The aim of this study is to collect and analyze clinical studies on acupuncture therapies of Post-stroke depression, and to suggest a method on study about acupuncture therapies. In this thesis, electronic searches were performed with NDSL, National Assembly Library, RISS4U, DBPIA, KISS, ...
The aim of this study is to collect and analyze clinical studies on acupuncture therapies of Post-stroke depression, and to suggest a method on study about acupuncture therapies. In this thesis, electronic searches were performed with NDSL, National Assembly Library, RISS4U, DBPIA, KISS, KMBASE, KoreaMed, Korean Traditional Knowledge Portal, Oasis, pubmed, medline full text, DDOD, PQOD, cochrane, CINAHL Plus with Full Text and CNKI. Also, 6 major journals associated with oriental medicine in Korea were searched manually. Search words such as: ‘중풍’, ‘뇌졸중’, ‘stroke’, ‘우울’, ‘Depression', 'Depressive disorder', ‘침’, and ‘Acupuncture’ were used as a single keyword or in combinations. Through searching, 27 studies were selected and analyzed under the criterias of subject, category of thesis and randomization, selected standard and excluded standard, acupuncture point selection, experiment group and control group, the assessment of disease and criteria, blinding, the quality of thesis, and the effects of acupuncture. There were 24 controlled studies and 3 non-controlled studies. Treatment methods were acupuncture, electronic-acupuncture, eye-acupuncture, abdominal-acupuncture and pharmaco-acupuncture. The percentages of these treatment method were 59.2%, 29.6% , 3.7%, 3.7% and 3.7%, respectively. Acupuncture points such as GV20, PC6, ST36, SP6, LV3, GV24, GV26, LI14, LI11, H7, ST40, GB20, GB34 and LI15 were used. In the periods of study, 11 studies took 4 weeks to complete. Acupuncture stimulation took place everyday in 22 studies. In comparison of results before and after acupuncture treatment, there were statistically significant improvement in 26 studies. For Jadad Score, 3 studies had 3 points. 7 studies had 2 points, 3 studies had 1 points and 14 studies had 0 points. Based on the results from above, the studies on acupuncture for Post-stroke depression needs to be standardized and more appropriate high-quality study models should be introduced.
Keywords: Post-stroke depression, Acupuncture본 연구는 뇌졸중후 우울증 침치료에 관한 임상논문을 검색, 분석하여 침치료의 효과를 정리하고, 침치료의 연구방법을 제시하고자 하였다. 논문 검색은 과학기술정보통합서비스(NDSL), 국회도서관, RISS4U, DBPIA, KISS, KMBASE, KoreaMed, 한국전통지식포탈, 전통의학정보포털(OASIS), pubmed, medline full text, DDOD, PQOD, cochrane, CINAHL Plus with Full Text, CNKI와 동의생리병리학회지, 대한약침학회지, 대한침구학회지, 대한한방내과학회지, 동의신경정신과학회지, 대한한의학회지를 통해 인터넷 검색하였으며, 검색어는 ‘중풍’, ‘뇌졸중’, ‘stroke’, ‘우울’, ‘Depression', 'Depressive disorder', ‘침’, ‘Acupuncture’를 조합하여 사용하였다. 최종적으로 27편의 논문이 포함되었으며, 피험자 분석, 논문의 분류와 randomization, 선정기준과 배제기준, 선혈과 침치료 방법, 대조군과 실험군 처치, 평가질환과 평가기준, blinding과 논문의 질, 침치료 효과에 대해 살펴보았다. 연구에 포함된 논문은 대조군 연구가 24편, 비대조군 연구가 3편이었다. 처치 방법은 鍼만 이용한 경우가 59.2%, 전침이 29.6% , 안침이 3.7%, 복침이 3.7%, 약침이 3.7% 차지하였다. 빈용된 穴位는 百會가 16편, 內關이 13편, 足三里, 三陰交, 太衝이 9편, 印堂이 7편, 四神總, 神庭, 人中, 合谷이 6편, 曲池, 豊隆, 神門이 4편, 風池, 陽陵泉, 肩髃가 3편이었다. 치료기간은 4주가 11편으로 가장 많았으며, 1일 1회가 22편으로 가장 많았다. 뇌졸중후 우울증에 대하여 침치료 후 치료 전과 비교하였을 때, 27편의 임상논문 중 26편에서 유의성 있는 호전을 보였다. Jadad score는 3점이 3편, 2점이 7편, 1점이 3편, 0점이 14편으로 전반적으로 대상이 되는 논문의 질이 낮았다. 이상의 결과를 바탕으로 뇌졸중후 우울증에 침치료가 효과 있음을 알 수 있었으나 논문의 질이 낮고 편수가 적다는 한계가 있었다. 향후 뇌졸중후 우울증 침치료에 대한 임상연구는 표준화되어야 하고, 질이 높고 적합한 설계를 가진 논문이 다수 발표되어야 한다.
The aim of this study is to collect and analyze clinical studies on acupuncture therapies of Post-stroke depression, and to suggest a method on study about acupuncture therapies. In this thesis, electronic searches were performed with NDSL, National Assembly Library, RISS4U, DBPIA, KISS, KMBASE, KoreaMed, Korean Traditional Knowledge Portal, Oasis, pubmed, medline full text, DDOD, PQOD, cochrane, CINAHL Plus with Full Text and CNKI. Also, 6 major journals associated with oriental medicine in Korea were searched manually. Search words such as: ‘중풍’, ‘뇌졸중’, ‘stroke’, ‘우울’, ‘Depression', 'Depressive disorder', ‘침’, and ‘Acupuncture’ were used as a single keyword or in combinations. Through searching, 27 studies were selected and analyzed under the criterias of subject, category of thesis and randomization, selected standard and excluded standard, acupuncture point selection, experiment group and control group, the assessment of disease and criteria, blinding, the quality of thesis, and the effects of acupuncture. There were 24 controlled studies and 3 non-controlled studies. Treatment methods were acupuncture, electronic-acupuncture, eye-acupuncture, abdominal-acupuncture and pharmaco-acupuncture. The percentages of these treatment method were 59.2%, 29.6% , 3.7%, 3.7% and 3.7%, respectively. Acupuncture points such as GV20, PC6, ST36, SP6, LV3, GV24, GV26, LI14, LI11, H7, ST40, GB20, GB34 and LI15 were used. In the periods of study, 11 studies took 4 weeks to complete. Acupuncture stimulation took place everyday in 22 studies. In comparison of results before and after acupuncture treatment, there were statistically significant improvement in 26 studies. For Jadad Score, 3 studies had 3 points. 7 studies had 2 points, 3 studies had 1 points and 14 studies had 0 points. Based on the results from above, the studies on acupuncture for Post-stroke depression needs to be standardized and more appropriate high-quality study models should be introduced.
Keywords: Post-stroke depression, Acupuncture본 연구는 뇌졸중후 우울증 침치료에 관한 임상논문을 검색, 분석하여 침치료의 효과를 정리하고, 침치료의 연구방법을 제시하고자 하였다. 논문 검색은 과학기술정보통합서비스(NDSL), 국회도서관, RISS4U, DBPIA, KISS, KMBASE, KoreaMed, 한국전통지식포탈, 전통의학정보포털(OASIS), pubmed, medline full text, DDOD, PQOD, cochrane, CINAHL Plus with Full Text, CNKI와 동의생리병리학회지, 대한약침학회지, 대한침구학회지, 대한한방내과학회지, 동의신경정신과학회지, 대한한의학회지를 통해 인터넷 검색하였으며, 검색어는 ‘중풍’, ‘뇌졸중’, ‘stroke’, ‘우울’, ‘Depression', 'Depressive disorder', ‘침’, ‘Acupuncture’를 조합하여 사용하였다. 최종적으로 27편의 논문이 포함되었으며, 피험자 분석, 논문의 분류와 randomization, 선정기준과 배제기준, 선혈과 침치료 방법, 대조군과 실험군 처치, 평가질환과 평가기준, blinding과 논문의 질, 침치료 효과에 대해 살펴보았다. 연구에 포함된 논문은 대조군 연구가 24편, 비대조군 연구가 3편이었다. 처치 방법은 鍼만 이용한 경우가 59.2%, 전침이 29.6% , 안침이 3.7%, 복침이 3.7%, 약침이 3.7% 차지하였다. 빈용된 穴位는 百會가 16편, 內關이 13편, 足三里, 三陰交, 太衝이 9편, 印堂이 7편, 四神總, 神庭, 人中, 合谷이 6편, 曲池, 豊隆, 神門이 4편, 風池, 陽陵泉, 肩髃가 3편이었다. 치료기간은 4주가 11편으로 가장 많았으며, 1일 1회가 22편으로 가장 많았다. 뇌졸중후 우울증에 대하여 침치료 후 치료 전과 비교하였을 때, 27편의 임상논문 중 26편에서 유의성 있는 호전을 보였다. Jadad score는 3점이 3편, 2점이 7편, 1점이 3편, 0점이 14편으로 전반적으로 대상이 되는 논문의 질이 낮았다. 이상의 결과를 바탕으로 뇌졸중후 우울증에 침치료가 효과 있음을 알 수 있었으나 논문의 질이 낮고 편수가 적다는 한계가 있었다. 향후 뇌졸중후 우울증 침치료에 대한 임상연구는 표준화되어야 하고, 질이 높고 적합한 설계를 가진 논문이 다수 발표되어야 한다.
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