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超声引导下针灸实践的转变:专家观点。

The Transformation of Acupuncture Practice Using Ultrasonography: Expert Opinions.

机构信息

KM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Korea.

出版信息

J Acupunct Meridian Stud. 2024 Oct 31;17(5):165-171. doi: 10.51507/j.jams.2024.17.5.165.

DOI:10.51507/j.jams.2024.17.5.165
PMID:39444101
Abstract

IMPORTANCE

The rapidly growing use of ultrasound in South Korea has revolutionized the real-world application of acupuncture, making it a safer, more accurate treatment. However, little is known about the challenges Korean medicine doctors (KMDs) encounter, as well as the procedures and resources necessary for hygienic, safe ultrasound-guided acupuncture.

OBJECTIVE

This study aimed to investigate the purpose, indications, and procedure for ultrasound-guided acupuncture in Korean medicine (KM) practice and the challenges KMDs encounter in using ultrasonography.

METHODS

Eleven KMDs with expertise in practicing or teaching ultrasonography were consulted in detail. The purpose of ultrasonography in real-world practice, the overall process, resources utilized in ultrasound-guided procedures, and the unaddressed needs of KMDs were investigated.

RESULTS

Ultrasound guidance, employed for various diseases in KM practice, is crucial for pharmacopuncture and acupotomy to increase accuracy and safety. Ultrasoundguided acupuncture involves covering the probe, putting on sterile gloves, and scanning with disinfectants, though the exact steps vary among experts. They also suggested that a lack of insurance coverage was a common obstacle for KMDs utilizing ultrasonography.

CONCLUSIONS AND RELEVANCE

Acupuncture with ultrasound guidance has become a prevalent procedure in South Korea. Standard procedure guidelines and insurance coverage for ultrasonography used for acupuncture procedures are essential to ensure safe, accurate procedures.

摘要

重要性

在韩国,超声技术的快速应用彻底改变了针灸的实际应用,使其成为一种更安全、更准确的治疗方法。然而,对于韩国医生(KMDs)在使用超声技术时所遇到的挑战,以及进行卫生、安全的超声引导针灸所需的程序和资源,人们知之甚少。

目的

本研究旨在调查韩国医学(KM)实践中超声引导针灸的目的、适应证和程序,以及 KMDs 在使用超声时所遇到的挑战。

方法

详细咨询了 11 名具有超声实践或教学专业知识的 KMDs。调查了超声在实际实践中的目的、整体过程、超声引导程序中使用的资源,以及 KMDs 未满足的需求。

结果

超声引导在 KM 实践中用于各种疾病,对于增加药物注射和针刀疗法的准确性和安全性至关重要。超声引导针灸包括覆盖探头、戴上无菌手套和用消毒剂进行扫描,尽管具体步骤因专家而异。他们还认为,缺乏保险覆盖是 KMDs 使用超声的常见障碍。

结论和相关性

在韩国,超声引导针灸已成为一种普遍的程序。为了确保安全、准确的程序,制定超声引导针灸程序的标准操作指南和保险覆盖范围至关重要。

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