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뇌졸중 후 인지장애의 침 치료에 대한 임상적 연구 고찰

A Study of Clinical Research Acupuncture Treatment on Post-stroke Cognitive Disorder

문병순|윤종민|김삼룡
대한한방내과학회 (The Society Of Korean Oriental Internal Medicine)|2018.06|대한한방내과학회지 (The Journal of Korean Oriental Internal Medicine)|제39권 제3호|pp. 389-404

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참고문헌

키워드

strokeacupuncturecognitive disorder
주제분류한의학

초록

Objective: The aim of this study was to investigate acupuncture therapy for post-stroke cognitive disorder to suggest the methods of a study about acupuncture therapy. Methods: Several academic databases were used in this study, including National Digital Science Library (NDSL), National Assembly Library of Korea, Korean Traditional Knowledge Portal, Research Information Sharing Service (RISS), Korean studies Information Service System (KISS), Korean Medical Database (KMBASE), Korea Med, Oriental Medicine Advanced Searching Integrated System (OASIS), PubMed, MEDLINE with Full Text, and China National Knowledge Infrastructure (CNKI). Keywords used were “중풍”, “뇌졸중”, “인지장애”, “침”, “acupuncture”, and “cognitive disorder”. Results: Ultimately, 28 papers were investigated. that were mainly published in 2012 and 2016. Of these, More than two-thirds received a score of one or less on the Jadad scale. Acupuncture points such as GV20, GV24, PC6, EX-HN1, SP6, and GV26 were most frequently used. The treatment duration was mostly 30 minutes or less, and the treatment cycle was mostly for four weeks. Dilatational wave was generally used in pulse wave form, and amplitude of electricity was increased until patients were able to endure. G6805 was generally used in electric acupuncture apparatus. According to results of acupuncture treatment, assessments such as the MMSE (Mini Mental State Examination) and the Montreal Cognitive Function Assessment Scale (MoCA) showed statistically significant improvements in 28 studies. Conclusions: Future research is needed to standardize the treatment of acupuncture, and more diversified high quality papers should be published to help clarify the therapeutic effects of acupuncture and the mechanisms of cognitive disorder post-stroke.

Abstract

Objective: The aim of this study was to investigate acupuncture therapy for post-stroke cognitive disorder to suggest the methods of a study about acupuncture therapy. Methods: Several academic databases were used in this study, including National Digital Science Library (NDSL), National Assembly Library of Korea, Korean Traditional Knowledge Portal, Research Information Sharing Service (RISS), Korean studies Information Service System (KISS), Korean Medical Database (KMBASE), Korea Med, Oriental Medicine Advanced Searching Integrated System (OASIS), PubMed, MEDLINE with Full Text, and China National Knowledge Infrastructure (CNKI). Keywords used were “중풍”, “뇌졸중”, “인지장애”, “침”, “acupuncture”, and “cognitive disorder”. Results: Ultimately, 28 papers were investigated. that were mainly published in 2012 and 2016. Of these, More than two-thirds received a score of one or less on the Jadad scale. Acupuncture points such as GV20, GV24, PC6, EX-HN1, SP6, and GV26 were most frequently used. The treatment duration was mostly 30 minutes or less, and the treatment cycle was mostly for four weeks. Dilatational wave was generally used in pulse wave form, and amplitude of electricity was increased until patients were able to endure. G6805 was generally used in electric acupuncture apparatus. According to results of acupuncture treatment, assessments such as the MMSE (Mini Mental State Examination) and the Montreal Cognitive Function Assessment Scale (MoCA) showed statistically significant improvements in 28 studies. Conclusions: Future research is needed to standardize the treatment of acupuncture, and more diversified high quality papers should be published to help clarify the therapeutic effects of acupuncture and the mechanisms of cognitive disorder post-stroke.

참고문헌 (51)

  1. Council of Cardiology Internal Medicine Professor, National Oriental Medicine College, "Oriental Circulatory Neurology", pp.243~261 (2016), Woori Medicine Publisher
  2. "Emergency Medical Statistics: Number of stroke patients(Sex, Age, Month)"[URL]
  3. Korean Stroke Society, "Textbook of Stroke, Second Edition", pp.3~ (2009), Epublic
  4. Shin HG, "A Study on the Standardization In Diagnostic Criteria on Jung-Pung", The Journal of Internal Korean Medicine, 18(2), pp.332~357 (1997)
  5. Korean Dementia Association, "Dementia A clinical Approach, Second Edition", pp.49~ (2011), Academya
  6. Lee GW, "Textbook of Neurology, Second Edition", pp.563~568 (2014), Beommun Education
  7. Brandstater ME, "Stroke rehabilitation;Physical medicine and rehabilitation, 4th ed", pp.1666~ (2005), Lippincott Williams & Wilkins
  8. Xu BH, "Heart Kidney Primary Acupoints Acupuncture Treatment of Mild Cognitive Impairment Clinical Observation", pp.2015
  9. Yang EJ, "Neuroprotective Effects of Electroacupuncture on an Animal Model of Bilateral Common Carotid Artery Occlusion", Molecular Neurobiology, 53(10), pp.7228~7236 (2016)[DOI]
  10. 김재규, "뇌졸중후 인지기능저하의　한약치료에　대한　임상적　고찰", Journal of Pharmacopuncture, 11(4), pp.59~64 (2008), 대한약침학회
  11. Oh DJ, "A Clinical Case of Mild Cognitive Impairment after Intracerebral Hemorrhage", The Journal of Internal Korean Medicine, pp.46~52 (2015)
  12. Jadad Ar, "Assesing the quality of reports of randomized controlled trials: Is blinding necessary?", Controlled clinical trials, 17(1), pp.1~12 (1996)[DOI]
  13. "新中醫", 2015, 255~257
  14. "大家健康(學術版)", 2012, 18~19
  15. Lu ZJ, "Clinical Research of Post-strke Vascular Cognitive Impairment Treatment with Needling back-shu point", pp.2014
  16. Li M, "Pericardium Acupuncture Points for Treatment by A Specific Cognitive Impairment after Stroke Clilnical Research", pp.2011
  17. Tang Q, "Observations on the Efficacy of Acupuncture plus Rehabilitation Training in Treating Post-stroke Cognitive Disorder", Shanghai J Acu-mox, 31(08), pp.566~567 (2012)
  18. Liu J, "Clinical Observation of Treating Cognitive Impairment after Stroke by Electroacupuncture at Baihui and Shenting with Cognitive Rehabilitation Training", China J of Chinese Medicine, 28(04), pp.608~610 (2013)
  19. Sun YT, "Clinical Control Study of Post-stroke Vascular Cognitive Impairment Treatment with Galvano-acupuncture and Cognitive Training", pp.2013
  20. Feng XD, "The Studies of Clinical Observation and Mechanism in Treating the Cognitive Impairment after Stroke by Electroacupuncture at Shenting and Baihui", pp.2013
  21. Cao EM, "Local Area Court, Four God Astute with Dialectical Find Clinical Research for The Treatment of Post-stroke Cognitive Dysfunction", pp.2015
  22. Zhang XL, "Clinical Research of Needling Treatment on Cognitive Function of Acute Cerebral Infarction in the Early Period", pp.2008
  23. Yan XY, "Clinical Research of Regulate Du and Improve Intelligence on Cognitive Dysfunction after Stroke", pp.2012
  24. Xing DX, "Clinical Observation of Xingnao Tiaoshen Acupuncture with Yizhiyin for Treating the Mild Cognitive Impairment after Cerebral Infarction", pp.2015
  25. Zheng Q, "Clinical Study on Treatment of Mild Cognitive Impairment after Stroke by Yishentiaodu Acupuncture", pp.2014
  26. Yang YY, "The Clinical Observation of Mild Cognitive Impairment after Ischemic Stroke by Different Electroacupuncture Waveform", pp.2015
  27. Li M, "Electro-nape Acupuncture and Donepezil Due to Vascular Cognitive Impairment after Cerebral Infarction Clinical Research", pp.2011
  28. 王桂芳, "電項針治療胸出血后認知功能障碍療效觀察", 山東中醫藥大學學報, 37(3), pp.232~233 (2013)
  29. Yang J, "The Clinical Study on Cognitive Impairment after Stroke by Using the Treatment of Electroacupuncture Given at DU20 and GB20", pp.2011
  30. Shao MM, "Clinical Observation on Curing the Vascular Cognitive Impairment with no Dementia Patients by Using the Electro-acupuncture", pp.2012
  31. Huang F, "Effect of Acupuncture with Meridian-qi Activation Skills on Cognition Disorders in Patients with Cerebral Infarction", Shanghai J Acu-mox, 30(02), pp.80~83 (2011)
  32. 秦達, "頭皮針對胸卒中康複期患者運動功能與認知功能的影響", 中國老年學雜志, 13(18), pp.542~543 (2015)
  33. Bao Y, "Clinical Study on Mild Cognitive Impairment after Stroke Treated with Cord-supplementing and Brain-strengthening Acupuncture", pp.2012
  34. 李偉, "針刺對胸卒中后輕度認知功能障碍的療效觀察", pp.2010
  35. 王博, "針刺結合認知訓練對老年胸卒中患者認知障碍及殘疾狀況的影響", pp.2008
  36. Zhang L, "Observation Curative Effect of Xingnao Kaiqiao Acupuncture Therapy Coordinate Rehabilitation Training in Treatment of Cognitive Disorder after Cerebral Infarction", China Continuing Medical Education, 8(02), pp.196~197 (2016)
  37. Ge SH, "Evaluation of the Rapeutic Effect of Acupuncture Combined with Rehabilitation Training on Cognitive Dysfunction after Cerebral Infarction", China & Foreign Medical Treatment, 35(18), pp.167~168 (2016)
  38. 曹良, "針刺聯合活血補腎中藥治療胸卒中后認知功能障碍的臨床觀察", 中醫藥導報, 22(2), pp.98~100 (2016)
  39. Jiang C, "Clinical Efficacy of Acupuncture Treatment in Combination With RehaCom Cognitive Training for Improving Cognitive Function in Stroke: A <TEX>$2{\times}2$<", TEX> Factorial Design Randomized Controlled Trial, 2016, pp.17(12), 1114~1122
  40. Wang SH, "Efficacy and safety assessment of acupuncture and nimodipine to treat mild cognitive impairment after cerebral infarction: a randomized controlled trial", BMC Complementary and Alternative Medicine, 16, pp.361~ (2016)[DOI]
  41. Zhao B, "Amplitude of Low-frequency Fluctuation in Patients with Alzheimer's Disease Based on Resting-state Functional MRI", Journal of China Medical University, 41(04), pp.329~332 (2012)
  42. Feng T, "The Current Views on Clinical Criteria for Vascular Dementia", Chinese Journal of Stroke, 4(1), pp.62~66 (2009)
  43. 오응석, "경도인지장애", 대한신경과학회지, 34(3), pp.167~175 (2016), 대한신경과학회[DOI]
  44. 王彦恒, "實用中醫精神病學", pp.108~112 (2000), 人民衛生出版社
  45. 徐桂琴, "心胸病中醫保健", pp.118~ (2014), 安徽科學技術出版社
  46. Korean Acupuncture & Moxibustion Medicine Society Textbook Compilation Committee, "The Acupuncture and Moxibustion Medicine", pp.762~ (2012), Jipmoondang
  47. Chui HC, "Clinical criteria for the diagnosis of vascular dementia: a multicenter study of comparability and interrater reliability", Arch Neurol, 57(2), pp.191~196 (2000)[DOI]
  48. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders, 5th ed" (2013)
  49. 이승우, "DSM-5 신경인지장애의 아형에 따른 신경인지기능의 특성 및 아형별 중증도에 영향을 미치는 인자", 생물치료정신의학, 22(3), pp.196~208 (2016), 대한생물치료정신의학회
  50. Benedict RH, "Limitations of the mini-mental state examination of the detection of amnesia", J Geriatr Psychiatry Neuro, 5(4), pp.233~237 (1992)
  51. Suhr JA, "Brief cognitive screening of right hemisphere stroke: relation to functional outcome", Arch Phys Med Rehabil, 80(7), pp.773~776 (1990)

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