본문 바로가기
KERD
논문KCI 등재

알레르기 비염 한의표준임상진료지침 방향 제언 - 2018 중국 임상진료지침을 바탕으로

Suggestions for developing Korean Medicine Clinical Practice Guideline for Allergic Rhinitis - Based on 2018 Chinese Clinical Practice Guideline

이동효|강정인
대한한방안이비인후피부과학회 (The Korean Medicine Opthalmology&Otolaryngology&Dermatology Society)|2019.11|한방안이비인후피부과학회지 (The Journal of Korean Medicine Ophthalmology&Otorhinolaryngology&Dermatology)|제32권 제4호|pp. 130-140|DOI http://dx.doi.org/10.6114/jkood.2019.32.4.130

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

Korean Medicine TreatmentAllergic RhinitisClinical Practice Guideline
주제분류한의학

초록

Objective : The purpose of this study is to examine the treatment of allergic rhinitis introduced in the Chinese guideline, and to find out the direction of evidence-establishment and applicability in developing Korean Medicine clinical practice guideline for allergic rhinitis. Method : We studied Traditional Chinese Medicine treatment of allergic rhinitis introduced in the 2018 Chinese society of allergy guidelines for diagnosis and treatment of allergic rhinitis. The treatment are classified into three categories; herbal medicines, acupuncture and the others. And we compared this guidelines with other guidelines for how they differ in description of the database, evidence of level, and strength of recommendation. Results : Herbal medicines are presented based on syndrome differentiation. The basic acupoints for allergic rhinitis are introduced as follows; Fengchi(GB20), Yingxiang(LI20), Feishu(BL13) and Taiyuan(LU9). And in comparison with other guidelines for allergic rhinitis, the Chinese guideline showed lack of description in the database, evidence of level, and strength of recommendation, though they used evidence-based models. Conclusions : Clinical practice guideline projects are also underway in Korea for benefit expansion and improving quality of medical services. It is important to develop guidelines which should be evidence-based and reflect Korean medical environment.

Abstract

Objective : The purpose of this study is to examine the treatment of allergic rhinitis introduced in the Chinese guideline, and to find out the direction of evidence-establishment and applicability in developing Korean Medicine clinical practice guideline for allergic rhinitis. Method : We studied Traditional Chinese Medicine treatment of allergic rhinitis introduced in the 2018 Chinese society of allergy guidelines for diagnosis and treatment of allergic rhinitis. The treatment are classified into three categories; herbal medicines, acupuncture and the others. And we compared this guidelines with other guidelines for how they differ in description of the database, evidence of level, and strength of recommendation. Results : Herbal medicines are presented based on syndrome differentiation. The basic acupoints for allergic rhinitis are introduced as follows; Fengchi(GB20), Yingxiang(LI20), Feishu(BL13) and Taiyuan(LU9). And in comparison with other guidelines for allergic rhinitis, the Chinese guideline showed lack of description in the database, evidence of level, and strength of recommendation, though they used evidence-based models. Conclusions : Clinical practice guideline projects are also underway in Korea for benefit expansion and improving quality of medical services. It is important to develop guidelines which should be evidence-based and reflect Korean medical environment.

참고문헌 (47)

  1. 정창운, "알레르기 비염의 한의학적 관리를 위한 최신 지견", 한방안이비인후피부과학회지, 29(4), pp.95~113 (2016), 대한한방안이비인후피부과학회
  2. National Health Insurance Statistical Annual Report, "Korea National Health Insurance Service and Korea Health Insurance Review and Assessment Services", ~ (2017)
  3. 이동효, "알레르기 비염의 침 치료에 대한 경제성 평가 연구 경향 분석", 한방안이비인후피부과학회지, 29(2), pp.1~11 (2016), 대한한방안이비인후피부과학회[DOI]
  4. Jo SH, "Manual for developing Evidence-based Clinical Practice Guidelines of Korean Medicine", 1~186 (2018)
  5. Brożek JL, "Allergic Rhinitis and its Impact on Asthma(ARIA)guidelines : 2010 revision", J Allergy Clin Immunol, 126(3), pp.466~476 (2010)
  6. Kim YH, "Clinical Guidelines of Allergic Rhinitis", Journal of the Korean Medical Association, pp.1~83 (2015)
  7. Lei Cheng, "Chinese Society of Allergy Guidelines for Diagnosis and Treatment of Allergic Rhinitis", Allergy, Asthma & Immunology Research, 10(4), pp.300~353 (2018), 대한천식알레르기학회
  8. Sun YM, "Clinical Observation on Yougui Decoction for the Treatment of Allergic Rhinitis with Deficiency of Kidney-yang", Guiding Journal of Traditional Chinese Medicine and Pharmacy, 10(5), pp.40~41 (2004)
  9. Lin HW, "Clinical study on the treatment of allergic rhinitis by replenishing qi and consolidating the exterior", Zhongguo Zhong Xi Yi Jie He Za Zhi, 9, pp.263~266 (1989)
  10. Qiu BS, "Experimental study of the correlation between allergic rhinitis and spleen deficiency", J Tradit Chin Med, 21(7), pp.1040~1041 (2003)
  11. Qiu BS, "Effect of Buzhong Yiqi Decoction for Allergic Rhinitis with Spleen-qi Deficiency in Guinea Pigs", Traditional Chinese Drug Research & Clinical Pharmacology, 14(3), pp.147~149 (2003)
  12. Liao Y, "Clinical observation on the therapeutic effect of Metal-clearing method on allergic rhinitis and a study on the semeiological basis for this kind of therapy", Chin Otorhinolaryngol J Integr Med, 15(6), pp.427~429 (2007)
  13. Chan RY, "The effects of two Chinese herbal medicinal formulae vs. placebo controls for treatment of allergic rhinitis: a randomised controlled trial", Trials, 15, pp.261~ (2014)
  14. Zhao Y, "Treatment of perennial allergic rhinitis using Shi-Bi-Lin, a Chinese herbal formula", J Ethnopharmacol, 122(1), pp.100~105 (2009)
  15. Chui SH, "A panel study to evaluate quality of life assessments in patients suffering from allergic rhinitis after treatment with a Chinese herbal nasal drop", Phytother Res, 24(4), pp.609~613 (2010)
  16. 정재우, "Therapeutic Effects of Fermented Red Ginseng in Allergic Rhinitis: A Randomized, Double-Blind, Placebo-Controlled Study", Allergy, Asthma & Immunology Research, 3(2), pp.103~110 (2011), 대한천식알레르기학회
  17. Hu G, "The Chinese herbal formulation biminne in management of perennial allergic rhinitis : a randomized, double-blind, placebo-controlled, 12-week clinical trial", Ann Allergy Asthma Immunol, 88(5), pp.478~487 (2002)
  18. Lenon GB, "Lack of efficacy of a herbal preparation(RCM-102)for seasonal allergic rhinitis : a double blind, randomised, placebo-controlled trial", Asia Pac Allergy, 2(3), pp.187~194 (2012)
  19. Brinkhaus B, "Acupuncture and Chinese herbal medicine in the treatment of patients with seasonal allergic rhinitis : a randomized-controlled clinical trial", Allergy, 59(9), pp.953~960 (2004)
  20. Xue CC, "Effect of adding a Chinese herbal preparation to acupuncture for seasonal allergic rhinitis : randomised double-blind controlled trial", Hong Kong Med J, 9(6), pp.427~434 (2003)
  21. Wang S, "Meta-analysis of clinical trials on traditional Chinese herbal medicine for treatment of persistent allergic rhinitis", Allergy, 67(5), pp.583~592 (2012)
  22. Xu Zhang, "Chinese Herbal Medicine to Treat Allergic Rhinitis: Evidence From a Meta-Analysis", Allergy, Asthma & Immunology Research, 10(1), pp.34~42 (2018), 대한천식알레르기학회
  23. Lenon GB, "Lack of efficacy of a herbal preparation(RCM-102)for seasonal allergic rhinitis : a double blind, randomised, placebo-controlled trial", Asia Pac Allergy, 2(3), pp.187~194 (2012)
  24. Zhang YQ, "Clinical experience in acupuncture treatment of allergic rhinitis", J Tradit Chin Med, 29(3), pp.186~189 (2009)
  25. Chen ZX, "Clinical observation on acupuncture for treatment of allergic rhinitis", Zhongguo Zhenjiu, 27(8), pp.578~580 (2007)
  26. Chen Y, "Efficacy of acupuncture on moderate and severe allergic rhinitis", Zhongguo Zhenjiu, 35(4), pp.339~343 (2015)
  27. Chen S, "Moderate and severe persistent allergic rhinitis treated with acupuncture : a randomized controlled trial", Zhongguo Zhenjiu, 35(12), pp.1209~1213 (2015)
  28. Choi SM, "A multicenter, randomized, controlled trial testing the effects of acupuncture on allergic rhinitis", Allergy, 68(3), pp.365~374 (2013)
  29. Brinkhaus B, "Acupuncture in patients with allergic rhinitis : a pragmatic randomized trial", Ann Allergy Asthma Immunol, 101(5), pp.535~543 (2008)
  30. Liu TS, "Efficacy on perennial allergic rhinitis treated with acupuncture at three nasal poinits and the acupoints selected by syndrome differentiation", Zhongguo Zhenjiu, 34(11), pp.1083~1086 (2014)
  31. Han D, "Acupoint selection and medication rules analysis for allergic rhinitis treated with acupoint application-based on data mining technology", Zhongguo Zhenjiu, 35(11), pp.1177~1180 (2015)
  32. Xie Y, "Impacts on the life quality of the patients with allergic rhinitis treated with warming acupuncture in winter and summer", Zhongguo Zhenjiu, 35(12), pp.1215~1220 (2015)
  33. Ou WX, "Efficacy observation on Jin’s three-needle therapy for allergic rhinitis of lung qi deficiency and cold syndrome", Zhongguo Zhenjiu, 34(5), pp.445~448 (2014)
  34. Wang H, "Effect of penetrating needling at head acupoints on perennial allergic rhinitis", Zhongguo Zhenjiu, 33(9), pp.789~792 (2013)
  35. Rao YQ, "Therapeutic effect of acupuncture on allergic rhinitis and its effects on immunologic function", Zhongguo Zhenjiu, 26(8), pp.557~560 (2006)
  36. Chen C, "Observation of long-term efficacy and life quality in allergic rhinitis treated with acupoint catgut embedding therapy combined with acupuncture-moxibustion therapy", Zhongguo Zhenjiu, 34(5), pp.439~443 (2014)
  37. Zhang H, "Short effect and adverse reaction of dog days plaster for allergic rhinitis", Zhongguo Zhenjiu, 36(1), pp.33~36 (2016)
  38. Tang ZM, "Therapy of cantharides extract for perennial allergic rhinitis and its effect on total IgE in serum", Zhongguo Zhong Xi Yi Jie He Za Zhi, 15(6), pp.334~336 (1995)
  39. Cao W, "Triple-strong stimulation therapy at Dazhui(GV 14)in prevention and treatment of children allergic rhinitis : a randomized controlled trial", Zhongguo Zhenjiu, 35(1), pp.38~42 (2015)
  40. Wang K, "Sphenopalatine ganglion acupuncture improves nasal ventilation and modulates autonomic nervous activity in healthy volunteers : a randomized controlled study", Sci Rep, 6, pp.29947~ (2016)
  41. Zhang L, "Acupuncture at ganglion pterygoplatinum for 71 cases of chronic simple rhinitis", Zhongguo Zhenjiu, 33(6), pp.495~496 (2013)
  42. Xinwu L, "The mechanism analysis of treating nasal disease by sphenopalatine ganglion(acupoint"ZhiBi 3")stimulation with acupuncture needle and an introduction to the relevant needling method", Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 21, pp.193~196 (2011)
  43. Kim SY, "NECA’s Handbook for Clinical Practice Guideline Developer", 1~428 (2015)
  44. 김영은, "알레르기 비염의 한의 진료 현황 설문조사", 한방안이비인후피부과학회지, 30(4), pp.75~96 (2017), 대한한방안이비인후피부과학회[DOI]
  45. Choi S, "A multicenter, randomized, controlled trial testing the effects of acupuncture on allergic rhinitis", Allergy, 68(3), pp.365~374 (2013)
  46. 신지혜, "비염의 침 치료에 대한 최근 임상 연구 동향 - RCT, Review 중심으로 -", 대한한방소아과학회지, 26(1), pp.46~59 (2012), 대한한방소아과학회
  47. 송지현, "삼복첩의 치료 효과와 만족도에 대한 연구", 대한한방소아과학회지, 32(1), pp.1~10 (2018), 대한한방소아과학회[DOI]

관련 논문AI추천

알레르기 비염의 한의학적 관리를 위한 최신 지견김혜화, 송민영, 정창운, 조희근대한한방안이비인후피부과학회 · 한방안이비인후피부과학회지2016 · 제29권 제4호알레르기성 비염의 한의학 및 보완대체의학적 치료에 대한 국내 임상 연구 동향구은진, 김윤희, 한재경대한한방소아과학회 · 대한한방소아과학회지2015 · 제29권 제4호알레르기 비염의 한의 진료 현황 설문조사김영은, 이동효, 정의민대한한방안이비인후피부과학회 · 한방안이비인후피부과학회지2017 · 제30권 제4호통년성 알레르기 비염의 표준 치료 모델 개발 : 실용임상연구 프로토콜 개발을 위한 기초 연구고성규, 김남권, 서은성, 이동효, 장보형, 최은지, 최인화대한예방한의학회 · 대한예방한의학회지2013 · 제17권 제3호한방안이비인후피부과학회지에 게재된 알레르기 비염과 관련된 임상 논문에 대한 고찰강정인, 이동효대한한방안이비인후피부과학회 · 한방안이비인후피부과학회지2019 · 제32권 제1호알레르기성 비염의 변증과 평가방법에 대한 고찰김지은, 백정한대한한방소아과학회 · 대한한방소아과학회지2016 · 제30권 제1호

이 간행물의 다른 논문 (13건)

인체 흑색종 세포에 대한 와송 추출물의 세포주기 억제를 통한 항암효과와 기전 연구류덕선, 류덕현pp. 1-12원형 탈모 환자 222명의 한의학적 치료 효과에 대한 후향적 연구이건석, 정보윤, 최진우, 이정환, 지유진pp. 13-28寒熱 변증에 따른 한의 외용 치료제 비염고의 치료 효과 : 하위 그룹 분석이동효, 손미주pp. 29-40임상연구방법론에서 귀무가설과 대립가설, 귀류법에 대한 고찰과 한방이비인후과에서 베이지안 통계학의 활용배재민, 권강, 남승표pp. 41-61알레르기성 비염에 대한 한약 및 양약 국소비강외용제의 효과 비교 : 체계적 문헌 고찰김선혜, 홍승욱, 김은정, 오세희, 조효림, 성원석pp. 62-89
원문 보기