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알레르기 비염의 한의학적 관리를 위한 최신 지견
Current update on allergic rhinitis for Korean Medicine management 원문보기

韓方眼耳鼻咽喉皮膚科學會誌 = The journal of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, v.29 no.4, 2016년, pp.95 - 113  

정창운 (대한한의사협회 한의학정책연구원) ,  조희근 (청연의학연구소) ,  김혜화 (동신대학교 한의과대학 한방안이비인후피부과교실) ,  송민영 (동신대학교 한의과대학 한방재활의학과교실)

Abstract ▼ AI-Helper 아이콘AI-Helper

Objectives : The purpose of this review is to introduce the recent advance in allergic rhinitis and to provide help in establishing strategy and selection of drugs for Korean medical treatment of allergic rhinitis. Methods : We searched articles about allergic rhinitis comprehensively in PubMed, CNK...

주제어

#Allergic rhinitis   #Herbal medicine   #Acupuncture   #Moxibustion   #Thread-embedding Therapy  

AI 본문요약
AI-Helper 아이콘 AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

문제 정의

  •  따라서, 본 연구에서는 기존에 발표된 선행 해외연구를 Pubmed, CNKI, NDSL, 일본 동양 의학회 근거중심의학 위원회의 EKAT(Evidence Reports of Kampo Treatment), KCPG(Clinical Practice Guidelines containing Kampo products in Japan) 등을 통하여 검색 및 입수할 수 있는 문헌을 중심으로 검토하였다.
  •  또한, 현재 복용중인 의약품과 아토피 혹은 알레르기질환의 가족력을 물론이고 알레르기 비염일 가능성을 배제하기 위하여 자극성 물질에의 노출확인과 상기도감염 증상의 확인도 하도록 한다.
  • 따라서, 이 연구는 알레르기 비염에 대한 국내와 해외에서의 한의학 분야 연구를 포괄적으로 검토하고 주요 국가의 해외 가이드라인을 국내 실정에 맞게 교차검토함으로써 임상의들의 일차진료시 의사결정에 보탬이 되고자 수행하였다.
본문요약 정보가 도움이 되었나요?

질의응답

핵심어 질문 논문에서 추출한 답변
ARIA 가이드라인에서 말하는 알레르기 비염이란? ARIA 가이드라인에 따르면 알레르기 비염은 “IgE에 의해 매개되는 코의 과민반응으로서, 비점막이 항원에 의해 노출된 후 발생하는 염증을 말한다. 비염의 증상으로서는 비루, 비폐색, 가려움, 재채기, 후비루 등이 있으며, 이들은 산발적 혹은 치료중 가역적으로 소실된다.
한국에서 알레르기 비염의 관리에 참고할 수 있는 가이드라인은 무엇이 있는가? 현재 국내에서 알레르기 비염의 관리에 참고할 수 있는 주요 가이드라인으로는 ARIA가이드라인과 일본 이비인후과학회의 알레르기 비염 가이드라인4), 그리고 이번에 추가된 AAO-HNSF 가이드라인 등을 들 수 있다. 다만, 이들 가이드라인은 한의진료를 위하여 만들어진 것은 아니므로 직접적인 한의임상에 대한 적용에는 난점이 있다.
알레르기 비염의 주요 병리 반응은 조기와 후기 반응으로 나뉘는데 그에 대해 설명하라. 크게 알레르기 비염의 주요 병리 반응은 조기반응과 후기 반응의 2가지로 나누어볼 수 있다. 조기반응 은 항원에 의해 감작된 비점막과 국소림프조직에서 IgE항체가 생성되어 나타난 항원-항체반응이 방아쇠 가 된다. 이에 따라 화학적 매개물질인 히스타민과 류코트리엔 등이 비만세포로부터 방출되는데, 이들이 감각신경종말 및 점막혈관을 자극함으로써 재채기, 수양성 비루, 코막힘 등 증상이 이어진다. 후기반응은 “조기반응 이후 호산구 등 다양한 염증세포가 항원에 노출된 비점막에 침입”하여 나타나는 일련의 반응으로 항원 노출 후 약 6-10시간 후 관찰된다. 조기반응은 적은 수의 항원으로도 유발될 수 있으나, 후기반응은 많은 항원에 노출되어야 한다.
질의응답 정보가 도움이 되었나요?

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