자궁내막증 수술 후 GnRH-agonist 투여 중인 환자의 저에스트로겐 부작용에 대한 복합 한의 치료: 증례보고
Complex Korean Medicine Therapy for Hypoestrogenic Side Effects of Gonadotropin Releasing Hormone Agonist Administration to Postoperative Endometriosis Patient: A Case Report
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Objectives: This study is to report the clinical effectiveness of the complex Korean medicine therapy on a postoperative endometriosis patient’s hypoestrogenic side effects who is treated with GnRH-agonist injection. Methods: The patient in this case was diagnosed with endometriosis and has been treated with GnRH-a injection after laparoscopic operation. The patient complained hot flash and sweating mainly after GnRH-a treatment. The patient received complex Korean medicine therapy during 10 days admission period. The clinical effects were evaluated through KI (Kupperman’s Index) and SF-36 (36 item Short Form Health Survey). Results: After the complex Korean medicine therapy, the various clinical symptoms including hot flash and sweating were improved. Also, the quality of life was enhanced. Conclusions: This case report shows that the complex Korean medicine therapy was effective for treating hypoestrogenic side effects occurred after GnRH-a treatment in postoperative endometriosis patient.
Abstract
Objectives: This study is to report the clinical effectiveness of the complex Korean medicine therapy on a postoperative endometriosis patient’s hypoestrogenic side effects who is treated with GnRH-agonist injection. Methods: The patient in this case was diagnosed with endometriosis and has been treated with GnRH-a injection after laparoscopic operation. The patient complained hot flash and sweating mainly after GnRH-a treatment. The patient received complex Korean medicine therapy during 10 days admission period. The clinical effects were evaluated through KI (Kupperman’s Index) and SF-36 (36 item Short Form Health Survey). Results: After the complex Korean medicine therapy, the various clinical symptoms including hot flash and sweating were improved. Also, the quality of life was enhanced. Conclusions: This case report shows that the complex Korean medicine therapy was effective for treating hypoestrogenic side effects occurred after GnRH-a treatment in postoperative endometriosis patient.
참고문헌 (26)
- Hickey M, "Endometriosis", BMJ, 348, pp.1752~ (2014)
- Duffy JM, "Laparoscopic surgery for endometriosis", Cochrane Database Syst Rev, 3(4) (2014)
- Tandoi I, "High rate of endometriosis recurrence in young women", J Pediatr Adolesc Gynecol, 24(6), pp.376~379 (2011)
- Bozdag G, "Recurrence of endometriosis:risk factors, mechanisms and biomarkers", Womens Health(Lond), 11(5), pp.693~699 (2015)
- Brown J, "Gonadotrophin -releasing hormone analogues for pain associated with endometriosis", Cochrane Database Syst Rev, 8(12) (2010)
- Wu D, "Clinical efficacy of add-back therapy in treatment of endometriosis:a meta-analysis", Arch Gynecol Obstet, 290(3), pp.513~523 (2014)
- Bedaiwy MA, "Long-term medical management of endometriosis with dienogest and with a gonadotropin-releasing hormone agonist and add-back hormone therapy", Fertil Steril, 107(3), pp.537~548 (2017)
- Zhou Q, "Chinese herbal medicine Kuntai capsule for treatment of menopausal syndrome: a systematic review of randomized clinical trials", Complement Ther Med, 29, pp.63~71 (2016)
- Chen JM, "Efficacy and safety investigation of Kuntai capsule for the add-back therapy of gonadotropin releasing hormone agonist administration to endometriosis patients: a randomized, double-blind, blank- and tibolonecontrolled study", Chin Med J(Engl), 128(4), pp.427~432 (2015)
- Blatt MH, "Vitamin E and climateric syndrome", AMA Arch Intern Med, 91(6), pp.792~799 (1953)
- 최정은, "갱년기 증후군 여성 환자 50인의 임상 양상 분석", 대한한방부인과학회지, 15(2), pp.144~154 (2002), 대한한방부인과학회
- Nam BH, "Testing the Validity of the Korean SF-36 Health Survey", Journal of Health Informatics and Statistics, 28(2), pp.3~24 (2003)
- Tsze DS, "Validity and Reliability of the Verbal Numerical Rating Scale for Children Aged 4 to 17 Years With Acute Pain", Ann Emerg Med, 71(6), pp.691~702 (2018)
- Hornstein MD, "Prospectiverandomized double-blind trial of 3 versus 6 months of nafarelin therapy for endometriosis associated pelvic pain", Fertil Steril, 63(5), pp.955~962 (1995)
- Practice Committee of the American Society for Reproductive Medicine, "Treatment of pelvic pain associated with endometriosis: a committee opinion", Fertil Steril, 101(4), pp.927~935 (2014)
- 백선은, "보허탕가감방과 침구치료로 호전된 자궁절제술 환자 치험 3례", 대한한방부인과학회지, 28(3), pp.119~127 (2015), 대한한방부인과학회[DOI]
- 조현주, "黃芪가 자궁내막증 유발 흰쥐에 미치는 영향", 대한한방부인과학회지, 20(2), pp.43~59 (2007), 대한한방부인과학회
- Yang F, "Radix Bupleuri: A Review of Traditional Uses, Botany, Phytochemistry, Pharmacology, and Toxicology", Biomed Res Int, 2017, pp.7597596~ (2017)
- 김수정, "Antidepressant-Like Effects of Lycii Radicis Cortex and Betaine in the Forced Swimming Test in Rats", Biomolecules & Therapeutics, 21(1), pp.79~83 (2013), 한국응용약물학회
- Kim JH, "The effects of Lycii Radicis Cortex on RANKL-induced osteoclast differentiation and activation in RAW 264.7 cells", Int J Mol Med, 37(3), pp.649~658 (2016)
- Befus D, "Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis", J Altern Complement Med, 24(4), pp.314~323 (2018)
- Qu F, "Acupuncture for perimenopausal symptoms in women who underwent oophorectomy a comparative study", Forsch Komplementmed, 14(1), pp.25~32 (2007)
- 육상숙, "중성어혈약침이 자궁내막증 白鼠에 미치는 영향", Journal of Pharmacopuncture, 9(1), pp.83~94 (2006), 대한약침학회
- Shen J, "Effectiveness of Mild Moxibustion for Sub-Health Conditions in Pre- and Post-Menopausal Women: A Randomized Controlled Clinical Trial", Med Sci Monit, 24, pp.2907~2911 (2018)
- Hae-Won Kim, "Inhibitory effect of traditional Korean medicine on the recurrent endometriosis after laparoscopic excision: a case report", Integrative Medicine Research, 7(3), pp.296~301 (2018), 한국한의학연구원[DOI]
- Gaubeca-Gilarranz A, "Effectiveness of dry needling of rectus abdominis trigger points for the treatment of primary dysmenorrhoea: a randomised parallel-group trial", Acupunct Med, 36(5), pp.302~310 (2018)
