[논문]불면장애에 대한 부항요법의 체계적 문헌고찰

이정한; 최미라; 임정화; 김보경

doi:10.7231/jon.2023.34.3.181

불면장애에 대한 부항요법의 체계적 문헌고찰
A Systematic Review of Cupping Therapy for Insomnia Disorder 원문보기

동의신경정신과학회지 = Journal of oriental neuropsychiatry, v.34 no.3, 2023년, pp.181 - 212

이정한 (부산대학교 한의학전문대학원 한의학과) , 최미라 (부산대학교 한의학전문대학원 한의학과) , 임정화 (부산대학교한방병원 부산대학교 한의학전문대학원 신경정신과) , 김보경 (부산대학교한방병원 부산대학교 한의학전문대학원 신경정신과)

Abstract ▼ AI-Helper

Objectives: To examine the efficacy and safety of cupping therapy for insomnia disorder and provide clinical evidence that could contribute to further research. Methods: We searched randomized controlled trials (RCTs) that verified effects of cupping therapy for insomnia disorder from 11 domestic and foreign databases. Included studies were evaluated using Risk of Bias (RoB). Results: Nineteen RCTs were selected. Wet cupping was more frequently used than dry cupping. Moving cupping was mostly used among dry cupping methods. Dry cupping was mainly performed in Bladder Meridian on the back. Wet cupping was mainly performed on BL18, LR14, and BL15. The most common treatment period was 4 weeks. The average number of treatments per week was about 2.4 times for all types of cupping, about 3.2 times for dry cupping and about 1.9 times for wet cupping. All selected studies showed a significant sleep improvement compared to the control group. As a result of the meta-analysis, in terms of effective rate, SAS score, and SDS score, the wet cupping in combination with acupuncture was significantly more effective than acupuncture alone, although the quality of selected RCTs was low. Conclusions: Cupping therapy is effective for insomnia disorder. Based on results of this study, it is reasonable to use wet cupping two times per week on BL18, LR14, and BL15 or use moving cupping three times per week in Bladder Meridian on the back for 4 weeks to treat insomnia disorder.

주제어

표/그림 (20)

그림 Fig. 1. Flow chart of the selection process of study.
표 Table 1. Characteristics of Included Randomized Controlled Trials
표 Table 1. Continued 1
표 Table 1. Continued 2
표 Table 1. Continued 3
표 Table 1. Continued 4
표 Table 1. Continued 5
표 Table 2. Details of Dry Cupping
표 Table 3. Details of Wet Cupping
표 Table 3. Continued 1
표 Table 4. Details of Acupuncture
표 Table 4. Continued 1
표 Table 4. Continued 2
그림 Fig. 2. Risk of bias graph.
그림 Fig. 3. Risk of bias summary.
그림 Fig. 4. Forest plot of comparison: 1 wet cupping vs. acupuncture (Acu), outcome: effective rate. CI: confidential interval.
그림 Fig. 5. Forest plot of comparison: 2 wet cupping+acupuncture (Acu) vs. acupuncture (Acu), outcome: effective rate. CI: confidential interval.
그림 Fig. 6. Forest plot of comparison: 2 wet cupping+acupuncture (Acu) vs. acupuncture (Acu), outcome: PSQI. CI: confidential interval.
그림 Fig. 7. Forest plot of comparison: 2 wet cupping+acupuncture (Acu) vs. acupuncture (Acu), outcome: SAS. CI: confidential interval.
그림 Fig. 8. Forest plot of comparison: 2 wet cupping+acupuncture (Acu) vs. acupuncture (Acu), outcome: SDS. CI: confidential interval.

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