Journal of Acupuncture Research

  • 제28권5호
  • /
  • Pages.87-96
  • /
  • 2011
  • /
  • 2586-288X(pISSN)
  • /
  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
권호 표지

임상연구에서 나타난 고혈압 뜸치료법에 대한 고찰

Review of Moxibustion Treatment for Hypertension in Clinical Trials

  • 류연 (한국한의학연구원 침구경락연구센터) ;
  • 박지은 (한국한의학연구원 침구경락연구센터) ;
  • 김애란 (한국한의학연구원 침구경락연구센터) ;
  • 정희정 (한국한의학연구원 침구경락연구센터) ;
  • 최선미 (한국한의학연구원 침구경락연구센터)
  • Liu, Yan (Acupuncture Moxibustion & Meridian Research Center, Korea Institute of Oriental Medicine) ;
  • Park, Ji-Eun (Acupuncture Moxibustion & Meridian Research Center, Korea Institute of Oriental Medicine) ;
  • Kim, Ae-Ran (Acupuncture Moxibustion & Meridian Research Center, Korea Institute of Oriental Medicine) ;
  • Jung, Hee-Jung (Acupuncture Moxibustion & Meridian Research Center, Korea Institute of Oriental Medicine) ;
  • Choi, Sun-Mi (Acupuncture Moxibustion & Meridian Research Center, Korea Institute of Oriental Medicine)
  • 투고 : 2011.09.15
  • 심사 : 2011.09.28
  • 발행 : 2011.10.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives : The aim of this study is to review clinical trials using moxibustion on hypertension and to assess their methodology and results. Methods : Electronic literature searches for clinical trials (randomized trial, non-randomized trial, before-after study) of moxibustion were performed in nine electronic databases (four international databases and five Korean databases) and handsearch. English, Korean or Chinese articles were included. Laboratory or animal studies were excluded. Results : A total of twelve studies met the inclusion criteria. Seven randomized controlled trial, three non-randomized trials and two before-after studies were included. Seven studies used direct moxibustion(two are scarring one) and five used indirect one. Five of twelve studies used moxibustion treatment just one time, except for that most frequency was once daily or 2-3 times per week for 1-2 months. Of ten randomized or non-randomized studies, three used antihypertension drug control and another three used waiting list control. Compare to baseline, change of blood pressure after moxibustion treatment was significant in all studies. However, the results of effect in blood pressure between moxibustion and controlled were not consistent. Methodological quality of clinical trials included in this review was low and has risk of bias, especially in blinding of parcitipant. Conclusions : There are little high-quality clinical trials of moxibustion for hypertension. To evaluate the effect of moxibustion, more rigorous trials are warranted. Also, methodology of clinical trials have to be descripted in detail.

키워드

참고문헌

  1. Guilbert JJ. The world health report 2002-reducing risks. Promoting healthy life Educ Health. 2003 ; 16 : 230.
  2. 질병관리본부. 국민건강영양조사 심층분석 보고서 : 검진부분. 2010.
  3. Perkovic V, Huxley R, Wu Y, Prabhakaran D, MacMahon S. The burden of blood pressurerelated disease: a neglected priority for global health. Hypertension. 2007 Dec ; 50(6) : 991-7. Epub 2007 Oct 22. https://doi.org/10.1161/HYPERTENSIONAHA.107.095497
  4. 대한고혈압학회. Text Book of Hypertension. 2009.
  5. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003 ; 42 : 1206-52. https://doi.org/10.1161/01.HYP.0000107251.49515.c2
  6. 대한침구학회 교재편찬위원회 편. 침구학(중). 서울 : 集文堂. 2008 : 503-14.
  7. 김남수. 평생건강을 위한 뜸의 이론과 실제. 서울 : 서원당. 1998.
  8. Kim S.M. Property of drugs in hypertension. Journal of the Korean Academy of Family Medicine. 1998 ; 19 : 234-46.
  9. Kim JI, Choi JY, Lee H, Lee MS, Ernst E. Moxibustion for hypertension: a systematic review. BMC Cardiovasc Disord. 2010 ; 10 : 33-6. https://doi.org/10.1186/1471-2261-10-33
  10. Wu Q, Feng G, Tang X. Effects of Acupuncture at Siguan Points Plus Warming Acupuncture- Moxibustion at Baihui(GV20) on contents of Plasma ET and NO in the Patient of Essential Hypertension. Chin Acupunct Moxibustion. 2004 ; 24 : 53-5.
  11. Luo SY, Jin XJ. Acupuncture and Moxibustion Combined with Herbal Treatment for Essential Hypertension (Type of Dual Deficiency of Yin and Yang). Forun Trad Chin Med. 2004 ; 19 : 17-8.
  12. Feng G, Wu Q. Clinical Study on Treatment of Essential Hypertension with Acupuncture-Moxibustion at Baihui(GV20) Point. Chin Acupunct Moxibustion. 2003 ; 23 : 193-5.
  13. Wu QM, Feng GX. The Correlation between Hypertensive Effect and Plasma Ang II After Warm Acu-Moxa on Kaisiguan and Baihui Points. New J Trad Chin Med. 2003 ; 35 : 45-7.
  14. Gao X, Jin XW. Acupuncture and Moxibustion Therapy for Hypertension during Recovery Phase of Stroke. Zhongguo Kangfu. 2000 ; 15 : 103-1.
  15. 이주현. 수지뜸 및 수지봉이 혈압증감에 미치는 영향. 경기대학교 대체의학대학원. 2007.
  16. 건강보험심사평가원. 임상연구문헌 분류도구 및 비뚤림위험 평가도구. 2011. Available from: URL: http://www.hira.or.kr/ICSFiles/afieldfile/2011/05/11/HiraSDAHiraRoB.pdf
  17. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clinical Trials. 1996 ; 17(1) : 1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  18. Jin RX, Liu Y, Zhao SQ. Clinical Study on Treatment of Essential Hypertension with Moxibustion. Liaoning J Trad Chin Med. 2008 ; 35 : 1085-6.
  19. Zhang K, Zheng J, Wang N. Herbs-partitioned Moxibustion on Umbilicus for Hypertension with Ascendant Hyperactivit of Liver Yang. Zhejiang Journal of Traditional Chinese Medicine. 2007 ; 42(7) : 417-1.
  20. Kim B, Jang I, Yeo J, Lee T, Son D, Se E, Kang S, Kwak M, Lim Y. Effect of Choksamni Moxibustion on Blood Pressure Elevation in Hypertensive Patients: A Randomized Controlled Trial. J Korean Oriental Med. 2005 ; 26 : 66-73.
  21. Deng BY, Xie GG, Luo BH, Luo MR. Preliminary Observation of Immediate and Short Term Effect of Functional Health Moxibustion on Hypertension with Aura of Stroke. J Shandong Univ TCM. 2002 ; 26 : 266-7.
  22. Yuan M, Xu YZ, Chen DZ. Clinical Observation of Suppurative Moxibustion for Hypertension. Shanghai J Acupunct Moxibustion. 1995 ; 14 : 104-5.
  23. Zhang Y, Sun GJ. A Comparative Study of the Effect of Different Acupuncture and Moxibustion Treatments on Style Nail Fold Micro-Circulation in Patients with Hypertension. Chin Acupunct Moxibustion. 1994 : 148-51.
  24. Zhang Ying. Comparison on the Action of Lowering Blood Pressure by Awpuncture, Moxibustion, and Awpuncture Combined with Moxibustion. Chinese Acupuncture & Moxibustion. 1993 ; 4 : 15-6.
  25. Cho SH. Effects of moxibustion on physiological indices and autonomic nervous symptoms in adults with prehypertension. Journal of Korean Academy of Nursing. 2010 ; 40(5) : 686-94. https://doi.org/10.4040/jkan.2010.40.5.686
  26. 이은화. 본태성고혈압 환자에서 뜸 요법 후 24시간 활동 혈압 강하에 미치는 영향. 포천중문의과대학교 대체의학대학원. 2006.
  27. 권난희. 뜸 요법이 본태성 고혈압 환자의 혈압하강에 미치는 효과. 관동대학교 교육대학원. 2004.
  28. 복병숙. 족삼리(足三里), 곡지(曲池) 및 중완혈(中脘穴)에 대한 구(灸)요법이 혈압이 높은 대상자의 혈압과 두통에 미치는 효과. 부산가톨릭대학교 생명과학대학원. 2009.
  29. 이병훈, 김철홍, 서정철, 윤현민, 장경전, 송춘호, 안창범. 艾灸가 高血壓 患者의 血壓降下에 미치는 影響. 대한침구학회지. 2001 ; 18(5) : 70-6.
  30. 한창현. 국내 기공 임상논문에 대한 체계적 문헌 고찰. 대구한의대학교 대학원. 2009.
  31. Schulz KF, Grimes DA. Allocation concealment in randomised trials: defending against deciphering. Lancet. 2002 ; 259 : 614-8.
  32. Park JE, Han CH, Kang KY, Shin MS, Oh DS, Choi SM. A sham moxibustion device and masking test. Korea Institute of Oriental Medicine. 2007 ; 13(1) : 93-100.
  33. Park JE, Lee SS, Lee MS, Choi SM, Ernst E. Adverse events of moxibustion: a systematic review. Complement Ther Med. 2010 Oct ; 18(5) : 215-23. https://doi.org/10.1016/j.ctim.2010.07.001