대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
권호 표지
DOI QR코드

DOI QR Code

알레르기 비염의 침 치료에 대한 체계적 고찰

A Systematic Review of Acupuncture for Allergic Rhinitis

  • 문병권 (대구한의대학교 한의과대학 간계내과학교실) ;
  • 이유리 (대구한의대학교 한의과대학 간계내과학교실) ;
  • 조나경 (대구한의대학교 한의과대학 간계내과학교실) ;
  • 김경순 (대구한의대학교 한의과대학 간계내과학교실) ;
  • 최홍식 (대구한의대학교 한의과대학 간계내과학교실) ;
  • 김승모 (대구한의대학교 한의과대학 간계내과학교실)
  • Mun, Byeong-gwon (Dept. of Korean Internal Medicine of Hepatology, College of Korean Medicine, Daegu Haany University) ;
  • Lee, Yu-ri (Dept. of Korean Internal Medicine of Hepatology, College of Korean Medicine, Daegu Haany University) ;
  • Cho, Na-kyung (Dept. of Korean Internal Medicine of Hepatology, College of Korean Medicine, Daegu Haany University) ;
  • Kim, Kyung-soon (Dept. of Korean Internal Medicine of Hepatology, College of Korean Medicine, Daegu Haany University) ;
  • Choi, Hong-sik (Dept. of Korean Internal Medicine of Hepatology, College of Korean Medicine, Daegu Haany University) ;
  • Kim, Seung-mo (Dept. of Korean Internal Medicine of Hepatology, College of Korean Medicine, Daegu Haany University)
  • 투고 : 2020.11.26
  • 심사 : 2020.12.18
  • 발행 : 2020.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: The purpose of this study was to assess the effects of acupuncture as a treatment for allergic rhinitis (AR). We used a meta-analysis and systematic review to analyze the results of randomized controlled trials (RCTs) that applied acupuncture to AR patients. Methods: The key question assessed the effects of acupuncture on patients with AR, and we included only RCTs. We searched the KoreaMed, NDSL, KMBASE, Koreantk, OASIS, PubMed, EMBASE, and Cochrane databases, with no language restriction. We assessed risk of bias with the Cochrane Risk of Bias tool. The random effects model was used to adjust for the heterogeneity of the included studies, and the effect sizes between two groups were reported as mean differences (MD) and risk ratios (RR). Results: Twelve RCTs were analyzed, with a total of 1788 participants; 824 participants were in the treatment group (i.e., acupuncture) and 964 were in the control group (sham acupuncture, western medicine, or waitlist). The meta-analysis results of 7 RCTs comparing the therapeutic efficacy of acupuncture with that of sham acupuncture showed a statistically significant difference (p<0.05) in the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) and the Change of Total Nasal Symptom Score (TNSS). The meta-analysis of 4 RCTs comparing the therapeutic efficacy of acupuncture with western medicine showed statistically significant differences (p<0.05) in the RQLQ but not in the changes in effective rate (p>0.05). Conclusions: Acupuncture can be an effective treatment for AR, but more studies are required to enhance the level of evidence and to confirm safety.

키워드

참고문헌

  1. Korean Rhinologic Society. Latest Clinical Rhinology. Paju: Koonja Publishing Inc; 2017, p. 174-86, 229-32.
  2. Jang TY, Kim YH. Evidences for Local Allergic Rhinitis. J Rhino 2016;23(1):1-5. https://doi.org/10.18787/jr.2016.23.1.1
  3. Brozek JL, Bousquet J, Agache I, Agarwal A, Bachert C, Bosnic-Anticevich S, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines-2016 revision. J Allergy Clin Immunol 2017;140(4):950-58. https://doi.org/10.1016/j.jaci.2017.03.050
  4. Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR, et al. Clinical Practice Guideline. Otolaryngology and Head and Neck Surgery 2015;152(1):1-43. https://doi.org/10.1177/0194599814559898
  5. Ahn HY, Kim HJ. Clinical Otolaryngology Head and Neck Surgery, 2nd Edition. Seoul: Koonja Publishing Inc; 2018, p. 132-5.
  6. Noh SS. Wonsaek Eye, Ear, Nose, Throat, Otolaryngology. 3rd Edition. Daejun: Jumin Publication; 2007, p. 606-11.
  7. Shin JH, Lee JC, Kim KB. Recent Clinical Research on Effect of Acupuncture for Rhinitis: Within RCT, Review. Journal Korean Oriental Pediatrics 2012;26(1):46-59. https://doi.org/10.7778/jpkm.2012.26.1.046
  8. Kim IH, Ku JM, Hur HS, Na CH, Jang BH, Shin YC, et al. Anti-allergic Effects of So-Cheong-Ryong-Tang in Ovalbumin-induced Allergic Rhinitis Model. Journal of Society of Preventive Korean Medicine 2014;18(3):69-80.
  9. Gang IA, Park MK, Shin MG, Kim HS, Lee JS, Lee AR, et al. The Effect of Intranasal Bloodletting Therapeutics on the Allergic Rhinitis: Report of Eight Cases. The Journal of Korean Acupuncture & Moxibustion Medicine Society 2012;29(6):91-104.
  10. Kim JH, Kim CH. The Clinical Observations of 2 case of Allergic Rhinitis treated with Bee Venom Pharmacopuncture and acupuncture therapy. Journal of Korean pharmacopuncture institute 2009;12(2):99-105.
  11. Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Son HJ, et al. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. Seoul: National Evidence-based Healthcare Collaborating Agency; 2011.
  12. Higgins JPT, Thompson SG, Deeks J, Altman DG. Measuring inconsistency in meta-analysis. BMJ 2003;327(7414):557-617. https://doi.org/10.1136/bmj.327.7414.557
  13. Brinkhaus B, Ortiz M, Witt CM, Roll S, Linde K, Pfab F, et al. Acupuncture in patients with seasonal Allergic Rhinitis. Annals of Internal Medicine 2013;158(4):225-34. https://doi.org/10.7326/0003-4819-158-4-201302190-00002
  14. Cao W, Qiao P, Pang W, Liu M, Li A. Triple-strong stimulation therapy at Dazhui (GV 14) in prevention and treatment of children allergic rhinitis: a randomized controlled trial. Chinese Acupuncture & Moxibustion 2015;35(1):38-42.
  15. Chen S, Wang J, Bai P, Zhao Q, Tan C, Wang B, et al. Moderate and severe persistent allergic rhinitis treated with acupuncture: a randomized controlled trial. Chinese Acupuncture & Moxibustion 2015;35(12):1209-13.
  16. Choi SM, Park JE, Li SS, Jung H, Zi M, Kim TH, et al. A multicenter, randomized, controlled trial testing the effects of acupuncture on allergic rhinitis. Allergy 2013;68(3):365-74. https://doi.org/10.1111/all.12053
  17. Hauswald B, Dill C, Boxberger J, Kuhlisch E, Zahnert T, Yarin YM. The effectiveness of acupuncture compared to loratadine in patients allergic to house dust mites. Journal of Allergy 2014;2014:1-7.
  18. Liu LL, Ma HF, Lu J. Effect of Acupuncture at Phenomaxillary Ganglia and Local Points for Allergic Rhinitis. Acupuncture Research 2017;42(3):259-62.
  19. Yao MA, He BU, Xiuye LI, Hongyan LU, Xue Z. Acupuncture-moxibustion therapy of "banking up original qi and consolidating the foundation" for prevention and treatment of seasonal allergic rhinitis: A randomized controlled trial. World Journal of Acupuncture-Moxibustion 2018;28(1):33-7. https://doi.org/10.1016/j.wjam.2018.03.018
  20. McDonald JL, Smith PK, Smith CA, Changli XC, Golianu B, Cripps AW. Effect of acupuncture on house dust mite specific IgE, substance P, and symptoms in persistent allergic rhinitis. Ann Allergy Asthma Immunol 2016;116(6):497-505. https://doi.org/10.1016/j.anai.2016.04.002
  21. Mi J, Chen X, Lin X, Guo J, Chen H, Wei L, et al. Treatment of persistent allergic rhinitis via acupuncture at the sphenopalatine acupoint: a randomized controlled trial. BioMed Central 2018;19(1):28.
  22. Xie Y, Wan W, Zhao Y, Ye Z, Chen H, Hong X, et al. Impacts on the life quality of the patients with allergic rhinitis treated with warming acupuncture in winter and summer. Chinese Acupuncture & Moxibustion 2015;35(12):1215-30.
  23. Xue CC, Zhang AL, Zhang CS, DaCosta C, Story DF, Thien FC. Acupuncture for seasonal allergic rhinitis: a randomized controlled trial. Ann Allergy Asthma Immunol 2015;115(4):317-24. https://doi.org/10.1016/j.anai.2015.05.017
  24. Zhang CS, Xia J, Zhang AL, Yang AW, Thien F, Li Y, et al. Ear acupressure for perennial allergic rhinitis: A multicenter randomized controlled trial. American Journal of Rhinology & Allergy 2014;28(4):152-7.
  25. Li L, Liang ZJ, Zhang DL, Liu XH. Diagnosis and treatment of allergic rhinitis and a recommended scheme. Chin J Otorhinolaryngol Head Neck Surg 2005;40(3):166-7. https://doi.org/10.3760/j.issn:1673-0860.2005.03.003
  26. Hu S. Preliminary Development of Emotion Rating Scale for Ganzangxiang of Traditional Chinese Medicine. Chinese Journal of Clinical Psychology 2001;9(2):84-6. https://doi.org/10.3969/j.issn.1005-3611.2001.02.002
  27. Juniper EF, Thompson AK, Ferrie PJ. Development and validation of the Mini Rhinoconjunctivitis quality of life questionnaire. Clin Exp Allergy 2000;30(1):132-40. https://doi.org/10.1046/j.1365-2222.2000.00668.x
  28. Health Insurance review & Assessment Service. Healthcare Bigdata Hub. https://opendata.hira.or.kr/home.do.
  29. Sung EJ, Moon MR, Cho YS, Lee HS, Kim HS, Lee JY. Preliminary Evaluation of Levocetirizine and Cetirizine Induced Liver Injury. Korean Journal of Clinical Pharmacy 2014;24(3):213-8.
  30. Meridians & Acupionts Compilation Committee of Korean Medical Colleges. Details of Meridians & Acupoints(Volume I) : A Guidebook for College Students. 7th Edition. Daejeon: Jongryeonamu Publishing Co; 2016, p. 108, 175, 281.
  31. Meridians & Acupionts Compilation Committee of Korean Medical Colleges. Details of Meridians & Acupoints(Volume II) : A Guidebook for College Students. 7th Edition. Daejeon: Jongryeonamu Publishing Co; 2016, p. 672.
  32. Textbook Compilation Committee of Korean Acupuncture & Moxibustion Medicine Society. Acupuncture Medicine. Seoul: Hanmi Medical Publishing Co; 2016, p. 238-55, 854-6.
  33. Fu Q, Zhang L, Liu Y, Li X, Yang Y, Dai M, et al. Effectiveness of Acupuncturing at the Sphenopalatine Ganglion Acupoint Alone for Treatment of Allergic Rhinitis: A Systematic Review and Meta-Analysis. Evidence-Based Complementary and Alternative Medicine 2019;2019:1-10.