대한한방부인과학회지 (The Journal of Korean Obstetrics and Gynecology)

  • 제33권1호
  • /
  • Pages.19-35
  • /
  • 2020
  • /
  • 1229-4292(pISSN)
  • /
  • 2508-3619(eISSN)
대한한방부인과학회 (The Society of Korean Medicine Obstetrics and Gynecology)
권호 표지
DOI QR코드

DOI QR Code

제왕절개술 후 발생한 위장관 기능장애에 대한 최신 RCT 연구 동향 분석 - 경혈 자극을 중심으로 -

Analysis for Randomized Controlled Clinical Trials of Acupuncture-type Treatment on Gastrointestinal Dysfunction after Ceasarean Section

  • 정소미 (경희대학교 대학원 임상한의학과) ;
  • 이진무 (경희대학교 한의과대학 부인과교실) ;
  • 이창훈 (경희대학교 한의과대학 부인과교실) ;
  • 황덕상 (경희대학교 한의과대학 부인과교실) ;
  • 장준복 (경희대학교 한의과대학 부인과교실)
  • Jeong, So-Mi (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Jin-Moo (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Chang-Hoon (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Hwang, Deok-Sang (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University) ;
  • Jang, Jun-Bock (Dept. of Gynecology, College of Korean Medicine, Kyung Hee University)
  • 투고 : 2020.01.07
  • 심사 : 2020.02.28
  • 발행 : 2020.02.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: The purpose of this study was to show effectiveness of Acupuncture treatment on gastrointestinal dysfunctions after Cesarean section by analyzing randomized controlled clinical trials. Methods: We searched randomized controlled clinical trials related with acupuncture treatment on gastrointestinal dysfunctions after Cesarean section through national and overseas database and analyzed them in detail. Results: 6 articles were included according to our selection criteria and 1,084 women were involved. 3 studies used TEAS (Transcutaneous Electrical Acupoint Stimulation), 2 studies used Elastic band and 1 study used Acupressure by hand. Their results were statistically more effective than control groups. The most frequently used acupoints were Neiguan (PC6), Zusanli (ST36) followed by Sanyinjiao (SP6), Hegu (IL4). Conclusions: There was significant difference in the effectiveness of the intervention including Acupuncture treatment. Based on analysis, it could be an effective way for the treatment of gastrointestinal dysfunctions after Cesarean section in clinical practice.

키워드

참고문헌

  1. National Health Insurance Corporation. Surgery Statistics[cited December 19, 2019]. Available from:URL:https://www.nhis.or.kr/bbs7/boards/B0039/35128.
  2. Organization for Economic Cooperation and Development. Metadata for OECD Health Statistics 2018[cited June 2019]. Available form:URL:https://www.oecd.org/els/health-systems/Table-of-Content-Metadata-OECD-Health-Statistics-2018.pdf.
  3. Martel M, et al. Maternal age and primary cesarean section rates : a multivariate analysis. Am J Obstet Gynecol. 1987;156(2):305-8. https://doi.org/10.1016/0002-9378(87)90273-0
  4. New Manual of Gynecology. Seoul: Publishing Co. Gun Ja. 1999:112-3.
  5. Cousins MJ, et al. Intrathecal and epidural administration of opioids. Anethesiology. 1984;61(3):276-310. https://doi.org/10.1097/00000542-198409000-00008
  6. Sanchez-Ledesma MJ, et al. A Comparison of three antiemetic combinations for the prevention of postoperative nausea and vomiting. Anesth Analg. 2002;95(6):1590-5. https://doi.org/10.1097/00000539-200212000-00022
  7. Sahin E, et al. The Effect of Gum Chewing, Early Oral Hydration, and Early Mobilization on Intestinal Motility After Cesarean Birth. Worldviews Evid Based Nurs. 2015;12(6):380-8. https://doi.org/10.1111/wvn.12125
  8. Bragg D, et al. Postoperative ileus : Recent developments in pathophysiology and management. Clin Nutr. 2015;34(3):367-76. https://doi.org/10.1016/j.clnu.2015.01.016
  9. Vather R, et al. Defining Postoperative ileus : result of a systematic review and global survey. J Gastrointest Surg. 2013;17(5):962-72. https://doi.org/10.1007/s11605-013-2148-y
  10. Öbrink E, et al. Post-operative nausea and vomiting: update on predicting the probability and ways to minimize its occurrence, with focus on ambulatory surgery. Int J Surg. 2015;15:100-6. https://doi.org/10.1016/j.ijsu.2015.01.024
  11. Balki M, et al. Prophylactic granisetron does not prevent post delivery nausea and vomiting during elective cesarean delivery under spinal anesthesia. Anesth Analg. 2007;104(3):679-83. https://doi.org/10.1213/01.ane.0000253036.06307.5c
  12. Fang Z, et al. Influence of acupuncture treatment on cerebral activity in functional dyspepsia patients and its relationship with efficacy. Am J Gastroenterol. 2012;107(8):1236-47. https://doi.org/10.1038/ajg.2012.53
  13. Liu Z, et al. Acupuncture for chronic severe functional constipation : A randomized controlled trial. Ann Intern Med. 2016;165(11):761-9.
  14. Bao CH, et al. Randomized controlled trial : Moxibustion and acupuncture for the treatment of Crohn's disease. World J Gastroenterol. 2014;20(31):11000-11. https://doi.org/10.3748/wjg.v20.i31.11000
  15. Chae HD, et al. Effect of acupuncture on reducing duration of Postoperative ileus after gastrectomy in gastric cancer. J Altern Complement Med. 2016;22(6):465-72. https://doi.org/10.1089/acm.2015.0161
  16. Kim SW, et al. A study of acupuncture buried therapy in labor and delivery. J Korean Obstet Gynecol. 2004;17(2):123-9.
  17. Kim ES, et al. Effectiveness of acupuncture -type interventions to prevent nausea and vomiting during and after cesarean delivery under spinal anesthesia : A systematic review. J Korean Obstet Gynecol. 2009;22(2):209-21.
  18. Mu Li, et al. Effect of transcutaneous electrical acupoint stimulation on recovery of gastrointestinal function after cesarean section. Zhongguo Zhen Jiu. 2019;39(3):259-62.
  19. Zhou D, et al. Transcutaneous Electrical Acupoint Stimulation Accelerates the Recovery of Gastrointestinal Function after Cesarean Section: A Randomized Controlled Trial. Evid Based Complement Alternat Med. 2018;2018:7341920.
  20. Abadi F, et al. Effect of Acupressure on Symptoms of Postoperative Ileus After Cesarean Section. J Acupunct Meridian Stud. 2017;10(2):114-9. https://doi.org/10.1016/j.jams.2016.11.008
  21. Ashraf DM, et al. Effect of acupressure on post-operative nausea and vomiting in cesarean section: a randomised controlled trial. J Clin Diagn Res. 2013;7(10):2247-9.
  22. Noroozinia H, et al. The effect of acupressure on nausea and vomiting after cesarean section under spinal anesthesia. Acta Med Iran. 2013;51(3):163-7.
  23. El-Deeb AM, et al. Effect of acupuncture on nausea and/or vomiting during and after cesarean section in comparison with ondansetron. J Anesth. 2011;25(5):698-703. https://doi.org/10.1007/s00540-011-1198-0
  24. Paterson CM, et al. The Characteristics of the second stage of labour in 25,069 singleton deliveries in the North West Thames Health Region. Br J Obstet Gynaecol. 1992;99(5):377-80. https://doi.org/10.1111/j.1471-0528.1992.tb13752.x
  25. Fuchs F, et al. Post-partum management after cesarean delivery. Guidelines for clinical practice. J Gynecol Obstet Biol Reprod (Paris). 2015;44(10):1111-7. https://doi.org/10.1016/j.jgyn.2015.09.020
  26. The Society of Korean Medicine Obstetrics and Gynecology. Oriental Obstetrics & Gynecology. Seoul:Publishing Co. Eui Seong Dang. 2012:542-3.
  27. Oh JS, et al. A Study on the change of symptoms during the postoperative period following c/sec in primipara and multipara. J Korean Obstet Gynecol. 2004;17(3):160-70.
  28. Macones GA, et al. Guidelines for postoperative care in cesarean delivery : Enhanced Recovery After Surgery (ERAS). Am J Obstet Gynecol. 2019;221(3):247.e1-247.e9. https://doi.org/10.1016/j.ajog.2019.04.012
  29. Dundee JW, et al. Effect of stimulation of the P6 antiemetic point of postoperative nausea and vomiting. Effect of stimulation of the P6 antiemetic point of postoperative nausea and vomiting. Br J Anaesth. 1989;63(5):612-8. https://doi.org/10.1093/bja/63.5.612
  30. Liu WC, et al. f-MRI study of acupuncture-induced periaqueductal gray activity in humans. Neuroreport. 2004;15(12):1937-40. https://doi.org/10.1097/00001756-200408260-00021
  31. Handbook of Standard Acupoints. Seoul: Hansol medical book Co. 2018:36, 72, 86, 194.
  32. Lee A, et al. Stimulation of the wrist acupuncture point P6 for preventing postoperative anusea and vomiting. Cochrane Database Syst Rev. 2009;(2):CD003281.
  33. Frey UH, et al. P6 acustimulation effectively decreases postoperative nausea and vomiting in high risk patients. Br J Anaesth. 2009;102(5):620-5. https://doi.org/10.1093/bja/aep014
  34. Ebrahim Soltani A, et al. Acupressure using ondansetron versus metoclopramide on reduction of postoperative nausea and vomiting. Arch Iran Med. 2010;13(4):288-93.
  35. Watcha MF, et al. Postoperative nausea and vomiting : its otiology, treatment and prevention. Anesthesiology. 1992;77(1):162-84. https://doi.org/10.1097/00000542-199207000-00023
  36. Zou D, et al. Inhibition of transient lower esophageal sphincter relaxations by electrical acupoint stimulation. Am J Physiol Gastrointest Liver Physiol. 2005;289(2):197-201. https://doi.org/10.1152/ajpgi.00023.2005
  37. Wan Q, et al. Auricular-plaster therapy plus acupuncture at zusanli for postoperative recovery of intestinal function. J Tradit Chin Med. 2000;20(2):134-5.
  38. Wang H, et al. Electroacupuncture at zusanli prevents sever scalds-induced gut ischemia and paralysis by activating the cholinergic pathway. Evid Based Complement Alternat Med. 2015;2015:787393.
  39. Xu HY, et al. Effect of electroacupuncture at Hegu(LI4) and Sanyinjiao(SP6) on short-term adverse effects of drug-induced abortion. Zhongguo Zhen Jiu. 2007;27(2):103-5.
  40. Stakenborg N, et al. Postoperative Ileus: Pathophysiology, Current Therapeutic Approaches. Handb Exp Pharmacol. 2017;239:39-57. https://doi.org/10.1007/164_2016_108
  41. Lee A, et al. The use of nonphamacologic techniques to prevent postoperative nausea and vomiting : a meta-analysis. Anesth Analg. 1999;88(6):1362-9. https://doi.org/10.1097/00000539-199906000-00031
  42. Chernyak GV, et al. Perioperative acupuncture and related techniques. Anesthesiology. 2005;102(5):1031-49. https://doi.org/10.1097/00000542-200505000-00024
  43. Mittal R, et al. Neurotransmitters: The Critical Modulators Regulating Gut-Brain Axis. J Cell Physiol. 2017;232(9):2359-72. https://doi.org/10.1002/jcp.25518
  44. The FO, et al. Intestinal handlinginduced mast cell activation and inflammation in human postoperative ileus. Gut. 2008;57(1):33-40. https://doi.org/10.1136/gut.2007.120238
  45. Shen YJ et al. Efficacy of intravenous scopolamine for preventing postoperative nausea and vomiting after cesarean section. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2012;34(1):32-7.