[논문]급성 통풍에 적용한 침전기자극술에 대한 체계적 문헌 고찰 및 메타 분석

황지혜; 송애진; 송호섭

doi:10.13048/jkm.22022

급성 통풍에 적용한 침전기자극술에 대한 체계적 문헌 고찰 및 메타 분석
Systematic Review and Meta-analysis of Electoacupunture Efficacy on Acute Gout 원문보기

Journal of Korean Medicine = 대한한의학회지, v.43 no.2, 2022년, pp.92 - 109

황지혜 (가천대학교 한의과대학 침구의학과) , 송애진 (가천대학교 한의학연구소) , 송호섭 (가천대학교 한의과대학 침구의학과)

Abstract ▼ AI-Helper

Objectives: The objective of this study was to appraise the effect of electroacupuncture (EA) for the treatment of acute gout. Methods: Since no suitable study could be found in the domestic database, we performed a literature search up to the end of December 2020 using four international electronic databases. Randomized controlled trials (RCTs) evaluating the effectiveness of EA in the treatment of acute gout were included. The risk of bias was evaluated from the Cochrane risk of bias tool. Results: Eight appropriate RCTs were included and analyzed. Three evaluation tools were mainly used: Total Effective Rate (TER), Uric acid (UA), and Pain score (VAS). In the case of TER, in all eight cases, electroacupuncture alone and combined treatment showed a statistically significant level of improvement compared to Western medicine treatment. In the case of VAS score, electroacupuncture alone and combined treatment showed a more significant effect than Western medicine treatment. In the case of UA level, electroacupuncture combined treatment showed a more significant effect than western medicine treatment. Although not all three evaluation tools were used in all studies, the majority of studies showed that electroacupuncture was effective for acute gout patients. Conclusions: The results of this study suggest that EA treatment may be effective for acute gout. It should be noted, however, that the studies included in this study were geographically biased, small in number, and mostly at high risk of bias. More well-designed studies are needed in the future.

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표/그림 (7)

그림 Fig. 1. A flow chart describing the trial selection process.
표 Table 1. Summary of the Randomized Controlled Trials of Electroacupuncture alone or combined treatment for acute gout
표 Table 2. Electroacupuncture Treatment method
그림 Fig. 2. Risk of bias summary (A) and graph (B) A. +: low risk of bias, -: high risk of bias, ?: unclear risk of bias.
그림 Fig. 3. Meta analysis outcome of total efficiency rate between electroacupuncture alone or combined treatment vs. western medicine treatment. A. Electroacupuncture vs. Western medicine treatment, B. Electroacupuncture+Blood-letting puncture vs. Western medicine treatment, C. Electroacupuncture+Blood-letting puncture+Moxibustion vs. Western medicine treatment, D. Electroacupuncture+Pharmacopuncture vs. Western medicine treatment.
그림 Fig. 4. Meta analysis outcome of pain score (VAS) between electroacupuncture alone or combined treatment vs. western medicine treatment. A. Electroacupuncture vs. Western medicine treatment, B. Electroacupuncture+Blood-letting puncture vs. Western medicine treatment, C. Electroacupuncture+Blood-letting puncture+Moxibustion vs. Western medicine treatment, D. Electroacupuncture+Pharmacopuncture vs. Western medicine treatment.
그림 Fig. 5. Meta analysis outcome of uric acid between electroacupuncture alone or combined treatment vs. western medicine treatment. A. Electroacupuncture vs. Western medicine treatment, B. Electroacupuncture+Blood-letting puncture vs. Western medicine treatment, C. Electroacupuncture+Blood-letting puncture+Moxibustion vs. Western medicine treatment, D. Electroacupuncture+Pharmacopuncture vs. Western medicine treatment.

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