한방 난임 치료의 특성과 결과에 대한 분석 - 2011년 주요 한의과대학 부속한방병원 및 연구 참여 한의원을 중심으로 -

Abstract

Objectives: We analyzed retrospective clinical data of Korean medical institutes for infertility care and investigated current status and outcome of the Korean medical treatment of infertility as a part of foundational research for verifying validity of constructing national support system and developing appropriate policy on Korean medical treatment of infertility. Methods: We investigated data uploaded on the homepage of The Society of Korean Medicine for Subfertility (http://www.okinfertility.org) by Korean medical institutes for infertility care to get informations such as patients’ age, body height, weight, methods of Korean medical treatment, cost and duration of treatment, success or failure of pregnancy and result of treatment. Results: The average age of patients was 33.1±3.8 and the average body height was 161.2±5.3 cm and the average body weight was 55.2±8.5 kg. The method of Korean medical treatment was Herbal medicine (97.5%), acupuncture (80.4%), moxibustion (57.7%), cupping (32.7%). The average cost of treatment was 1,160,625±882,499 won, and the average medical cost per visit was 357,845±241,602 won. The average duration of treatment was 11.26±10.58 weeks, and the average number of visits per patient was 4.78±6.10 times. The average duration of treatment was the longest in the group of infertile patients with the highest average medical cost per visit. The average pregnancy success rate was 30.9% overall, and that of the group of infertile patients was 25.8%. Conclusions: When we develop the standard project model with expectation for about 25% success rate of pregnancy and delivery in the group of patients who have idiopathic and ovulatory factors, it is desirable to perform acupuncture and moxibustion treatment 1-2 times a week with herbal medicine. The treatment period is set to at least 12 weeks. Average treatment fee maybe calculated by converting the averaged treatment cost of clinic’s one month worth of daily treatment fee and medical hospital’s ten day treatment fee into weekly treatment cost.