본문 바로가기
KERD
논문KCI 등재

퇴행성슬관절염에 대한 봉약침과 온침효과 비교

A Comparative study of Warm neediling and Bee Venom Acupuncture on Osteoarthritis of

2

조회

0

다운로드

9

인용

0

참고문헌

키워드

주제분류한의학

초록

Objective This study was performed to investigate whether Bee Venom Pharmacopuncture(BVP) could be a more effective modality than Warm Needling(WN) in relieving pain and symptoms of knee osteoarthritis(OA). Design Prospective, randomized and controlled clinical trial. Setting Single center trial in Korea Patients 49 volunteers with knee OA participated in the study. All the participants were screened through an inclusion and exclusion criteria. 33 participants were completed the clinical trial. Intervention The subjects were randomly assigned to one of two groups. One group received BVP(n=18), while the other group received WN(n=15). Sixteen sessions of BVP or WN were given at the pain region of the problematic knee for 8 weeks. Primary outcome measure is the Korean translation of Western Ontario and McMaster Universities Osteoarthritis Index scores(Korean WOMAC, KWOMAC). Secondary outcome measure is the physical health scores based on the 36-Item Short-Form Health Survey(SF-36) and Patient Global Assessment(PGA). KWOMAC and SF-36 were measured third (baseline, 4 and 8 weeks). PGA was measured twice(4 and 8 weeks). Results BVP group showed significant decrease compared to WN group in pain, function and total scores of KWOMAC according to the Mann-Whitney U-test. In the PGA, BVP group, compared to WN group, showed a significant increase. Conclusions BVP was more effective in relieving pain of knee OA than WN. These findings suggest that BVP is a promising alternative for treating knee OA.

Abstract

Objective This study was performed to investigate whether Bee Venom Pharmacopuncture(BVP) could be a more effective modality than Warm Needling(WN) in relieving pain and symptoms of knee osteoarthritis(OA). Design Prospective, randomized and controlled clinical trial. Setting Single center trial in Korea Patients 49 volunteers with knee OA participated in the study. All the participants were screened through an inclusion and exclusion criteria. 33 participants were completed the clinical trial. Intervention The subjects were randomly assigned to one of two groups. One group received BVP(n=18), while the other group received WN(n=15). Sixteen sessions of BVP or WN were given at the pain region of the problematic knee for 8 weeks. Primary outcome measure is the Korean translation of Western Ontario and McMaster Universities Osteoarthritis Index scores(Korean WOMAC, KWOMAC). Secondary outcome measure is the physical health scores based on the 36-Item Short-Form Health Survey(SF-36) and Patient Global Assessment(PGA). KWOMAC and SF-36 were measured third (baseline, 4 and 8 weeks). PGA was measured twice(4 and 8 weeks). Results BVP group showed significant decrease compared to WN group in pain, function and total scores of KWOMAC according to the Mann-Whitney U-test. In the PGA, BVP group, compared to WN group, showed a significant increase. Conclusions BVP was more effective in relieving pain of knee OA than WN. These findings suggest that BVP is a promising alternative for treating knee OA.

참고문헌 (35)

  1. Felson DT., "Osteoarthritis: new insights. Part 2: treatment approaches", Ann Intern Med, 133(9), pp.726~37 (2000)
  2. World Health Organization, "nternational Standard Terminologies on Traditional Medicine in the Western Pacific Region", ~ (2007)
  3. Hider, R.C., "Honeybee venom: a rich source for pharmacologically active peptides", Endeavour, 12(2), pp.60~65 (1988)
  4. Dong Ju Son, "Therapeutic application of anti-arthritis, pain-releasing, and anti-cancer effects of bee venom and its constituent compounds", Pharmacology & Therapeutics, 115, pp.246~270 (2007)
  5. Wang Zhizhong, "Zhenjiuzishengjing(鍼灸資生經) Classic of Nourishing Life with Acupuncture and Moxibustion" (1991), Iljungsa
  6. "college of the whole University. Acupuncture & Moxibustion", pp.1048~1338 (2000), Jipmoondang
  7. Yoo SI., "The modern clinical acupuncture & moxibustion", pp.707~709 (2000), Euisungdang
  8. Li CD., "Observation on therapeutic effect of warming needle moxibustion on knee osteoarthritis of deficiencycold type", Zhongguo Zhen Jiu, 26(3), pp.189~191 (2006)
  9. Chen N., "Observation on the therapeutic effects of bird-pecking needing and needle warming on bulging of lumbar intervertebral disc", Zhongguo Zhen Jiu, 26(3), pp.213~214 (2006)
  10. He XW., "Observation on the therapeutic effect of warming needle moxibustion on prolapse of lumbar intervertebral disc", Zhongguo Zhen Jiu, 27(4), pp.264~266 (2007)
  11. Chen MR., "Effect of warming needle moxibustion on pain threshold in the patient of sciatica", Zhongguo Zhen Jiu, 25(12), pp.831~833 (2005)
  12. Xu FQ., "Observation on therapeutic effect of warming needle moxibustion combined with medicine on 128 cases of myasthenia gravis", Zhongguo Zhen Jiu, 26(5), pp.339~341 (2006)
  13. Berman BM., "Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee: a randomized, controlled trial", Ann Intern Med, 141, pp.901~910 (2004)
  14. Berman BM., "A randomized trial of acupuncture as an adjunctive therapy in osteoarthritis of the knee", Rheumatology, 38, pp.346~354 (1999)
  15. Brinkhaus B., "Physician and treatment characteristics in a randomized multicentre trial of acupuncture in patients with osteoarthritis of the knee", Complementary Therapies in Medicine, 15, pp.180~189 (2007)
  16. Thomas M., "A comparative study of diazepam and acupuncture in patients with osteoarthritis pain: a placebo controlled study", Am J Chin Med, 19, pp.95~100 (1991)
  17. Ezzo J., "Acupuncture for osteoarthritis of the knee: a systematic review", Arthritis Rheum, 44(4), pp.819~825 (2001)
  18. Bae SC, "Cross-cultural adaptation and validation of Korean Western Ontarioand McMaster Universities(WOMAC) and Lequesne osteoarthritis indices for clinical research", Osteoarthritis Cartilage, 9, pp.746~750 (2001)
  19. Kwon, Y. B., "The water-soluble fraction of bee venom produces anti-nociceptive and anti-inflammatory effects on rheumatoid arthritis in rats", 2002, 71(2), pp.191~204 (2002)
  20. Kwon, Y. B., "Bee venom injection into an acupuncture point reduces arthritis associated edema and nociceptive responses", Pain, 90(3), pp.271~280 (2001)
  21. Doh,W. S., "Effects of bee venom therapy on inflammatory edema on knees of rats", J Kor Acu Mox Soc, 12(1), pp.211~220 (1995)
  22. Lee, S. D., "Effects of Achyranthes japonica and bee venom acupuncture on the cell immunity of LPS-induced arthritis in rats", J Kor Acu Mox Soc, 6(3), pp.287~316 (1999)
  23. Yim, Y. K., "The effect of bee venom acupuncture into Chok-samni(ST36) formalininduced pain behavior", J Kor Acu Mox Soc, 17(2), pp.139~152 (2000)
  24. Do, W. S., "Effects of aqua-acupuncture(Cortex pumilae, Ramulus cinnamomum, Radix achyranthis, Apitoxin, Calculus bovis, Fel ursi, Moschus compound) in mice with lipopolysaccharide", J Kor Acu Mox Soc, 18(1), pp.157~169 (2001)
  25. Lee, J. H., "Bee venom pretreatment has both an anti-nociceptive and antiinflammatory effect on carrageenaninduced inflammation", J Vet Med Sci, 63(3), pp.251~259 (2001)
  26. Choi, D. Y., "The effect of bee venom on type 2 collageninduced arthritis", J Kor Acu Mox Soc, 19(2), pp.92~104 (2002)
  27. Kim, M. J., "The effect of bee venom acupuncture on protease activity and free radical damage in synovial fluid from collagen-induced arthritis in rats", J Kor Acu Mox Soc, 19(5), pp.161~175 (2002)
  28. Kim, H. W., "Acupoint stimulation using bee venom attenuates formalin-induced pain behavior and spinal cord fos expression in rats", J Vet Med Sci, 65(3), pp.349~355 (2003)
  29. Seo, D. M., "The analgesic effect of bee venom aqua-acupuncture 퇴행성슬관절염에 대한 봉약침과 온침효과 비교 27 and its mechanism in the rat model with adjuvant-induced arthritis", J Kor Acu Mox Soc, 20(2), pp.85~97 (2003)
  30. Witt C., "Acupuncture in patients with osteoarthritis of the knee: a randomized trial", Lancet, 366, pp.136~143 (2005)
  31. Singh BB., "Clinical decisions in the use of acupuncture as an adjunctive", therapy for osteoarthritis of the knee, 7, pp.58~65 (2001)
  32. Manheimer E., "Acupuncture for osteoarthritis-a randomized trial using a novel sham", Acupuncture in Medicine, 24, pp.7~14 (2006)
  33. Vas J, "Acupuncture as a complementary therapy to the pharmacological treatment of osteoarthritis of the knee: randomized controlled trial", BMJ, 329, pp.12~16 (2004)
  34. Scharf HP., "Acupuncture and knee osteoarthritis: a threearmed randomized trial", Ann Intern Med, 145, pp.12~20 (2006)
  35. Foster NE., "Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: randomized controlled rial", BMJ, (7617), pp.436~ (2007)

관련 논문AI추천

이 간행물의 다른 논문 (15건)