Pub Med 검색을 통한 폐경기 증상의 침구 임상시험에 대한 고찰 - 안면홍조를 중심으로
Review on randomized controlled trials of acupuncture for postmenopausal symptoms in the search site, Pub Med. - focusing on hot flush
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Purpose: Vasomotor symptoms including hot flash are very common to postmenopausal women. Estrogen therapy was regarded as the best option for relieving menopausal symptoms until 2002, when the Women′s Health Initiative(WHI) reported the side effect of the therapy. Consequently, studies on the complementary and alternative medical herbs and therapy for the management of menopausal symptoms have followed. And so we have reviewed some international clinical studies about the management of postmenopausal symptoms with acupuncture therapy Methods: "Menopause and acupuncture" was designated as a key word in the search site, Pub Med, and nine papers dealing with hot flash among the relevant RCTs were selected, and then, the effect of acupuncture on hot flash and the way the researches had been done was examined. Results : The intensity of hot flash reduced significantly and the frequency of hot flash was inclined to reduce, but not significantly, compared to the controlled group. Conclusion: Each clinical test has its limitations in point of the number of the required samples. However, it still shows the possibility that acupuncture itself will be effective enough to reduce the intensity of hot flash to a certain degree. It is believed that extensive clinical tests on the effect of acupuncture on hot flash will need to be done hereafter. And when the tests are carried out, it is required to exclude placebo effect, do blind test, and carefully select and control the methods.
Abstract
Purpose: Vasomotor symptoms including hot flash are very common to postmenopausal women. Estrogen therapy was regarded as the best option for relieving menopausal symptoms until 2002, when the Women′s Health Initiative(WHI) reported the side effect of the therapy. Consequently, studies on the complementary and alternative medical herbs and therapy for the management of menopausal symptoms have followed. And so we have reviewed some international clinical studies about the management of postmenopausal symptoms with acupuncture therapy Methods: "Menopause and acupuncture" was designated as a key word in the search site, Pub Med, and nine papers dealing with hot flash among the relevant RCTs were selected, and then, the effect of acupuncture on hot flash and the way the researches had been done was examined. Results : The intensity of hot flash reduced significantly and the frequency of hot flash was inclined to reduce, but not significantly, compared to the controlled group. Conclusion: Each clinical test has its limitations in point of the number of the required samples. However, it still shows the possibility that acupuncture itself will be effective enough to reduce the intensity of hot flash to a certain degree. It is believed that extensive clinical tests on the effect of acupuncture on hot flash will need to be done hereafter. And when the tests are carried out, it is required to exclude placebo effect, do blind test, and carefully select and control the methods.
참고문헌 (40)
- "대보원전이 난소적출로 골다공증이 유발된 백서에 미치는 영향", 12(1), pp.343~363 (1999)
- 박영주, "한국 여성의 폐경연령, 갱년기 증상 관련 요인", 7(4), pp.473~485 (2001)
- 대한폐경학회, "폐경기 여성의 관리", pp.1~29 (2001), 서울; 군자출판사
- Writing Group for the Women′s Health Initiative Investigations, "Risks and Benefits of Estrogen Plus Progestum in Healthy Postmenopausal Women- Principal Results From the Women′s Health Initiative Randomized Controlled trial", 288, pp.321~333 (2002)
- 이유리 등, "경폐에 관한 문헌 고찰" (1992)
- 김진희, "갱년기증후군의 침구치료에 대한 문헌적 고찰", 23(2), pp.16~24 (1998)
- 이윤호 등, "갱년기 증후군에 관한 문헌적 고찰", pp.27 343~363 (1991)
- 이영석, "독활기생탕이 난소적출로 골다공증이 유발된 백서에 미치는 영향", 13(2), pp.104~199 (2000)
- 한정우, "수종의 한약재와 보골탕이 흰쥐의 실험적 골다공증에 미치는 영향", 18(2), pp.49~58 (2003)
- 최진경, "가미우귀음이 난소적출로 유도된 백서의 골다공증에 미치는 영향", 19(2), pp.107~126 (2006)
- "갱년기 증후군에 미치는 대조환의 효과에 대한 임상 연구", 19(4), pp.225~244 (2006)
- "갱년기 여성의 질 건조증과 성만족도에 미치는 대조환의 임상효과 보고", 18(3), pp.208~214 (2005)
- "갱년기 증후군 여성 환자 50인의 임상 양상 분석", 15(2), pp.144~154 (2002)
- "갱년기 증상의 체질별 임상양상 고찰", 15(1), pp.139~147 (2002)
- "정신적 문제로 갱년기 장애가 악화된 증례", 17(4), pp.196~207 (2004)
- "갱년기 증후군을 나타낸 공황장애 환자 치험 1례", 17(3), pp.190~198 (2004)
- "Kupperman's index로 평가된 급성 갱년기 장애 치험 1례", 17(2), pp.191~199 (2004)
- "갱년기증후군을 나타낸 조기폐경 환자 치험 1례", 16(3), pp.194~199 (2003)
- "뇌졸중 유사증상을 나타내는 갱년기 홧병환자 치험1례", 14(1), pp.443~452 (2001)
- "안면홍조에 대한 임상시험 참가자의 증상 발현 양상에 관한 연구", 19(4), pp.205~215 (2006)
- "침치료에 익숙한 한국의 여자 임상시험 피험자를 대상으로 한 침관 변형을 통한 Minimal acupuncture 경험", 20(3), pp.200~212 (2007)
- "갱년기 여성의 안면홍조에 대한 침치료 다기관 임상시험: 프로토콜", 24(3), pp.33~45 (2007)
- "Acupuncture for postmenopausel hot flashes", 56, pp.383~395 (2007)
- "Effects of acupuncture, applied relaxation, estrogens and placebo on hot flashes in postmenopausal women: an analysis of two prospective, parallel, randomized studies", 10(1), pp.38~45 (2007)
- "The effect of TCM acupuncture on hot flashes among menopausal women (ACUFLASH) study: a study protocol of an ongoing multi-centre randomised controlled clinical trial", 26(7), pp.6~ (2007)
- "Psychological well-being improves in women with breast cancer after treatment with applied relaxation or electro- acupuncture for vasomotor symptom", 27(4), pp.193~199 (2006)
- "Clinical observation on therapeutic effect of electroacupuncture at Sanyinjiao(SP6) on peri-menopausal syndrome", 26(9), pp.617~620 (2006)
- "A randomized controlled pilot study of acupuncture for postmenopausal hot flashes: effect on nocturnal hot flashes and sleep quality", 86(3), pp.700~710 (2006)
- "Vasomotor symptoms decrease in women with breast cancer randomized to treatment with applied relaxation or electro-acupuncture: a preliminary study", 8(3), pp.243~250 (2005)
- "A comparison of acupuncture and oral estradiol treatment of vasomotor symptoms in postmenopausal women", 7(2), pp.153~164 (2004)
- "Can acupuncture ease the symptoms of menopause?", 17(6), pp.295~299 (2003)
- "Adverse events following acupuncture: prospective survey of 32000 consultations with doctors and physiotherapists", 323, pp.48~486 (2001)
- "Neurochemical basis of acupuncture analgesia", 22, pp.193~220 (1982)
- "The acupuncture point and its connecting central pathway for producing acupuncture analgesia", pp.53~67
- "Role of acupuncture in the treatment of female infertility", 78, pp.1149~1153 (2002)
- "A review of controlled trials of acupuncture for women′s reproductive health care", 29(4), pp.233~236 (2003)
- "Protocols for clinical trials of acupuncture", 17, pp.54~58 (1999)
- "Methodologic lessions learned from hot flash studies", 19, pp.4280~4290 (2001)
- "Evaluation of the clinical effects of acupuncture", 4, pp.279~291 (1995)
- "Introducing a placebo needle into acupuncture research", 352(9125), pp.364~365 (1998)
