Study on Cerebral Blood Flow in In-Young(ST9) after Treatment on Chronic Daily Headache Patients

만성두통 환자에서 한방 치료 후 인영혈 부위의 뇌혈류에 대한 연구

  • Lee, Chung-Sik (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University) ;
  • Park, Bo-Ra (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University) ;
  • Park, In-Suk (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Ji-Hwon (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University) ;
  • Lee, Sang-Eon (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University) ;
  • Lim, Jin-Young (Dept. of Physical Medicine & Rehabilitation, Wonkwang University Medical Center Gwangju) ;
  • Lyu, Yeoung-Su (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University) ;
  • Kang, Hyung-Won (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Tae-Heon (Dept. of Neuropsychiatry, College of Oriental Medicine, Wonkwang University)
  • 이충식 (원광대학교 한의과대학 신경정신과 교실) ;
  • 박보라 (원광대학교 한의과대학 신경정신과 교실) ;
  • 박인숙 (원광대학교 한의과대학 신경정신과 교실) ;
  • 김지훤 (원광대학교 한의과대학 신경정신과 교실) ;
  • 이상언 (원광대학교 한의과대학 신경정신과 교실) ;
  • 임진영 (원광대학교 광주원광병원 재활의학과) ;
  • 류영수 (원광대학교 한의과대학 신경정신과 교실) ;
  • 강형원 (원광대학교 한의과대학 신경정신과 교실) ;
  • 김태헌 (원광대학교 한의과대학 신경정신과 교실)
  • Published : 2009.03.30

Abstract

Objectives : This study was performed to change of blood flow in In-Young(ST9) after treatment on chronic daily headache patients. Methods : Monitoring of TCD was examined in 10' s chronic daily headache patients before and after treatment. Mean velocity flow, systolic velocity and pulsatility index were analyzed from TCD at In-Young(ST9). The patients was laid for 20 minutes before treatment and also for treatment. Results : The results showed a significant(p<0.05: Paired T-test) decrease in mean velocity flow and systolic velocity. but there were no significant differences in pulsatility index. Conclusions : These results suggest that there were significant change on blood flow in In-young of chronic daily headache patients.

Keywords

References

  1. 대한한방신경정신과학회 편. 한방신경정신의학. 경기:집문당. 2007:266-7.
  2. Rasmussen BK, Jensen R, Schroll M, Olesen J. Epidemiology of headache in a general population - a prevalence study. J Clin Epidemiol. 1991;44(11):1147-57. https://doi.org/10.1016/0895-4356(91)90147-2
  3. Headache classification subcommittee of the international headache society. The international classicication of headache disorders 2nd Ed. Cephalagia. 2004;24(S1):1-160.
  4. Lipton RB, Bigal ME, Steiner TJ, Silberstein SD, Olesen J. Classification of primary headache. Neurology. 2004;63(3):427-35. https://doi.org/10.1212/01.WNL.0000133301.66364.9B
  5. Bigal ME, Rapoport AM, Sheftell FD, Tepper SJ, Lipton RB. Transformed migraine and medication overuse in a tertiary headache centre-clinical characteristics and treatment outcomes. Cephalalgia. 2004;24(6):483-90. https://doi.org/10.1111/j.1468-2982.2004.00691.x
  6. Spierings EL, Ranke AH, Schroevers M, Honkoop PC. Chronic daily headache A time perspective. Headache. 2000;40(4):306-10. https://doi.org/10.1046/j.1526-4610.2000.00045.x
  7. Silberstein SD. Tension-type and chronic daily headache. Neurology. 1993;43(9):1644-9. https://doi.org/10.1212/WNL.43.9.1644
  8. Castillo J, Munoz P, Guitera V, Pascual J. Epidemiology of chronic daily headache in the general population. Headache. 1999;39(3):190-6. https://doi.org/10.1046/j.1526-4610.1999.3903190.x
  9. 王冰. 新編皇帝內經素問. 서울:大星文化史. 1994:60, 84, 202-3, 209-11, 262-3.
  10. 이봉교 외. 한방진단학. 서울:성보사. 1988:186.
  11. Aaslid R, Markwalder TM, Nornes H. Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg. 1982;57(6):769-74. https://doi.org/10.3171/jns.1982.57.6.0769
  12. 한병인. 사진과 그림으로 배우는 초음파 뇌혈류 검사. 서울:푸른솔. 2004:14-5, 49-50.
  13. Zanette EM, Fieschi C, Bozzao L, Roberti C, Toni D, Argentino C, Lenzi GL. Comparison of cerebral angiography and transcranial Doppler sonography in acute stroke. Stroke. 1989;20(7):899-903. https://doi.org/10.1161/01.STR.20.7.899
  14. James EM, Earnest F 4th, Forbes GS, Reese DF, Houser OW, Folger WN. High-resolution dynamic ultrasound imaging of the carotid bifurcation a prospective evaluation. Radiology. 1982;144(4):853-8.
  15. 이원택, 박경아. 의학신경해부학. 서울:고려의학. 1996:218.
  16. 안영기. 경혈학총서. 서울:성보사. 2000:156.
  17. 楊維傑 編. 黃帝內經靈樞譯解. 서울:일중사. 1991:91-5, 213.
  18. 신광순. 靈樞.經脈의 寸口.人迎脈法에 관한 연구. 동국대학교대학원. 2001.
  19. Abernathy M, Donnelly G, Kay G, Wieneke J, Morris S, Bergeson S, Ramos M, Call D, O'Rourke D. Transcranial Doppler sonography in headache-free migraineurs, Headache. 1994;34(4):198-203. https://doi.org/10.1111/j.1526-4610.1994.hed3404198.x
  20. Wallasch TM. Transcranial Doppler ultrasonic features in chronic tension-type headache. Cephalalgia. 1992;12(6):385-6. https://doi.org/10.1111/j.1468-2982.1992.00385.x
  21. 전용석, 채우석, 조명래, 소철호, 최찬헌, 장경선. 氣口人迎比較脈法에 대한 手技脈診 과 기기측정치의 상관성 연구. 동의생리병리학회지. 2002;16(1):201-8.
  22. 하영일. 두통클리닉. 서울:고려의학. 1995:282-4
  23. 김경환, 손영호, 이상무, 이준홍, 김돈수, 김정연, 김진수. 정상성인 200명을 대상으로 한 Transcranial Doppler Ultrasonography (TCD)의 기준치와 그에 영향을 주는 요소들. 대한신경과학회지. 1995;13(4):815-24.
  24. 김관우. 사암침법수상록. 대전:초락당. 2006:330.
  25. 이인선. 교감해설사암침구. 대전:초락당. 2007:223.
  26. 전국한의과대학 침구.경혈학교실. 침구학. 서울:집문당. 2000:1211-2.
  27. Buchbauer G, Jirovetz L, Jäger W, Dietrich H, Plank C. Aromatherapy evidence for sedative effects of the essential oil of lavender after inhalation. Z Naturforsch. 1991;46(11-12):1067-72.
  28. Robins JL. The science and art of aromatherapy. J Holist Nurs. 1999;17(1):5-17. https://doi.org/10.1177/089801019901700102
  29. 윤용갑. 동의방제와 처방해설. 서울:의성당. 2002:139, 265, 650.
  30. 이병인. 두통. 대한통증학회지. 1992;39:190-6.
  31. 최현림. 외래에서 두통환자의 접근법. 가정의학회지. 1999;20(5):556-65.
  32. 김현구, 엄보용, 정성창. 두통의 특성에 관한 연구. 대한구강내과학회. 1993;18(2):59-69.
  33. Headache Classification Committee of the International Headache Society : Classification and diagnostic criteria for headache disorders cranial neuralgias and facial pain. Cephalalgia. 1988;8:1-96. https://doi.org/10.1046/j.1468-2982.1988.0801001.x
  34. 김병모, 노재규, 박성호 등. 두통의 진단과 치료. 서울:현대의학사. 2000:1-254.
  35. Guitera V, Munoz P, Castillo J, Pascual J. Quality of life in chronic daily headache a study in a general population. Neurology. 2002;58(7):1062-5. https://doi.org/10.1212/WNL.58.7.1062
  36. 李杲. 東垣十種醫書. 서울:大星文化史. 1989:181-5.
  37. 李梴. 醫學入門. 서울:大星文化史. 1990:489.
  38. 許浚. 對譯東醫寶鑑. 서울:법인문화사. 1999:331, 494-503, 1018, 1176, 1182.
  39. Spencer MP, Reid JM, Davis DL, Paulson PS. Cervical carotid imaging with a continuous-wave Doppler flowmeter. Stroke. 1974;5(2):145-54. https://doi.org/10.1161/01.STR.5.2.145
  40. Spencer MP. Doppler ultrasonic imaging and non - invasive cerebrovascular evaluation. Int J Neurol. 1977;11:228-42.
  41. Piepgras A, Schmiedek P, Leinsinger G, Haberl RL, Kirsch CM, Einhaupl KM. A simple test to assess cerebrovascular reserve capacity using transcranial Doppler sonography and acetazolamide. Stroke. 1990;21(9):1306-11. https://doi.org/10.1161/01.STR.21.9.1306
  42. Ringelstein EB, Sievers C, Ecker S, Schneider PA, Otis SM. Noninvasive assessment of $CO_{2}$-induced cerebral vasomotor response in normal individuals and patients with internal carotid artery occlusions. Stroke. 1988;19(8):963-9. https://doi.org/10.1161/01.STR.19.8.963
  43. Widder B. The Doppler CO2 test to exclude patients not in need of extracranial/intracranial bypass surgery. J Neurol Neurosurg Psychiatry. 1989;52(1):38-42.
  44. 백정의. 중국 고대 맥진에 관한 연구. 대전 대학교대학원. 2002.
  45. 이시섭, 김동원, 안교필, 엄효진, 남영. 편두통 환자의 뇌혈류에 대한 침치료의 효과. 대한침구학회지. 2001;18(6):135-40.
  46. Friberg L, Olesen J, Iversen HK, Sperling B. Migraine pain associated with middle cerebral artery dilatation reversal by sumatriptan. Lancet. 1991;338:13-7. https://doi.org/10.1016/0140-6736(91)90005-A
  47. Arjona A, de Torres LA, Serrano-Castro PJ, Guardado-Santervas PL, Olivares J, Rubí-Callejon J. A transcranial doppler study in interictal migraine and tension-type headache. J Clin Ultrasound. 2007;35(7):372-5. https://doi.org/10.1002/jcu.20350
  48. 이호재, 김근이, 박연순, 박영배, 허웅. 인영.촉구 대비 맥진단법에 관한 연구. 대한전자공학회. 1992;15(1):424-8.
  49. 신상훈, 박대훈, 박영재, 박영배. 혈류역학을 이용한 촌구와 인영의 특성비교. 대한침구학회지. 2004;21(5):241-8.