DOI QR코드

DOI QR Code

원발성 월경곤란증에 대한 침구치료 관련 무작위배정 임상시험의 체계적 고찰: 한국 문헌을 중심으로

Acupuncture and Moxibustion for Primary Dysmenorrhea in Korean Literatures: A Systematic Review of Randomized Controlled Trials

  • 김정완 (대전대학교 한의과대학 경락경혈학교실) ;
  • 박봉기 (대전대학교 대전한방병원 내과면역학교실) ;
  • 전종익 (대전대학교 한의과대학 경락경혈학교실) ;
  • 임윤경 (대전대학교 한의과대학 경락경혈학교실)
  • Kim, Jung Wan (Department of Meridian & Acupoint, College of Korean Medicine, Daejeon University) ;
  • Park, Bong Ki (Department of Internal Immune Center, Daejeon Korean Medicine Hospital, Daejeon University) ;
  • Jeon, Jong Ik (Department of Meridian & Acupoint, College of Korean Medicine, Daejeon University) ;
  • Yim, Yun Kyoung (Department of Meridian & Acupoint, College of Korean Medicine, Daejeon University)
  • 투고 : 2015.04.03
  • 심사 : 2015.06.02
  • 발행 : 2015.06.20

초록

Objectives : Primary dysmenorrhea is one of the most common female gynecological diseases. Acupuncture and moxibustion therapy have been used to treat dysmenorrhea in Korea. The aim of this review was to examine the effectiveness of acupuncture and moxibustion therapy for primary dysmenorrhea as described in studies in Korea. Methods : A total of 8 databases were searched, with the search concluding February 15, 2015. These were the Oriental Medicine Advanced Searching Integrated System, DBpia, Korean Studies Information Service System, National Digital Science Library, Korean Traditional Knowledge Portal, Research Information Sharing Service, and Pubmed. Randomized controlled Trails(RCTs) comparing acupuncture or moxibustion therapy with non acupoints stimulation or medication were selected. Data abstraction and assessment of methodology was conducted by authors and disagreements were resolved by discussion. Results : 7 trials were included in this review, with a total of 308 participants. 4 trials reported on acupuncture, 1 trial reported on acupress by magnet, 1 trial reported on pharmacopuncture, and the other trial reported on moxibustion. Quality of methodology was low. 2 trials showed that experimental therapy was effective for pain relief compared to the controlled group. However, 5 trials did not show a significant difference in pain relief. Conclusions : Acupuncture and moxibustion therapy may reduce period pain, however, it is needed for well designed RCTs in Korea.

키워드

참고문헌

  1. Dawood MY. Primary dysmenorrhea: advances in pathogenesis and management. Obstet Gynecol. 2006 ; 108(2) : 428-41. https://doi.org/10.1097/01.AOG.0000230214.26638.0c
  2. Polat A, Celik H, Gurates B et al. Prevalence of primary dysmenorrhea in young adult female university students. Arch Gynecol Obstet. 2009 ; 279(4) : 527-32. https://doi.org/10.1007/s00404-008-0750-0
  3. Zukri SM, Naing L, Hamah TNT, Hussain NHN. Primary dysmenorrhea among medical and dental university students in Kelantan: prevalence and association. Int Med J. 2009 ; 16(2) : 93-9.
  4. Fedele L, Parazzini F, Bianchi S, Arcaini L, Candiani GB. Stage and localization of pelvic endometriosis and pain. Fertil Steril. 1990 ; 53(1) : 155-8. https://doi.org/10.1016/S0015-0282(16)53232-4
  5. Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on hispanic female adolescents. Arch Pediatr Adolesc Med. 2000 ; 154 (12) : 1226-9. https://doi.org/10.1001/archpedi.154.12.1226
  6. Smith CA, Zhu X, He L, Song J. Acupuncture for primary dysmenorrhoea. Cochrane Database Syst Rev. 2011 ; 19(1) : CD007854.
  7. Chung YC, Chen HH, Yeh ML. Acupoint stimulation intervention for people with primary dysmenorrhea: systematic review and metaanalysis of randomized trials. Complement Ther Med. 2012 ; 20(5) : 353-63. https://doi.org/10.1016/j.ctim.2012.02.008
  8. Chantler I, Mitchell D, Fuller A. The effect of three cyclooxygenase inhibitors on intensity of primary dysmenorrhea pain. Clin J Pain. 2008 ; 24(1) : 39-44. https://doi.org/10.1097/AJP.0b013e318156dafc
  9. Harel Z. Dysmenorrhea in adolescents and young adults: from pathophysiology to pharmacological treatments and management strategies. Expert Opin Pharmacother. 2008 ; 9(15) : 2661-72. https://doi.org/10.1517/14656566.9.15.2661
  10. Xu T, Hui L, Juan YL, Min SG, Hua WT. Effects of moxibustion or acupoint therapy for the treatment of primary dysmenorrhea: a meta-analysis. Altern Ther Health Med. 2014 ; 20(4) : 33-42.
  11. Chen MN, Chien LW, Liu CF. Acupuncture or acupressure at the Sanyinjiao(SP6) acupoint for the treatment of primary dysmenorrhea: a metaanalysis. Evid Based Complement Alternat Med. 2013 ; 2013 : 493038.
  12. Yang H, Liu CZ, Chen X et al. Systematic review of clinical trials of acupuncture-related therapies for primary dysmenorrhea. Acta Obstet Gynecol Scand. 2008 ; 87(11) : 1114-22. https://doi.org/10.1080/00016340802443798
  13. Cho SH, Hwang EW. Acupuncture for primary dysmenorrhoea: a systematic review. BJOG. 2010 ; 117(5) : 509-21. https://doi.org/10.1111/j.1471-0528.2010.02489.x
  14. Higgins JPT, Sterne JAC. Chapter 8: assessing risk of bias in included studies. The Cochrane Collaboration 2011. Available from: http://www. cochrane-handbook.org
  15. Youn HM, Kim CH, Park JH et al. Effect of acupuncture treatment on the primary dysmenorrhea(a study on single blind, sham acupuncture, randomized, controlled clinical trial). The Acupuncture. 2008 ; 25(3) : 139-62.
  16. Cho DI, Ryu SJ, Nam EY et al. The comparative study on the effects of chuna and combined with acupuncture in patients with dysmenorrhea. J Oriental Rehabil Med. 2014 ; 24(3) : 157-64.
  17. Kim SM, Jang SH, Kim CH et al. Effect of hominis placenta pharmacopuncture on the dysmenorrhea (a pilot study, single blind, randomized, controlled clinical trial). J Korean Pharmacopuncture Institute. 2008 ; 11(3) : 123-31. https://doi.org/10.3831/KPI.2008.11.3.123
  18. Cho JH. A pilot study of the difference between Gyejibongnyeong-hwan and Gyejibongnyeonghwan combined acupuncture therapy on the primary dysmenorrhea. J Oriental Obstet Gynecol. 2007 ; 20(1) : 161-8.
  19. Lee IS, You HM, Jung KK et al. Effect of Sa-am acupuncture treatment on the dysmenorrhea(pillot study, single blind, randomized, sham acupuncture, controlled clinical trial. The Acupuncture. 2007 ; 24(3) : 63-79.
  20. Cho JH, Kim HS, Choi DY, Lee JD. A clinical study on the effect of aroma ceramic moxibustion for primary dysmenorrhea. J Oriental Obstet Gynecol. 2009 ; 22(1) : 172-81.
  21. Jang HJ. Effect of magnetic field therapy applied to acupuncture point on dysmenorrhea experienced by high school girls [dissertation]. Daegu : Keimyung Univ. 2006. Korean.
  22. Schulz KF, Grimes DA. The lancet handbook of essential concepts in clinical research. Philadelphia : Elsevier. 2006 : 1-12.

피인용 문헌

  1. 원발성 월경통의 전침 치료 연구에 관한 체계적 문헌 고찰 vol.30, pp.2, 2017, https://doi.org/10.15204/jkobgy.2017.30.2.081