[논문]고혈압의 침치료에 대한 문헌고찰 : 국내 임상 연구를 중심으로

정상연; 황예채; 조승연; 이한결; 권승원; 정우상; 문상관; 박정미; 고창남; 박성욱

[국내논문] 고혈압의 침치료에 대한 문헌고찰 : 국내 임상 연구를 중심으로
Effect of Acupuncture on Patients with Hypertension : A Review of Clinical Studies in the Republic of Korea 원문보기

대한중풍·순환신경학회지 = The journal of the society of stroke on korean medicine, v.23 no.1, 2022년, pp.25 - 40

Abstract ▼ AI-Helper

■Objectives This study aimed to collect and analyze clinical studies on the significance of acupuncture in the treatment of hypertension among Korean patients. ■Methods Among Korean patients with a blood pressure (BP) of 120 mmHg or higher and a diastolic BP of 80 mmHg or higher, those, treated with acupuncture only, were included. A literature search was conducted through 'Embase', 'Medline', 'Science and Technology Information Integration Service (NDSL)', 'Traditional Korean Knowledge Portal (OASIS)', 'PubMed', and 'Scopus'. The search keywords were (hypertension OR 'blood pressure') AND acupuncture. The papers, published before the day of the search (02. January 2022), were included in this study. ■Results Among the 12 selected papers, seven involved randomized controlled trial (RCT), four before-and-after studies, and one case series. The number of RCTs has increased yearly. The treatment methods used in the studies included needle acupuncture in eight studies, auricular acupuncture in two, pharmacopuncture in one, and si-acupuncture in one. The average numbers of patients enrolled in RCTs, before-and-after studies, and case series were 21.1, 30, and 23 respectively. Six studies were conducted on prehypertensive patients, two on stage 1 hypertension patients, and four on stage 2 hypertension patients. The involved acupoints have been reported to be ST36 in eight papers, LI11 in four papers, and PC6 in three papers. The treatment period lasted for < 1 week in eight studies and 8 weeks in four studies. Acupuncture successfully lowered blood pressure in nine out of 12 studies ■Conclusions Acupuncture is a viable alternative treatment option for prehypertensive patients, who are not taking medications. Additionally, it is also useful in further lowering the BP of patients with stage 1 and stage 2 hypertension in the short term. Large-scale and long-term studies on acupuncture for hypertension should be conducted.

Keyword

표/그림 (11)

그림 Figure 1. Flow chart showing the number of studies included and excluded.
표 Table 1. Characteristics of the Included Studies (randomized controlled trial)
표 Table 2. Characteristics of the Included Studies (Before and after study)
표 Table 3. Characteristics of the Included Studies (Case series)
그림 Figure 2. Risk of bias (ROB) 2.0 within the included studies
표 Table 4. Frequency of Acupoint
그림 Figure 3. Risk of bias summary: authors’ judgement broken down for each risk of bias criterion across all included studies
그림 Figure 4. Analysis of acupuncture retention time
표 Table 5. Change of Blood Pressure after Acupuncture (randomized controlled trial)
표 Table 6. Change of Blood Pressure after Acupuncture Treatment (Before and after the study)
표 Table 7. Change of Blood Pressure after Acupuncture Treatment (Case series)

참고문헌 (42)

KOSIS. 고혈압 유병률 추이. Available from？URL: https://kosis.kr/statHtml/statHtml.do?orgId177&tblIdDT_11702_N105&-conn_pathI2
대한고혈압학회. 2022 고혈압 가이드라인？변경대비표. Available from URL: http://www.koreanhypertension.org/news/notice?-moderead&idno10008
James PA, Oparil S, Carter BL, et al. 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). The？？Journal of the American Medical Association.？？2014;311(5):507-520.？

상세보기
European Society of Cardiology. 2018 ESC/ESH Guidelines for the management of arterial hypertension. European Heart Journal.？？2018;39:3036-3040.？
대한고혈압학회 진료지침제정위원회. 2018년 고혈압 진료 지침. 서울: 대한고혈압학회: 2018.？p.39-40.
Kim CS, Kim YE, Kim C, et al. Analysis of？？Research Articles on Oriental Herbal Medicines for Hypertension. Journal of Society of？？Preventive Korean Medicine. 2011;15(3):17-38.？
Li J, Sun M, Ye J, et al. The Mechanism of？？Acupuncture in Treating Essential Hypertension: A Narrative Review. International Journal？？of Hypertension. 2019;2019:8676490.？

상세보기
Wu J, Zhang X, Zhao J, et al. Clinical study？？on acupuncture treatment of hypertension with？？hyperactivity of liver yang. Medicine (Baltimore). 2021;100(17):e25668.？
Jung SY, Park JE, Kim JE, et al. Review of？？Acupuncture Treatment for Hypertension？？in Clinical Trials. Journal of Hypertension.？？2012;30(1):151-162.？
Kim SY, Won JH, Lee I. A review of recent？？acupuncture treatment for hypertension -？？pubmed and domestic studies. The Journal of？？Internal Korean Medicine. 2020;41(1):29-43.？

원문보기 상세보기
Lee H, Kim SY, Park J, et al. Acupuncture for？？lowering blood pressure: systematic review and？？meta-analysis. American Journal of Hypertension. 2009;22(1):122-128.？

상세보기
Park YS, Kim EM, Kim YI, et al. The depressive effect of sa-am acupuncture treatment in stroke patients. The Journal of Korean Acupuncture & Moxibustion Society.？？2004;21(4):217-223.？
Yin C, Seo B, Park HJ, et al. Acupuncture,？？a promising adjunctive therapy for essential？？hypertension: a double-blind, randomized, controlled trial. Neurological Research. 2007;29？？Suppl 1:S98-S103.？
Bae HS, Shin AS, Park SU, et al. Effects of？？acupuncture at ST36 on blood pressure and？？endothelial dependent vasodilation in hypertensive patients. The Journal of Internal Korean？？Medicine. 2008;29(3):657-665.？
Park JM, Shin AS, Park SU, et al. The acute？？effect of acupuncture on endothelial dysfunction in patients with hypertension: a pilot,？？randomized, double-blind, placebo-controlled？？crossover trial. Journal of Alternative and？？Complementary Medicine. 2010;16(8):883-888.？

상세보기
Kim HM, Cho SY, Park SU, et al. Can acupuncture affect the circadian rhythm of blood？？pressure? A randomized, double-blind, controlled trial. Journal of Alternative and Complementary Medicine. 2012;18(10):918-923.？

상세보기
Liu Y, Park JE, Shin KM, et al. Acupuncture？？lowers blood pressure in mild hypertension？？patients: a randomized, controlled, assessor-blinded pilot trial. Complementary Therapies in Medicine. 2015;23(5):658-665.？

상세보기
Kim JE, Choi SM, Choi JB, et al. Acupuncture？？for Prehypertension and Stage 1 Hypertension？？in Postmenopausal Women: A Randomized？？Controlled Pilot Trial. Korean Journal of Acupuncture. 2017;34(3):116-125.？

원문보기 상세보기
Ahn CH, Bae HS, Roh JH, et al. Effects of？？Auricular Acupuncture on the Mild Hypertension. The Journal of Korean Medicine.？？2000;20(4):93-97.？
Park WT, Lim CW, Kang SI, et al. Effect of？？Acupuncture on Inyong (ST9) on the Blood？？Pressure. The Journal of Korean Acupuncture？？& Moxibustion Society. 2002;19(1):39-45.？
Youn HM, Kang KY, Lee JW. The effect of？？pressing at Kyeun-Jung, Gok-Ji and Zok-Sam-Li with Si-Acupuncture on the Decreasing of？？Blood Pressure and Headache for the patients？？with Stroke. Korean Journal of Acupuncture.？？2005;22(3):27-40.？
Kim CH, Youn HM, Song CH, et al. Effects？？of Semen Persicae Pharmacopuncture on？？Blood Pressure of Outpatients. The Journal of？？Korean Acupuncture & Moxibustion Society.？？2009;26(6):85-90.？
Byun JY, Ahn SG. Effects of the auricular？？acupuncture on the blood pressure. Journal of？？Korean Medicine. 1996;17(2):418-426.？
Wang J, Xiong X, Liu W. Acupuncture for？？essential hypertension. International Journal of？？Cardiology. 2013;169(5):317-326.？

상세보기
한국한의약진흥원. 2020 한방의료이용 및 한약소비실태조사. Available from URL: https://www.koms.or.kr/page/research-result/reality-user.do?menu_no15
Yang J, Chen J, Yang M, et al. Acupuncture？？for hypertension. The Cochrane Database of？？Systematic Reviews. 2018;11(11):CD008821.？
안영기. 경혈학 총서. 서울: 성보사: 2006. p.321-322.
Okamoto LE, Gamboa A, Shibao C, et al.？？Nocturnal blood pressure dipping in the hypertension of autonomic failure. Hypertension.？？2009;53(2):363-369.？

상세보기
Rivas-Vilchis JF, Hernandez-Sanchez F,？？Gonzalez-Camarena R, et al. Assessment of？？the vascular effects of PC6 (Neiguan) using the second derivative of the finger photoplethysmogram in healthy and hypertensive？？subjects. American Journal of Chinese Medicine. 2007;35(3):427-436.？

상세보기
Chang S, Chao WL, Chiang MJ, et al. Effects？？of acupuncture at Neiguan (PC 6) of the pericardial meridian on blood pressure and heart？？rate variability. Chinese Journal of Physiology.？？2008;51(3):167-177.？

상세보기
임종국. 경혈학. 익산: 원광대학교 한의과대학 침구학교실: 1980. p.38.
Jeong BJ, Choe IH, Lim S. Evaluation of？？stress-induced analgesia in acupuncture analgesic effect-an approach on diameters of？？acupuncture needles and acupuncture point？？needings. Korean Journal of Acupuncture.？？2008;25(3):65-80.？
Abdi H, Tayefi M, Moallem SR, et al. Abdominal and auricular acupuncture reduces blood？？pressure in hypertensive patients. Complementary Therapies in Medicine. 2017;31:20-26.？

상세보기
Gaponjuk PJ, Sherkovina TJ. The Clinical？？and Physiological Foundation of Auricular？？Acupuncture Therapy in Patients with Hypertensive Disease. Acupuncture in Medicine.？？1994;12(1):2-5.？

상세보기
Li P, Tjen-A-Looi SC, Cheng L, et al.？？Long-Lasting Reduction of Blood Pressure by？？Electroacupuncture in Patients with Hypertension: Randomized Controlled Trial. Medical？？Acupuncture. 2015;27(4):253-266.？

상세보기
Litscher G, Cheng WP, Cheng GY, et al. Acupuncture Point Laterality: Investigation of？？Acute Effects of Quchi (LI11) in Patients with？？Hypertension Using Heart Rate Variability. Evidence-Based Complementary and Alternative？？Medicine. 2014;2014:979067.？

상세보기
Pang SH, Liu GJ, Zhao WS. Effect of combined acupuncture and medication for hypertension due to type 2 diabetes mellitus and？？plasma Neuropeptide Y. Journal of Acupuncture and Tuina Science. 2010;8(5):291-294.？

상세보기
Pereira RDM, Alvim NAT, Pereira CD, Gomes？？Junior SCDS. Laser acupuncture protocol for？？essential systemic arterial hypertension: randomized clinical trial. Revista Latino-Americana de Enfermagem. 2018;26:e2936.？

상세보기
Severcan C, Cevik C, Acar HV, et al. The？？effects of acupuncture on the levels of blood？？pressure and nitric oxide in hypertensive patients. Acupuncture & Electro-Therapeutics？？Research. 2012;37(4):263-275.？

상세보기
Wang YJ, Zhao X, Lan XD, Xu SQ, Zhang？？LH. The anti-hypertensive effect of time acupuncture on the patients with primary hypertension. World Journal of Acupuncture - Moxibustion. 2020;30(4):272-276.？

상세보기
Zhan HR, Hong ZS, Chen YS, et al. Non-invasive treatment to grade 1 essential hypertension by percutaneous laser and electric pulse to？？acupoint with music: A randomized controlled？？trial. Chinese Journal of Integrative Medicine.？？2016;22(9):696-703.？

상세보기
Zheng H, Li J, Li Y, et al. Acupuncture for？？patients with mild hypertension: A randomized？？controlled trial. American Journal of Hypertension. 2019;21(3):412-420.

저자의 다른 논문 :

활용도 분석정보

상세보기

다운로드

내보내기

활용도 Top5 논문

해당 논문의 주제분야에서 활용도가 높은 상위 5개 콘텐츠를 보여줍니다.
더보기 버튼을 클릭하시면 더 많은 관련자료를 살펴볼 수 있습니다.

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증