[논문]복압성 요실금에 대한 보중익기탕의 효과 : 체계적 문헌고찰과 메타분석

남현서; 백태현

doi:10.22246/jikm.2021.42.3.293

[국내논문] 복압성 요실금에 대한 보중익기탕의 효과 : 체계적 문헌고찰과 메타분석
The Effect of Bojungikgi-tang on Stress Urinary Incontinence: A Systematic Review and Meta-Analysis 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.42 no.3, 2021년, pp.293 - 307

남현서 (상지대학교부속한방병원 한방내과) , 백태현 (상지대학교부속한방병원 한방내과)

Abstract ▼ AI-Helper

Objectives: This study investigates the effects and safety of Bojungikgi-tang for stress urinary incontinence by systemic review and meta-analysis of randomized controlled trials (RCTs). Methods: RCTs were selected from articles published until December 2019 in seven domestic and foreign databases. The quality of the literature was evaluated using Cochrane's risk of bias (RoB) tool, and RevMan 5.3 was used to synthesize the results. Results: A total of 694 patients with stress urinary incontinence participated in eight RCTs. Meta-analysis showed that the total effective rate of treatment that combines pelvic floor muscle training (PFMT) and Bojungikgi-tang was significantly higher than that of PFMT alone. The volume of urine leakage per hour after the combined treatment was significantly lower than that of PFMT alone. The International Consultation on Insurance Questionnaire-Short Form (ICIQ-SF) scores from combining PFMT and Bojungikgi-tang were significantly lower than those for PFMT alone. Conclusion: This study suggests that Western medical treatment combined with Bojungikgi-tang for urinary incontinence from stress might be more effective in improving symptoms than conventional Western medical treatment alone. However, the number of studies included in the meta-analysis was insufficient, and the quality of the selected literature was generally low. Therefore, high-quality clinical studies on herbal medicine treatment for urinary incontinence would be required in the future.

주제어

표/그림 (7)

그림 Fig. 1. Prisma flow diagram of the selection process.
표 Table 1. Characteristics of Randomized Controlled Trials lncluded in the Meta-Analysis
그림 Fig. 2. Results of meta-analysis for total effective rate (BIT+PFMT vs. PFMT).
그림 Fig. 3. Results of meta-analysis for urine leakage per hour (BIT+PFMT vs. PFMT).
그림 Fig. 4. Results of meta-analysis for ICIQ-SF score (BIT+PFMT vs. PFMT).
그림 Fig. 5. Risk of bias graph.
그림 Fig. 6. Risk of bias summary.

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