외음부 통증(陰痛)의 침치료에 대한 최신 연구 동향
Research Trends of the Acupuncture Treatment for Vulvodynia
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목적: 외음부 통증에 대한 침 치료의 효과에 대해 국내외에서 보고된 연구들을 고찰하고자 한다. 방법: 2018년 10월까지 발간된 외음부 통증에 대한 침 치료 논문을 대상으로 Pubmed, Cochrane, Oasis, KISS에서 검색하여 선정된 논문을 분석하였다. 결과: 국내외 임상연구를 검색을 한 결과, 외음부 통증에 대한 치료에 관한 검색된 문헌은 총 6편이었다. 무작위 대조군 연구는 3편이 있었고, 전후 비교 연구는 3편이었다. 외음부 통증의 평가지표는 크게 통증척도, 성생활지수, 삶의 질 척도로 나누어 측정하였다. 외음부 통증 환자에게 침 치료가 외음부 통증 및 성교통 감소와 삶의 질 개선에 유의한 효과가 있음을 확인할 수 있었다. 결론: 외음부 통증 환자에게 침 치료가 효과 있는 치료중재라 할 수 있다. 향후 양질의 설계가 이루어진 무작위 대조군 연구들을 수행할 필요가 있을 것이다.
Abstract
Objectives: The purpose of this review is to overview the studies of acupuncture treatment for vulvodynia. Methods: In order to investigate the effect of acupuncture treatment for vulvodynia, we searched relevant studies in Pubmed, Cochrane, Oasis, KISS up to October 2018. After searching studies, we analyzed selected studies. Results: Six studies were included in this review. There were 3 randomized controlled studies and 3 before and after studies. The outcome measurement of vulvodynia was divided into pain, sexual function, and quality of life. The acupuncture treatment was effective in relieving vulvar pain, dyspareunia and improving quality of life. Conclusions: This study shows that acupuncture treatment is one of effective treatment methods for vulvodynia. Further large randomized placebo controlled trials will be needed.
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