원발성 월경통의 전침 치료 연구에 관한 체계적 문헌 고찰
Electroacupuncture for Treatment of Primary Dysmenorrhea: Systematic Review of Randomized Controlled Trials
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목적 : 본 연구에서는 원발성 월경통에 있어 전침 치료의 유효성과 안전성을 보고하고자 하였다. 방법 : 2016년 12월까지 발행된 원발성 월경통에 전침 치료를 사용한 무작위 대조군 연구를 검색하였다. OASIS, PubMED, EMBASE, CENTRAL의 데이터베이스가 이용되었으며 결과 분석 및 질 평가가 시행되었다. 결과 : 5개의 문헌이 이번 연구에 포함되었다. 대부분의 문헌에서 삼음교의 전침치료가 현종, 경혈이 아닌 부위의 전침치료 그리고 무중재군에 비해 Visual analog scale(VAS), Verbal rating scale (VRS) and Retrospective symptom scale (RSS)에서 높은 효과를 보였다. 심각한 부작용은 보고되지 않았다. 결론 : 전침치료가 원발성 월경통에 효과가 있으며 심각한 부작용이 없다고 사료된다.
Abstract
Objectives: This review aims to report the efficacy and safety of electroacupuncture in the treatment of primary dysmenorrhea. Methods: We searched for randomized controlled studies (RCTs) using electroacupuncture on primary dysmenorrhea up to Dec 2016. The following databases were searched : OASIS, PubMED, EMBASE, CENTRAL. The results of the studies were analyzed and the risk of bias was assessed. Results: Five studies were included in this review. In most studies, the effect of electroacupuncture at Sameumgyo (SP6) was better than that of electroacupuncture at Hyeonjong (GB39), nonacupoint and no intervention about Visual analog scale (VAS), Verbal rating scale (VRS) and Retrospective symptom scale (RSS). But there were no significant effects on Resistance Index (RI) and S/D ratio (the ratio between peak systolic to end-diastolic flow velocity in uterine arteries). Serous adverse events were not reported. Conclusions: This review shows that electroacupuncture is effective on primary dysmenorrhea with no serious adverse events.
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