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논문KCI 등재

소아에서 성장촉진대체요법으로 사용된 한약의 예측성인신장에 대한 영향 분석

The Influences of Herbal Medicines as a Growth-promoting Complimentary Therapy on Predicted Adult Heights of Children

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키워드

주제분류소아과학

초록

Purpose : A lot of complementary therapies to increase final adult heights have been used in Korean children. We are going to investigate the effects of herbal medicines on predicted adult heights of children. Methods : Subjects were 29 children (13 boys & 16 girls) who visited to the growth clinic of the department of pediatrics in Kyunghee East-West Neo medical center from June 1st 2006 to June 30th 2008 and treated with herbal medicines and followed up over 1 year. At first visit, their mid-parental target height standard deviation score (MPHSDS), bone age, height SDS, height SDS adjusted for their bone ages (BAHSDS) and predicted adult height SDS (PAHSDS) were checked. After 1 year of complementary therapy, they were checked those parameters again. The differences of their MPHSDS, BAHSDS and PAHSDS before and after the therapy were compared with Wilcoxon signed rank test using SPSS 12.0. Results : The mean changes in BAHSDS after therapy in boys and girls were -0.17 and -0.05. The mean changes in predicted adult height SDS after therapy in boys and girls were -0.28 and 0.03. There were no significant differences between BAHSDS and PAHSDS before and after the therapy. Conclusion : There is little evidence that the use of herbal medicines to improve the final adult heights of the children was effective. It is necessary to evaluate the long-term effects or the side effects of these therapies on final adult heights in more children.

Abstract

Purpose : A lot of complementary therapies to increase final adult heights have been used in Korean children. We are going to investigate the effects of herbal medicines on predicted adult heights of children. Methods : Subjects were 29 children (13 boys & 16 girls) who visited to the growth clinic of the department of pediatrics in Kyunghee East-West Neo medical center from June 1st 2006 to June 30th 2008 and treated with herbal medicines and followed up over 1 year. At first visit, their mid-parental target height standard deviation score (MPHSDS), bone age, height SDS, height SDS adjusted for their bone ages (BAHSDS) and predicted adult height SDS (PAHSDS) were checked. After 1 year of complementary therapy, they were checked those parameters again. The differences of their MPHSDS, BAHSDS and PAHSDS before and after the therapy were compared with Wilcoxon signed rank test using SPSS 12.0. Results : The mean changes in BAHSDS after therapy in boys and girls were -0.17 and -0.05. The mean changes in predicted adult height SDS after therapy in boys and girls were -0.28 and 0.03. There were no significant differences between BAHSDS and PAHSDS before and after the therapy. Conclusion : There is little evidence that the use of herbal medicines to improve the final adult heights of the children was effective. It is necessary to evaluate the long-term effects or the side effects of these therapies on final adult heights in more children.

참고문헌 (17)

  1. Madsen H., "Use of complementary", alternative medicine among paediatric patients, 2003, pp.162, 334~341
  2. Ashar B.H., "Advising patients who use dietary supplements", Am J Med, 121, pp.91~97 (2008)
  3. 신동원, "조선총독부의 한의학 정책- 1930년대 이후의 변화를 중심으로 -", 의사학, 12(2), pp.2~128 (2003), 대한의사학회
  4. 안영준, "초등학생에서 한약 이용 실태에 관한 연구", 소아과, 50(4), pp.381~385 (2007), 대한소아과학회
  5. 이지연, "소아 간질 환자에서 한약 복용 실태", Korean Journal of Pediatrics, 51(4), pp.415~419 (2008), 대한소아과학회
  6. 이지은, "키성장에 관한 인터넷 정보의 분석 및 평가", 대한소아내분비학회지, 12(1), pp.71~76 (2007), 대한소아내분비학회
  7. Lee M.C., "Complementary therapies and perceptions of growth in parents and children visiting the growth clinic", J Korean Soc Pediatr Endocrinol, 13, pp.73~80 (2008)
  8. 방인국, "성장 클리닉을 방문한 아동들에 대한 대체요법 이용 실태", 대한소아내분비학회지, 13(1), pp.81~85 (2008), 대한소아내분비학회
  9. Greulich W.W., "Radiographic atlas of skeletal development of the hand and wrist. 2nd ed. Stanford" (1959), California: Stanford university press
  10. Bayley N., "Tables for predicting adult height from skeletal age: revised for use with the Greulich-Pyle hand standards", J Pediatr, 40, pp.423~441 (1952)
  11. ". Seoul: Division of Chronic Disease Surveillance" (2007)[URL]
  12. Pfäffle R., "Genetics of growth in the normal child", Eur J Endocrinol, 통권 : 155, pp.27~33 (2006)
  13. Zucchini S., "Growth hormone use in the treatment of idiopathic short stature", Curr Opin Investig Drugs, 9, pp.396~401 (2008)
  14. Voss L.D., "Growth hormone therapy for the short normal child: who needs it and who wants it? The case against growth hormone therapy", J Pediatr, 136, pp.103~106 (2000)
  15. Wilson T.A., "Update of guidelines for the use of growth hormone in children: the Lawson Wilkins Pediatric Endocrinology Society Drug and Therapeutics Committee", J Pediatr, 143, pp.415~421 (2003)
  16. Carel J.C., "Management of short stature with GnRH agonist and co-treatment with growth hormone: a controversial issue", Mol Cell Endocrinol, 25, pp.226~233 (2006)
  17. Cernich J., "Use of aromatase inhibitors in children with short stature", Pediatr Endocrinol Rev, 2, pp.2~7 (2004)

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