DOI QR코드

DOI QR Code

Review of Clinical Research of Korean Medicine on Postpartum Pelvic Organ Prolapse

산후 골반장기탈출증에 대한 한의학적 임상 연구 동향

  • Park, Nam-Gyeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Hwang, Young-Sik (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Gyu-Tae (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Park, Seung-Hyeok (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Jin-Moo (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Chang-Hoon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jang, Jun-Bock (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Hwang, Deok-Sang (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 박남경 (경희대학교 대학원 임상한의학과) ;
  • 황영식 (경희대학교 대학원 임상한의학과) ;
  • 김규태 (경희대학교 대학원 임상한의학과) ;
  • 박승혁 (경희대학교 대학원 임상한의학과) ;
  • 이진무 (경희대학교 대학원 임상한의학과) ;
  • 이창훈 (경희대학교 대학원 임상한의학과) ;
  • 장준복 (경희대학교 대학원 임상한의학과) ;
  • 황덕상 (경희대학교 대학원 임상한의학과)
  • Received : 2020.10.09
  • Accepted : 2020.11.27
  • Published : 2020.11.27

Abstract

Objectives: The purpose of this study is to review the clinical research trends of postpartum pelvic organ prolapse and to recognize the efficacy of Korean medicine intervention. Methods: Based on seven domestic and foreign databases, including Research Information Sharing Service (RISS), Oriental Medicine Advanced Searching Integrated System (OASIS), Journal of Korean Obstetric and Gynecology, Cochrane Library Central, Pubmed, China National Knowledge Infrastructure (CNKI) and WangFang Med Online, we analyzed the clinical trials using Korean medicine intervention, which included acupuncture and herbal medicine. Data retrieval was carried out on May 18 to 20, 2020, and a total of 13 papers were included. Results: All papers were published in China and it contains nine randomized controlled trials, three clinical trials, and one case. The most frequently used intervention was herbal medicine, and Bupleuri Radix, Cimicifugae Rhizoma were used. The treatment group treated by Korean medicine intervention was more effective than the control group. Also, there were no significant side effects of Korean medicine. Conclusion: This study shows that Korean medicine can be effective and safe medical alternatives or options for pelvic organ prolapse patients. However, to laying the foundation of clinical guidelines and applying it to the real-world clinical scene, further follow-up research is needed.

Keywords

References

  1. Korean Society of Obsterics and Gynecology. Gynecology. 5th edition. Seoul:Goryeouihak. 2015:1161-70.
  2. Bump RC, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10-7. https://doi.org/10.1016/S0002-9378(96)70243-0
  3. Brubaker L, Bump R, Jacquetien B. Pelvic organ prolapse. 21st ed. Paris: Health Publications. 2005:243-65.
  4. Bradley CS, Nygaard IE. Vaginal wall descensus and pelvic floor symptoms in older women. Obstet Gynecol. 2005;106(4):759-66. https://doi.org/10.1097/01.AOG.0000180183.03897.72
  5. Korean Society of Korean medicine obstetrics and Gynecology. Korean Medicine Obstetrics and Gynecology. 3rd ed. Seoul:Euiseongdang. 2016:880-4.
  6. Hunskarr S, Burgio K, Clark A. Epidemiology of urinary and fecal incontinence and pelvic organ prolapsse. 1st ed. Paris:Health Publication. 2005.
  7. Huang JX, et al. Curative effect of pelvic floor muscle exercise combined with traditional Chinese medicine in treatment of postpartum female pelvic floor dysfunction, Maternal and Child Health Care of China. 2017;32(11):2310-2.
  8. Zhao S, Shi YL, Observtion of the Therapeutic Effect of Biofeedback Electrical Stimulation Combined with Buzhong Yiqi Decoction in Treatment of Postpartum Uterine Prolapse Degree of I. Journal of Liaoning university of TCM. 2017;19(3):199-201.
  9. Jiang HY, Zhang Y, Clinical Analysis of Electro-acupuncture Combined with Pelvic Floor Muscle Training on Postpartum Pelvic Organ Prolapse. World TCM. 2018;13(9):2281-4.
  10. Lin JJ, Xu SQ, Curative effect of acupoint application combined with biofeedback electrical stimulation in treatment of postpartum POP. Southwest National Preventive Medicine. 2018;28(6):534-6.
  11. Song SX, et al. Clinical Study on Abdominal Acupuncture Combined with Chinese Medicine for Postpartum Pelvic Floor Dysfunction. Journal of New Chinese Medicine. 2019;51(8):211-4.
  12. Wei LY et al. Observation of the therapeutic effect of biofeedback electrical stimulation combined with Yao medicine Fukang outside fumigation in treatment of postpartum uterine prolapse. Modern Journal of Integrated Traditional Chinese and Western Medicine. 2019;28(17):1847-50.
  13. Cao KL, Lyu BQ, Observation on Efficacy of Traditional Chinese Medicine for Fumigation and Washing Combined with Warm Acupuncture in Treatment of Postpartum Pelvic Organ Prolapse. Evaluation and analysis of drug-use in hospitals of China. 2019;19(5):534-7.
  14. Wang LL, et al. Observations on the Effect of Electroacupuncture on Mild -to-moderate Postpartum Stress Urinary Incontinence with Pelvic Organ Prolapse. Shanghai J Acu-mox. 2020;39(2):200-5.
  15. Wang LL, et al. Observation on therapeutic effect of electroacpuncture combined with penetrating moxibustion for postpartum pelvic organ prolapse. Chinese Acu-mox. 2020;40(2):157-61.
  16. He J, Qiu QM, Zhang Y. Effect of Buzhong Yiqi decoction combined with low-frequency impulse feedback electrical stimulation and rehabilitation training on postpartum pelvic floor recovery. Journal of Clinical Medicine in Practice. 2017;21(19):73-6.
  17. Zheng QP, et al. Clinical observation on acupuncture combined with electrical stimulation-biofeedback exercise on treatment of postpartum uterine prolapse. Nursing and rehabilitation. 2017;16(4):310-2.
  18. Wang X, et al. Clinical observation on the treatment of postpartum I degree uterine prolapse with yao medicine fumigation(瑶药熏蒸外治法治疗产后I度子宫脱垂的临床观察). Journal of Guangxi university of TCM. 2019;22(3):13-6.
  19. Yu L, Jiang YW, Analysis on therapeutic effect of traditional Chinese medicine combined with functional exercise of postpartum uterine prolapse. Chinese J Trauma and Disability Medicine. 2014;22(16):19-20.
  20. Kim JM, et al. Prevalence and related risk factor of pelvic organ prolapse in the general Korean Population. Korean Journal of Obstet and Gynecol. 2005;48(6):1497-506.
  21. Olsen Al, et al. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89(4):501-6. https://doi.org/10.1016/S0029-7844(97)00058-6
  22. Thakar R, Stanton S. Management of genital prolapse. BMJ. 2002;324(7348):1258-62. https://doi.org/10.1136/bmj.324.7348.1258
  23. Handa VL, et al. Pelvic floor disorders 5-10 years after vaginal or cesarean childbirth. Obstet Gynecol. 2011;118(4):777-84. https://doi.org/10.1097/AOG.0b013e3182267f2f
  24. Kwon JH, et al. Significance of obstetric history as a prognostic factor for pelvic organ prolapse and urinary incontinence. Korean Journal of Obstet and Gynecol. 2008;94:106.
  25. Nygaard IE, et al. Abdominal sacrocolpopexy : a comprehensive review. Obstet Gynecol. 2004;104(4):805-23. https://doi.org/10.1097/01.AOG.0000139514.90897.07
  26. Maher C, et al. Surgical management of pelvic organ prolapse in women: a short version Cochrane review. Neurourol Urodyn. 2008;27(1):3-12. https://doi.org/10.1002/nau.20542
  27. Pott-Grinstein E, Newcomer JR. Gynecologists' patterns of prescribing pessaries. J Reprod Med. 2001;46(3):205-8.
  28. Park SY, et al. Predicting risk factors of postoperative voiding dysfunction after abdominal sacrocolpopexy in the treatment of pelvic organ prolapse. Korean J Obstet Gynecol. 2011;54(2):93-8. https://doi.org/10.5468/KJOG.2011.54.2.93
  29. Yoo EH, Lee SK, Clinical study of laparoscopic sacrocolpopexy for pelvic organ prolapse. Korean J Obstet Gynecol. 2011;54(11):684-8. https://doi.org/10.5468/KJOG.2011.54.11.684
  30. Lee DW. Dongyuanyiji. 1st ed. Beijing :PMPH. 1993:18.
  31. Park SG, Kim YK, Oh MS, Prescriptionology. 1st ed. Seoul:Younglimsa. 2014:195-6.
  32. Song JS, Yoo DY, Literary Study on the Bojungiggi-Tang and prolapse. Journal of Haehwa Medicine. 2005;14(2):205-12.
  33. Li L, Lu KB, Chen RL, Advances in clinical research of Yao medicine in the treatment of gynecological disease (瑶医药治疗妇科病的临床研究进展). J Chinse National TCM. 2015;24(17):1-2.
  34. Lee SH, Kim CY, Chang GT. Impact on Respiratory Diseases of Acupoint Sticking in Dog-Days. J Korean Oriental Pediatr. 2012;26(2):1-12.
  35. Bae JE, Park KD, Yoon YJ, Acupoint Sticking Therapy for Endometriosis; Systematic Review. J Korean Obstet Gynecol. 2019;32(3):162-73. https://doi.org/10.15204/JKOBGY.2019.32.3.162
  36. The complication committee of Herbology. Herbology. Seoul:Younglim publisher. 2008.
  37. Micael H, Norbert K, Karl HC, Handbook of Acupunture. Seoul:HS medical publication. 2010.
  38. Korean continence society. Textbook of voiding dysfunction and female urology. 2nd edition. Seoul:Iljogak. 2009:438-9.
  39. Hai GF, et al. Effect of TGF-β1 on the expression of HSP47 and Collagen-I in HRL-1 cells(TGF-β1对HFL-I 细 胞HSP47 和Collagen-I表达的影响), Guangdong Medicine. 2013;34(17):2632-4.