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제목 [뇌출혈] 지주막하출혈 후 뇌혈관연축에 대한 침치료 연구: 후향적 환자 대조군 연구
지주막하출혈 후 뇌혈관연축에 대한 침치료 연구: 후향적 환자 대조군 연구
Acupuncture for cerebral vasospasm after subarachnoid hemorrhage: A retrospective case–control study
저자 강동경희대병원 의료진 : 박성욱(교신저자), 고창남(1저자), 이인환(공동), 조승연(공동), 이승환(공동), 고준석(공동), 박정미(공동), 김국기(공동), 배형섭(공동)
저널명 The Journal of Alternative and Complementary Medicine 2013;19(5):471-473
게재일 2013.05.07.
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Objectives : To examine the possibility of acupuncture as a new promising treatment to prevent delayed cerebral vasospasm, retrospective comparison was done of patient outcomes in patients with subarachnoid hemorrhage (SAH) treated with and without acupuncture.

Materials and methods : Twenty (20) patients with SAH were treated after their ruptured aneurysms had been secured. Acupuncture treatments were applied to the bilateral Zusanli (ST36) and Neiguan (PC6) once a day for 2 weeks, starting within 3 days of the aneurysm rupture. The incidence of angiographic vasospasm and delayed ischemic neurological deficit (DIND), the patient's functional status at discharge, and mortality rate were analyzed. Patient outcomes were compared with those of an age- and severity-matched comparison group composed of patients treated in the hospital without acupuncture.

Results : None of the patients who received acupuncture died. Angiographic vasospasms occurred in 5 patients (25.0%) and DIND in 2 (10%). In terms of functional impairment, the modified Rankin score at discharge was ≤2 in 7 patients (35%). In the control group, angiographic vasospasms occurred in 10 patients (55.6%) and DIND in 7 (38.9%), similar to the reported incidence in conventionally treated patients.

Conclusions : Patients with SAH who received acupuncture had a significantly lower incidence of DIND and significantly improved function at discharge, suggesting that acupuncture is effective in preventing cerebral vasospasm. In light of these promising results, a randomized controlled trial is warranted to determine the efficacy of acupuncture in a clinical setting.
페이지 URL http://online.liebertpub.com/doi/abs/10.1089/acm.2012.0076

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