화병환자의 불면증 침치료가 인체의 자율신경계에 미치는 영향
The Effects of Acupuncture Treatment on the Autonomic Nervous Systems of Hwa-byung Patients' Insomnia
1
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this research is to examine effects of acupuncture treatment on the auto-nomic nervous systems of Hwa-byung patients with insomnia. Methods: The study was performed through a patient-assessor blind, randomized, placebo-controlled trial in which the volunteers, data collectors, and analysts were unaware of which individuals were re-ceiving the treatment. A total of thirty-seven volunteers were divided into 2 groups. Eighteen subjects were placed into a trial group and 19 subjects into a control group using a randomization table. The trial group was treated with bilateral Shigu, Ahnmyun, B62 (Shinmaek), and K6 (Chohae), while the control group was not given any other treatment. The ISI (Insomnia Severity Scale) was measured as the first evaluative instrument, and then a comparative analysis was conducted by comparing the re-sults with those measured by ANS (BVP/HR, respiration rate, peripheral temperature, skin con-ductance, EMG).Results: In the BVP/HR, statistically significant decreases were found in those from the trial group compared to those of the control group. Skin conductance was found to be significantly increased in the trial group, as compared to the control group. However, there were no significant differences be-tween the groups with respect to peripheral temperature, respiration rate, and EMG.Conclusions: The results suggest that acupuncture treatment is effective in the treatment of hwa-by-ung patients who suffer from insomnia due to their autonomic nervous systems.
Abstract
Objectives: The purpose of this research is to examine effects of acupuncture treatment on the auto-nomic nervous systems of Hwa-byung patients with insomnia. Methods: The study was performed through a patient-assessor blind, randomized, placebo-controlled trial in which the volunteers, data collectors, and analysts were unaware of which individuals were re-ceiving the treatment. A total of thirty-seven volunteers were divided into 2 groups. Eighteen subjects were placed into a trial group and 19 subjects into a control group using a randomization table. The trial group was treated with bilateral Shigu, Ahnmyun, B62 (Shinmaek), and K6 (Chohae), while the control group was not given any other treatment. The ISI (Insomnia Severity Scale) was measured as the first evaluative instrument, and then a comparative analysis was conducted by comparing the re-sults with those measured by ANS (BVP/HR, respiration rate, peripheral temperature, skin con-ductance, EMG).Results: In the BVP/HR, statistically significant decreases were found in those from the trial group compared to those of the control group. Skin conductance was found to be significantly increased in the trial group, as compared to the control group. However, there were no significant differences be-tween the groups with respect to peripheral temperature, respiration rate, and EMG.Conclusions: The results suggest that acupuncture treatment is effective in the treatment of hwa-by-ung patients who suffer from insomnia due to their autonomic nervous systems.
참고문헌 (26)
- The Textbook Compilation Committee of Neuropsychiatry of Oriental Medical Schools in Nation, "The Neuropsychiatry of Oriental Medicine", pp.77~523 (2007), Jipmoon-Dang
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorder" (1997)
- Choi SH, "A Study on the Sleep Patterns of the General Adult Population in Seoul", Journal of The Korean Neuropsychiatric Association, 32, pp.289~310 (1992)
- 김종우, "화병면담검사의 신뢰도와 타당도", 한국심리학회지: 건강, 9(2), pp.321~332 (2004), 한국건강심리학회
- 민성길, "화병척도와 연구용 화병진단기준 개발", 신경정신의학, 48(2), pp.77~85 (2009), 대한신경정신의학회
- Elaine N. Marieb, "Human anatomy and physiology", pp.326~402 (1999), Gyechuk Munwhasa
- 이고은, "화병환자의 불면증상에 대한 침치료 유효성 평가연구: 환자-평가자 눈가림, 무작위배정, 일반대조군 임상시험", 동의신경정신과학회지, 23(1), pp.31~48 (2012), 대한한방신경정신과학회[DOI]
- 이상룡, "大陵(PC7) 침자가 뇌파에 미치는 영향", Korean Journal of Acupuncture, 27(2), pp.141~157 (2010), 경락경혈학회
- Chang CS, "Effect of electroacupuncture on St. 36 (Zusanli) and LI. 10 (Shousanli)acupuncture points on heart rate variability", Am J Chin Med, 38, pp.231~239 (2010)
- 정명숙, "침자극이 불안 환자와 정상 성인의 피부전도도에 미치는 영향", 동의신경정신과학회지, 20(2), pp.101~110 (2009), 대한한방신경정신과학회
- 채윤병, "침과 자율신경계 고찰: 인체의 심박변이도 중심으로", Korean Journal of Acupuncture, 24(4), pp.25~36 (2007), 경락경혈학회
- Buysse DJ, "Sleep", Recommendations for a standard research assessment of insomnia, 29(9), pp.1155~1173 (2006)
- Korean Acupuncture & Moxibustion Society, "The Text book of Acupuncture and Moxibustion 1, 2", pp.159~351 (2008), Jipmoon-Dang
- 김종우, "화병 임상진료지침 I. (개요)", 동의신경정신과학회지, 24(1), pp.3~14 (2013), 대한한방신경정신과학회
- Stuart lra fox, "Human physiology", pp.150~163 (2004), Lifescience
- Yun JC, "The treatment of insomnia through stability of the autonomic nervous system", 18(2), pp.141~145 (2009), Institute of Oriental Medicine DaeJeon University
- 배은주, "화병 환자의 심박변이도 특성에 대한 임상적 연구", 대한한방내과학회지, 26(4), pp.844~852 (2005), 대한한방내과학회
- Lee SJ, "Antinociception of Heterotopic Electro-Acupuncture Mediated by the Dorsolateral Funiculus", The American Journal of Chinese Medicine, 35(2), pp.251~264 (2007)
- 정병주, "침진통 효과에서 스트레스에 의한 진통 효과 개입 여부 평가 - 침굵기, 침자극 부위를 중심으로 -", Korean Journal of Acupuncture, 25(3), pp.65~80 (2008), 경락경혈학회
- 권소연, "Effects of Electroacupuncture on Immobilization Stress Responses : A Study on Inhibitory Avoidance Task, Forced Swimming Test, and Stress Hormones", 대한한방내과학회지, 32(1), pp.100~112 (2011), 대한한방내과학회
- 조장희, "침의 치료기전에 대한 신경기반 및 신경기능 가설 -침자극과 관계된 신경기반 및 체액성 반응, 신경적 반응, 면역반응-", 대한침구의학회지, 20(5), pp.14~186 (2003), 대한침구의학회
- Min SG, "Modern Psychiatry", pp.463~ (2000), Iljogak
- 신성원, "무심기공 누운자세 도인법이 인체 자율신경계와 근골격계에 미치는 영향", 동의신경정신과학회지, 17(1), pp.107~120 (2006), 대한한방신경정신과학회
- Kang HW, "An introduction on Biofeedback & Application in Oriental Medicine", Journal of Oriental Neuropsychiatry, 16(1), pp.143~158 (2005)
- 이주호, "침 자극이 인체의 자율신경계에 미치는 영향 고찰", 대한한의진단학회지, 15(2), pp.127~140 (2011), 대한한의진단학회
- Michael Thompson, "The Neurofeedback Book - An introduction to Basic Concepts in Applied Psychophysiology", pp.230~253 (2003), AAPB