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   http://gall.dcinside.com/oriental_medicine/31028 [2324]

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http://www.iasp-pain.org/AM/AMTemplate.cfm?Section=HOME&TEMPLATE=/CM/ContentDisplay.cfm&SECTION=HOME&ConTENTID=13348

Acupuncture for Pain No Be-tter Than Placebo and Not Without Harm
According to New Study Published in PAIN¢ç

ħ¼úÀº Çöó½Ãº¸ º¸´Ù ³´Áö ¾ÊÀ¸¸ç ¹«ÇØÇÏÁöµµ ¾Ê´Ù.

Philadelphia, PA, March 23, 2011 – Although acupuncture is commonly used for pain control, doubts about its effectiveness and safety remain. Investigators from the Universities of Exeter & Plymouth (Exeter, UK) and the Korea Institute of Oriental Medicine (Daejeon, South Korea) critically evaluated systematic reviews of acupuncture as a treatment of pain in order to explore this question. Reporting in the April 2011 issue of PAIN¢ç, they conclude that numerous systematic reviews have generated little truly convincing evidence that acupuncture is effective in reducing pain, and serious adverse effects continue to be reported.

ÅëÁõ °ü¸®¿¡ À־ ħ¼úÀÌ º¸ÆíÀûÀ¸·Î »ç¿ëµÇ°í´Â ÀÖÀ¸³ª ±× È¿°ú¿Í ¾ÈÀü¼º¿¡ ´ëÇؼ­´Â ¾ÆÁ÷ Àǹ®ÀÌ ³²¾Æ ÀÖ´Ù. Exeter ´ëÇаú Çѱ¹ ÇÑÀÇÇבּ¸¿øÀÇ Á¶»çÀÚµéÀÌ ÀÌ Àǹ®À» Ž»çÇϱâ À§ÇØ ÅëÁõ¿¡ ´ëÇÑ Ä§¼úÀÇ systematic reviewµéÀ» Æò°¡ÇÏ¿´´Ù. PAINÁö 4¿ùÈ£¿¡ º¸°íµÈ ¹Ù¿¡ µû¸£¸é ¼ö¸¹Àº systematic reviewÀ» º¸¾ÒÀ» ¶§ Ä§¼úÀÌ ÅëÁõ °¨¼Ò¿¡ È¿°ú°¡ ÀÖ´Ù´Â È®½ÇÇÑ Áõ°Å´Â °ÅÀÇ ¾øÀ¸¸ç ½É°¢ÇÑ ºÎÀÛ¿ëÀÌ °è¼Ó ¾Ë·ÁÁ® ¿Ô´Ù°í ÇÑ´Ù. 

¡°Many systematic reviews of acupuncture for pain management are available, yet they only support few indications, and contradictions abound,¡± commented lead investigator Professor Edzard Ernst, MD, PhD, Laing Chair in Complementary Medicine, Peninsula Medical School, Universities of Exeter & Plymouth, UK. ¡°Acupuncture remains associated with serious adverse effects. One might argue that, in view of the popularity of acupuncture, the number of serious adverse effects is minute. We would counter, however, that even one avoidable adverse event is one too many. The key to making progress would be to train all acupuncturists to a high level of competency.¡±

"ħ¼úÀÇ ÅëÁõ °ü¸®¿¡ ´ëÇÑ ¸¹Àº systematic review°¡ ÀÖÁö¸¸, °ÅÀÇ Áõ°Å¸¦ ÁöÁöÇÏÁö ¸øÇÏ¸ç ¸ð¼øÁ¡µµ ¸¹´Ù" ¶ó°í Exeter ´ëÇÐÀÇ Edzard Ernst ±³¼ö°¡ ¸»Çß´Ù. "ħ¼úÀº ½É°¢ÇÑ ºÎÀÛ¿ë°úµµ °áºÎµÇ¾î ÀÖ´Ù. ¾î¶² »ç¶÷µéÀº ħ¼úÀÇ Àα⸦ °í·ÁÇÑ´Ù¸é ºÎÀÛ¿ëÀÇ °Ç¼ö´Â ÀÛ´Ù°í ÁÖÀåÇÒ ¼öµµ ÀÖÁö¸¸, ¿ì¸®´Â ÇÇÇØ°¥ ¼ö ÀÖ´Â ºÎÀÛ¿ë ÇÑ°ÇÀº ³Ê¹«³ª ¸¹Àº ÇÑ °ÇÀ̶ó°í ¹Ý¹ÚÇÒ °ÍÀÌ´Ù. ħ¼úÀÇ ¹ßÀüÀ» ÇâÇÑ ¿­¼è´Â ¸ðµç ħ±¸»çµéÀ» °­ÇÑ °æÀï·ÂÀ» °¡Áöµµ·Ï ÈƷýÃÅ°´Â °ÍÀÌ´Ù"

Researchers carefully identified and critically examined systematic reviews of acupuncture studies for pain relief and case reviews reporting adverse effects. Reviews were defined as systematic if they included an explicit Methods section describing the search strategy and inclusion/exclusion criteria. Systematic reviews had to focus on the effectiveness of any type of acupuncture for pain. Of the 266
articles found, 56 were categorized as acceptable systematic reviews.

¿¬±¸ÀÚµéÀº ħ¼úÀ» ÅëÇÑ ÅëÁõ ¿ÏÈ­¿¡ ´ëÇÑ systematics reviewµé°ú ºÎÀÛ¿ëÀÌ º¸°íµÈ ÄÉÀ̽º reviewµéÀ» ÁÖÀDZí°Ô ¸ð¾Æ ºñÆÇÀûÀ¸·Î ºÐ¼®Çß´Ù. ¸®ºäµé Áß¿¡¼­ ¿¬±¸ °Ë»ö Àü·«°ú Æ÷ÇÔ/ºÒÆ÷ÇÔ ±âÁØÀÌ ¸íÈ®È÷ method ¼½¼Ç¿¡ ¼³¸íµÈ ³í¹®µéÀº systematic review Á¤ÀǵǾú´Ù. Systematic review´Â ¾î¶°ÇÑ ÇüÅÂÀÇ ÅëÁõÀÌµç ±× È¿°ú¿¡ ´ëÇØ ÁýÁßÇÏ¿©¾ß ÇÑ´Ù. Àüü 266°³ÀÇ ³í¹® Áß¿¡¼­ 56°³°¡ systematic review·Î ¼±Á¤µÇ¾ú´Ù.

The authors observe that recent results from high-quality random-ized controlled trials have shown that various forms of acupuncture, including so-called "sham acupuncture," during which no needles actually penetrate the skin, are equally effective for chronic low back pain, and more effective than standard care. In these and other studies, the effects were attributed to such factors as therapist conviction, patient enthusiasm or the acupuncturist's communication style.

ÀúÀÚµéÀº ÃÖ±Ù »õ·Î¿î ÇüÅÂÀÇ Ä§, Áï ½ÇÁ¦·Î »ì°¯À» Åë°úÇÏÁö ¾Ê´Â À̸¥¹Ù "°¡Â¥ ħ(sham acupuncture)"À» »ç¿ëÇÑ RCT ¿¬±¸ °á°ú¿¡¼­, ÀÌ °¡Â¥ ħÀÌ ¿äÅë¿¡ ´ëÇØ (ÁøÂ¥ ħ°ú) µ¿ÀÏÇÑ È¿°ú¸¦ ³»¸ç, Ç¥ÁØÀÇ Ä¡·á¹ý º¸´Ù ÁÁÀº È¿°ú¸¦ º¸Àδٴ °á°ú¸¦ °üÂûÇÏ¿´´Ù. ÀÌ·¯ÇÑ ¿¬±¸°ú ´Ù¸¥ ¿¬±¸µé¿¡¼­ ±× È¿°ú´Â ½Ã¼úÀÚÀÇ È®½Å, ȯÀÚÀÇ ¿­¸Á ¶Ç´Â ħ±¸»çÀÇ ´ëÈ­ ½ºÅ¸ÀÏ °°Àº ¸î¸î ¿ä¼Ò ´öºÐÀÎ °ÍÀ¸·Î »ý°¢µÇ¾ú´Ù.

If even sham acupuncture is as good as or be-tter than standard care, then what is the harm? The answer lies in the adverse effect case studies. These studies were grouped into three categories: Infection (38 cases), trauma (42 cases) and other adverse effects (13 cases). Many of these adverse side effects are not intrinsic to acupuncture, but rather result from malpractice of acupuncturists. The most frequently reported complications included pneumothorax, (penetration of the thorax) and bacterial and viral infections. Five patients died after their treatment.

¸¸ÀÏ °¡Â¥Ä§ÀÌ Ç¥ÁØÀû Ä¡·á¿Í ºñ½ÁÇϰųª ´õ ÁÁ´Ù¸é, ¹«¾ùÀÌ ÇØ·Î¿î °ÍÀϱî? ±× ´ë´äÀº ºÎÀÛ¿ë ÄÉÀ̽º ¿¬±¸¿¡ ÀÖ´Ù. ºÎÀÛ¿ë ¿¬±¸´Â ¼¼ °³ÀÇ ÇüÅ·Π±¸ºÐÁö¾îÁ³´Ù: °¨¿° (38 case), ¿Ü»ó (42 case) ¹× ±âŸ (13 case). ÀÌ Áß ¸¹Àº ¼ö°¡ ħ¼ú °íÀ¯ÀÇ ºÎÀÛ¿ëÀÌ ¾Æ´Ï¶ó ħ±¸ÀÚÀÇ À߸øµÈ ½Ã¼ú·ÎºÎÅÍ ¿Â °á°ú¿´´Ù. °¡Àå ºó¹øÈ÷ º¸°íµÈ ºÎÀÛ¿ëÀº ±âÈä, ¹ÚÅ׸®¾Æ ¹× ¹ÙÀÌ·¯½º °¨¿°À̾ú´Ù. 5¸íÀÇ È¯ÀÚ°¡ Ä¡·á Áß »ç¸ÁÇÏ¿´´Ù.

In an accompanying commentary, Harriet Hall, MD, states her position forcefully: "Importantly, when a treatment is truly effective, studies tend to produce more convincing results as time passes and the weight of evidence accumulates. When a treatment is extensively studied for decades and the evidence continues to be inconsistent, it becomes more and more likely that the treatment is not truly effective. This
appears to be the case for acupuncture. In fact, taken as a whole, the published (and scientifically rigorous) evidence leads to the conclusion that acupuncture is no more effective than placebo." 

µ¿¹ÝµÈ ÄÚ¸àÆ®¿¡¼­ Harriet HallÀº ±×³àÀÇ ÀÔÀåÀ» ´ÜÈ£ÇÏ°Ô ¹àÇû´Ù. "Áß¿äÇÑ °ÍÀº, ¾î¶°ÇÑ Ä¡·á¹ýÀÌ ½ÇÁ¦·Î È¿°ú°¡ ÀÖ´Ù¸é, ¿¬±¸µéÀÌ ½Ã°£ÀÌ Áö³²¿¡ µû¶ó Á» ´õ ¼³µæ·Â ÀÖ´Â °á°ú¸¦ »ý»êÇÏ°í ±× Áõ°ÅÀÇ ¹«°Ô°¡ ½×¿©³ª°¡´Â °æÇâÀÌ ÀÖ½À´Ï´Ù. ¾î¶² Ä¡·á¹ýÀÌ ¼ö½Ê³â°£ ±¤¹üÀ§ÇÏ°Ô ¿¬±¸µÇ¾ú´Âµ¥ ±× Áõ°Å°¡ °è¼Ó ÀÏ°ü¼ºÀÌ ¾ø´Ù¸é, ±× Ä¡·á°¡ Á¤¸»·Î È¿°ú°¡ ÀÖ´Â °ÍÀÌ ¾Æ´Ò °¡´É¼ºÀÌ Á¡Á¡ ³ô¾ÆÁý´Ï´Ù. ÀÌ·¯ÇÑ °æ¿ì°¡ ħ¼ú¿¡ À־ ³ªÅ¸³³´Ï´Ù. ½ÇÁ¦·Î, ÀüüÀûÀ¸·Î º¸¾ÒÀ» ¶§, ÃâÆÇµÈ (±×¸®°í °úÇÐÀûÀ¸·Î ¾ö°ÝÇÑ) Áõ°Å´Â ħ¼úÀÌ Çöó½Ãº¸ ÀÌ»óÀÌ ¾Æ´Ï¶ó´Â °á·ÐÀ¸·Î À̲ø¾î ÁÝ´Ï´Ù."

The article is ¡°Acupuncture: Does it alleviate pain and are there serious risks? A review of reviews¡± by E.
Ernst, Myeong Soo Lee and Tae-Young Choi (DOI: 10.1016/j.pain.2010.11.004). The accompanying
commentary is "Acupuncture¡¯s claims punctured: Not proven effective for pain, not harmless" by Harriet
Hall, MD (DOI: 10.1016/j.pain.2011.01.039). Both appear in PAIN¢ç, Volume 152, Issue 4 (April 2011)
published by Elsevier.




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[º»°Ý Àú³Î¿¡¼­ ħ¼ú ´ëÂ÷°Ô ±î´Â ±Û]

PainÁö commentary¿¡ ¿Ã¶ó¿Â ±ÛÀε¥ ÁøÂ¥ ħ¼úÀ» ´ëÂ÷°Ô ±î´Â±¸¸¸ ¤»¤»¤»¤»
(»çÁ·ÀÌÁö¸¸ commentary´Â º¸Åë editor°¡ Á÷Á¢ ¿äûÇؼ­ ¾²´Â short review °°Àº °Å´Ù. Àü¿¡ ´©°¡ articleÀÎô ÇÏ°í ¿Ã¸° Àú³Î ¸®Çðú´Â Â÷¿øÀÌ ´Ù¸§)

³» »ì´Ù°¡ Àú³Î¿¡¼­ ÀÌ·¸°Ô ´ë³õ°í ħ¼úÀ» ¹«ÂüÇÏ°Ô ±î´Â ±ÛÀ» º¼ ÁÙÀº ÁøÁ¤ ¸ô¶ú´Ù.
º¸ÅëÀº ±×³É ÁÁÀº°Ô ÁÁÀº°Å¶ó°í ¸³¼­ºñ½º ÇØÁÖ°í ¸»Áö. ¹¹ ÇöÀç±îÁö´Â Á» ºÎÁ·ÇÏÁö¸¸ ¾ÕÀ¸·Î ÀáÀç·ÂÀÌ ÀÖ´Ù ÀÌ·±½ÄÀ¸·Î ¤¾¤¾¤¾¤¾
±Ùµ¥ ÀÌ ÀúÀÚ´Â °ÅÀÇ ÀÎÅͽºÅÚ¶ó Á¤µµ ºÐÀ§±â´Ù ¾Æ³ö ¿ô°Ü¼­ ¤¾¤¾¤¾

¿¡µðÅÍ ¿äû¿¡ ÀÇÇؼ­ ½Ç¸° ±ÛÀÌ °ÅÀÇ È®½ÇÇÑ ¸¸Å­ ¾ÕÀ¸·Î ÀÌ Àú³ÎÀÇ ±ÍÃß°¡ ÁÖ¸ñµÇ´Â ±¸¸¸...
Çѱî/ÇѺü¸¦ ¶°³ª¼­ ¿µ¾î°øºÎÇÑ´Ù°í »ý°¢ÇÏ°í ÀоîºÁ. ¹ø¿ªÇÏ±ä ±ÍÂú´Ù.

Commentary

Acupuncture¡¯s claims punctured: Not proven effective for pain, not harmless

Harriet Hall M.D.
Puyallup, WA, USA
Available online 24 March 2011.
........(ÀÌÇÏ ¿µ¹® »ý·«)
µ¾ÀÚ¸® 11-04-26 23:12
 203.¢½.147.40  
À§ Àú³Î ÄÚ¸àÅ͸®¸¦ Àд٠º¸´Ï Àç¹ÌÀÖ´Â ±¸ÀýÀÌ À־ ¸î±ºµ¥¸¸ ¹ø¿ªÇØ º¸¾Ò½À´Ï´Ù.

....No matter how many studies showed negative results, they would not persuade true believers to give up their beliefs. There will always be ¡°one more study¡± to try, but there should be a common-sense point at which researchers can agree to stop and divert research time and funds to areas more likely to produce useful results.
=> ...¾ó¸¶³ª ¸¹Àº ¿¬±¸¿¡¼­ È¿°ú¾ø´Ù´Â °á·ÐÀÌ ³ª¿À´øÁö °£¿¡, ¹Ï´ÂÀÚ(true believers;ħÀÇ È¿°ú¸¦ ¹Ï´Â ºÐµéÀ» ĪÇÏ´Â °ÍÀ¸·Î º¸ÀÓ)µé·Î ÇÏ¿©±Ý ±×µéÀÇ ¹ÏÀ½À» Æ÷±âÇÏ°Ô ¸¸µé¼ö´Â ¾øÀ» °ÍÀÌ´Ù. ¾ðÁ¦³ª "one more study" ¸¦ ÇÏÀÚ°í ¿ä±¸ÇÒ ¼ö´Â ÀÖ°ÚÁö¸¸, ÇÑÁ¤µÈ ½Ã°£°ú ÀçÁ¤À» Á» ´õ À¯¿ëÇÑ °á°ú¸¦ µµÃâÇÒ ¼ö ÀÖ´Â ¿¬±¸ºÐ¾ß·Î µ¹¸®±â À§Çؼ­¶óµµ ¿¬±¸ÀÚµéÀÌ µ¿ÀÇÇÒ ¼ö ÀÖ´Â ¿¬±¸Áß´ÜÀÇ ÇÕÀÇÁ¡(common-sense point) ÀÌ ÀÖ¾î¾ß ÇÒ °ÍÀÌ´Ù.

....Of course, advocates of acupuncture have argued that it is worthwhile even if it only produces a placebo response; and that it is harmless, so it does not hurt to try it. Ernst et al. however, have shown that acupuncture is not harmless.....With any treatment, we have to consider the risk/benefit ratio. If there is no benefit, any risk is too much. And there are other harms that they did not mention: time and money wasted, effective treatment delayed, unscientific thinking encouraged.
=> ....ħ¼úÄ¡·á¸¦ ÁöÁöÇÏ´Â ÀÚµéÀº ÀÌ°ÍÀÌ ºñ·Ï À§¾àÈ¿°ú Á¤µµ¸¸À» ÁÙ ¼ö ÀÖÀ»Áö¶óµµ, ¾ÈÀüÇϱ⠶§¹®¿¡ ±×°ÍÀ» ÇÏ´Â °ÍÀÌ ÇØ°¡ µÇ´Â °ÍÀÌ ¾Æ´Ï¶ó°í ÁÖÀåÇÑ´Ù. ÇÏÁö¸¸ Ernst ¿¬±¸±×·ìÀÌ Ä§Ä¡·á´Â ¾ÈÀüÇÏÁö ¾Ê´Ù´Â °ÍÀ» ÀÌ¹Ì Áõ¸íÇØ º¸¿´´Ù....¾î¶² Ä¡·á¸¦ ÇÏ´ø, ¿ì¸®´Â À§Çè/È¿°ú ºñÀ²(risk/benefit ratio)À» °í·ÁÇØ¾ß ÇÑ´Ù. ¸¸¾à Ä¡·áÀ̵æÀÌ ¾ø´Â °æ¿ì¶ó¸é °¡´ÉÇÑ ¾à°£ÀÇ risk ¶óµµ ÃæºÐÈ÷ Å©´Ù°í º¼ ¼ö ÀÖ´Â °ÍÀÌ´Ù. °Ô´Ù°¡ ¾ð±ÞµÇÁö ¾ÊÀº Çطοî Á¡µµ ÀÖ´Ù : ½Ã°£°ú µ·ÀÇ ¼Ò¸ð, È¿°ú°¡ Áõ¸íµÈ Ä¡·á¸¦ Áö¿¬½ÃÅ°´Â Á¡, ºñ°úÇÐÀû »ç°í¹æ½ÄÀÇ Àå·Á µîµîÀÌ ÀÖ´Ù.

...the 57 systematic reviews they surveyed had been for a preion drug and a similar list of serious adverse effects had been reported for that drug, we would hesitate to prescribe that drug. Is there any reason not to hold acupuncture to the same standards?
=> ...¸¸¾à ½ÃÆÇÁßÀÎ ¾à¿¡ ´ëÇÑ 57 °³ÀÇ systematic reviews ¿¡¼­ À§¿Í ºñ½ÁÇÑ ¸®½ºÆ®ÀÇ ºÎÀÛ¿ëÀÌ º¸°í°¡ µÇ¾ú´Ù¸é, ±× ¾àÀ» ó¹æÇϱ⠾î·Á¿öÁú °ÍÀÌ´Ù. ÀÌ°Í°ú °°Àº ±âÁØÀ¸·Î º¼ ¶§ ħ¼úÄ¡·á¸¦ ±×¸¸µÎÁö ¸»¾Æ¾ß ÇÒ ÀÌÀ¯°¡ ÀÖÀ»±î?
 222.¢½.241.103  
±× Àß³­ Àú³Î PainÁö¿¡ ½Ç¸° ³í¹®ÀÓ. À̰͵µ ÀоîÁֱ⠹ٶ÷.

Physician characteristics and variation in treatment outcomes: are better qualified and experienced physicians more successful in treating patients with chronic pain with acupuncture?
ÀÇ»çÀÇ °æÇè°ú Ư»öÀÌ Ä¡·á °á°ú¿¡ ¹ÌÄ¡´Â ¿µÇâ : Á» ´õ °æÇèÀÖ°í °ËÁõµÈ Àǻ簡 ¸¸¼º ÅëÁõ ħ Ä¡·á ȯÀÚ¿¡ ÀÖ¾î Á»´õ ¼º°øÀûÀÎ °á°ú¸¦ µµÃâÇØ ³¾ ¼ö Àִ°¡?

Witt CM, Lüdtke R, Wegscheider K, Willich SN.
SourceInstitute for Social Medicine, Epidemiology, and Health Economics, Charité Medical Center, Berlin, Germany. claudia.witt@charite.de

Abstract
The aim of this paper was to quantify the influence of the physician's training and experience in the field of acupuncture on the outcome in patients with chronic pain. Patients visiting their physician because of chronic low back pain, headache, pain due to osteoarthritis of the knee or hip, or neck pain, were included in 4 multicenter, randomized, controlled studies.
=> ÀÌ ³í¹®ÀÇ ¸ñÀûÀº ÀÇ»çÀÇ ÈƷðú °æÇèÀÌ ¸¸¼º ÅëÁõ ȯÀÚ¿¡ ´ëÇÑ Ä§ Ä¡·á¿¡ ´ëÇÑ ºÐ¾ß¿¡ ÀÖ¾î ¿µÇâÀ» Á¤·®È­Çϱâ À§ÇÔÀÌ´Ù. ȯÀÚµéÀº LBP, µÎÅë, °üÀý¿°, Ç×°­ ¶§¹®¿¡ Àǻ縦 ¹æ¹®ÇÑ »ç¶÷µéÀÌ¿´À¸¸ç À̵éÀº RCT¿¡ Æ÷ÇԵȴÙ.

All patients received routine care; patients in the acupuncture groups received additional acupuncture treatment (on average 10 sessions). The data was pooled, and the 3-month change from baseline of the SF-36 bodily pain subscale as the main outcome defined. A total of 9,990 patients (mean age 49.6 +/- 13.6 years, 68% female) treated by 2,781 physicians (mean age 46.3 +/- 7 years, 37% female) were analyzed. The physicians had 7.3 +/- 5.2 (mean +/- sd) years of experience in acupuncture and their mean duration of formal acupuncture training had been 287 +/- 321 hours.
=> ¸ðµç ȯÀÚµéÀº ·çƾÇÑ Ä¡·á¸¦ ¹Þ¾ÒÀ¸¸ç(Ä¡·á¹ýÀÌ ´Ù¸£´Ù°í µý¼Ò¸® ³ª¿Ã±îºÁ) ħġ·á ȯÀÚ ±ºÀº Ãß°¡ÀûÀΠħ Ä¡·á¸¦ ¹Þ¾Ò´Ù( Æò±Õ 10 ¼¼¼ÇÁ¤µµ) µ¥ÀÌÅÍ´Â SF-36(°á·ÐÀÌ µµÃâµÇ´Â ÅëÁõ ÃøÁ¤ Á¤µµ)¿¡ ±â¹ÝÇÏ¿© 3°³¿ù °£ÀÇ º¯È­¸¦ °í·ÁÇÏ¿© ¸ð¾ÆÁ³´Ù. ÅäÅ» 9,990(³ªÀÌ´Â 49.6¼¼ 68°¡ ¿©ÀÚ)¸íÀÇ È¯ÀÚ´Â 2781¸íÀÇ ÀÇ»ç(Æò±Õ 46.3¼¼ 37 ¿©ÀÚ)°¡ Á¶»çÇÏ¿´´Ù. ÀÇ»çµéÀº ´ë°³ 7.3³â ħġ·á °æÇèÀ» °¡Áö°í ÀÖÀ¸¸ç °ø½ÄÀûÀΠħ ±³À°Àº ´ë°³ 287½Ã°£ Á¤µµ ¼ö·áÇÏ¿´´Ù.

 The outcome was markedly improved in the acupuncture group. We identified only 1 physician characteristic with a significant influence on the outcome: Internists performed better (odds ratio OR = 1.49, confidence interval CI: 1.01;2.18; P = .043); orthopedists worse (OR = .79, CI: .62;1; P = .043) than the average physician.
=> °á°ú´Â ħ Ä¡·á ±º¿¡ ÀÖ¾î À¯ÀÇÇÏ°Ô Çâ»óµÊÀ» ³ªÅ¸³Â´Ù. ¿ì¸®´Â ´ÜÁö ÇÑ°¡ÁöÀÇ ÀÇ»ç Ư¼ºÀÌ °á°ú¿¡ »ó´çÇÑ ¿µÇâÀ» ÁÜÀ» ¹àÇû´Ù. ³»°úÀÇ»ç´Â ÈξÀ ´õ ÀßÇßÀ¸¸ç, Á¤Çü¿Ü°ú Àǻ簡 ¿ÀÈ÷·Á Æò±ÕÀûÀÎ Àǻ纸´Ùµµ °á°ú°¡ ÁÁÁö¾Ê´Ù.

Neither the duration of training nor the duration of experience had any impact on the extent of the acupuncture effect. PERSPECTIVE: In this analysis, physician characteristics such as training did not influence patients' outcome after acupuncture, suggesting that formal training parameters have only a limited influence on treatment effect. Other skills such as the therapeutic relationship, which are difficult to measure, may probably play a more important role and should be taken into consideration.
=> °æÇèÀ̳ª ±³À°ÀÇ Á¤µµ ¾î¶²°Íµµ ħ Ä¡·á È¿°ú¿¡ Å« ¿µÇâÀ» ÁÖÁö ¾Ê¾Ò´Ù. ÀÌ analysis·Î º¸¾Æ ÀÇ»çÀÇ Æ¯¼ºÀº ħ Ä¡·á °á°ú¿¡ Å« ¿µÇâÀ» ÁÖÁö ¾Ê´Â´Ù. Áï ±³À° Á¤µµ´Â ÀÌ·¯ÇÑ Ä¡·á °á°ú¿¡ ÇÑÁ¤ÀûÀÎ °á°ú¸¦ Áشٴ °ÍÀÌ´Ù(º»¹®ÀÇ ÀÌ·¯ÇÑ ¿¬±¸°ú ´Ù¸¥ ¿¬±¸µé¿¡¼­ ±× È¿°ú´Â ½Ã¼úÀÚÀÇ È®½Å, ȯÀÚÀÇ ¿­¸Á ¶Ç´Â ħ±¸»çÀÇ ´ëÈ­ ½ºÅ¸ÀÏ °°Àº ¸î¸î ¿ä¼Ò ´öºÐÀÎ °ÍÀ¸·Î »ý°¢µÇ¾ú´Ù. ¿ä ´ë¸ñÀ» ¹Ý¹ÚÇÏ´Â À̾߱â) °ü°è Çü¼º°ú °°Àº ´Ù¸¥ ½ºÅ³Àº ÃøÁ¤µÇ±â ¾î·Á¿ì³ª Áß¿äÇÑ ¿ªÇÒÀ» ÇÒ °ÍÀ¸·Î ±â´ë´ë±â ¶§¹®¿¡ °í·Á ´ë»óÀÌ µÇ¾îÁú ¹ý ÇÏ´Ù.

 Áï ħ±¸ Ä¡·á´Â ÅëÁõ Ä¡·á¿¡ ÀÖ¾î »ç¶÷¿¡°Ô ÆíÇâµÇÁö ¾Ê°í ´©°¡ ÇÏµç µ¿ÀÏÇÑ È¿°ú¸¦ ³½´Ù´Â ¶æÀ¸·Î, Àú ºÐÀº ´ë°³ ¹Ì±¹ ħ±¸»çµéÀÌ »ç°íÄ¡´Â °ÍÀ» º¸°í ±× ÂÊ¿¡ ÆíÇâµÇ¾î ³í¹®À» ¾´ µí ÇÔ.


Copyright 2010 American Pain Society. Published by Elsevier Inc. All rights reserved.
     
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http://www.ncbi.nlm.nih.gov/pubmed/20439056
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ħ¼úÀ» ÈÆ·ÃÇÑ ½Ã°£°ú´Â »ó°üÀÌ ¾ø¾ú´Ù´Â °ÍÀÌ´Ù!!!!!

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The fact that orthop-edists had worse acupuncture outcomes compared to internists or general practitioners is a matter of speculation. One possible explanation is that orthop-edists might be less patient orientated than GPs and internists. In addition, orthop-edists often have several treatment spaces in 1 room separated only by a curtain, which might result in a less private and relaxed atmosphere, while this is mainly not the case for both other specializations.
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°á±¹ ħ¼úÀÇ È¿°ú¶ó´Â °ÍÀº
1. ½Ã¼úÇÑ ÂÊÀÌ ½Ã¼úÇÏÁö ¾ÊÀº ÂÊ¿¡ ºñÇØ È¿°ú°¡ ÀÖ´Ù. ´Ü ±× È¿°ú°¡ ´ÜÁö ´©±º°¡ ħÀ» ³õ¾ÆÁÖ¾ú´Ù´Â ÇàÀ§ ÀÚü¿¡ ÀÇÇÑ Çöó½Ãº¸ÀÎÁö, ½ÇÁ¦·Î ħ ÀÚü°¡ ¿µÇâÀ» ¹ÌÄ¡´Â ¸ÞÄ¿´ÏÁò¿¡ ÀÇÇÑ °ÍÀÎÁö°¡ È®½ÇÇÏÁö ¾ÊÀº »óȲ¿¡¼­.

a. ´Ù¾çÇÏ°Ô °í¾ÈµÈ ÇüÅÂÀÇ °¡Â¥ ħ (sham acupuncture)¿¡¼­µµ ÁøÂ¥ ħ°ú µ¿ÀÏÇÑ È¿°ú°¡ ³ªÅ¸³­´Ù. (ÀÌÀüÀÇ ´ë±Ô¸ð trial °á°ú)
b. Áö³­ ¼ö½Ê³â°£ ¸ð¾ÆÁø ¿¬±¸°á°ú¸¦ systmatic review¸¦ ÅëÇØ ºÐ¼®ÇÏ¿´À» ¶§, ±àÁ¤Àû/ºÎÁ¤Àû È¿°ú°¡ °è¼Ó °øÁ¸ÇÏ°í, ±àÁ¤Àû °á°úµé »çÀÌ¿¡ ÀÏ°ü¼ºÀÌ º°·Î ¾ø¾î, Ä¡·á È¿°ú¿¡ false positive °¡ Àǽɵǰí, °á°úÀûÀ¸·Î Çöó½Ãº¸ ÀÌ»óÀÌ ¾Æ´Ï´Ù (Àü¿¡ ¿Ã¸° pain 4¿ù ³í¹®)
c. ħ¼úÀ» ¹è¿î °æ·ÂÀÌ È¿°ú¿¡ ¿µÇâÀ» ¹ÌÄ¡Áö ¾Ê´Â´Ù. °á°ú¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â À¯ÀÏÇÑ Â÷ÀÌÀÎ Àü¹®ºÐ¾ß Â÷ÀÌÁ¶Â÷ °á±¹ ½Ã¼ú ȯ°æÀÇ ºÐÀ§±â Â÷ÀÌ·Î ÃßÃøµÈ´Ù

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ÁÖ°üÀûÀÎ review¸¦ °ÅÀÇ ÆÑƮó·³ ¹Þ¾ÆµéÀÌ°í ÀÖ´Â Àú »ç¶÷¿¡°Ô ¹¯ÀÚ¸é ºÐ¸í ³í¹®¿¡¼­ ÀúÀڴ  ´ë´äÀº ºÎÀÛ¿ë ÄÉÀ̽º ¿¬±¸¿¡ ÀÖ´Ù. ºÎÀÛ¿ë ¿¬±¸´Â ¼¼ °³ÀÇ ÇüÅ·Π±¸ºÐÁö¾îÁ³´Ù: °¨¿° (38 case), ¿Ü»ó (42 case) ¹× ±âŸ (13 case). ÀÌ Áß ¸¹Àº ¼ö°¡ ħ¼ú °íÀ¯ÀÇ ºÎÀÛ¿ëÀÌ ¾Æ´Ï¶ó ħ±¸ÀÚÀÇ À߸øµÈ ½Ã¼ú·ÎºÎÅÍ ¿Â °á°ú¿´´Ù. °¡Àå ºó¹øÈ÷ º¸°íµÈ ºÎÀÛ¿ëÀº ±âÈä, ¹ÚÅ׸®¾Æ ¹× ¹ÙÀÌ·¯½º °¨¿°À̾ú´Ù. 5¸íÀÇ È¯ÀÚ°¡ Ä¡·á Áß »ç¸ÁÇÏ¿´´Ù. ¶ó°í À̾߱âÇϴµ¥, ÀÌ´Â Á¦´ë·Î ±³À°À» ¹ÞÁö ¾ÊÀº ÀÇ·áÀÎÀÌ ¾Æ´Ñ ħ±¸»ç°¡ ´õ °¡´É¼ºÀÌ ³ôÀº°Å ¾Æ´Ñ°¡?

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 ³×. ħÀ̶û shamÀ̶û È¿°ú Â÷ÀÌ Å©Áö ¾ÊÀº°¡ º¾´Ï´Ù. Çغ¸¸é Â÷ÀÌ°¡ ³ª´Âµ¥ ¸ÞŸºÐ¼®¿¡¼­ Â÷ÀÌ°¡ ¾È ³­´Ù´Ï ÀÏ´ÜÀº ±×·±°¡ º¸Áö¿ä. ±Ùµ¥ injection°ú dry needleµµ È¿°ú Â÷ÀÌ°¡ ¾ø´Ù¶ó´Â °Ô pain¿¡ ´ëÇÑ ÀÇ°ßÀÔ´Ï´Ù. ±×·¨´õ´Ï ÀÇ»çµéÀÌ dry needleÀÌ ¸¶Ä¡ ¾öû³­ ½ºÅ³ÀÎ µí À¯Çàó·³ ½Ã¼úÇÏ°í ÀÖ½À´Ï´Ù. ¹«¸­°üÀý¿°¿¡ °üÀý°æ ¼ö¼úÀ» ½ÃÇàÇÑ °Í°ú °¡Â¥ ¼ö¼ú¸¸ ½ÃÇàÇÑ °æ¿ì¿¡ ¿¹ÈÄ Â÷ÀÌ°¡ ¾ø¾ú´Ù¶ó´Â À̾߱⠿ª½Ã »ý°¢ÇØ º¼ ÇÊ¿ä°¡ ÀÖ½À´Ï´Ù. º´¸®Àû »óȲÀÌ °³¼±µÇ´Â °ÍÀº ºÐ¸í ¾Æ´ÏÁö¸¸ painÀº control µË´Ï´Ù. painÀÌ³Ä º´¸®Àû »óȲÀ̳ĸ¦ ±¸ºÐÇÏ´Â °ÍÀÌ ¿ì¼±ÀÌ ¾Æ´Ñ°¡ ½Í½À´Ï´Ù.
 ±×°Íµµ sham control°ú ºñ±³. À̰͵µ Âü °ñ ¶§¸®´Â À̾߱âÀε¥ ÀÌ ¹®Á¦¿¡ ´ëÇÑ Çؼ®Àº shamÁ¶Â÷ ÀÚ±ØÀ¸·Î¼­ÀÇ È¿°ú°¡ Á¸ÀçÇϱ⠶§¹®¿¡ sham controlÀº ÁøÁ¤ÇÑ acupuncture¿¡ ´ëÇÑ controlÀº ¾Æ´Ï¶ó´Â °ßÇصµ ÀÖ½À´Ï´Ù. ±× ¶§¹®¿¡ À¯·´¿¡¼± video¸¦ ÀÌ¿ëÇÏ´Â ¹æ¹ý±îÁö Á¦½ÃµÇ°í ÀÖ´Â ½ÇÁ¤ÀÌÁÒ.

 ±×·±µ¥ ħ¿¡ ÀÇÇÑ ±âÃÊ ¿¬±¸¿¡¼­ ħ ÀÚü°¡ ½Å°æÀÇ ¿©·¯ level¿¡¼­ nociceptionÀÇ Àü´Þ¿¡ ´ëÇØ Æ¯Á¤ ¹ÝÀÀÀ¸·Î ÀÛ¿ëÇÑ´Ù´Â ¿¬±¸³ª º£Å¸¿£µ¹ÇÉ, ¿£ÄÉÆȸ°, ´ÙÀ̳îÇɵîÀÇ ºÐºñ°¡ Á¶ÀýµÈ´Ù´Â ¿¬±¸³ª anterior cingulate cortex¸¦ È°¼ºÈ­ ½ÃŲ´Ù´Â °Í °°Àº ¿¬±¸µéÀº ¹èÁ¦ÇÏ°í È¿°ú ÃøÁ¤ ¼ö´ÜÀ¸·Î ÁÖ°üÀûÀÎ pain¿¡ ´ëÇØ Æò°¡µÈ ÀÚ·áµé¸¸À», ±×°Íµµ sham°ú ºñ±³Çؼ­ ¸¶Ä¡ ¾öû³­ À̾߱⸦ ÇϵíÇϽô °Ç Á¶±Ý ¾ð·ÐÇ÷¹ÀÌ ´À³¦ÀÌ ÀÖÀ¸½Ã³×¿ä.

 ¹¹ Àç¹ÌÀÖ´Â À̾߱â±â´Â Çß½À´Ï´Ù. false positive¸¦ ¹èÁ¦Çϱâ Èûµç °ÍÀÌ clinical study¿¡¼­´Â Ç×»ó ÁÖÀÇÇØ¾ß ÇÏ´Â Á¡ÀÌ´Ï±î ±×·± ºÎºÐÀÇ È¯±â·Î´Â ±¦ÂúÀº À̾߱â´Â µÉ °Í °°Áö¸¸. ħ¿¡ ´ëÇØ ¹» ¾ó¸¶³ª °øºÎÇÏ°í À̾߱â ÇϽô °ÇÁöµµ ¸ð¸£°Ú°í, Á¤¸» ¿¬±¸ Çغ¸½Ã±â´Â ÇÏ°í ÇÏ´Â ¸»ÀÎÁöµµ ¸ð¸£°Ú°í... ³í¹®À̶ó°í ÇغÁ¾ß ³²ÀÇ À̾߱âÀݾƿä. ÀÌÁ¨ ÀÚ½ÅÀÇ À̾߱⸦ Çغ¸¼¼¿ä.
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À̰ɷδ Âù¹°À» ³¢¾ñ´Â ¼öÁØÀº Ä¿³ç...¾ð¹ß¿¡ ¿ÀÁÜ´©´Â Á¤µµµµ ¾ÈµÇ´Ï °ÆÁ¤ ¾ÈÇØÁּŵµ µÇ°Ú½À´Ï´Ù^^;;

¾îÂ÷ÇÇ À̾߱Ⱑ ħ¼úÀÇ ÅëÁõÈ¿°ú¿¡ Æ÷Ä¿½º¸¦ ÁÖÁ¦·Î À̾߱âÇÏ´ø °ÍÀ̸ç
Á߹ݱîÁöÀÇ À̾߱â´Â °ç´Ù¸®ÀÏ Å×´Ï ±×³É ³Ñ±â°í,
°á±¹ ÇϽ÷Á´Â À̾߱â´Â "nociception ȤÀº anterior cingulate cortex È°¼ºÈ­ ¿¬±¸°á°ú" °°Àº°Íµµ Àִµ¥
°Ü¿ì "ÁÖ°üÀûÀÎ pain¿¡ ´ëÇØ Æò°¡µÈ ÀÚ·á" ¸¸À¸·Î È£µé°©À̳Ä....ÀÌÁ¤µµ·Î ¿ä¾àµÇ°Ú³×¿ä.

°á·ÐºÎÅÍ ¸»¾¸µå¸®¸é....Àǹ̾ø´Â ¹Ý·ÐÀÔ´Ï´Ù.
Áö±Ý ÇÏ°íÀÖ´Â À̾߱âÀΠħ¼úÀÇ ÅëÁõÈ¿°ú¿¡ ±¹ÇÑµÈ ³íÀÇ·Î ÇÑÁ¤ÁöÀ» ¶§,
ÀÇÇÐÀû Áõ°Å·Î¼­ÀÇ ½Å·Ú´Ü°è(ȤÀº ½Å·Ú°­µµ)·Î º¸¸é

ÈÄÀÚ(pain Æò°¡ÀÚ·á) >>>(4Â÷¿øÀÇ°£±Ø)>>>>>ÀüÀÚ(±âÃÊ¿¬±¸:nociception, anterior cingulate cortex µîµî....) °Åµç¿ä.

ÀÇÇÐÀû ¿¬±¸¹æ¹ý·ÐÀÇ ÀϹÝÀû ´Ü°è´Â ´ÙÀ½°ú °°½À´Ï´Ù.
Á» ´õ ¼¼ºÐÈ­ÇÒ¼öµµ ÀÖ°ÚÀ¸³ª À§ÀÇ Â÷À̸¦ ¼³¸íÇϱâ À§ÇÑ °£·«ÇÑ ±¸ºÐÀÌÁö¿ä.

1. ¿¬±¸ÁÖÁ¦¼±Á¤ ȤÀº concept Æ÷Âø

2. ±âÃÊ¿¬±¸(in vitro)ȤÀº µ¿¹°½ÇÇè

3. ÀÎüÀÓ»ó´Ü°è ½ÇÇè

4. review or meta-analysis

ÀÌ·± ¼ø¼­·Î ÁøÇàÀÌ µË´Ï´Ù.
°¢ ´Ü°è¿¡ ÇØ´çÇÏ´Â ¿¬±¸Àڷᳪ ³í¹®µéÀÌ Á¸ÀçÇϴµ¥¿ä, ÀÌ·¯ÇÑ Áö½Äµé °£¿¡´Â ºÐ¸íÇÑ ´Ü°è°¡ ÀÖ½À´Ï´Ù.
°¡·É 1,2¹ø¿¡¼­ ¾Æ¹«¸® ¸¹Àº ½Å·Úµµ ³ôÀº ±àÁ¤ÀûÀÎ ÀڷḦ ¸ð¾Æµµ 3¹øÀ̳ª 4¹ø¿¡¼­ ´Ù¼öÀÇ ¿¬±¸°á°ú°¡ ºÎÁ¤ÀûÀ̶ó¸é
±×°ÍÀº ÆÄÁöƼºê ³×°ÅƼºê ÇÕ»êÀ¸·Î Á¦·Î(¾ÆÁ÷Àº À߸𸣰ڴÙ)°¡ µÇ´Â °ÍÀÌ ¾Æ´Ï¶ó ±×³É '³×°ÅƼºê'°¡ µÇ´Â °ÍÀÔ´Ï´Ù.
¸»ÀÌ º¹ÀâÇÏÁö »ç½Ç Á÷°üÀû, »ó½ÄÀûÀ¸·Îµµ °£´ÜÈ÷ ¿ä¾àÀÌ µÇ´Â°Ô
"½ÇÇè½Ç¿¡¼­ ¹¹°¡ ¾î¼°í Àú¼°í Çصµ ½ÇÁ¦ »ç¶÷¿¡¼­ È¿°ú°¡ ¾øÀ¸¸é ±×³É º°°Å ¾Æ´Ñ°ÍÀÌ´Ù" ¶ó´Â°ÅÁÒ.
±×·± ±âº»ÀûÀÎ »ó½Ä¼öÁØÀÇ ÇÕ¸®Àû ÆÇ´Ü¿¡¼­ À§¿Í°°Àº 1-4´Ü°èÀÇ ÃþÀ§Àû ½Å·Úµµ Â÷ÀÌ°¡ ÀÖ´Â °Å±¸¿ä.

À̹ø¿¡ PAIN ÁöÀÇ ÇÑÀÇÇבּ¸¿ø Âü¿©³í¹®°ú ±× commentery ´Â 4. review or meta-analysis ´Ü°èÀÇ °­·ÂÇÑ Áõ°ÅÀÔ´Ï´Ù.
³»¿ëÀ» º¸¸é ¾Æ½Ã°ÚÁö¸¸, 3´Ü°èÀÇ ¿¬±¸¿¡¼­ ±àÁ¤Àû ºÎÁ¤Àû study °á°ú°¡ È¥ÀçÇÏ¸ç ±× ÆÐÅÏÀÌ ºÒÈ®½ÇÇÏ´Ù....¶ó´Â °ÍÀº
"¾Æ¹«¸®ºÁµµ ħ¼úÀÚüÀÇ ÅëÁõ¾ïÁ¦ È¿°ú°¡ À§¾àÈ¿°ú(Çö󼼺¸) ÀÌ»óÀÌ µÇ´Â°Å °°Áö´Â ¾Ê´Ù." ¶ó´Â °á·ÐÀ» Áشٴ °ÅÁö¿ä.
ÀÌ´Â 1,2,3 ´Ü°èÀÇ ±âÁ¸ÀÇ ¹ßÇ¥µÈ ½Å·ÚÀÖ´Â ÀÚ·áµéÀÇ ÃÑÇÕÀ» °¡Áö°í ÆÇ´ÜÇÑ °ÍÀ̱⠶§¹®¿¡
1,2,3 ´Ü°èÀÇ ÀڷḦ Çϳª¾¿ µé°í¿Í¼­ ¾Æ¹«¸® µéÀÌ´ë ºÁ¾ß ¹Ý¹ÚÀÌ ÀüÇô µÇÁö¸¦ ¾Ê½À´Ï´Ù.

....Áö±Ý ±×·¸°Ô µéÀÌ´ë°í ÀÖ´Ù´Â °Å±¸¿ä.

¾Õ¿¡¼­µµ °ËÀº°í¾çÀÌ ´ÔÀÌ 3´Ü°èÀÇ ÀڷḦ ´Þ¶û Çϳª °¡Áö°í ¿Í¼­ ¹Ý·ÐÀ̶ó°í ÇغÁ¾ß ¾Æ¹« ¼Ò¿ë ¾ø´ø°Í°ú ¸¶Âù°¡Áö·Î
Think1000 ´ÔÀÌ ¾ð±ÞÇÑ 2´Ü°è ±âÃʽÇÇè(nociception, cortex µîµî) ÀÚ·á ¶ÇÇÑ 4´Ü°è review°á·Ð¿¡ ÀüÇô Ÿ°ÝÀ» ÁÖÁö ¸øÇÕ´Ï´Ù.
¹°·Ð »ÏÁ·ÇÑ Ä§À¸·Î Â´Â ÇàÀ§°¡ ¸ö¿¡¼­ ¾î¶² »ý¸® »ýÈ­ÇÐÀû ¹ÝÀÀÀ» ÁÖ´ÂÁö¿¡ ´ëÇؼ­´Â ½Ã»ç¼ºÀÌ ÀÖÀ» ¼ö ÀÖÀ¸³ª
¾îÂ÷ÇÇ ±×°ÍÀÌ °á±¹ "ÀÎü¿¡¼­ ÅëÁõ¾ïÁ¦ È¿°ú°¡ ÀÖ´ÂÁö Ž±¸" ¸¦ À§ÇÑ ¸ñÀû¿¡ ´ëÇØ »ý°¢ÇØ º»´Ù¸é,
4´Ü°èÀÇ °­·ÂÇÑ Áõ°Å°¡ ÀÖ´Â ¸¶´ç¿¡´Â....Àû¾îµµ ÀÓ»óÀûÀ¸·Î´Â º° Àǹ̰¡ ¾ø´Â °ÅÁö¿ä.

ÀϹÝÀûÀÎ ÀÓ»ó°úÇÐ ÀÇ°úÇÐ...ȤÀº ÀÚ¿¬°úÇÐ ÇÏ´Â »ç¶÷µéÀ̶ó¸é ÀÌ·± ´Ü°èÀû Áõ°ÅÀÇ Â÷À̸¦ ÀÌÇØÇÏ°í ÀÖÁö¿ä.
±×·¡¼­ ±»ÀÌ ÀÌ·¯ÇÑ ¿¬±¸¹æ¹ý·Ð¿¡ ´ëÇÑ Áö¸®¸ê·ÄÇÑ À̾߱⠱îÁö ÇÏÁö ¾Ê¾Æµµ
¾ÖÃÊ¿¡ ±×·± ¼öÁس·Àº ¹Ý·Ð½Ãµµ(³·Àº ´Ü°èÀÇ ÀڷḦ °¡Áö°í ³ôÀº ´Ü°èÀÇ Áõ°Å¸¦ ¹Ý¹Ú) ¸¦ ÇÏÁö ¾Ê±â ¶§¹®¿¡
±»ÀÌ ¼³¸íÇÏÁö ¾Ê´Â °ÍÀÔ´Ï´Ù. ±×·¸´Ù°í ±×·± ´Ü°è°¡ ¾ø´Â°Ç ¾Æ´ÏÁö¿ä.

ƯÁ¤ ºÎ·ùÀÇ ÇÐÀÚ(¾Æ¸¶µµ À§¿¡ ¾ð±ÞÇÑ true believers °°Àº...) ºÐµé²²´Â
ÀÌ·± °Í±îÁö ±»ÀÌ ¼³¸íµå·Á¾ß µÇ´Â°¡ º¾´Ï´Ù.¤¾¤¾¤¾
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À̹ø °ÇÀº ³Ê¹« °­·ÂÇؼ­ ÇԺηΠ¹°Å¸±â Çϱ⵵ ¾î·ÆÁö ¾ÊÀ»±î ½Í³×¿ä.
Àúµµ ħ¼úÀÇ È¿°ú¿¡ ÀÌ·¡Àú·¡ Àǹ®ÀÌ ÀÖ¾úÁö¸¸, ÀÌ·± °­·ÂÇÑ ÆäÀÌÆÛ°¡ ³ª¿Ã°Å¶ó°í´Â Â÷¸¶ »ý°¢ ¸øÇ߰ŵç¿ä¤¾
±×°Íµµ ºÐ¸íÇÑ Àǵµ¸¦ ÆúÆú dz±â´Â editor ¿äû ÄÚ¸àÅ͸®±îÁö Æ÷ÇÔÇؼ­ ¸»ÀÌÁÒ...

ÀÇÇבּ¸¿¡¼­ ÀÌÂëµÇ´Â evidence ¶ó¸é....Ä¡·áÀÇ ±âº» ±Ù°Å°¡ »Ñ¸®ºÎÅÍ Èçµé¸®´Â ¼öÁØÀÔ´Ï´Ù.
ÀÌ·± Áß¿äÇÑ ¹®Á¦¸¦ °íÀÛ "Àç¹ÌÀÖ´Â À̾߱â" "false positive¸¦ ÁÖÀÇÇÏÀڴ ȯ±â" Á¤µµ·Î ¹Þ¾Æ µéÀδٴ°Ç
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»ç½Ç ÀÌ·± ºÎºÐÀÌ Àֱ⠶§¹®¿¡ ÇÑÀÇÇÐ °ü·Ã Åä·ÐÀÌ Àç¹ÌÀÖ´Â °Å ¾Æ´Ï°Ú½À´Ï±î¤¾¤¾

ÀÌ·± Áú ³·Àº ¹Ý¹Ú½Ãµµ¸¦ ³Ê¹«µµ ÀÚÁÖ º¸´Ï ³Ê¹« ´ä´äÇÑ ¸¶À½¿¡
True believers ¿©·¯ºÐ²² ÈùÆ®¸¦ Çϳª µå¸®Áö¿ä^^....
À̹ø ¹ßÇ¥¿¡ ´ëÇØ ´ëÇ×ÇÒ ¼ö ÀÖ´Â ¹æ¹ýÀº ´ÙÀ½°ú °°½À´Ï´Ù.
1,2,3 ´Ü°è ½Ì±Û ÆäÀÌÆÛ°¡ ¾Æ´Ñ
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¿ì¿ù ȤÀº µ¿µîÇÑ ÅëÁõÁ¶Àý µµ±¸ÀÓÀ» ¾Ë ¼ö ÀÖ´Ù" ¶ó´Â ³»¿ëÀÇ °­·ÂÇÑ ¹Ý´ëºÐ¼®°á°ú¸¦ ãÀ¸½Ã¸é µË´Ï´Ù.
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¾Æ, Âü°í·Î PAIN ÁöÀÇ impact factor ´Â 3Á¡~5Á¡ Á¤µµÀÔ´Ï´Ù.
ÀÌ¿ÕÀ̸é ÀÌ ¼öÁØ ÀÌ»óÀÇ ·¹º§ÀÇ Àú³Î¿¡¼­ÀÇ ÀÚ·á¶ó¸é ´õ ¹ÏÀ»¸¸ Çϰڳ׿ä^^

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ps) ¾²´Ùº¸´Ï Harriet Hall M.D. ÀÇ True believers ¶ó´Â Ç¥Çö Âü À¯¿ëÇϳ׿ä....¾ÕÀ¸·Î ¿ä±äÇÏ°Ô ¾²ÀÏ °Í °°½À´Ï´Ù^^;;
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EBM Á» ÇϽô °Í °°Àºµ¥ systematic review¿Í journalÀÇ ¹æÇ⼺¿¡ ´ëÇؼ­µµ °í·ÁÇϼžßÁÒ? ¼³¸¶ impactor factor¶ó´Â ¹ß»óÀ¸·Î Àú³ÎÀ» Æò°¡ÇÏ´Â °Ô Á¤¸» °´°üÀû °üÁ¡À̶ó°í »ý°¢ÇϽô °Ç ¾Æ´Ï°ÚÁö¸¸ ÅäÀÇ¿¡¼­ »ó´ë¹æÀ» ´©¸£±â À§ÇØ ±×³É ¾Ë°íµµ ½½Â½ ³Ñ¾î°¡½Å °Å¶ó°í »ý°¢ÇÏ°Ú½À´Ï´Ù. ¾îÂ÷ÇÇ bias¸¦ °¡Áö°í ÀÖ´Â »ç¶÷°ú À̾߱â ÇÏ´Â °Íµµ ÇÇ°ïÇϴϱî¿ä. ¹¹ true believer¶ó´Â À̾߱⸦ ÇϽôµ¥ Á¦°¡ º¸±â¿£ ±× ÂÊÀÌ¾ß ¸»·Î Áö±Ý ¹«½¼ ¸»À» ÇϵçÁö °£¿¡ ³» Æí ¾Æ´Ï¸é Àû ¹Û¿¡ ¾ø´Â »ç°í ¹æ½ÄÀÎ °Í °°±º¿ä.
¹º°¡ Á¦´ë·Î Âø°¢ÇÏ°í °è½Å °Í °°Àºµ¥ Á¤¸» °´°üÀûÀ¸·Î ¸»¾¸Çϼ̴ٸé Á¦°¡ µ¿ÀÇÇßÀ» °Ì´Ï´Ù.

ħ¼úÀÇ È¿°ú´Â pain control ¸¸À¸·Î ¼³¸íÇÒ ¼ö ¾ø´Â Çö»óÀ̸ç painÀ̶ó´Â subjective ÇÑ ÁöÇ¥¸¦ ±âÁØÀ¸·Î ¸¶Ä¡ ¸ðµç ħ¼úÀÚüÀÇ È¿°ú¸¦ ºÎÁ¤ÇÏ´Â µíÇÑ ¾ð»ç°¡ ÀûÀýÇÏÁö ¸ø ÇÏ´Ù´Â ¸»À» ÀÚ¿¬½º·´°Ô Èå·Á ¹ö¸®½Ã´Â±º¿ä.

°´°ü¼ºÀ̶õ ¸íÈ®ÇÏ°í öÀúÇÑ Àڱ⠰ËÁõ¿¡¼­ ½ÃÀÛÇÏ´Â °ÍÀÔ´Ï´Ù.
evidenceÀÇ ·¹º§À» À̾߱â ÇϽôµ¥¿ä. shamÀÌ acupuncture¿¡ ´ëÇÑ real controlÀÌ³Ä°í ¹°¾î ºÃÀݾƿä? ±×¸®°í sham°ú acupuncture »çÀÌÀÇ º´¸®Àû »óȲÀÇ Â÷ÀÌ¿¡ ´ëÇؼ­ ¹°¾î º» °ÅÀݾƿä? evidence ¼öÁý°ú Å»¶ô ÀÚü¿¡ ´ëÇÑ Àǹ®À» Á¦½ÃÇßÀ» °æ¿ì, evidence·Î Á¦½ÃµÈ systematic review´Â ¹Ýµå½Ã ±× Àǹ®¿¡ ´ëÇÑ ÇØ´äÀ» Á¦½ÃÇÒ ¼ö ÀÖ¾î¾ß ÇÕ´Ï´Ù. ±×°Ô ±× evidence¸¦ »óÀ§¿¡ ³õ´Â ÀÌÀ¯Àݾƿä.

 ±×¸®°í evidence ÀÚü°¡ ¼öÁý ¸ñÇ¥¿¡ ¸íÈ®È÷ painÀ¸·Î Á¦ÇÑÇÏ°í RCT(sham)À¸·Î ¼³Á¤µÇ¾î Àִµ¥ ±×°ÍÀ¸·Î ħ Àüü°¡ È¿°ú°¡ ¾ø´Â Ä¡·á¶õ ½ÄÀ¸·Î À̾߱â ÇϼÌÀ¸¸é ±× µÞ󸮵µ ÇϼžßÁÒ? ¾Æ´Ï¸é Á¦¸ñÀ» painÀ¸·Î Á¦ÇÑµÈ ¿µ¿ªÀ̶ó°í ºÐ¸íÈ÷ ¹àÈ÷½Ã´øÁö¿ä.
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Acupuncture for Pain No Be-tter Than Placebo and Not Without Harm
According to New Study Published in PAIN¢ç

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