The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
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The Clinical Status of Adolescent Patients with Dysmenorrhea Visiting Korean Medicine Hospital

한방병원에 내원한 청소년기 월경통 환자의 임상현황

  • Oh Hye In (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Jeong Ji Eun (Department of Pediatrics, College of Korean Medicine, Daejeon University) ;
  • Lee Hye Lim (Department of Pediatrics, College of Korean Medicine, Daejeon University)
  • 오혜인 (대전대학교 한의과대학 한방소아과학교실) ;
  • 정지은 (대전대학교 한의과대학 한방소아과학교실) ;
  • 이혜림 (대전대학교 한의과대학 한방소아과학교실)
  • Received : 2024.04.11
  • Accepted : 2024.05.19
  • Published : 2024.05.31
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Abstract

Objectives We aimed to analyze menstrual pain clinical patterns and treatment characteristics in pediatric and adolescent patients under 18 years old treated for menstrual pain at a Korean medicine hospital. Methods We analyzed the medical records of pediatric and adolescent patients under 18, treated for menstrual pain from January 1, 2018, to December 31, 2023. Results A total of 88 participants were included in the study, with a mean age of 15.3 ± 1.5 years. The most common diagnosis was unspecified dysmenorrhea. Among the 42 participants with recorded pain scores, the mean Numeric Rating Scale (NRS) for dysmenorrhea was 7.4 ± 1.0. Patients who received two or more treatments had an average of 6.3 ± 5.0 clinic visits. Treatment methods included herbal medicine, acupuncture, moxibustion, pharmacopuncture, and electroacupuncture, in descending order of frequency. Conclusions It is necessary to analyze the clinical characteristics and status of adolescent dysmenorrhea patients in more Korean medical institutions. Additionally, research and promotion of Korean medicine treatments for adolescent dysmenorrhea are needed.

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References

  1. Health Insurance Review & Assessment Service. Statistics by ATC Codes (by In/Outpatient) [Internet]. Healthcare Bigdata Hub; 2015 [Updated 2021; cited 2024 Mar. 25]. Available from: https://opendata.hira.or.kr/op/opc/olap4thDsInfoTab3.do 
  2. Song LG, Sung HK, Go HY, Park JK. A study of school doctor program for dysmenorrhea in Korean medicine. J Pediatr Korean Med. 2018;32(4):87-102 
  3. Song ES, Park EJ, Choe SA, Park JH, Song BM, Han KH, Park HY. How do Korean women manage menstrual and menopausal symptoms: 2022 women's health survey for sexual and reproductive health. Public Health Wkly Rep. 2023;16(25):783-800 
  4. Baek UH. An analysis on menstrual disorder during youth according to the period of menarche. KJGD. 2009;17(1):9-14 
  5. Shin YS, Kang KC, Nam SL, Lee KH. Clinical study on pediatric and adolescent gynecologic patients. Obstet Gynecol Sci. 2001;44(6):1128-36 
  6. Lee EH, Kim JI, Kim HW, Lee HG, Lee SH, Kang NM, Heo MH, Park YS. Dysmenorrhea and menstrual attitudes in adult women. Korean J Women Health Nurs. 2003;9(2):105-12 
  7. Park SJ, Joo JC, Kim JH, Kim SB, Lee SD. Effect and satisfaction measurement of Korean medicine treatment on adolescent dysmenorrhea. J Korean Obstet Gynecol. 2016;29(1):69-77 
  8. Choi SJ, Kim DI. An analysis of the current status of dysmenorrhea patients visiting Korean medicine hospital. J Korean Med. 2023;44(1):28-37 
  9. Kim HJ, Sohn YJ, Lee YH. Clinical Study on the effect of dysmenorrhea clinic for female college students. J Korean Obstet Gynecol. 2012;25(2):142-53 
  10. The Society of Korean Medicine Obstetrics & Gynecology. Dysmenorrhea clinical practice guideline of Korean medicine. Gyeongsan: NIKOM. 2021:2 
  11. Kim EG, Lee MJ, Hwang DS, Lee JM, Jang JB, Lee KS, Lee CH. A study about Heart Rate Variability (HRV) of examinees with dysmenorrhea. J Korean Obstet Gynecol. 2011;24(4):50-61 
  12. Im JY, Hwang DS, Lee JM, Lee CH, Jang JB. A review of the domestic study trends on obstetrics & gynecological diseases by using Digital Infrared Thermal Imaging as a diagnosis instrument. J Korean Obstet Gynecol. 2020;33(3):80-94 
  13. Seo MY, Kim SH, Juul A, Park MJ. Trend of menarcheal age among Korean girls. J Korean Med Sci. 2020;35(49):406 
  14. Kim HO, Lim SW, Woo HY, Kim KH. Premenstrual syndrome and dysmenorrhea in Korean adolescent girls. Obstet Gynecol Sci. 2008;51(11):1322-9 
  15. Hong KJ, Kim HW, Ahn HY. Menstrual attitudes and maternal child rearing attitudes in middle school female students. J Korean Acad Nurs. 2008;38(5):748-57 
  16. Choi DS. Reproductive endocrinology: patient management in the minor clinic. Korean Society of Obstetrics and Gynecology Educational Lecture. 2007;2007:168-80. https://kiss.kstudy.com/Detail/Ar?key=2825988 
  17. Boonstra AM, Stewart RE, Koke, AJ, Oosterwijk, RF, Swaan, JL, Schreurs KM, Schiphorst Preuper HR. Cut-off points for mild, moderate, and severe pain on the numeric rating scale for pain in patients with chronic musculoskeletal pain: variability and influence of sex and catastrophizing. Front Psychol. 2016;7:1466 
  18. Yim SH, Cho HS, Lee IS, Kim KK. A study on oriental medical factors of teenager' menstrual disorders based on DSOM. J Korean Obstet Gynecol. 2010;23(3):156-72. 
  19. Baek SS, Song MS, Cho JY. Influence of health promotion behaviors and job stress on premenstrual syndrome in female undergraduate students. KSW. 2018;13(3):411-22 
  20. Woo HL, Ji HR, Park KS, Hwang DS, Lee CH, Jang JB, Lee JM. A survey on Korean medicine doctors' recognition and clinic fields of treating primary dysmenorrhea for developing Korean medicine clinical practice guideline for dysmenorrhea. J Korean Obstet Gynecol. 2017;30(2):93-106 
  21. Park JS, Park SJ, Gim GH, Kim WJ, Choi HS, Choi HS, Choi YK, Cho JH, Shin YC, Ko SG. A study for suggestion of quantitative scale for dysmenorrhea in clinics. J Korean Obstet Gynecol. 2011;24(1):144-61 
  22. Kim GG, Kim YA, An integrative review of studies on dysmenorrhea in adolescents. JKAIS. 2023;24(9):514-22. 
  23. Lee JY, Lee JM, Lee CH, Cho JH, Jang JB, Lee KS. Analysis on the Heart Rate Variability of dysmenorrhea patients. J Korean Obstet Gynecol. 2007;20(3):164-77 
  24. Yoon YJ, Choi YH, Cho JH, Jang JB, Lee KS. The study on the abdominal temperature difference according to primary dysmenorrhea severity. J of Oriental Medical Thermology. 2004;3(1):6-14 
  25. Kim HW, Kim YS, Lee KS. DITI of the abdomen on twenties' dysmenorrhea patients. J Korean Obstet Gynecol. 2001;14(1):311-8 
  26. Lee YK, Seo IB, Lee DN, Kim HJ. Effects of Gwibi-Tang on the estradiol valerate-induced polycystic ovaries in rats. J Korean Obstet Gynecol. 2008;21(3):60-74 
  27. Koh JY, Gwon GH, Shin HS, Lee JH, Jo SW. Review of domestic clinical research about dysmenorrhea: A systematic review of clinical studies in Korean Medical Journals. Korean J Intern Med. 2019;40(4):612-8 
  28. Cho JH. A pilot study of the difference between Gyejibongnyeong-hwan and Gyejibongnyeong-hwan combined acupuncture therapy on the primary dysmenorrhea. J Korean Obstet Gynecol. 2007;20(1):161-8 
  29. Kim DG, Yoo DY. Two cases report of the primary dysmenorrhea treated with Gamisoyosan-gagambang. J Korean Obstet Gynecol. 2011;24(2):126-33 
  30. Kim BN, Jang GH, Kim SH, Kim SU. A clinical study on the efficacy of electrostimulation on acupuncture loci in the treatment of dysmenorrhea. J Korean Obstet Gynecol. 2004;17(2):138-46.