Assessment of Regulatory Effect of Electro-acupuncture at Jogsamni($ST_{36}$), on Electrogastrography in Diabetic Patients with Gastric Dysrhythmia;A Case Series Study

위장 비율동성 당뇨환자에서 족삼리(足三里)($ST_{36}$) 전침처치의 위전도 조절 영향 사례군 연구

  • Oh, Dal-Seok (Dept. of Medical Research, Korea Institute of Oriental Medicine) ;
  • Choi, Jun-Yong (Dept. of Medical Research, Korea Institute of Oriental Medicine) ;
  • Jung, So-Young (Dept. of Medical Research, Korea Institute of Oriental Medicine) ;
  • Shin, Mi-Suk (Dept. of Medical Research, Korea Institute of Oriental Medicine) ;
  • Kim, Ae-Ran (Dept. of Medical Research, Korea Institute of Oriental Medicine) ;
  • Kang, Kyung-Won (Dept. of Medical Research, Korea Institute of Oriental Medicine) ;
  • Kim, Jong-In (Dept. of Medical Research, Korea Institute of Oriental Medicine) ;
  • Choi, Sun-Mi (Dept. of Medical Research, Korea Institute of Oriental Medicine)
  • 오달석 (한국한의학연구원 의료연구부) ;
  • 최준용 (한국한의학연구원 의료연구부) ;
  • 정소영 (한국한의학연구원 의료연구부) ;
  • 신미숙 (한국한의학연구원 의료연구부) ;
  • 김애란 (한국한의학연구원 의료연구부) ;
  • 강경원 (한국한의학연구원 의료연구부) ;
  • 김종인 (한국한의학연구원 의료연구부) ;
  • 최선미 (한국한의학연구원 의료연구부)
  • Published : 2008.08.20

Abstract

Objectives : This study was to investigate the regulatory effect of electro-acupuncture on Jogsamni ($ST_{36}$) 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($ST_{36}$) or Gyeonu($LI_{15}$) 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 $ST_{36}$ 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 $ST_{36}$ treated patient from pre-acupuncture session through post-acupuncture session(P=0.049). Combined data of two $ST_{36}$ 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 $ST_{36}$ 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.

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