[논문]월경전증후군에 대한 침 치료의 효과 : 체계적 문헌고찰과 메타분석

김안나; 김영은; 이은희; 손미주

doi:10.15204/jkobgy.2023.36.3.154

월경전증후군에 대한 침 치료의 효과 : 체계적 문헌고찰과 메타분석
Acupuncture for Premenstrual Syndrome: A Systematic Review and Meta-analysis 원문보기

大韓韓方婦人科學會誌 = The Journal of Korean obstetrics & gynecology, v.36 no.3, 2023년, pp.154 - 172

김안나 (한국한의학연구원 한의약데이터부) , 김영은 (한국한의학연구원 한의약데이터부) , 이은희 (우석대학교 한의과대학 한방부인과학교실) , 손미주 (한국한의학연구원 연구기획팀)

Abstract ▼ AI-Helper

Objectives: This study aimed to assess the clinical evidence supporting the use of acupuncture (AC) for premenstrual syndrome (PMS). Methods: We searched randomized controlled trials (RCTs) that used AC for PMS in 9 databases (PubMed, EMBASE, Cochrane Library, CINAHL, CNKI, CiNii, SCIENCE ON, KoreaMed, OASIS) from their inception to July 2022. Results: We identified 1,168 studies, of which 15 RCTs met the inclusion criteria. The risk of bias in the included studies was relatively unclear or high. Meta-analysis of 3 RCTs showed that the AC group had a significantly higher effective rate than the Medroxyprogesterone group (RR 1.48, 95% CI (1.23, 1.78), p<0.0001). Meta-analysis of 2 RCTs showed that there was no statistically significant difference between the AC group and the Sham AC group in the effective rate (RR 4.72, 95% CI (0.88, 25.36), p=0.07). In a review of individual studies, the AC group was more effective than the control group in terms of the effective rate, symptom scale, quality of life, adverse events, and recurrence rate. Conclusions: The AC group was more effective than general treatments groups such as sham AC, western medicine, and dietary supplements, and there were no serious adverse events. However, the evidence on the effectiveness and safety of acupuncture for PMS was inconclusive due to the small number of included studies and low quality. Therefore, systematic reviews based on more rigorously designed randomized clinical trials are needed in the future to properly evaluate the effect of AC on PMS.

주제어

표/그림 (7)

그림 Fig. 1. PRISMA flow diagram.
표 Table 1. Characteristics of Included Studies
표 Table 1. Characteristics of Included Studies
그림 Fig. 2. Risk of bias summary. (+) : low risk of bias, (?) : unclear risk of bias, (-) : high risk of bias
그림 Fig. 3. Forest plot of comparison : AC vs Sham AC (HAMA).
그림 Fig. 4. Forest plot of comparison : AC vs Sham AC (total effective rate).
그림 Fig. 5. Forest plot of comparison : AC vs Medroxyprogesterone (total effective rate).

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