뜸 요법이 원발성월경곤란증에 미치는 효과에 대한 체계적 문헌고찰
The Effect of Moxibustion on Primary Dysmenorrhea : Systematic Review
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본 연구는 뜸 치료요법이 부인과적 질환이 없는 원발성 월경곤란증으로 고통받는 여성의 증상을 완화시킬 수 있는지 여부를 연구한 논문을 대상으로 이루어졌다. 7개의 데이터베이스를 통해 총 299개의 문헌이 검색되었으며 중복논문 배제 등의 문헌 선택 및 배제과정을 거쳐 총 11개의 일차연구가 분석에 포함되었다. 분석에 포함된 연구 중 2편은 무작위배정연구, 7편은 비무작위연구, 2편은 전후비교연구이었다. VAS(Visual Analogue Scale) 및 GRS(Graphic Rating Scale)를 사용하여 생리통증 정도를 측정한 연구는 11편 중 9편이었다. 9편에 대한 메타분석결과, 뜸 치료를 적용한 군에서 뜸 치료를 시행하지 않은 군보다 VAS로 측정한 경우 -2.82(95% CI –3.34 ∼—2.30) 정도 경감하였고, GRS로 측정 시 또한 유사한 폭으로(-2.44, 95% CI –3.06 ∼—1.82) 감소하였다. 또한 생리로 인한 일상생활의 어려움 정도는 뜸 요법을 시행한 경우가 그렇지 않은 경우와 비교, -6.02(95% CI –8.99∼-3.05) 정도로 통계적으로 유의하게 낮아 뜸치료 요법이 원발성 월경곤란증의 치료 뿐 아니라 예방적 수단으로서 적극 권장할 수 있는 임상적 근거가 있는 치료법임을 확인할 수 있었다.
Abstract
Purpose To synthesize and figure out the studies that identified the relationship between moxibustion and primary dysmenorrhea in young women. Methods Electronic databases were searched, including KmBase, KoreaMed. riss4u, PubMed, MedLine, Cochrane library and CINAHL. The search terms included primary dysmenorrhea, abdominal cramp, moxibustion. Only papers published in Korean and English were included. Results 11 studies were finally included from 299 references screened. Study designs were 2 randomized controlled studies(RCT), 7 Non-RCT and 2 before and after studies. After the moxibustion treatment, the score of VAS(Visual Analogue Scale) and GRS(Graphic Rating Scale) has significant differences between two groups and the difficulties in ADL(Activities of Daily Life) also has significant differences between two groups. Conclusion Moxibustion was effective in relieving the abdominal pain and difficulties in activities of daily life on primary dysmenorrhea..
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