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제목 [안전성] 와파린이나 항혈소판제 복용 환자에서 침치료의 안전성에 대한 후향적 연구
와파린이나 항혈소판제 복용 환자에서 침치료의 안전성에 대한 후향적 연구
Safety of acupuncture treatments for patients taking warfarin or antiplatelet medications: Retrospective chart review study
저자 강동경희대병원 의료진 : 박정미(교신저자), 고창남(공동), 김상범(공동), 김수경(공동), 박성욱(공동), 조승연(공동), 신원철(공동)
타기관 의료진 : 김영지(1저자), 정우상(공동), 문상관(공동), 조기호(공동)
저널명 European Journal of Integrative Medicine 2014;6(4):492-496
게재일 2014.08.01.
논문소개
-초록정리
Introduction : Anticoagulant and antiplatelet therapy are widely used as preventive measures and treatment for cardiovascular and cerebrovascula rdiseases. Bleeding is a significant complication of anticoagulant and antiplatelet medications. With the growing use of acupuncture and the potential concomitant use of such medications, studies on the safety of acupuncture are necessary. The objective of this study was to evaluate the safety of acupuncture for patients taking warfarin or antiplatelet medications by comparing the rate of side effects for patients who did not take either of these medications.

Methodology : The medical records were searched to identify patients who had received acupuncture treatments at the Department of Korean Internal Medicine of Stroke and Neurological Disorders Center, Kyung Hee University Hospital at Gangdong between November 2010 and April2012. Prescribed medications were identified from medical records and each patient was allocated to one of three groups based on the medication they were taking. Group A were taking warfarin, group B were taking antiplatelet medications but not warfarin, group C took neither warfarin norantiplatelet medications and acted as a control group. Potential side effects that could be attributed to of acupuncture were identified.

Results : A total of 242 patients and 4891 acupuncture treatments were identified. No patients experienced serious adverse events such as extensive bleeding. The occurrence rate of microbleeding (bleeding which stopped within 30 s) was 4.8% for group A, 0.9% for group B and 3.0% for groupC.

Conclusion : Acupuncture treatment appears safe even for patients taking warfarin or antiplatelet medications. Large-scale, well-designed studies are needed to confirm these results.
페이지 URL http://www.sciencedirect.com/science/article/pii/S1876382014000626

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