만성 위염에 대한 추나요법의 효과: 체계적 문헌고찰

Chuna Manual Therapy for Chronic gastritis : A Systematic Review

  • 이남우 (부산대학교 한의학전문대학원) ;
  • 김기현 (부산대학교 한의학전문대학원) ;
  • 신병철 (부산대학교 한의학전문대학원 임상의학 3부)
  • Lee, Nam-Woo (School of Korean Medicine, Pusan National University) ;
  • Kim, Gee-Heon (School of Korean Medicine, Pusan National University) ;
  • Shin, Byung-Cheul (Third Division of Clinical Medicine, School of Korean Medicine, Pusan National University)
  • 투고 : 2017.11.17
  • 심사 : 2017.12.12
  • 발행 : 2017.12.30

초록

Objectives: To systematically evaluate the effectiveness and safety of Chuna manual therapy (CMT) for chronic gastritis (CG). Methods: We searched twelve English, Chinese and Korean databases using relevant keywords up to September 2017. All randomized controlled trials (RCTs) of CMT for CG were considered for inclusion. The methodological quality of included RCTs was assessed by the Cochrane risk of bias tool. Results: Seven RCTs with 403 CG patients were included. The meta-analysis of 6 studies showed that CMT had statistically significant effects (p<0.0001) on effective rate for CG compared to conventional medication. Conclusions: This systematic review suggests that CMT seems effective for CG, but limited evidence from risk of bias. For future studies, high-quality RCTs such as sham-controlled studies with standardized interventions are needed to provide sufficient evidence on the effects of CMT for CG.

키워드

참고문헌

  1. Fang JY, Liu WZ, Li ZS, Du YQ, Ji XL, Ge ZZ, Li YQ, Si JM, Lu NH, Wu KC, Chen Y, Xiao SD. Consensus on standard management of choronic gastritis in China. Chinese Journal of Gastroenterology. 2013;18(01): 24-36.
  2. Rugge M, Meggio A, Pennelli G, Piscioli F, Giacomelli L, De Pretis G, Graham DY. Gastritis staging in clinical practice: the OLGA staging system. Gut. 2007;56(5):631-6. https://doi.org/10.1136/gut.2006.106666
  3. Varbanova M, Frauenschlager K, Malfertheiner P. Chronic gastritis - an update. Best Pract Res Clin Gastroenterol. 2014;28(6):1031-42. https://doi.org/10.1016/j.bpg.2014.10.005
  4. Leal-Herrera Y, Torres J, Monath TP, Ramos I, Gomez A, Madrazo-de la Garza A, Dehesa-Violante M, Munoz O. High rates of recurrence and of transient reinfections of Helicobacter pylori in a population with high prevalence of infection. Am J Gastroenterol. 2003;98(11):2395-402. https://doi.org/10.1111/j.1572-0241.2003.07708.x
  5. Zendehdel N, Nasseri-Moghaddam S, Malekzadeh R, Massarrat S, Sotoudeh M, Siavoshi F. Helicobacter pylori reinfection rate 3 years after successful eradication. J Gastroenterol Hepatol. 2005;20(3):401-4. https://doi.org/10.1111/j.1440-1746.2005.03561.x
  6. Zhang WD, Li JX, Chen ZS, Wei BH, Dong TX. Comprehensive agreement on diagnosis and treatment of chronic gastritis with integrated traditional chinese and western medicine(Tianjin, 2011). Chinese Journal of Integrated Traditional and Western Medicine. 2012;32(06):738-43.
  7. Chey WD, Leontiadis GI, Howden CW, Moss SF. ACG Clinical Guideline: Treatment of Helicobacter pylori Infection. Am J Gastroenterol. 2017;112(2):212-39. https://doi.org/10.1038/ajg.2016.563
  8. Lee KM, Lee SY, Im SC, Seo JC, Han SW. Two Cases of Chronic Gastritis Treated with Wihwa Herbal-acupuncture. The journal of Korean Acupuncture & Moxibustion Society. 2003;20(6):218-25.
  9. Ko SM, Moon G, Moon SJ. An Outlook of the Oriental and Occidental Medical Diagnosis and Treatment on Chronic Gastritis. Journal of Korean Oriental Medicine. 1994;15(1):400-9.
  10. Kim TY, Cho Y, Lee DH, Kim MA, Lew JH. A Case Report of the Patient with Chronic Erythematous Gastritis Accompanied by Severe Nausea and Intermittent Vomiting, Treated by Jugyupsukgo-tang(Zhuyeshigao-tang). The journal of oriental chronic diseases. 2002;8(1):84-91.
  11. Choi BH, Byun JS. A Case of Dokhwaljihwang-tang in a Chronic Gastritis Patient with Epigastric Pain. The journal of East-West medicine. 2009;34(2):59-65.
  12. Park TY, Moon TW, Cho DC, Lee JH, Ko YS, Hwang EH, Heo KH, Choi TY, Shin BC. An introduction to Chuna manual medicine in Korea: History, insurance coverage, education, and clinical research in Korean literature. Integr Med Res. 2014;3(2):49-59. https://doi.org/10.1016/j.imr.2013.08.001
  13. Higgins J, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. 2011.
  14. Yang GS. Palm vibrating method massage in the treatment of chronic superficial gastritis (spleen deficiency type) clinical study. Shandong, China: Shandong University of Traditional Chinese Medicine; 2014.
  15. Hao DF, Zhang B. Clinical observation on the treatment of chronic superficial gastritis with tuina. China Health Care & Nutrition. 2013(01):420.
  16. Luo L. Report of chronic superficial gastritis treated by massage. Hebei Journal of Traditional Chinese Medicine. 2004;26(08):611-2.
  17. Hai XH, Li HN, Zhang W, Wang HT, Li DH, Wang JG. Therapeutic Effect of Abdominal Kneading Massage for Chronic Superficial Gastritis. Journal of Guangzhou University of Traditional Chinese Medicine. 2015;32(05):865-73.
  18. Wang J, DQ W. Observation on Curative Effect of Acupoint massage on Abdomen and Back for Chronic Superficial Gastritis. Guangxi Journal of Traditional Chinese Medicine. 2014;37(04):44-5.
  19. Wei LL, Ren R, Jiao JK, Liao JR. Clinical Study on Treatment of Chronic Superficial Gastritis with Luo's Abdominal Examination Massage. Information on Traditional Chinese Medicine. 2011;28(05):93-5.
  20. Yao WW. Clinical observation on chronic gastritis(the spleen and stomach deficiencycold zheng) by kneading new renying point with rubbing abdomen. Shandong, China: Shandong University of Traditional Chinese Medicine; 2012.
  21. Sipponen P, Maaroos H-I. Chronic gastritis. Scandinavian Journal of Gastroenterology. 2015;50(6):657-67. https://doi.org/10.3109/00365521.2015.1019918
  22. Chey WD, Wong BC. American College of Gastroenterology guideline on the management of Helicobacter pylori infection. Am J Gastroenterol. 2007;102(8):1808-25. https://doi.org/10.1111/j.1572-0241.2007.01393.x
  23. Zagari RM, Romano M, Ojetti V, Stockbrugger R, Gullini S, Annibale B, Farinati F, Ierardi E, Maconi G, Rugge M, Calabrese C, Di Mario F, Luzza F, Pretolani S, Savio A, Gasbarrini G, Caselli M. Guidelines for the management of Helicobacter pylori infection in Italy: The III Working Group Consensus Report 2015. Digestive and Liver Disease. 2015;47(11):903-12. https://doi.org/10.1016/j.dld.2015.06.010
  24. Chuna manual medicine. 2 ed. Seoul, Korea: Korea sosciety of chuna menual medicine for spine & nerves; 2015.