도플러 초음파검사를 이용한 안면마비 환자의 안면부 경혈의 혈류 관찰

Clinical Observation on Blood Flow of Facial Acupuncture Points in Bell's Palsy Patients by Doppler Ultrasound

  • 인창식 (경희대학교 침구경락과학연구센터) ;
  • 배영민 (한국전기연구원 SOI-KOREA센터) ;
  • 최양식 (경희대학교 한의과대학 침구학교실) ;
  • 고정민 (경희대학교 한의과대학 침구학교실) ;
  • 김세르게이 (한국전기연구원 SOI-KOREA센터) ;
  • 강욱 (한국전기연구원 SOI-KOREA센터) ;
  • 이상훈 (경희대학교 한의과대학 침구학교실)
  • Yin, Chang-Shik (Acupuncture and Meridian Science Research Center, Kyung Hee University) ;
  • Bae, Young-Min (SOI-KOREA Center, Korea Electrotechnology Research Institute) ;
  • Choi, Yang-Sik (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Ko, Jeong-Min (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Sergey (SOI-KOREA Center, Korea Electrotechnology Research Institute) ;
  • Kang, Uk (SOI-KOREA Center, Korea Electrotechnology Research Institute) ;
  • Lee, Sang-Hoon (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University)
  • 발행 : 2009.04.20

초록

Objectives : The aim of this study was to investigate whether Doppler ultrasound device is applicable for the evaluation of facial palsy patients. Methods : A total of 25 patients participated in the first assessment and 22 of them finished a follow-up assessment one week later. An assessment comprised of a Minimax-Doppler-K device examination on bilateral acupoints $ST_5$, $SI_{19}$, $ST_2$, and $BL_1$, House-Brackmann grading, and subjective symptom questionnaire. Measurement reliability was assessed and clinically meaningful variations of Doppler measurement values were explored. Results : Doppler ultrasound examination revealed a significant difference of some measurement values between values of the symptom side and the contralateral side, between groups of severe paralysis and moderate paralysis, and between groups of short duration(0-3 weeks) and long duration (3 weeks-5 months) by non-parametric analyses (p<0.05). Several re-examination values showed a significant correlation with the first examination values by Spearman's correlation tests (p<0.05). Conclusions : This study revealed several possibilities for the clinical application of this device. Further validity tests and device improvements for a user's convenience would be helpful for its practical application.

키워드

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