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한약 복용 후 발생한 유해사례에 대한 연구 - 소아ㆍ청소년을 중심으로

A Study of Adverse Events that Occurred after Taking Herbal Medicine - Focused on Children and Adolescents

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초록

ObjectivesThe purpose of this study is to investigate the incidence and clinical features of adverse events associated withherbal medicine, and to analyze their causality and severity. MethodsThis study was carried out from 159 children and adolescents who took herbal medicine in the Department ofPediatrics, OO Korean Medical Hospital from december, 2013 to april, 2014. The data was collected by survey inperson or telephone. The World Health Organization (WHO)-Uppsala Monitoring Center (UMC) criteria was usedto analyze causality for each adverse events. Results1. 207 cases were surveyed from 159 children and adolescents who took one or more kinds of herbal medicine. 2. A total of 12 general adverse events (5.8%) were reported from the study. Among these adverse events, 8 cases(3.9%) were associated with herbal medicine. 3. Gastro-intestinal system disorders were most frequently reported (70%) as adverse events, which is followed bypsychiatric disorders (15%), skin and appendages disorders (10%), urinary system disorders (5%). 4. The most common clinical symptom was abdominal pain (20%), followed by diarrhea (15%), loose stools(10%), vomiting (10%) and borborygmus (10%). 5. The severity of adverse drug reactions was mostly mild (87.5%), and moderate (12.5%). There was no severecase. ConclusionsThe adverse events from herbal medicine on children and adolescents were mostly minor, most of them couldcontinue herbal medicines.

Abstract

ObjectivesThe purpose of this study is to investigate the incidence and clinical features of adverse events associated withherbal medicine, and to analyze their causality and severity. MethodsThis study was carried out from 159 children and adolescents who took herbal medicine in the Department ofPediatrics, OO Korean Medical Hospital from december, 2013 to april, 2014. The data was collected by survey inperson or telephone. The World Health Organization (WHO)-Uppsala Monitoring Center (UMC) criteria was usedto analyze causality for each adverse events. Results1. 207 cases were surveyed from 159 children and adolescents who took one or more kinds of herbal medicine. 2. A total of 12 general adverse events (5.8%) were reported from the study. Among these adverse events, 8 cases(3.9%) were associated with herbal medicine. 3. Gastro-intestinal system disorders were most frequently reported (70%) as adverse events, which is followed bypsychiatric disorders (15%), skin and appendages disorders (10%), urinary system disorders (5%). 4. The most common clinical symptom was abdominal pain (20%), followed by diarrhea (15%), loose stools(10%), vomiting (10%) and borborygmus (10%). 5. The severity of adverse drug reactions was mostly mild (87.5%), and moderate (12.5%). There was no severecase. ConclusionsThe adverse events from herbal medicine on children and adolescents were mostly minor, most of them couldcontinue herbal medicines.

참고문헌 (36)

  1. Lee SD, "Toxicology for herbal medicineⅠ", pp.42~45 (2012), Korean Studies Information
  2. Edwards IR, "Adverse drug reaction : definitions, diagnosis, and management", Lancet, 356, pp.1255~1259 (2000)
  3. The study for activation and development of herbal adverse reaction reporting system, "Lee SD", Ministry Food Drug Saf, ~ (2007)
  4. 권영주, "1개 대학 한방병원에서 EMR을 통해 보고된 한약에 의한 약물유해반응의 현황", 대한한방내과학회지, 33(4), pp.485~497 (2012), 대한한방내과학회
  5. 정선경, "한약을 복용한 소아에게 발생한 부작용에 대한 연구", 대한한방소아과학회지, 24(3), pp.33~42 (2010), 대한한방소아과학회
  6. 채호연, "한방 소아과에 내원한 환아 보호자 일반적인 인식도 조사와 한약치료후의 반응에 대한 후향적 연구", 대한한방소아과학회지, 19(2), pp.229~241 (2005), 대한한방소아과학회
  7. "Korea Institute of Drug Safety & Risk Management"[URL]
  8. "Korea Institute of Drug Safety & Risk Management"[URL]
  9. Chee DH, "Guidelines on adverse drug reaction reporting", Kor J Clin Pharmacol Ther, 6(2), pp.109~118 (1998)
  10. 유기연, "식품의약품안전청 약물유해반응 보고자료 분석", 한국임상약학회지, 21(2), pp.138~144 (2011), 한국임상약학회
  11. 경은정, "약물감시사업과 약물유해반응에 대한 인식도 조사", 한국임상약학회지, 23(3), pp.256~268 (2013), 한국임상약학회
  12. 김명현, "단일 3차 의료기관에서 수집한 약물 유해반응의 양상 분석", 천식 및 알레르기, 28(1), pp.35~39 (2008), 대한천식알레르기학회
  13. 김민강, "단일기관에서 전산을 통해 수집된 자발적 약물유해반응 보고사례들의 분석", 대한내과학회지, 77(5), pp.601~609 (2009), 대한내과학회
  14. Shin HK, "Adverse events attributed to traditional korean medical practices : 1999-2010", Bull World Health Organ, 91, pp.569~575 (2013)
  15. Barnes J, "Pharmacovigilance of herbal medicines : a UK perspectives", Drug Saf, 26(12), pp.829~851 (2003)
  16. Firenzuoli F, , Symposium on pharmacovigilance of herbal medicines. London, March 28, 2006. eCAM, 5(1), pp.117~118 (2008)
  17. 윤영주, "한약 복용이 간기능에 미치는 영향: 국내 문헌에 대한 체계적 고찰", 대한한방내과학회지, 30(1), pp.153~172 (2009), 대한한방내과학회
  18. 윤영주, "약인성 간손상의 원인물질에 관한 국내연구의 체계적 고찰", 대한한의학회지, 30(2), pp.30~45 (2009), 대한한의학회
  19. Jung JM, "Consideration of adverse effects of herbal drug : focussing on hepatic damage", J Daejeon Orient Med, pp.53~57 (2008)
  20. 고성규, "한약물의 ADR", 동의생리병리학회지, 18(4), pp.957~964 (2004), 대한동의병리학회
  21. 강휘중, "일본동양의학회지에 수록된 ‘부작용’에 관한 논문 분석 -한약 단독 투여시의 부작용-", 한국한의학연구원논문집, 17(2), pp.47~56 (2011), 한국한의학연구원
  22. 이은, "한약과 민간약물의 독성 및 부작용에 대한 고찰", 대한한방내과학회지, 23(2), pp.222~227 (2002), 대한한방내과학회
  23. 김미기, "초등학생의 건강기능식품 및 한약 복용 실태에 대한 연구", 대한한방소아과학회지, 23(3), pp.143~153 (2009), 대한한방소아과학회
  24. 안영준, "초등학생에서 한약 이용 실태에 관한 연구", Korean Journal of Pediatrics, 50(4), pp.381~385 (2007), 대한소아과학회
  25. A survey of the medical use of korean medicine and the consumption of herbal medicine, "Ministry of Health & Welfare", 143~162 (2011)
  26. 최윤희, "3차 병원에서 보고된 의약품 부작용 현황 조사와 약물 부작용 관리를 위한 약사의 인식도 조사", 한국임상약학회지, 13(2), pp.72~81 (2003), 한국임상약학회
  27. Zopf Y, "Gender-based differences in drug prescription : relation to adverse drug reactions", Pharmacology, 84(6), pp.333~339 (2009)
  28. Aagaard L, "Information about adverse drug reactions reported in children : a qualitative review of empirical studies", Br J Clin Pharmacol, 70(4), pp.481~491 (2010)
  29. Rashed AN, "Adverse drug reactions in children – international surveillance and evaluation(ADVISE), a multicentre cohort study", Drug Saf, 35(6), pp.481~494 (2012)
  30. "The pharmaceutical affairs law, section 2, subsection 5"[URL]
  31. The standardization of herbal medicine preparations in Korea, "Kim YK", KFDA, ~ (2012)
  32. Kim KB, "Hanbangsoacheongsonyeonuihak", pp.347~449 (2010), Ui Seoung Dang Publishing Co
  33. Shin MK., "Clinical Traditional Herbology", pp.457~477 (2002), Yeong Lim’s Publisher
  34. 이수정, "한의원과 한방병원에서 행해지고 있는 소아에 대한 한약복약지도 현황 조사 연구", 대한한방소아과학회지, 27(3), pp.12~19 (2013), 대한한방소아과학회
  35. 송명균, "약물유해반응의 인과관계 판정을 위한 Naranjo와 WHO-UMC 지표의 비교", 대한내과학회지, 74(2), pp.181~187 (2008), 대한내과학회
  36. 윤철호, "瞑眩 반응에 대한 보고 연구-China Academic Journal을 중심으로-", 대한한의학회지, 30(5), pp.1~15 (2009), 대한한의학회

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