Congress Abstracts full PDF - International Council of Medical ...

331 case subjects from 3 university hospitals were met the inclusion criteria. And the same of healthy control group
extracted by a simple random selection using PROC SURVEYSELECT with consideration of age and gender. The
patient group's data was attained by preparing a case report form based on standard operating procedures, aimed
to survey patients with informed consent, who volunteered to participate in the study for researching the risk factors
of cerebro-vascular disease. The total number of subject was 662(case group 331, control group 331). And the
statistical analysis method is as following first, comparing the technical statistics quantity on risk factor of stroke
among analysis object people and conducting Chi-square test or Fisher's exact test on the quality variable for the
univariate analysis, and conducting independent t-test for the quantity variable and after that, conducting logistic
regression analysis in order to get the odds ratio and finally building suitable model by using the Hosmer and
Lemeshow's goodness of fit test. Moreover, the interaction effects between Sasang constitution and stroke risk factor
was confirmed. And using the CART algorithm, the best decision tree model of stroke events was established. In a
condition that age and gender were controled by logistic regression, the relative risk of stroke attack by Sasang
constitution classification was obtained Soyangin's risk ratio was 1.75 times higher than Taeumin's, and it was
statistically significant(OR=1.75, 95% CI 1.23-2.49). However, consideration of body mass index(BMI), waist
circumference, past history of hypertension and diabetes, history of drinking and smoking makes even better model.
According to that model, Soyangin's risk ratio of stroke goes up 6.34 times higher than Taeumin's(OR=6.34, 95% CI
3.08-13.04 Hosmer & Lemeshow goodness of fit test, X2 P-value=0.89). According to CART algolithm, the most
overriding variable was the history of risk factor of cardiovascular disease. Among the group without past history, they
were divided the most it they were Soyangin or not. The next overriding variable was drinking history among Soeumin
and Tarumin. Among Soyangin, the next overriding variable was exercise regularly. The misclassification rate of
CART algolithm was 0.274 though. This study suggests that the risk of stroke is different significantly according to
Sasang constitution. And the risk of stroke increase with the interaction effects between the Sasang constitution and
the other risk factors such as hypertension, waist circumference, diabetes, obesity and smoking. Moreover this study
supports that it is possible to make an accurate estimate model of a stroke attack with Sasang constitution in the near
future.
EFFECTIVENESS OF KOREAN ACUPUNCTURE TREATMENT IN HYPERTENSION PATIENTS: CONTROLED
CLINICAL TRIAL
C. Han, M. Shin, G. Kim, S. Park, S. Choi
Department of Medical Research, Korea Institute of Oriental Medicine, Korea
Objective: Aim of this study was to investigate the antihypertensive effect of Acupuncture in hypertensive patients.
Materials and methods We measured the blood pressure of 30 patients who were admitted in the Oriental Medical
Clinic of Chaseo from 13th February 2007 to 13th May 2007. We included the patients only in case of the systolic
blood pressure was over 120mmHg or diastolic blood pressure was over 80mmHg. The patients were treated by an
acupuncture treatment (Gyeok-pal sang-saeng-Yeok-chim GPSSYC). To evaluate the effect of the GPSSYC, the
blood pressure and pulse rate were measured before and after acupuncture treatment for total of 10 times. Collected
data were analyzed by paired t-test, repeated measure ANOVA.
Results: After 3 weeks, there were significant decrease in the systolic blood pressure (P