Effects of Acupuncture at Palsa(BaXie) Evaluated by the Second Derivative of Photoplethysmogram Waveform in Hemiparetic Patients after Stroke

편마비 환자에서 팔사혈(八邪穴) 자침(刺鍼)이 가속도맥파에 미치는 영향

  • Yeo, Kyeong-Chan (Dept. of Acupuncture & Moxibustion, National Medical Center) ;
  • Yoon, In-Ae (Dept. of Acupuncture & Moxibustion, National Medical Center) ;
  • Kim, Ji-Na (Dept. of Acupuncture & Moxibustion, National Medical Center) ;
  • Bang, Sung-Pil (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Dongshin University) ;
  • Moon, Sung-Il (Dept. of Acupuncture & Moxibustion, National Medical Center)
  • Received : 2010.01.26
  • Accepted : 2010.03.26
  • Published : 2010.04.20

Abstract

Objectives : The second derivative of photoplethysmogram waveform(SDPTG) is a simple, convenient and non-invasive technique for pulse wave analysis. This study was designed to investigate the differences in the SDPTG between the affected side and the unaffected side in hemiparetic patients after stroke, and the effects of acupuncture at Palsa(BaXie) in hemiparetic patients after stroke. Methods : To evaluate the differences between the affected side and the unaffected side in hemiparetic patients after stroke, their SDPTG were recorded by using a Cardio Peri SA6000. To evaluate the effects of acupuncture at Palsa(BaXie) in 20 hemiparetic patients after stroke and 20 healthy subjects, their SDPTG were recorded 2 times(pre-acupuncture and post-acupuncture). The SDPTG consists of an a, b, c and d wave in systole and an e wave in diastole. Sano aging index was defined as (b-c-d)/a. Results : 1. The affected side in hemiparetic patients after stroke had higher average b/a ratio(p<0.05)and Sano aging index(p<0.05) than the unaffected side 2. In a comparison of pre-acupuncture and post-acupuncture at the Palsa(BaXie), b/a ratio(p<0.05) and Sano aging index(p<0.05) was decreased significantly in both hemiparetic patients and healthy subjects. Conclusions : These findings suggest that acupuncture at Palsa(BaXie) may be effective method of reverting some of the deleterious effects on vascular function produced by stroke.

Keywords

References

  1. 김영석, 문상관, 박성욱, 한창호. 임상중풍학. 서울 : 정담. 2007 : 1, 204-6, 417-58.
  2. 오혜림, 조진만, 진은선, 강흥선, 조정휘, 김권삼, 송정상, 배종화. Finger Photoplethysmogram의 이차미분파 측정의 임상적 유용성에 관한 연구. 대한순환기학회지. 2003 ; 33(3) : 233-41.
  3. Takazawa K, Tanaka N, Fujita M, Matsuoka O, Saiki T, Aikawa M, Tamura S, Ibukiyama C. Assessment of vasoactive agents and vascular aging by the second derivative of photoplethysmogram waveform. Hypertension. 1998 ; 32 : 365-70. https://doi.org/10.1161/01.HYP.32.2.365
  4. Allen J, Murray A. Similarity in bilateral photoplethysmographic peripheral pulse wave characteristics at the ears, thumbs and toes. Physiological measurement. 2000 ; 21 : 369-77. https://doi.org/10.1088/0967-3334/21/3/303
  5. Haruko A, Naomi S. Reproducibility of the acceleration plethysmograms: As a basic information to establish the evaluating method for "the vascular age". Journal of education and health science. 2001 ; 47(2) : 171-9.
  6. Millasseau S, Kelly R, Ritter J, Chowienczyk P. Determination of age-related increases in large artery stiffness by digital pulse contour analysis. Clinical Science. 2002 ; 103 : 371-77
  7. Kimura Y, Takamatsu K, Fujii A, Suzuki M, Chikada N, Tanada R, Kume Y, Sato H. Kampo therapy for premenstrual syndrome: Efficacy of Kamishoyosan Quantified using the second derivative of the fingertip photoplethysmogram. The journal of obstetrics and gynaecology research. 2007 ; 33(3) : 325-32. https://doi.org/10.1111/j.1447-0756.2007.00531.x
  8. 김성우, 이주형, 남기창, 김수찬, 차은종, 김덕원. PPG 2차 미분을 이용한 정상인과 당뇨병 환자의 말초혈관 탄성도 비교. 전자공학회 논문지. 2007 ; 44(4) : 15-19.
  9. John A. Photoplethysmography and its application in clinical physiological measurement. Physiological measurement. 2007 ; 28 : 1-39. https://doi.org/10.1088/0967-3334/28/1/001
  10. 김자영, 정선미, 박찬규, 민은경, 왕덕중. 중풍 편마비 환자의 손 기능 회복에 대한 八邪穴刺鍼의 임상적 효과. 대한침구학회지. 2008 ; 25(5) : 97-104.
  11. 이주형, 이홍민, 정병식, 윤형석, 조성규, 이상훈, 전형준, 남상수, 김용석. 百會穴刺鍼이 뇌혈류에 미치는 영향. 대한침구학회지. 2001 ; 18(6) : 105-13.
  12. 김일두, 오희홍, 송호천, 범희승, 변배영, 안수기. 足三里전침자극이 뇌혈류에 미치는 영향에 관한 핵의학적 고찰. 대한침구학회지. 2001 ; 18(2) : 18-26.
  13. 이건목, 양유선, 김성진, 황유진, 유동수, 김민자, 조은희, 김현중, 양명복, 이병철, 이인. 合谷鍼刺가 뇌혈류에 미치는 영향에 대한 핵의학적 고찰. 대한침구학회지. 2001 ; 18(6) : 93-104.
  14. 이순호, 신경호, 김종욱. 中風七處穴刺鍼이 뇌혈류에 미치는 영향. 대한침구학회지. 2004 ; 21(3) : 83-97.
  15. 이시섭, 김동원, 안교필, 엄효진, 남영. 편두통 환자의 뇌혈류에 대한 침치료의 효과. 대한침구학회지. 2001 ; 18(6) : 135-40.
  16. Jose FR, Ricardo EG, Jorge AC, Ruben RR. Vascular responses to manual PC6 acupuncture in nonsmokers and smokers assessed by the second derivative of the finger photoplethysmogram waveform. Journal of acupuncture and meridian studies. 2008 ; 1(1) : 58-62. https://doi.org/10.1016/S2005-2901(09)60009-1
  17. 서광석, 김정수, 안원식, 박광석, 김현정, 염광원, 구의경. 상하지 광체적변동파형의 진폭과 맥파전도시간을 이용한 지속적 동맥혈압 추정. 대한마취과학회지. 2007 ; 53(2) : 159-68.
  18. 남동현, 고형균, 박영배. 중년 성인남녀의 혈중 지질농도가 가속도맥파에 미치는 영향. 대한침구학회지. 2002 ; 19(3) : 126-37.
  19. Simek J, Wichterle D, Melenovsky V, Malik J, Svacina S, Widimsky J. Second derivative of the finger arterial pressure waveform An insight into dynamics of the peripheral arterial pressure pulse. Physiological research. 2005 ; 54 : 505-13.
  20. 남동현. 박영배. 생기능조절요법이 항노화효과 및 가속도맥파 파형에 미치는 영향. 대한한의진단학회지. 2001 ; 5(2) : 350-64.
  21. 전국한의과대학 심계내과학교실 편. 심계내과학. 서울 : 書苑堂: 505.
  22. 김철홍, 서정철, 윤현민, 장경전, 송춘호, 안창범, 조태성, 손인석. 董氏鍼을 가미한 치료가 중풍환자의 NIH Stroke Scale과 MBI상의 기능 회복에 미치는 영향. 대한침구학회지. 2002 ; 19(5) : 35-45.
  23. 이홍민, 전형준, 황욱, 남상수, 김용석. 뇌졸중 편마비로 인한 手部浮腫환자 3례에 대한 走罐法의 효과. 대한침구학회지. 2002 ; 19(2) ; 231-7.
  24. 문상관, 조기호, 고창남, 김영석, 배형섭, 이경섭. 뇌경색 환자의 뇌혈류에 대하여 건측 및 환측 침치료가 미치는 영향에 관한 비교 연구. 200 ; 16(1) : 94-101.
  25. 전국한의과대학 침구경혈학교실. 침구학(하). 서울 : 집문당. 2001 : 863-4.
  26. 안영기. 경혈학총서. 서울 : 성보사. 2000 : 730.
  27. 劉文鳳, 祝麗蘋. 鍼刺八邪穴治療腦梗塞手功能障碍 80例. 昆明醫學院學報. 2009 ; 4 : 139-40.
  28. 胡蓉, 王强, 朱廣旗. 鍼刺八邪穴治療腦硬塞手功能障碍20例. 吉林中醫藥. 2008 ; 28(5) : 356.
  29. 侯書偉, 譚奇文. 透刺八邪治療掌指關節屈伸不利75例. 吉林中醫藥. 2002 ; 22(1) : 41.