본문 바로가기
KERD
논문KCI 등재

뇌졸중 후 배뇨장애 침치료의 임상연구에 대한 고찰

Review of Clinical Research on Acupuncture Treatment of Voiding Difficulty in Stroke Patients

1

조회

0

다운로드

6

인용

0

참고문헌

키워드

주제분류한의학

초록

Objectives: The aim of this study was to collect and analyze studies on acupuncture therapies for treatment of voiding difficulty in stroke patients and to suggest methods of study for acupuncture therapies. Methods: Electronic searches were performed on search sites including NDSL, 국회도서관, RISS4U, DBPIA, KISS, KMBASE, KoreaMed, 한국전통지식포탈, OASIS, Pubmed, CNKI, using the search words ‘중풍’, ‘뇌졸중’, ‘stroke’, ‘배뇨장애’, ‘voiding’, ‘urinary’, ‘incontinence’, ‘retention’, ‘침’, ‘침치료’, and ‘acupuncture’ as single or combined keywords, from January 1990 to August 2013 with language limitation, Korean, English, Chinese. Also, quality of the studies were evaluated using Jadad score. Results: The searches identified 16 studies for selection and analysis. In the present study, voiding difficulty includes urinary incontinence and urinary retention. The acupuncture points CV4, SP6, and CV3 were the most frequently used. Treatments were most frequently applied daily. The times and terms of acupuncture treatment, were most frequently 30 minutes per treatment for 4 weeks. Conclusions: The acupuncture therapies were effective in the treatment of voiding difficulty in stroke patients, but the study of acupuncture therapy as a treatment for this issue in stroke patients needs to be standardized and high-quality study models should be introduced.

Abstract

Objectives: The aim of this study was to collect and analyze studies on acupuncture therapies for treatment of voiding difficulty in stroke patients and to suggest methods of study for acupuncture therapies. Methods: Electronic searches were performed on search sites including NDSL, 국회도서관, RISS4U, DBPIA, KISS, KMBASE, KoreaMed, 한국전통지식포탈, OASIS, Pubmed, CNKI, using the search words ‘중풍’, ‘뇌졸중’, ‘stroke’, ‘배뇨장애’, ‘voiding’, ‘urinary’, ‘incontinence’, ‘retention’, ‘침’, ‘침치료’, and ‘acupuncture’ as single or combined keywords, from January 1990 to August 2013 with language limitation, Korean, English, Chinese. Also, quality of the studies were evaluated using Jadad score. Results: The searches identified 16 studies for selection and analysis. In the present study, voiding difficulty includes urinary incontinence and urinary retention. The acupuncture points CV4, SP6, and CV3 were the most frequently used. Treatments were most frequently applied daily. The times and terms of acupuncture treatment, were most frequently 30 minutes per treatment for 4 weeks. Conclusions: The acupuncture therapies were effective in the treatment of voiding difficulty in stroke patients, but the study of acupuncture therapy as a treatment for this issue in stroke patients needs to be standardized and high-quality study models should be introduced.

참고문헌 (39)

  1. "2011 사망원인통계", 통계청[URL]
  2. 강관호, "뇌졸중 환자 290례에 대한임상 고찰", 대한한의학회지, 18(2), pp.223~244 (1997)
  3. 우원희, "뇌졸중 병소와 배뇨장애와의 관련성", 대한비뇨기과학회지, 40(9), pp.1169~1173 (1999)
  4. Khan Z, "Analysis of voiding disorders in patients with cerebrovascular accidents", Urology, 35(3), pp.265~270 (1990)
  5. Borrie MJ, "Urinary incontinence after stroke: a prospective study", Age Ageing, 15(3), pp.177~181 (1986)
  6. Bloch R, "Prognosis in stroke", Clin Orthop Relat Res, 131, pp.10~14 (1978)
  7. Wade DT, "Recovery after stroke-the first 3 months", J Neurol Neurosurg Psychiatry, 48(1), pp.7~13 (1985)
  8. Marks RL, "How to manage neurogenic bladder after stroke", Geriatrics, 32(12), pp.50~54 (1977)
  9. 대한비뇨기과학회, "비뇨기과학", pp.301~319 (1996), 고려의학
  10. Yasuda K, "The effect of urapidil on neurogenic bladder: a placebo controlled double-blind study", J Urol, 156(3), pp.1125~1130 (1996)
  11. Primus G, "Restoration of micturition in patients with acontractile and hypocontractile detrusor by transurethral electrical bladder stimulation", Neurourol Urodyn, 15(5), pp.489~497 (1996)
  12. 구본홍, "동의심계내과학", pp.239~241 (1987), 서원당
  13. 김영석, "임상중풍학", pp.9~13 (2007), 정담출판사
  14. Burton JR, "Managing urinary incontinence: a common geriatric problem", Geriatrics, 39(10), pp.46~59 (1984)
  15. Wade DT, "Predicting Barthel ADL score at 6 months after an acute stroke", Arch Phys Med Rehabil, 64(1), pp.24~28 (1983)
  16. 李丹丹, "俞募配穴法针刺治疗脑卒中后尿潴留疗效观察", 上海针灸杂志, 30(3), pp.167~169 (2011)
  17. 吴晓毅, "针刺加艾灸治疗脑卒中后尿失禁的临床观察", 浙江中医药大学学报, 34(5), pp.746~747 (2010)
  18. 叶永铭, "针刺治疗卒中后尿失禁尿动力学分析", 中國针灸, 11(1), pp.645~646 (2000)
  19. 刘智斌, "针刺“新膀胱俞”穴治疗脑卒中后尿潴留疗效观察", 西部中医药, 26(1), pp.100~101 (2013)
  20. 李晓静, "艾灸配合针刺治疗中风后尿失禁60例效果观察及辨证施护", 中医临床研究, 3(18), pp.122~ (2011)
  21. 王忠华, "电针配合膀胱功能训练治疗脑卒中后尿潴留的疗效观察", 现代泌尿外科杂志, 14(2), pp.121~122 (2009)
  22. 王伟华, "针刺配合隔物灸治疗中风后尿失禁疗效观察", 上海针灸杂志, 29(7), pp.433~435 (2010)
  23. 王占国, "苍龟探穴法针刺治疗中风后尿潴留疗效观察", 上海针灸杂志, 29(9), pp.567~568 (2010)
  24. 李岩, "温针灸治疗脑卒中后尿潴留患者的临床观察", 中医临床研究, 4(23), pp.49~50 (2012)
  25. 何俊华, "针灸治疗脑卒中后尿失禁40例临床观察", 中国当代医药, 30(3), pp.108~109 (2013)
  26. 刘晓娟, "芒针透刺配合温针灸治疗中风后尿潴留临床研究", 中医学报, 26(7), pp.893~894 (2011)
  27. 翁方中, "针, 药, 灸三法治疗脑卒中后尿失禁106例分析", 卒中与神经疾病, 18(4), pp.198~200 (2011)
  28. 陈娜, "针刺治疗脑卒中后尿潴留54例临床观察", 吉林中医药, 31(2), pp.156~157 (2011)
  29. 孙世林, "葱苓膏穴位贴敷结合针刺治疗脑卒中后尿潴留27例", 中国针灸, 32(10), pp.933~934 (2012)
  30. 周瑞祥, "针灸 微波配合盆底肌锻炼治疗脑卒中后尿失禁106例分析", 中国临床康复, 10(47), pp.155~157 (2006)
  31. 孟丽娟, "头部足运感区针刺为主治疗脑卒中后尿便失禁", 中国临床康复, 7(7), pp.1184~1185 (2003)
  32. 대한뇌졸중학회, "뇌졸중", pp.3~ (2009), 이퍼블릭
  33. Marinkovic S, "Voiding and sexual dysfunction after cerebrovascular accidents", J Urol, 165(2), pp.359~370 (2001)
  34. Gladman JR, "Predicting the outcome of acute stroke: prospective evaluation of five multivariate models and comparison with simple methods", J Neurol Neurosurg Psychiatry, 55(5), pp.347~351 (1992)
  35. Nakayama H, "Prevalence and risk factors of incontinence after stroke: the copenhagen stroke study", Stroke, 28(1), pp.58~62 (1997)
  36. Taub NA, "Predicting the disability of first-time stroke sufferers at 1 year: 12-month follow-up of a population-based cohort in southeast England", Stroke, 25(2), pp.352~357 (1994)
  37. 李梴, "醫學入門", pp.481~ (1983), 翰星社
  38. 조강희, "뇌병변 환자에서 배뇨 장애가 삶의 질에 미치는 영향-다기관 전향적 역학적 연구-", Annals of Rehabilitation Medicine, 34(2), pp.115~119 (2010), 대한재활의학회
  39. 대한침구학회 교재편찬위원회, "침구학", pp.493~ (2008), 집문당

관련 논문AI추천

이 간행물의 다른 논문 (9건)