중증 아토피피부염 환자 89명의 한의학적 치료 효과에 대한 후향적 연구
Retrospective Study about the Effectiveness of Korean Medicine Treatment on 89 Severe Atopic Dermatitis Patients
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Objectives : The purpose of this study is to report the effectiveness of a Korean Medicine Treatment on 89 severe atopic dermatitis patients all through 12 months. Methods : The degree of atopic dermatitis was measured in Objective SCORAD Index (OSI) with photos of patients. Then, the OSI score was estimated according to gender, age and intensity. Results : 1. The ratio of male to female was 41.57 : 58.43. The 24.72% of patients were in 0~11 year-old group, 16.85% were in 12~18 year-old group and 58.43% were in the group above 19 years old. 2. The initial OSI score was 64.43 and the final was 37.03 after 12 months. After 3, 6, 9, 12 months, the OSI score was significantly lower than the initial visit. 3. There was no significant difference between male and female patients on age, OSI scores and OSI improvements. 4. The patients who treated acupuncture were significantly older then who not treated. The OSI improvement had no significant difference whether treated with acupuncture or not. 5. There was no significant difference among 3 different age groups on initial OSI scores. The OSI improvement of 0~11 year-old group was significantly higher than the other groups after 12 month treatment. 6. The OSI score of 97.75% was decreased after 12 month treatment compared to initial visit. 7. After 12 month treatment, the distribution of severe atopic dermatitis was decreased from 100% to 37.08%. 8. There was no significant difference betweent steroid group and non-steroid group on OSI scores at initial visit and after 12 month treatment. Conclusions : The OSI Score of severe atopic dermatitis patients was decreased on the significant rate with Korean medicine treatment for 12 months.
Abstract
Objectives : The purpose of this study is to report the effectiveness of a Korean Medicine Treatment on 89 severe atopic dermatitis patients all through 12 months. Methods : The degree of atopic dermatitis was measured in Objective SCORAD Index (OSI) with photos of patients. Then, the OSI score was estimated according to gender, age and intensity. Results : 1. The ratio of male to female was 41.57 : 58.43. The 24.72% of patients were in 0~11 year-old group, 16.85% were in 12~18 year-old group and 58.43% were in the group above 19 years old. 2. The initial OSI score was 64.43 and the final was 37.03 after 12 months. After 3, 6, 9, 12 months, the OSI score was significantly lower than the initial visit. 3. There was no significant difference between male and female patients on age, OSI scores and OSI improvements. 4. The patients who treated acupuncture were significantly older then who not treated. The OSI improvement had no significant difference whether treated with acupuncture or not. 5. There was no significant difference among 3 different age groups on initial OSI scores. The OSI improvement of 0~11 year-old group was significantly higher than the other groups after 12 month treatment. 6. The OSI score of 97.75% was decreased after 12 month treatment compared to initial visit. 7. After 12 month treatment, the distribution of severe atopic dermatitis was decreased from 100% to 37.08%. 8. There was no significant difference betweent steroid group and non-steroid group on OSI scores at initial visit and after 12 month treatment. Conclusions : The OSI Score of severe atopic dermatitis patients was decreased on the significant rate with Korean medicine treatment for 12 months.
참고문헌 (45)
- 김계하, "우리나라 성인의 아토피피부염 관련요인: 2008년도 국민건강영양조사 자료를 중심으로", 재활간호학회지, 15(2), pp.83~90 (2012), 한국재활간호학회[DOI]
- 박용민, "아토피피부염 역학조사와 위험인자", Allergy Asthma & Respiratory Diseases, 21(2), pp.74~77 (2011), 대한 소아알레르기 호흡기학회
- Engel-Yeger B, "Sensory processing patterns of adults with atopic dermatitis", Journal of the European Academy of Dermatology and Venereology, 25(2), pp.152~156 (2011)
- 임동표, "아토피 피부염 환자 발병률의 지역적 특성 분석-모란지수 방법을 활용하여 -", 한국지역지리학회지, 21(3), pp.583~592 (2015), 한국지역지리학회
- Kim MA, "A Study on Effective Residential Environment for Atopy", Jounal of Korean Architectural institute, 32(3), pp.25~26 (2012)
- 김동희, "학령기 아토피피부염 아동 어머니의 양육 스트레스 관련요인", 스트레스 硏究, 19(2), pp.115~121 (2011), 대한스트레스학회
- Guttman-Yassky E, "Contrasting pathogenesis of atopic dermatitis and psoriasis part I : Clinical and pathologic concepts", Journal of Allergy and Clinical Immunology, 127(5), pp.1110~1118 (2011)
- 박양, "한국에서 아토피피부염 진단과 치료의 임상적 실태 조사", Allergy Asthma & Respiratory Diseases, 1(3), pp.257~265 (2013), 대한 소아알레르기 호흡기학회
- Aubert-Wastiaux H, "Topical corticosteroid phobia in atopic dermatitis : a study of its nature, origins and frequency", Br J Dermatol, 165, pp.808~814 (2011)
- 손창규, "아토피 환자의 치료선택 경향에 대한 설문연구", 한방안이비인후피부과학회지, 27(1), pp.37~44 (2014), 대한한방안이비인후피부과학회
- 강민서, "경증의 아토피 환자에서 한약 추출물 함유외용제에 대한 임상 연구", 한방안이비인후피부과학회지, 27(3), pp.40~55 (2014), 대한한방안이비인후피부과학회
- 유승민, "중증 아토피피부염 환자의 외래치료와 입원치료 비교", 한방안이비인후피부과학회지, 22(3), pp.178~187 (2009), 대한한방안이비인후피부과학회
- 손덕칭, "중증 성인형 아토피 피부염을 사상처방으로 치료하여 호전된 환자 15례에대한 1년간의 추적관찰", 대한한방내과학회지, 25(4), pp.45~51 (2004), 대한한방내과학회
- 조아라, "아토피피부염 환자 1035명의 장기간의 한의학적 치료효과에 대한 후향적 연구", 한방안이비인후피부과학회지, 28(1), pp.85~99 (2015), 대한한방안이비인후피부과학회[DOI]
- 박영립, "아토피피부염 학회보고서: 한국인 아토피피부염의 진단기준에 대한 연구", 대한피부과학회지, 44(6), pp.659~663 (2006), 대한피부과학회
- European Task Force on Atopic Dermatitis, "Severity Scoring of Atopic Dermatitis : The SCORAD Index, consensus report of th European Task Force on Atopic Dermatitis", Dermatology, 186, pp.23~31 (1993)
- College of Oriental Medicine Dermatology&Surgery Textbook Compilation Committee, "Text of Traditional Korean Dermatology&Surgery", pp.355~356 (2007), Sunwoo
- 김광숙, "Association of Family Histories of Atopic Disease with Childhood Atopic Diseases in Korean Children: A National Survey", 한국모자보건학회지, 14(2), pp.113~121 (2010), 한국모자보건학회
- Yang JH, "Western and Traditional Korean approach in Atopic Dermatitis", J Jeahan Orienl Med Acad, 4(1), pp.416~427 (1999)
- 이갑석, "아토피피부염의 가려움증: 그 발생기전과 치료", Allergy Asthma & Respiratory Diseases, 2(1), pp.8~15 (2014), 대한 소아알레르기 호흡기학회
- 김남권, "성인 아토피 피부염 환자의 삶의 질과 중증도에 대한 상관 연구", 한방안이비인후피부과학회지, 24(3), pp.27~36 (2011), 대한한방안이비인후피부과학회
- 조중범, "아토피피부염의 중증도 변화에 따른 삶의 질 변화", Allergy Asthma & Respiratory Diseases, 22(1), pp.86~99 (2012), 대한 소아알레르기 호흡기학회[DOI]
- 노현수, "아토피피부염 환자에서 Cyclosporine 치료용량 및 재발인자에 대한 후향적 연구", 대한피부과학회지, 50(9), pp.773~780 (2012), 대한피부과학회
- 심정연, "Increased Cutaneous Lymphocyte Antigen(CLA)+T Cells in the Peripheral Blood of Children woty Severe Atopic Dermatitis", Allergy Asthma & Respiratory Diseases, 14(2), pp.142~149 (2004), 대한 소아알레르기 호흡기학회
- Mark B, "Current management of atopic dermatitis and interruption of the atopic march", J Allergy Clin Immunol, 112(6), pp.S140~S150 (2003)
- Hae-Jin Lee, "The Effect of Adipose-Derived Stem Cell-Cultured Media on Oxazolone Treated Atopic Dermatitis-Like Murine Model", Annals of Dermatology, 24(2), pp.181~188 (2012), 대한피부과학회[DOI]
- Nahm DH, "Effects of Intramuscular Injection of Autologous Immunoglobulin on Clinical Severity and Serum IgE Concentration in Patients with Atopic Dermatitis", Dermatology, 231(2), pp.145~151 (2015)
- 최선영, "아토피피부염의 중증도 평가 방법의 비교", 대한피부과학회지, 51(4), pp.243~248 (2013), 대한피부과학회
- Kunz B, "Clinical validation and guidelines for the SCORAD index : consensus report of the European Task Force on Atopic Dermatitis", Dermatol, 195, pp.10~19 (1997)
- Rees JL, "Pruritus : more scratch than itch", Clin Exp Dermatol, 24, pp.490~493 (1999)
- Freehug Oriental Clinic, "Atopic Revolution, The Project of Body Temperature for Immunity Ⅰ: Theory", pp.108~ (2011), Brilliant Tree
- Peters AS, "Prediction of the incidence, recurrence, and persistence of atopic dermatitis in adolescence : A prospective cohort study", Journal of Allergy and Clinical Immunology, 126(3), pp.590~595 (2010)
- Zeppa I, "Atopic dermatitis in adults", Dermatitis, 22(1), pp.40~46 (2011)
- 임희진, "한국인 소아기 및 성인기 아토피피부염 역학조사를 위한 진단적 설문지", 대한피부과학회지, 46(11), pp.1495~1499 (2008), 대한피부과학회
- Lee HS, "Changes of the Prevalence and the Allergens of Atopic Dermatitis in Children : in between the Year of 1992 and 2002", Pediatric Allergy Respiratory Disease, 12(4), pp.263~271 (2002)
- 서민수, "대한안이비인후피부과학회지에 게재된 아토피 피부염 관련논문에 관한 고찰", 한방안이비인후피부과학회지, 22(3), pp.108~121 (2009), 대한한방안이비인후피부과학회
- College of Oriental Medicine Acupuncture & Moxibustion Textbook Compilation Committee, "The Acupuncture and MoxibustionⅠ", pp.63~64 (2008), Jipmoondang
- College of Oriental Medicine Acupuncture & Moxibustion Textbook Compilation Committee, "The Acupuncture and MoxibustionⅢ", pp.208~ (2008), Jipmoondang
- Kim HB, "Survey on the management of atopic dermatitis", Korean J Asthma Allergy Clin Immunol, 21(1), pp.16~20 (2012)
- 한수련, "아토피피부염 환자 511명의 장기간의 한의학적 치료효과에 대한 후향적 연구", 한방안이비인후피부과학회지, 26(3), pp.65~76 (2013), 대한한방안이비인후피부과학회
- 박은옥, "한국 성인의 성별 자살생각 관련 요인 분석", 농촌의학.지역보건, 39(3), pp.161~175 (2014), 한국농촌의학.지역보건학회[DOI]
- 정수진, "아토피 피부염 학회 보고서 : 한국 소아형 아토피 피부염의 임상적 특징에 대한 연구", 대한피부과학회지, 43(11), pp.1497~1509 (2005), 대한피부과학회
- 최인화, "A Clinical Study of Shi Ho Cheong Gan-San on Blood Heat Pattern Atopic Dermatitis: a randomized, double-blind clinical trial", 한방안이비인후피부과학회지, 24(1), pp.96~110 (2011), 대한한방안이비인후피부과학회
- 윤대철, "아토피 피부염 환자에서 黃連解毒湯이 함유된 한방화장품에 대한 임상 연구", 동의생리병리학회지, 22(6), pp.1611~1620 (2008), 한의병리학회
- 신상호, "升葛湯을 사용한 아토피 피부염 환자에 대한 임상시험", 한방안이비인후피부과학회지, 20(2), pp.199~212 (2007), 대한한방안이비인후피부과학회
