Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
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Efficacy of Saam Acupuncture for Diabetic Peripheral Neuropathy - A Pilot, Randomized Controlled Study

당뇨병성 말초신경병증 통증환자에서 사암침법의 유효성: 무작위 배정 대조군 사전예비연구

  • Jeon, Eonju (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Kwon, Hyojung (Department of Acupuncture and Moxibustion, College of Oriental Medicine, Daegu Haany University) ;
  • Shin, Imhee (Department of Medical Statistics, Catholic University of Daegu School of Medicine) ;
  • Jung, Euidal (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Kang, Seokbong (Department of Oriental Internal Medicine, College of Oriental Medicine, Daegu Haany University) ;
  • Shon, Hosang (Department of Internal Medicine, Catholic University of Daegu School of Medicine)
  • 전언주 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 권효정 (대구한의대학교 한의과대학 침구학교실) ;
  • 신임희 (대구가톨릭대학교 의과대학 통계학교실) ;
  • 정의달 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 강석봉 (대구한의대학교 한의과대학 내과학교실) ;
  • 손호상 (대구가톨릭대학교 의과대학 내과학교실)
  • Received : 2013.12.03
  • Accepted : 2013.12.17
  • Published : 2013.12.27
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Abstract

Objectives : Diabetic peripheral neuropathy(DPN), generally considered to be the most symptomatically distressing complication of diabetes, affects more than 50% of people with diabetes. However, no consistently effective treatment for DPN is available and patients are forced to struggle with medications that provide only partial relief. In this pilot study, we evaluated the clinical effects of Saam acupuncture for the treatment of painful DPN. Methods : A total of 10 patients with painful DPN were included in the study; 6 subjects with Saam acupuncture treatment and 4 subjects without it. Subjects were defined as having painful DPN if they had at least 2 points using total symptom score(TSS). Treatments were delivered three times a week for 4 weeks. Vitamin $B_{12}$ was orally administrated in the all subjects. At initial(0 week) and follow-up after 4 weeks and 8 weeks, all subjects underwent TSS, Michigan Neuropathy Screening Instrument(MNSI), and nerve conduction test. Results : After initial(0 week) and follow-up(8 weeks), TSS and MNSI were not significantly different between the two groups(p=0.400 and p=0.830, respectively). However, in both two groups, according to time, there was a significant difference in TSS as well as MNSI(p=0.001 and p=0.004, respectively). Conclusions : Saam acupuncture may be considered as the effective treatment for the patients of DPN although the changes of the symptoms were of limited significance in this study. Further investigations are required to elucidate the role of Saam acupuncture for the pain control of DPN.

Keywords

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