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수근관증후군에 대한 Sweet봉약침과 오공약침의 효과 비교

Comparison of the Effects between Sweet Bee Venom Pharmacopuncture and Scolopendrid Pharmacopuncture on Carpal Tunnel Syndrome (Randomized, Controlled Clinical Trial)

이경희|조성우|송춘호|김철홍|윤현민|이상찬|안창범|장경전|구지영
대한약침학회 (Korean Pharmacopuncture Institute)|2010.12|Journal of Pharmacopuncture|제13권 제4호|pp. 75-90

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참고문헌

키워드

Nerve Conduction VelocityScolopendrid PharmacopunctureSweet Bee Venom PharmacopunctureCarpal tunnel sydrome
주제분류한의학

초록

Objectives : The purpose of this study is to compare the effects of Sweet Bee Venom Pharmacopuncture and Scolopendrid Pharmacopuncture on Carpal Tunnel Syndrome. Methods : From February to September 2010, the number of patients with Carpal Tunnel Syndrome who volunteered for this clinical study was 16 and 7 out of 16 patients complained both hands. Total 23 cases of hands were randomly divided by 2 groups. We injected Sweet Bee Venom Pharmacopuncture on PC7(Daereung) twice a week for 4weeks for experimental group(n=11), and Scolopendrid Pharmacopuncture with the same methods for control group(n=12). One case was dropped out due to itchiness of allergic response in the experimental group. Improvement of the symptoms was evaluated by Visual Analogue Scale, Pain Rating Scale, Tinel’s sign, Phalen’s sign and Nerve Conduction Velocity. Nerve Conduction Velocity was checked at baseline and the end of the trial and others were checked at baseline, after 2 and 4 weeks. Results : Both groups showed significant improvement in Visual Analogue Scale, Pain Rating Scale,but no significant difference between two groups. Only the control group showed significant reduction of the‘ poitive response’in the Tinel’s sign and Phalen’s sign. However, no groups improved in Nerve Conduction Velocity. Conclusions : These results showed that Sweet Bee Venom Pharmacopuncture and Scolopendrid Pharmacopuncture could decrease the symptoms of Carpal Tunnel Syndrome. Further studies will be required to examine more cases for the long period and use more various concentration and amount pharmacopuncture for the effect on Carpal Tunnel Syndrome.

Abstract

Objectives : The purpose of this study is to compare the effects of Sweet Bee Venom Pharmacopuncture and Scolopendrid Pharmacopuncture on Carpal Tunnel Syndrome. Methods : From February to September 2010, the number of patients with Carpal Tunnel Syndrome who volunteered for this clinical study was 16 and 7 out of 16 patients complained both hands. Total 23 cases of hands were randomly divided by 2 groups. We injected Sweet Bee Venom Pharmacopuncture on PC7(Daereung) twice a week for 4weeks for experimental group(n=11), and Scolopendrid Pharmacopuncture with the same methods for control group(n=12). One case was dropped out due to itchiness of allergic response in the experimental group. Improvement of the symptoms was evaluated by Visual Analogue Scale, Pain Rating Scale, Tinel’s sign, Phalen’s sign and Nerve Conduction Velocity. Nerve Conduction Velocity was checked at baseline and the end of the trial and others were checked at baseline, after 2 and 4 weeks. Results : Both groups showed significant improvement in Visual Analogue Scale, Pain Rating Scale,but no significant difference between two groups. Only the control group showed significant reduction of the‘ poitive response’in the Tinel’s sign and Phalen’s sign. However, no groups improved in Nerve Conduction Velocity. Conclusions : These results showed that Sweet Bee Venom Pharmacopuncture and Scolopendrid Pharmacopuncture could decrease the symptoms of Carpal Tunnel Syndrome. Further studies will be required to examine more cases for the long period and use more various concentration and amount pharmacopuncture for the effect on Carpal Tunnel Syndrome.

참고문헌 (38)

  1. Phalen GS, "the carpal tunnel syndrome, Seven years experience in diagnosis and treatment of six hundred fifty-four hands", Bone joint surg., 48(A), pp.211~228 (1966)
  2. Department of Rehabilitation Medicine of College of Oriental Medicine, "Rehabilitation Medicine of Oriental Medicine", pp.27~28 (1995), Jipmundang
  3. The Korean Academy of Oriental Rehabilitation Medicine, "Oriental Rehabilitation Medicine", pp.83~119 (2005), Koonja
  4. The Korean Orthopaedic Association, "Orthopaedics", pp.254~350 (1997), Choishin
  5. Palmer DH, "Socail and economic costs of carpal tunnel surgery", Instr Course Lect, 44, pp.167~172 (1995)
  6. Hahn SB, "Endoscopic carpal tunnel release in carpal tunnel syndrome using the agee technique", Journal of the Korean Society for Surgery of the Hand, 5(1), pp.54~56 (2000)
  7. 임정아, "蜈蚣藥鍼을 이용한 수근관 증후군(carpal tunnel syndrome) 치료의 임상적 연구", 대한약침학회지, 8(1), pp.13~20 (2005), 대한약침학회
  8. 최철훈, "合谷刺와 蜂藥鍼으로 치료한 수근관 증후군 환자 4례", 대한침구학회지, 27(3), pp.159~166 (2010), 대한침구학회
  9. Kim IH, "Clinical Study on Five Cases of Carpal tunnel syndrome", The Journal of Korean Pharmacopuncture Institute, 46(3), pp.39~45 (2001)
  10. Lee BH, "A Study on Efficiency of Pain Management by Questionnaire using Visual Analogue Scale in Back Pain Patients", J Korean Acad Orthop Man Phys Ther, 14(1), pp.105~112 (1995)
  11. Kim C, "Clinical Value of a New Self Assessment Method of Pain", The Journal of Korean academy of Rehabilitation, 22(2), pp.305~311 (1998)
  12. 곽자영, "중풍 후 중추성 통증환자에 대한 봉독약침의 임상효과 －단일맹검 무작위배정 환자 대조군 비교연구－", 대한침구학회지, 26(6), pp.205~214 (2009), 대한침구학회
  13. Lee SY, "Comparison of the Parameters from Median Nerve Conduction Studies in the Carpal Tunnel Syndrome", Keimyung Med J., 18(1), pp.126~133 (1999)
  14. Compilation Committee of the CIBA collection of medical illustrations, "The CIBA collection of medical illustrations", pp.1~212 (2000), Jungdam
  15. The Korean Neurosurgical Society, "Neurosurgery", pp.413~415 (2005), Joonnangmoonhwasha
  16. Yoon SH, "A comparative study between clinical signs and electrodiagnostic examinations in carpal tunnel syndrome", the Journal of Chungnam colledge of Medicine, 19, pp.497~505 (1992)
  17. Park SW, "Clinical Study of Conservative Treatment in the Carpal Tunnel Syndrome", The Journal of the Korean Orthopedic Association, 20(5), pp.813~816 (1985)
  18. 전국한의과대학 침구학교실, "전문수련의 진료편람", 435~440 (2007)
  19. Science Commitee of Korean Pharmacopuncture Institute, "Pharmacopuncturology", pp.167~210 (2008), Elsevier Korea
  20. 오성원, "흉곽출구증후군으로 손 저림을 호소하는 환자들에 대한 SweetBV의 아시혈적 치료 효능 관찰", 대한약침학회지, 13(2), pp.85~92 (2010), 대한약침학회
  21. 김재홍, "만성요통환자에 대한 Bee Venom과 Sweet Bee Venom의 치료효능 비교 연구", 대한약침학회지, 11(4), pp.15~24 (2008), 대한약침학회
  22. 이경희, "落枕 환자에 대한 Sweet Bee Venom과 Bee Venom의 치료효과 및 Allergy 반응 비교 연구", 대한약침학회지, 11(4), pp.39~48 (2008), 대한약침학회
  23. 吳普, "神農本草經(3卷)", pp.28~ (1987), 醫道韓國社
  24. 李時珍, "本草綱目(下)", pp.2345~2349 (1982), 人民衛生出版社
  25. Kim JH, "Experimental Study on Analgesic, Antinflammatory, Anticonvulsive and Toxic Action Scolopendra", The Journal of Korean Oriental Medicine, 14(2), pp.381~393 (1993)
  26. 최석우, "오공약침으로 치료한 고관절 골절수술 후 발생된 내전근통증 환자 1례", 대한약침학회지, 9(1), pp.109~113 (2006), 대한약침학회
  27. 최회강, "추적조사를 중심으로 한 腰椎間板脫出症에 대한 蜈蚣藥鍼의 臨床的 硏究", 대한침구학회지, 20(3), pp.238~252 (2003), 대한침구학회
  28. Hwang MR, "The relationship between Clinical and Electrodiagnostic Findings in Carpal Tunnel Syndrome", The Journal of Korean academy of Rehabilitation, 23(5), pp.974~979 (1999)
  29. Simpson JA, "Electrical signs in the diagnosis of carpal tunnel and related syndromes", J Neurol Neurosurg Psychiatry, 19, pp.275~283 (1956)
  30. Gilliat RW, "sensory nerve action potentials in patients with peripheral nerve lesion", J Neurol Neurosurg Psychiatry, 21, pp.109~118 (1958)
  31. Kemble F, "Electrodiafnosis of carpal tunnel syndrome", J Neurol Neurosurg Psychiatry, 31, pp.23~27 (1968)
  32. Kopell HP, "Clinical and electrodiagnostic features of carpal tunnel syndrome", Arch Phys Med., 49, pp.371~375 (1968)
  33. Lambert EH, "Diagnostic value of electrical stimulation of motor nerve", Electroencephalography and Clinical Neurophysiology(suppl), 22, pp.9~16 (1962)
  34. Padua L, "Pasqualetti, Tonali P. Multispective follow-up of untreated carpal tunnel syndrome", Neurology, 56(11), pp.1459~1466 (2001)
  35. Gerritsen AA, "Scholten RJ, de Vet HC, Bouter LM. Systemic review of randomized clinical trials of surgical treatment for carpal tunnel syndrome", Br J Surg, 88(10), pp.1285~1295 (2001)
  36. Han TR, "Diagnosis and Treatment of Carpal Tinnel Sundrome", The Journal of Korean EMG, Electrodiagnositic Medicine, 5(1), pp.1~10 (2003)
  37. D Rempel, "Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies", Am J Public Health, Oct, 88, pp.1447~1451 (1998)
  38. Wren V. McCallister, "Decompressive Surgery Was Better Than Steroid Injection for Symptomatic and Neurophysiologic Outcomes in Carpal Tunnel Syndrome", The Journal of Bone and Joint Surgery (American), 88, pp.454~ (2006)

관련 논문AI추천

봉약침과 홍화약침으로 치료한 레이노 현상을 동반한 수근관증후군 환자 1례박평범, 오성종, 최석우대한약침학회 · Journal of Pharmacopuncture2009 · 제12권 제1호수근관 증후군의 한의학적 치료에 대한 논문 고찰 -국내 학술지를 중심으로-이종호한의병리학회 · 동의생리병리학회지2015 · 제29권 제1호蜈蚣藥鍼을 이용한 수근관 증후군(carpal tunnel syndrome) 치료의 임상적 연구김성남, 김성철, 문형철, 이성용, 임정아대한약침학회 · Journal of Pharmacopuncture2005 · 제8권 제1호Carthami Semen Pharmacopuncture Combined with Electroacupuncture on Carpal Tunnel Syndrome: A Retrospective Case Series Study김평화, Changsop Yang, Jinbok Lee, Kyungsun Han, Minseop Shin, Seon Choe, Sungha Kim대한약침학회 · Journal of Pharmacopuncture2021 · 제24권 제2호Sweet Bee Venom 약침을 이용한 산후 De Quervain's disease 치험 3례박지영, 이은희대한한방부인과학회 · 대한한방부인과학회지2010 · 제23권 제4호Clinical Study on Five Cases of Carpal tunnel syndrome김일환대한약침학회 · Journal of Pharmacopuncture2001 · 제4권 제3호

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