위장 비율동성 당뇨환자에서 足三里(ST36) 전침처치의 위전도 조절 영향 사례군 연구 (Assessment of Regulatory Effect of Electro-acupuncture at Jogsamni(ST36), on Electrogastrography in Diabetic Patients with Gastric Dysrhythmia: A Case Series Study)

서지정보

· 발행기관 : 대한침구의학회
· 수록지 정보 : Journal of Acupuncture Research / 25권 / 4호 / 97 ~ 105페이지
· 저자명 : 오달석, 최준용, 정소영, 신미숙, 김애란, 강경원, 최선미, 김종인

초록

Objectives : This study was to investigate the regulatory effect of electro-acupuncture on Jogsamni (ST36) in bradygastric condition or gastroparesis which is a neuropathic complication of type 2 diabetes mellitus(T2DM), assessed using 4-channel electrogastrography (EGG).
Methods : It was a case series study. Each patient was given electro-acupuncture(EA) one point, Jogsamni(ST36) or Gyeonu(LI15) bilaterally for thirty minutes with 2Hz bipolar square wave frequency and moderate intensity of stimulation. With attaching electrodes around stomach region throughout pre-acupuncture, acupuncture, and post-acupuncture session, these parameters were produced; percent rate of bradygastria power compared to sum of power in all kind of gastric rhythm(% bradygastria), dominant frequency(DF) and dominant power(DP). Parameter was analysed per each channel's variable change from pre-acupuncture session by paired t-test.
Results : There was statistically significant decrease in % bradygastria parameters on one of the ST36 treated patients from pre-acupuncture session and to post-acupuncture session(P=0.015, P=0.008 respectively). A marginal significant decrease of DP was shown in the other ST36 treated patient from pre-acupuncture session through post-acupuncture session(P=0.049). Combined data of two ST36 Treated patients showed that there was significant decrease of %bradygastria from pre-acupuncture session to acupuncture session(P=0.020), and was decrease of DP from pre-acupuncture session to post- acupuncture session(P=0.020).
Conclusions : EA at ST36 resulted in statistically significant decrease in %bradygastria and DP for dysrhythmic condition in T2DM gastroparesis patients. Considering this limited results, further study will be needed to elucidate the effect of multiple-acupuncture on gastric myoelectrical activities.

영어초록

Objectives : This study was to investigate the regulatory effect of electro-acupuncture on Jogsamni (ST36) in bradygastric condition or gastroparesis which is a neuropathic complication of type 2 diabetes mellitus(T2DM), assessed using 4-channel electrogastrography (EGG).
Methods : It was a case series study. Each patient was given electro-acupuncture(EA) one point, Jogsamni(ST36) or Gyeonu(LI15) bilaterally for thirty minutes with 2Hz bipolar square wave frequency and moderate intensity of stimulation. With attaching electrodes around stomach region throughout pre-acupuncture, acupuncture, and post-acupuncture session, these parameters were produced; percent rate of bradygastria power compared to sum of power in all kind of gastric rhythm(% bradygastria), dominant frequency(DF) and dominant power(DP). Parameter was analysed per each channel's variable change from pre-acupuncture session by paired t-test.
Results : There was statistically significant decrease in % bradygastria parameters on one of the ST36 treated patients from pre-acupuncture session and to post-acupuncture session(P=0.015, P=0.008 respectively). A marginal significant decrease of DP was shown in the other ST36 treated patient from pre-acupuncture session through post-acupuncture session(P=0.049). Combined data of two ST36 Treated patients showed that there was significant decrease of %bradygastria from pre-acupuncture session to acupuncture session(P=0.020), and was decrease of DP from pre-acupuncture session to post- acupuncture session(P=0.020).
Conclusions : EA at ST36 resulted in statistically significant decrease in %bradygastria and DP for dysrhythmic condition in T2DM gastroparesis patients. Considering this limited results, further study will be needed to elucidate the effect of multiple-acupuncture on gastric myoelectrical activities.

참고자료

· 없음