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논문 상세정보

기능성 소화불량증에 사용된 침구치료방법에 대한 체계적 문헌고찰

A Systematic Review of Acupuncture-Moxibution Treatment for Functional Dyspepsia

Korean journal of acupuncture v.34 no.1 , 2017년, pp.8 - 36  
Abstract

Objectives : The aim of this study is to review the methodology of clinical trials conducted with the acupuncture and moxibustion treatment on functional dyspepsia. Methods : We searched four international databases and three Korean databases including English, Korean and Chinese, through March 2016 for randomized controlled trials(RCT) and non-randomized case-control trials(CCT) that evaluated the effects of the acupuncture and moxibustion on functional dyspepsia. We abstracted the designs of the trials and the method of acupuncture and moxibustion treatment according to the Standards for Reporting Interventions in Clinical Trials of Acupuncture. Results : A total 117 papers were reviewed. The 106 studies were conducted in China. There were 111 RCTs(95%), and 6 CCTs(5%). Sixty eight studies(59%) were conducted with the manual acupuncture, 29 studies of electro-acupuncture(25%), 11 studies of moxibustion(9%), 5 studies of acupoints embedding therapy(4%), 4 studies of acupoint injection therapy(3%) were conducted. ST36, CV12, ST25 were most frequently used for acupoints to treat functional dyspepsia. In 59 studies(50%), western medication was used in the control group, and the effects of acupuncture and moxibustion were evaluated with the symptoms in most studies. Conclusions : These results suggest that it is necessary to develop more detailed reporting standards about acupuncture and moxibustion treatment method as the method of acupuncture and moxibustion is getting more diverse, and more objective tools are needed in evaluating functional dyspepsia.

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핵심어 질문 논문에서 추출한 답변
기능성 소화불량증
기능성 소화불량증이란 무엇인가?
인과관계가 뚜렷한 기질적 질환이 없으면서 만성적이며 반복적인 위장관 증상(상복부 통증, 상복부 팽만감, 조기 만복감, 포만감, 오심, 구토, 트림 등)이 동반되어 식후에 주로 나타나는 임상증후군

기능성 소화불량증(Functional Dyspepsia)은 인과관계가 뚜렷한 기질적 질환이 없으면서 만성적이며 반복적인 위장관 증상(상복부 통증, 상복부 팽만감, 조기 만복감, 포만감, 오심, 구토, 트림 등)이 동반되어 식후에 주로 나타나는 임상증후군이다1). 최근 국내 건강검진 대상자 다기관 연구 사례를 보면, 기능성 소화불량증의 비율은 20.

기능성 소화불량증
기능성 소화불량증의 전세계에서의 유병률은 어떻게 되는가?
전세계에서의 유병률은 약 25%로 추정될 정도로 흔한 질환

최근 국내 건강검진 대상자 다기관 연구 사례를 보면, 기능성 소화불량증의 비율은 20.4%에 달하고 있으며 전세계에서의 유병률은 약 25%로 추정될 정도로 흔한 질환이다2).

침의 자입 깊이를 선정에 활용할 수 있는 결과
선행연구를 분석하여 침의 자입 깊이를 선정에 활용할 수 있는 결과를 얻기 어려웠던 이유는 무엇인가?
자입깊이와 관련하여 침과 전침 대부분 보고를 하고 있지 않거나 여러 혈위가 사용되었음에도 불구하고 깊이를 15∼25 mm와 같이 전체 혈위에 대한 범위를 사용하여 보고하였고 단위도 mm와 촌(寸)으로 일치하지 않았다.

자입깊이와 관련하여 침과 전침 대부분 보고를 하고 있지 않거나 여러 혈위가 사용되었음에도 불구하고 깊이를 15∼25 mm와 같이 전체 혈위에 대한 범위를 사용하여 보고하였고 단위도 mm와 촌(寸)으로 일치하지 않았다. 이에 선행연구를 분석하여 침의 자입 깊이를 선정에 활용할 수 있는 결과를 얻기는 어려웠다.

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참고문헌 (128)

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