한약재 약욕요법이 소아 발열기간에 미치는 영향 : 체계적 문헌고찰 및 메타분석
Effect of Herbal Bath for Duration of Pediatric Fever : a Systematic Review and Meta-analysis
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Objective The purpose of this study is to evaluate whether herbal bath shortens the duration of pediatric fever. Methods Databases, such as Medline, EMBASE, Cochrane library, OASIS, KISS, KMBASE, CNKI, Wanfang Med Online were used to search randomized controlled trials. Those trials that included children younger than 18-year-old were evaluated for the clinical efficacy of herbal bath in fever by analyzing ‘body temperature (BT) drop start time’ and ‘time to return to normal BT’. Results 12 studies or 1306 participants were analyzed in the study. When applying herbal bath in combination with the controlled treatment, ‘BT drop start time’ was decreased by 0.11 hours, and ‘time to return to normal BT’ was decreased by 10.94 hours compared to the controlled group. When comparing herbal bath with tepid bath, ‘time to return to normal BT’ was reduced by 8.19 hours in herbal bath group. In regards to safety, 3 studies out of 12 studies mentioned about its adverse events: 2 studies did not have any adverse events, and a minor needle-shaped bleeding had occurred in one of the studies. Conclusion Use of herbal bath as a treatment of fever in children was associated with shortened duration of fever. However, cautious interpretation is necessary due to its limited safety data.
Abstract
Objective The purpose of this study is to evaluate whether herbal bath shortens the duration of pediatric fever. Methods Databases, such as Medline, EMBASE, Cochrane library, OASIS, KISS, KMBASE, CNKI, Wanfang Med Online were used to search randomized controlled trials. Those trials that included children younger than 18-year-old were evaluated for the clinical efficacy of herbal bath in fever by analyzing ‘body temperature (BT) drop start time’ and ‘time to return to normal BT’. Results 12 studies or 1306 participants were analyzed in the study. When applying herbal bath in combination with the controlled treatment, ‘BT drop start time’ was decreased by 0.11 hours, and ‘time to return to normal BT’ was decreased by 10.94 hours compared to the controlled group. When comparing herbal bath with tepid bath, ‘time to return to normal BT’ was reduced by 8.19 hours in herbal bath group. In regards to safety, 3 studies out of 12 studies mentioned about its adverse events: 2 studies did not have any adverse events, and a minor needle-shaped bleeding had occurred in one of the studies. Conclusion Use of herbal bath as a treatment of fever in children was associated with shortened duration of fever. However, cautious interpretation is necessary due to its limited safety data.
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