Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea.
Korean Medical Imaging Association, Jayeonsaeng Korean Medicine Clinic, Yongin-si, Republic of Korea.
Medicine (Baltimore). 2024 Apr 5;103(14):e37659. doi: 10.1097/MD.0000000000037659.
Ultrasound-guidance is applied during the administration of Korean medicine (KM) interventions to improve the safety and effectiveness of the interventions. Although many case series and reports on the use of ultrasound-guided KM interventions have been reported, no study has investigated the current use of ultrasound-guidance in clinical practice by doctors of Korean medicine (KMDs). An online survey was conducted with questions examining the status of ultrasound-guidance usage among KMDs practicing in various KM clinical settings. Survey responses from 335 KMDs were collected. Ultrasound started to be widely used in the clinical practice of KM since 2022. The primary objective of using ultrasound-guidance was "To improve the accuracy and efficacy" by 54.6%. Ultrasound-guidance was most frequently applied for shoulder joint diseases, and pharmacopuncture was the most frequently used intervention (76.1% and 90.4%, respectively). The respondents reported that effectiveness could be enhanced the most in nerve entrapment syndromes and especially when used in shoulder joints. Over 90% of KMDs responded that the safety and efficacy of treatment, specialty, and patients' satisfaction were improved after adopting ultrasound-guidance. Moreover, 94.9% of KMDs agreed with the necessity for reimbursement of ultrasound-guidance in KM under national health insurance coverage. Most KMDs responded that they had positive perceptions regarding the clinical use of ultrasound-guidance in KM in terms of treatment effects, safety, and patient satisfaction, and the need for national health insurance coverage of the service. Our findings may provide practice-based evidence for conducting clinical studies.
超声引导被应用于韩医（KM）干预措施的实施过程中，以提高干预措施的安全性和有效性。尽管已经有许多关于超声引导 KM 干预措施的案例系列和报告，但没有研究调查过韩医师（KMDs）在临床实践中对超声引导的使用情况。我们进行了一项在线调查，问题涉及 KMDs 在各种 KM 临床环境中使用超声引导的情况。共收集了 335 名 KMD 的调查回复。自 2022 年以来，超声开始广泛应用于 KM 的临床实践。使用超声引导的主要目的是“提高准确性和疗效”，占 54.6%。超声引导最常应用于肩关节疾病，而药针疗法是最常使用的干预措施（分别为 76.1%和 90.4%）。受访者报告说，在神经嵌压综合征中，特别是在肩关节中使用时，效果可以得到最大程度的提高。超过 90%的 KMDs 表示，采用超声引导后，治疗效果、专科、患者满意度都有所提高，安全性和疗效也有所提高。此外，94.9%的 KMDs 同意在国家健康保险覆盖范围内对 KM 中的超声引导进行报销的必要性。大多数 KMDs 对超声引导在 KM 中的临床应用持积极看法，认为其在治疗效果、安全性和患者满意度方面具有必要性，且国家健康保险应覆盖该服务。我们的研究结果可能为开展临床研究提供实践证据。
