[논문]갱년기장애 사용처방과 변증분류에 관한 전문가 합의 연구

전수형; 박영희; 김종원; 지규용; 이지연; 이인선

doi:10.15204/jkobgy.2022.35.2.070

갱년기장애 사용처방과 변증분류에 관한 전문가 합의 연구
A Study on the Experts' Agreement on the Patterns Classification of the Prescription for the Use of Menopausal Disorder 원문보기

大韓韓方婦人科學會誌 = The Journal of Korean obstetrics & gynecology, v.35 no.2, 2022년, pp.70 - 86

전수형 (동의대학교 한의과대학 사상체질의학과교실) , 박영희 (동의대학교 한의과대학 부인과교실) , 김종원 (동의대학교 한의과대학 사상체질의학과교실) , 지규용 (동의대학교 한의과대학 병리학교실) , 이지연 (대전대학교 대전한방병원 한방부인과) , 이인선 (동의대학교 한의과대학 부인과교실)

Abstract ▼ AI-Helper

Objectives: This study attempted to provide prescriptions that can be used according to the classification of menopausal disorders in order to increase the clinical utilization of CaPSPI (Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification). Methods: Delphi method survey was conducted for expert consensus on the Pattern Identification that could be used for each prescription by selecting frequent prescriptions based on the literature researched on the prescription of Korean medicine used for women with menopausal disorders. 11 experts participated in the questionnaire for posterity and 7 experts for sasang constitution. The survey was divided into the main prescription that can be mainly used for the patterns and the minor prescription that can be used although the suitability is somewhat low. Expert consensus was obtained through the second survey, and the pattern classification of prescriptions that were not confirmed here was confirmed through a face-to-face meeting. Results: There were 56 prescriptions mainly used for treatment for menopause, 45 for posterity and 11 for Sasang constitution. There were 69 identifications of 45 posterity prescriptions and 17 classifications of 11 Sasang constitutional prescriptions including major and minor patterns. By pattern identifications, the number of major/minor prescriptions was as follows. 肝鬱 14/5, 腎陰虛 8/2, 腎陽虛 4/1, 肝腎陰虛 2/7, 腎陰陽兩虛 3/1, 心腎不交 6/3, 心脾兩虛 15/2, 心火 7/6. Conclusions: In the future, by accumulating and analyzing the data on the diagnosis and treatment using CaPSPI, the clinical status of Korean medicine for menopausal disorders can be reviewed, and it can be used as the basis for the clinical practice guidelines for menopausal disorders. In addition, it is thought that analyzing the results of the diagnosis of pattern identifications and the prescription of Sasang constitution can be helpful in research on the posterity and Sasang constitution.

주제어

표/그림 (11)

표 Table 1. Prescriptions Mentioned More than Twice in the Literature Review
표 Table 2. Prescriptions Mentioned More than 5 times in the Clinical Status Survey (逍遙散 and 歸脾湯 Categories)
표 Table 3. Prescriptions Mentioned More than 5 Times in the Clinical Status Survey (Except 逍遙散 and 歸脾湯 Categories)
표 Table 4. Response Rate for Each Prescription in the Survey of Korean Medicine Doctors Who Opened the Clinic using a Cross-sectional Research Methodology
표 Table 5. Selected Frequent Prescriptions (Posterity Prescription)
표 Table 6. Selected Frequent Prescriptions (Sasang Constitution Prescription)
표 Table 7. Prescription Agreed upon as a Result of Delphi Survey for Pattern Identification of Frequent Prescriptions for Menopausal Disorders (Posterity Prescription)
표 Table 8. Prescription Agreed upon as a Result of Delphi Survey for Pattern Identification of Frequent Prescriptions for Menopausal Disorders (Sasang Constitution Prescription)
표 Table 9. Prescriptions Withholding Consent as the Result of Delphi Surveys for the Pattern Classification of Menopausal Disorder (Posterity Prescription)
표 Table 10. Prescriptions Withholding Consent as the Result of Delphi Surveys for the Pattern Classification of Menopausal Disorder (Sasang Constitution Prescription)
표 Table 11. Frequency Prescriptions of Menopause by Pattern Identification

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