음부-골반통/삽입질환에 대한 중의학 임상연구 동향
Review of Clinical Studies of Traditional Chinese Medicine on Genito-Pelvic Pain/Penetration Disorder in Women
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초록
Objectives: The purpose of this study is to review clinical studies of Traditional Chinese medicine (TCM) on Genito-Pelvic Pain/Penetration Disorder (GPPPD) in women. Methods: Key words “Dyspareunia”, “Vaginismus” were searched on Chinese National Knowledge Infrastructure Database (CNKI) on April 21th 2019. Results: 2 case reports and 7 clinical trials were collected in accordance with the selection and exclusion criteria. Among the 7 trials, 4 were controlled trials, and 3 were single-arm trials. The types of intervention were herb medication in 8 studies, and compound TCM treatment including acupuncture, moxibustion, and cupping therapy in 1 study. All 4 controlled trials were about dyspareunia and conducted by herbal medicine of TCM. The study results and methods of intervention were analyzed. Conclusions: 2 case reports described the effectiveness of compound TCM treatments (acupuncture, moxibustion, cupping therapy) and herb medicine in dyspareunia. In 4 controlled trials, 2 trials described the effectiveness of herb medicine (oral or vaginal agent) compared to western treatment in dyspareunia, and other 2 trials described no effectiveness of herbal enema compared to danazol. In 3 single-arm trials, 1 trial of dyspareunia and 2 trials of vaginismus described the effectiveness of herb medicine. All the 9 selected studies reported improved or disappeared symptoms of GPPPD, or high effective rate after TCM treatment. There was limitation that the selected studies were retrieved from only one site of CNKI, and generalized results could not be derived, further studies should be carried out. Additional well-designed clinical studies on GPPPD in women are needed in Korea.
Abstract
Objectives: The purpose of this study is to review clinical studies of Traditional Chinese medicine (TCM) on Genito-Pelvic Pain/Penetration Disorder (GPPPD) in women. Methods: Key words “Dyspareunia”, “Vaginismus” were searched on Chinese National Knowledge Infrastructure Database (CNKI) on April 21th 2019. Results: 2 case reports and 7 clinical trials were collected in accordance with the selection and exclusion criteria. Among the 7 trials, 4 were controlled trials, and 3 were single-arm trials. The types of intervention were herb medication in 8 studies, and compound TCM treatment including acupuncture, moxibustion, and cupping therapy in 1 study. All 4 controlled trials were about dyspareunia and conducted by herbal medicine of TCM. The study results and methods of intervention were analyzed. Conclusions: 2 case reports described the effectiveness of compound TCM treatments (acupuncture, moxibustion, cupping therapy) and herb medicine in dyspareunia. In 4 controlled trials, 2 trials described the effectiveness of herb medicine (oral or vaginal agent) compared to western treatment in dyspareunia, and other 2 trials described no effectiveness of herbal enema compared to danazol. In 3 single-arm trials, 1 trial of dyspareunia and 2 trials of vaginismus described the effectiveness of herb medicine. All the 9 selected studies reported improved or disappeared symptoms of GPPPD, or high effective rate after TCM treatment. There was limitation that the selected studies were retrieved from only one site of CNKI, and generalized results could not be derived, further studies should be carried out. Additional well-designed clinical studies on GPPPD in women are needed in Korea.
참고문헌 (28)
- "Female sexual dysfunction", ACOG Practice Bulletin, 117(4), pp.996~1007 (2011)
- Black DW, "DSM-5 Guidebook : The essential companion to the diagnostic and statistical manual of mental disorders" (2014), American psychiatric association publishing
- 손인숙, "여성 성기능장애", Obstetrics & Gynecology Science, 49(10), pp.2043~2054 (2006), 대한산부인과학회
- Van Lankveld JJDM, "Women's sexual pain disorders", The journal of sexual medicine, 7(1), pp.615~631 (2010)
- Laumann EO, "Sexual dysfunction in the United states, prevalence and predictors", JAMA, 281(6), pp.537~544 (1999)
- Kim DI, "A study of sexual dysfunction and its clinical methods in women", J Korean Obstet Gynecol, 14(2), pp.148~170 (2001)
- 최민선, "여성 성기능장애 관련 최근 국내외 한의학 연구 동향에 대한 고찰", 대한한방부인과학회지, 24(3), pp.171~189 (2011), 대한한방부인과학회
- 정영민, "여성 성기능장애의 보완대체의학적 치료에 관한 논문 연구", 대한한방부인과학회지, 26(2), pp.66~87 (2013), 대한한방부인과학회
- 임지영, "외음부 통증(陰痛)의 침치료에 대한 최신 연구 동향", 대한한방부인과학회지, 32(1), pp.26~36 (2019), 대한한방부인과학회[DOI]
- Wang S, "Zhen jiu zhi liao xing jiao tong an", Shanghai journal of acupuncture and moxibustion, 25(2), pp.39~ (2006)
- Zheng SX, "Shao yao gan cao tang jia mei zhi yu fu ren xing jiao teng tong zheng", Chinese journal of ethnomedicine and ethnopharmacy, 24, pp.158~ (2009)
- Feng DL, "Jiao tong xiao jiao nang zhi liao zi gong nei mo yi wei zheng xing jiao tong 76 li lin chuang guan cha", Chinese journal of basic medicine in traditional Chinese medicine, 19(2), pp.218~219 (2013)
- Liu HQ, "Yi tong ning shuan zhi liao zi gong nei mo yi wei zheng xing jiao tong 30 li lin chuang guan cha", Journal of external therapy of traditional Chinese medicine, 13(4), pp.41~ (2004)
- Liu HQ, "Yi tong ning fang guan chang zhi liao zi gong nei mo yi wei zheng xing jiao tong de lin chuang guan cha", Chinese journal of basic medicine in traditional Chinese medicine, 10(5), pp.78~79 (2004)
- Zhang H, "Clinical experience of integrated traditional Chinese and western medicine treatment of pain during intercourse", The medical forum, 17(16), pp.2136~2138 (2013)
- Cao XZ, "Confucian prescription cures women's sexual pain", Journal of sichuan traditional Chinese medicine, 12, pp.34~35 (1990)
- Cheng YW, "Shao yao gan cao tang jia wei zhi yu 5 li yin dao jing luan", Forum on traditional Chinese medicine, 2, pp.16~ (1990)
- Guan YB, "Experiences with treatment of vaginismus", The Chinese journal of human sexuality, 13(12), pp.14~15 (2004)
- The society of Korean medicine obstetrics and gynecology, "Korean medicine obstetrics and gynecology", pp.208~214 (2012), Euiseongdang
- The text compilation committee of national oriental medicine university of oriental neuropsychology, "Oriental neuropsychology", pp.567~569 (2016), Jipmoondang
- Steege LF, "Dyspareunia and vaginismus", Clin. Obstet. Gynecol, 27(3), pp.750~759 (1984)
- IsHak WW, "DSM-5 changes in diagnostic criteria of sexual dysfunctions", Reprod Sys Sexual Disorders, 2(2), pp.122~ (2013)
- Carvalho J, "Latent structures of female sexual functioning", Archives of sexual behavior, 41(4), pp.907~917 (2012)
- Sandberg G, "Dyspareunia : An integrated approach to assessment and diagnosis", The journal of family practice, 24(1), pp.66~70 (1987)
- Fordney DS, "Dyspareunia and vaginismus", Clin Obstet Gynecol, 21(1), pp.205~221 (1978)
- Glatt AE, "The prevalence of dyspareunia", Obstet Gynecol, 75(3 Pt 1), pp.433~436 (1990)
- Korean neuropsychiatric association, "Textbook of neuropsychiatry", pp.472~ (2017), iMiS company
- Flower A, "Chinese herbal medicine for endometriosis", Cochrane database of systematic reviews, 5, pp.1~56 (2012)