록
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목적 : 신정격 자침이 당뇨군과 정상군의 혈관변화에 미치는 영향을 알아보기 위해 가속도맥파를 이용한 실험을 설계하였다. 방법 : 20명의 당뇨군과 20명의 정상군에서 신정격 자침 이전과 이후, 2회에 걸쳐서 Cardio Peri SA6000을 이용하여 가속도맥파를 측정하였다. 가속도맥파의 b/a, c/a, d/a 및 연령지수를 통해 혈관상태를 평가하였다. 결과 : 1. 당뇨군과 정상군의 신정격 자침 이전 가속도맥파 측정에서 당뇨군이 정상군보다 b/a값(p=0.000), 연령지수(AI)(p=0.000)는 유의하게 높았으며, c/a값(p=0.000), d/a값(p=0.000)은 유의하게 낮았다. 2. 당뇨군에서 신정격 자침 이후 가속도맥파의 b/a값(p=0.004), 연령지수(p=0.012)는 유의하게 낮아졌으며, c/a값(p=0.026)은 유의하게 높아졌다. 3. 정상군에서 신정격 자침 이후 가속도맥파의 b/a값(p=0.025)은 유의하게 낮아졌다. 결론 : 신정격 자침이 당뇨로 인해 유발된 혈관의 탄력도 감소 및 노화를 다소 회복시킬 수 있는 것으로 사료된다.

주제어

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문제 정의

The aim of this study was, by using the SDPTG, to compare the vascular state between DM group and normal group and see whether acupuncture in Kidney Jeonggyeok can make vascular changes.

가설 설정

1. The SDPTG indices defferences between DM group and normal group were significant.

제안 방법

The subjects were studied fasting, having abstained from caffeine, alcohol or smoking for 12 hours. The study was not approved by the clinical research ethics committee because our medical center doesn’t have one, but all the subjects gave written, informed consent.
, there was not any study done on vascular changes to acupuncture treatment in diabetic patients by the SDPTG waveform. Therefore, in this study, we tried to evaluate the vascular changes in diabetic patient before and after acupuncture treatment on Kidney Jeonggyeok by using the SDPTG waveform.

대상 데이터

The stainless steel needles which are 30mm long and 0.3mm in diameter(Dongbang Acupucture, Incorporation) were used.
The study group comprised 20 (12 female) healthy subjects, 20 (13 female) diabetic patients (refer to Table 1 for the mean age and standard deviation). There were no significant differences between the two subject groups for either gender (Table 1).

데이터처리

The paired t-test was used for comparison between pre- and post-acupuncture periods in both groups. The independent t-test was used for comparison between diabetic group and normal group in pre-acupuncture period. A p value of < 0.
Data were expressed as mean±standard deviation. The paired t-test was used for comparison between pre- and post-acupuncture periods in both groups. The independent t-test was used for comparison between diabetic group and normal group in pre-acupuncture period.

성능/효과

2. After acupuncture at Kidney Jeonggyeok, b/a, c/a and AI in DM group were improved significantly.
3. After acupuncture at Kidney Jeonggyeok, only b/a in normal group was improved significantly.
In conclusion, this study demonstrated an acute effect of manual acupuncture in Kidney Jeonggyeok on SDPGT indices in DM group. We believe that this can be attributed to the therapeutic effect of Kidney Jeonggyeok on DM.
The salient findings of this study were that, in DM group, b/a ratio and AI indices were higher than normal group, whereas c/a and d/a ratio indices were lower than normal group. And in DM group, b/a, c/a ratio and AI indices were improved with manual acupuncture in Kidney Jeonggyeok, whereas in normal group, only b/a was improved.

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