[논문]통풍의 한의임상진료현황 - 온라인(웹기반) 설문조사

황지혜; 이광호; 남동우; 육태한; 송호섭

doi:10.14406/acu.2021.003

통풍의 한의임상진료현황 - 온라인(웹기반) 설문조사
Current Status of Clinical Practice for Gout in Korean Medicine - On-line (Web-Based) Survey 원문보기

Korean journal of acupuncture, v.38 no.1, 2021년, pp.16 - 31

황지혜 (가천대학교 한의과대학 침구의학과) , 이광호 (상지대학교 한의과대학 침구의학과) , 남동우 (경희대학교 한의과대학 침구의학과) , 육태한 (우석대학교 한의과대학 침구학교실) , 송호섭 (가천대학교 한의과대학 침구의학과)

Abstract ▼ AI-Helper

Objectives : The purpose of this study was to investigate the current status of clinical practice for gout in Korean Medicine (KM). Methods : On-line survey was adopted for this study, targeted at KM Doctors who were registered in the Association of Korean Medicine. The questionnaire included the general status of treatment, pattern identification and treatment method according to three stages given: acute, chronic and asymptomatic hyperuricemia stage. Results : Data from a total of 384 respondents was analyzed. Participants who responded most were in their 40s, working in KM clinics located in Seoul. Acupuncture and herbal medicines were the top priority treatments in preparing recommendations in clinical practice guidelines for gout, and where clinical trials were considered essential. As of the past year, the average number of first visits per month was 86.7%, and the average treatment duration was less than 1 month, accounting for 72.9%. As for the diagnostic method used for gout patients, the "diagnosed by clinical pattern" response was the highest, and the "blood and urine test" response was the highest as the diagnostic equipment used. As for the evaluation scale being used, the "VAS/NRS" response was the highest. Regardless of the gout stage, acupuncture was the most commonly used treatment method for gout patients, and bee venom pharmacopuncture was the highest for the pharmacopuncture used. In the case of herbal medicine, it was found that a wider variety of herbal medication uninsured in health insurance and herbal prescription were used for the staged treatment of gout than herbal medication in national health insurance coverage. In clinical practice, "acupuncture treatment three times a week" was the most common, and the "acupoints in the limb" were the most frequently used; LR3 and SP3 were the most frequently used acupoints. Conclusions : It is suggested that this survey should be helpful to develop clinical practice guideline for gout that reflects actual clinical practice.

주제어

표/그림 (11)

표 Table 1. General characteristics of the respondents (n=384)
그림 Fig. 1. Priority of treatment methods related to the development of clinical practice guideline for gout in Korean Medicine (%). (A) Priority of treatment method that require recommendation. (B) Priority of treatment method that require evidence generation clinical trial. BVP : bee venom pharmacopuncture, EA : electroacupuncture.
표 Table 2. Current status of gout treatment in Korean medical institutions
그림 Fig. 2. Diagnosis and evaluation method for gout patients (%). (A) Usage status of the 2015 the ACR/EULAR gout classification criteria. (B) Diagnostic method for gout patients. (C) Diagnostic equipment for gout patients. (D) Evaluation scale for gout patients. Multiple choices were allowed for (B), (C), and (D). KM : Korean medicine, WM : Western medicine, US : Ultrasound, BST : blood sugar test.
그림 Fig. 3. Pattern identification for gout patients (%). Multiple choices were allowed.
그림 Fig. 4. Main treatment for gout patients and recognition of the importance of each treatment method (%). (A) Acute gout. (B) Chronic gout. (C) Asymptomatic hyperuricemia. Multiple choices were allowed. EA : electroacupuncture, BVP : bee venom pharmacopuncture.
그림 Fig. 5. Pharmacopuncture mainly used for gout patients. Multiple choices were allowed. BV : bee venom, HP : Hominis Placenta, SC : Scolopendrae Corpus, HO : Honghwaja (Carthamus tinctorius L.), HN : Honghwaja (Carthamus tinctorius L.)-Nokyong (Cervi Pantotrichum Cornu).
그림 Fig. 6. Physical therapy mainly applied for gout patients. Multiple choices were allowed.
표 Table 3. Herbal medicine mainly prescribed for gout according to stages
그림 Fig. 7. Acupuncture mainly applied for gout patients. (A) Frequency of acupuncture treatment. (B) Majorly applied acupuncture method. (C) Location of main acupoint. (D) Insertion angle. (E) Number of needles used in one treatment. (F) Thickness of needles used. (G) Length of needles used. (H) Insertion depth. (I) Needle retained time. Multiple choices were allowed for (B), (C), (F), and (G).
그림 Fig. 8. Acupoints that are frequently used in each part of the body. (A) Facial part. (B) Head and neck. (C) Shoulder and back. (D) Thoracic abdomen. (E) Upper limb. (F) Lower limb. Multiple choices were allowed.

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