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한방치료가 위 미주신경 활성 저하와 유문부 기능 장애가 병발된 기능성 소화불량증 환자에 미치는 선택적 효능

A Selective Effect of Combined Treatment of Electroacupuncture at Zusanli(ST36), Manual Acupuncture, And Pyengwisan in Function Dyspepsia Patients with Pyloric Valve Disturbance And Hypoactivity of Gastric Vagus Nerve

윤상협|김소연
대한한방내과학회 (The Society Of Korean Oriental Internal Medicine)|2009.03|대한한방내과학회지 (The Journal of Korean Oriental Internal Medicine)|제30권 제1호|pp. 191-199

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참고문헌

키워드

ElectroacupunctureFunctional DyspepsiaVagus nerveZusanli(ST35)Bowel SoundPyloric valve
주제분류한의학

초록

Objectives : The aim of this study was to evaluate therapeutic effect of acupuncture and herbal medicine in patients who had the hypoacivity of gastric vagus nerve and pyloric valve disturbance simultaneously with function dyspepsia by bowel sounds analysis. Methods : Bowel sounds of 10 patients(male 1, female 9) were recorded and their % of bowel sound (%BS) and ratio of dominant frequency(DF) were analyzed before and after treatment. Hypoactivity of gastric vagus nerve was considered if % BS was <6%, and pyloric valve disturbance was accepted if DF ratio(eg, postprandial DF/fasting DF) was <1. Electroacupuncture at Zusanli(ST36, 3Hz, 30minutes) and manual acupuncture at other meridian points were applied daily for 2 weeks. Herbal medicine, Pyengwisan, was administered to all patients(100cc, 3 times/day). Results : DF ratio significantly increased from 0.93±0.06 to 1.06±0.04after treatment for 2 weeks(p=0.005). 9 of 10 patients were improved to DF ratio>1. %BS also increased from 2.97±1.17% to 4.49±4.27%, not significantly. 3 patients showed a remarkable elevation, and their %BS reached >6% of normal value. Conclusions : Combined effect of electroacupuncture at Zusanli(ST36), manual acupuncture, and Pyengwisan was shown more effective in the improvement of pyloric valve disturbance more than hypoactivity of gastric vagus nerve on patients with functional dyspepsia.

Abstract

Objectives : The aim of this study was to evaluate therapeutic effect of acupuncture and herbal medicine in patients who had the hypoacivity of gastric vagus nerve and pyloric valve disturbance simultaneously with function dyspepsia by bowel sounds analysis. Methods : Bowel sounds of 10 patients(male 1, female 9) were recorded and their % of bowel sound (%BS) and ratio of dominant frequency(DF) were analyzed before and after treatment. Hypoactivity of gastric vagus nerve was considered if % BS was <6%, and pyloric valve disturbance was accepted if DF ratio(eg, postprandial DF/fasting DF) was <1. Electroacupuncture at Zusanli(ST36, 3Hz, 30minutes) and manual acupuncture at other meridian points were applied daily for 2 weeks. Herbal medicine, Pyengwisan, was administered to all patients(100cc, 3 times/day). Results : DF ratio significantly increased from 0.93±0.06 to 1.06±0.04after treatment for 2 weeks(p=0.005). 9 of 10 patients were improved to DF ratio>1. %BS also increased from 2.97±1.17% to 4.49±4.27%, not significantly. 3 patients showed a remarkable elevation, and their %BS reached >6% of normal value. Conclusions : Combined effect of electroacupuncture at Zusanli(ST36), manual acupuncture, and Pyengwisan was shown more effective in the improvement of pyloric valve disturbance more than hypoactivity of gastric vagus nerve on patients with functional dyspepsia.

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