[논문]과민대장증후군(Irritable Bowel Syndrome)의 한의임상 진료현황에 대한 설문조사 연구

전혜진; 김금지; 고석재; 박재우

doi:10.22246/jikm.2021.42.4.532

과민대장증후군(Irritable Bowel Syndrome)의 한의임상 진료현황에 대한 설문조사 연구
A Survey on the Clinical Practice Patterns of Irritable Bowel Syndrome in Korean Medicine 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.42 no.4, 2021년, pp.532 - 546

전혜진 (강동경희대학교한방병원 한방내과) , 김금지 (강동경희대학교한방병원 한방내과) , 고석재 (강동경희대학교한방병원 한방내과) , 박재우 (강동경희대학교한방병원 한방내과)

Abstract ▼ AI-Helper

Objective: This study investigated the perception, diagnosis, and treatment of irritable bowel syndrome (IBS) in the general population, in patients, and in Korean medicine doctors (KMDs) in order to provide basic information for the development of Korean medicine clinical practice guidelines for IBS. Methods: A questionnaire was developed in two versions, one for the general population/patients and one for KMDs. The questions were about the general perception, diagnosis, and treatment of IBS. Both online and offline surveys were conducted using these questionnaires. Results: In total, 213 general population/patients and 435 KMDs responded to the survey. The results of the analysis were as follows. Most of the KMDs diagnosed IBS based on clinical aspects. Acupuncture was the most common treatment, followed by prescription herbal medicine, moxibustion, and manufactured herbal medicine. 34.3% of KMDs used clinical practice guidelines for IBS patient treatment. 57.8% of patients were diagnosed with IBS by doctors at primary medical institutions, and 53.1% were diagnosed with colonoscopy. More than half of the IBS patients who have been treated with Korean medicine said they experienced improvement of symptoms and prevention of recurrence, but more than 70% of the respondents said future safety and effectiveness studies of Korean medicine were needed. Conclusions: In spite of the positive perception of IBS treatment with Korean medicine, actual utilization was relatively low. The development and promotion of, as well as education about, appropriate and reasonable Korean medicine practice guidelines for IBS is necessary.

주제어

표/그림 (9)

그림 Fig. 1. Research method of survey subjects. KMD : Korean medicine doctor
그림 Fig. 2. Characteristic of responders (Korean medicine doctors). yrs : years
표 Table 1. Pattern Identification of IBS Patients (Top 10)
그림 Fig. 3. Frequency of Korean medicine treatments for IBS in a survey of KMDs (%). Multiple responses were allowed. IBS : irritable bowel syndrome, KMD : Korean medicine doctor
표 Table 2. Usage Frequency of Acupoint for IBS Treatment (Top 10)
그림 Fig. 4. Information KMDs want to know about treating IBS (%). KMD : Korean medicine doctor, IBS : irritable bowel syndrome.
표 Table 3. Usage Frequency of Herbal Medicine (Prescription Medicine) for IBS Treatment (Top 10)
그림 Fig. 5. Characteristic of responders (general population and patients).
그림 Fig. 6. Frequency of Korean medicine treatments for IBS patients (%). Multiple responses were allowed. IBS : irritable bowel syndrome

참고문헌 (27)

Lovell RM, Ford AC. Global Prevalence of and Risk Factors for Irritable Bowel Syndrome: A Meta-Analysis. Clin Gastroenterol Hepatol 2012; 10(7):712-721.e4.

상세보기
Lacy BE, Mearin F, Chang L, Chey WD, Lembo AJ, Simren M, et al. Bowel Disorders. Gastroenterology 2016;150(6):1393-407.

상세보기
Defrees DN, Bailey J. Irritable Bowel Syndrome: Epidemiology, Pathophysiology, Diagnosis, and Treatment. Prim Care - Clin Off Pract 2017; 44(4):655-71.

상세보기
Hawrelak JA, Wohlmuth H, Pattinson M, Myers SP, Goldenberg JZ, Harnett J, et al. Western Herbal Medicines in the Treatment of Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis. Complement Ther Med 2020;48:102233.

상세보기
Liu JP, Yang M, Liu Y, Wei ML, Grimsgaard S. Herbal Medicines for Treatment of Irritable Bowel Syndrome. Cochrane Database Syst Rev 2006;1:CD004116.
Li Q, Liu F, Hou Z, Luo D. Treatment of Constipation-Predominant Irritable Bowel Syndrome by Focusing on the Liver in Terms of Traditional Chinese Medicine: A Meta-Analysis. J Tradit Chinese Med 2013;33(5):562-71.

상세보기
Bu FL, Chen RL, Lin ZY, Cao HJ, Robinson N, Liang N, et al. Chinese Herbal Medicine versus Probiotics for Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Eur J Integr Med 2020;38:101177.

상세보기
Song KH, Jung HK, Kim HJ, Koo HS, Kwon YH, Shin HD, et al. Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition. J Neurogastroenterol Motil 2018;24(2):197-215.

상세보기
Han WU, Zhenyu Z. An Interpretation of the Eastern and Western Guidelines for Irritable Bowel Syndrome. Chin J Gastroenterol Hepatol 2019;28(9):1-7.
Moayyedi P, Andrews CN, MacQueen G, Korownyk C, Marsiglio M, Graff L, et al. Canadian Association of Gastroenterology Clinical Practice Guideline for the Management of Irritable Bowel Syndrome (IBS). J Can Assoc Gastroenterol 2019;2(1):6-29.

상세보기
Lacy BE, Mearin F, Chang L, Chey WD, Lembo AJ, Simren M, et al. Bowel Disorders. Gastroenterology 2016;150(6):1393-407.

상세보기
Hellstrom PM, Benno P. The Rome IV: Irritable Bowel Syndrome - A Functional Disorder. Best Pract Res Clin Gastroenterol 2019;40-1:101634.

상세보기
Oka P, Parr H, Barberio B, Black CJ, Savarino EV, Ford AC. Global Prevalence of Irritable Bowel Syndrome According to Rome III or IV Criteria: A Systematic Review and MetaAnalysis. Lancet Gastroenterol Hepatol 2020; 5(10):908-17.

상세보기
Bellini M, Gambaccini D, Salvadori S, Bocchini R, Pucciani F, Bove A, et al. Different Perception of Chronic Constipation between Patients and Gastroenterologists. Neurogastroenterol Motil 2018;30(8):1-8.
Linedale EC, Andrews JM. Diagnosis and Management of Irritable Bowel Syndrome : A Guide for the Generalist. Med J Aust 2017; 207(7):309-15.

상세보기
Lena B, St S, Hans T, Bengtsson U, Simr M. Self-Reported Food-Related Gastrointestinal Symptoms in IBS Are Common and Associated With More Severe Symptoms and Reduced. Am J Gastroenterol 2013;108(5):634-41.

상세보기
Halmos EP, Power VA, Shepherd SJ, Gibson PR, Muir JG. A Diet Low in FODMAPs Reduces Symptoms of Irritable Bowel Syndrome. Gastroenterology 2014;146(1):67-75.

상세보기
Larussa T, Rossi M, Suraci E, Marasco R, Imeneo M, Abenavoli L, et al. Use of Complementary and Alternative Medicine by Patients with Irritable Bowel Syndrome According to the Roma IV Criteria: A Single-Center Italian Survey. Medicina (Kaunas) 2019;55(2):46.

상세보기
Li DY, Dai YK, Zhang YZ, Huang MX, Li RL, Ou-yang J, et al. Systematic Review and Meta-Analysis of Traditional Chinese Medicine in the Treatment of Constipation-Predominant Irritable Bowel Syndrome. PLoS One 2017; 12(12):e0189491.

상세보기
Zhu JJ, Liu S, Su XL, Wang ZS, Guo Y, Li YJ, et al. Efficacy of Chinese Herbal Medicine for Diarrhea-Predominant Irritable Bowel Syndrome: A Meta-Analysis of Randomized, Double-Blind, Placebo-Controlled Trials. Evidence-based Complement Altern Med 2016;2016:4071260.
Bian Z, Wu T, Liu L, Miao J, Wong H, Song L, et al. Effectiveness of the Chinese Herbal Formula TongXieYaoFang for Irritable Bowel Syndrome: A Systematic Review. J Altern Complement Med 2006;12(4):401-7.

상세보기
Zhou Y, Han S, He Y. Clinical Effects and Safety of Tongxieyaofang on Diarrhea Predominant Irritable Bowel Syndrome: A Meta-Analysis of Randomized Trails. Evidence-based Complement Altern Med 2019;4893876.
Dai YK, Li DY, Zhang YZ, Huang MX, Zhou YL, Ye JT, et al. Efficacy and Safety of Modified Tongxie Yaofang in Diarrhea-Predominant Irritable Bowel Syndrome Management: A Meta-Analysis of Randomized, Positive Medicine-Controlled Trials. PLoS One 2018;13(2):e0192319.

상세보기
Li CY, Ain Mohd Tahir N, Li SC. A Systematic Review of Integrated Traditional Chinese and Western Medicine for Managing Irritable Bowel Syndrome. Am J Chin Med 2015;43(3):385-406.

상세보기
Guo J, Xing X, Wu J, Zhang H, Yun Y, Qin Z, et al. Acupuncture for Adults with Diarrhea-Predominant Irritable Bowel Syndrome or Functional Diarrhea: A Systematic Review and Meta-Analysis. Neural Plast 2020;2020:8892184.

상세보기
Park JW, Lee BH, Lee H. Moxibustion in the Management of Irritable Bowel Syndrome: Systematic Review and Meta-Analysis. BMC Complement Altern Med 2013;13:247.

상세보기
Lee SH, Nam DW, Kang JW, Kim EJ, Kim HW, Song HS, et al. E-Mail Survey for Developing Clinical Guideline Protocol on Acupuncture Treatment for Low Back Pain. J Acupunct Res 2009;26(3):115-31.

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증