본문 바로가기
KERD
논문KCI 등재

침과 이완요법 병행치료에 대한 중의학 연구동향

Research Trends of Traditional Chinese Medicine on Combined Treatment of Acupuncture and Relaxation Therapy

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류한의학

초록

Objectives: The purpose of this study was to investigate clinical trends of Traditional Chinese Medicine (TCM) on combined treatment of acupuncture and relaxation therapy.Methods: Clinical trials based on acupuncture and relaxation therapy searched and were selected from China National Knowledge Infrastructure (CNKI). In this study we selected clinical research articles us-ing acupuncture and relaxation therapy as intervention. Studies were assessed by Risk of Bias (RoB) tool, and Jadad scale.Results: Eleven randomized controlled trials on combined treatment of acupuncture and relaxation therapy were selected, and these studies were published in China. Most studies have targeted psychi-atric disorders such as insomnia and anxiety. Manual Acupuncture (MA) was the most used acu-puncture treatment, and in five studies two or more relaxation therapies were used in parallel. Although the treatment result using acupuncture and relaxation therapy was superior, heterogeneity of the control group was high and it was difficult to estimate additional effects of relaxation therapy.Conclusions: Qualitative analysis revealed that the combination of acupuncture and relaxation was more effective than control in most studies. However, quality of most studies was low. Therefore, high-er quality clinical research on combined treatment of acupuncture and relaxation therapy is required.

Abstract

Objectives: The purpose of this study was to investigate clinical trends of Traditional Chinese Medicine (TCM) on combined treatment of acupuncture and relaxation therapy.Methods: Clinical trials based on acupuncture and relaxation therapy searched and were selected from China National Knowledge Infrastructure (CNKI). In this study we selected clinical research articles us-ing acupuncture and relaxation therapy as intervention. Studies were assessed by Risk of Bias (RoB) tool, and Jadad scale.Results: Eleven randomized controlled trials on combined treatment of acupuncture and relaxation therapy were selected, and these studies were published in China. Most studies have targeted psychi-atric disorders such as insomnia and anxiety. Manual Acupuncture (MA) was the most used acu-puncture treatment, and in five studies two or more relaxation therapies were used in parallel. Although the treatment result using acupuncture and relaxation therapy was superior, heterogeneity of the control group was high and it was difficult to estimate additional effects of relaxation therapy.Conclusions: Qualitative analysis revealed that the combination of acupuncture and relaxation was more effective than control in most studies. However, quality of most studies was low. Therefore, high-er quality clinical research on combined treatment of acupuncture and relaxation therapy is required.

참고문헌 (48)

  1. H. Benson, "Relaxation revolution: The science and genetics of mind body healing" (2010), Simon and Schuster
  2. Gonzalez A, "Mental and physical health outcomes following the Relaxation Response Resiliency Program (3RP) in a clinical practice setting", European Journal of Integrative Medicine, 8(5), pp.756~761 (2016)
  3. Seong-Hi Park, "Relaxation Therapy for Irritable Bowel Syndrome: A Systematic Review", Asian Nursing Research, 8(3), pp.182~192 (2014), 한국간호과학회
  4. 곽선, "침자극과 이완요법이 시험 스트레스에 미치는 영향 - 심박변이도와 동공크기변이도를 사용하여 -", Korean Journal of Acupuncture, 21(2), pp.161~176 (2004), 경락경혈학회
  5. Chang BH, "The combined effect of relaxation response and acupuncture on quality of life in patients with HIV: a pilot study", Altern Complement Med, 13(8), pp.807~815 (2007)
  6. Freed S, "A possible physiological basis for effectiveness of acupuncture against psychosomatic disorders", Acupuncture Electro-Therapeutics Res, 12, pp.113~123 (1987)
  7. Han JS, "Acupuncture activates endogenous systems of analgesia", NIH consensus development conference on acupuncture, pp.55~60 (1997), National Institute on Drug Abuse
  8. Dusek JA, "Association between oxygen consumption and nitric oxide production during the relaxation response", Medical Science Monitor, 12(1), pp.CR1~CR10 (2005)
  9. Zhang F, "Neurobiological Mechanism of Acupuncture for Relieving Visceral Pain of Gastrointestinal Origin", Gastroenterology Research and Practice, pp.1~11 (2017)
  10. Freed S, "A possible physiological basis for effectiveness of acupuncture against psychosomatic disorders", Acupuncture Electrother Res, 12, pp.113~123 (1987)
  11. Chang BH, "Acupuncture and the relaxation response for treating gastrointestinal symptoms in HIV patients on highly active antiretroviral therapy", Acupunct Med, 29(3), pp.180~187 (2011)
  12. 김헌일, "자율 훈련법과 침치료를 시행하여 뉴로피드백 지표를 통해 관찰한 震顫患者의 증례", 동의신경정신과학회지, 16(2), pp.181~188 (2005), 대한한방신경정신과학회
  13. 강현선, "韓方治療와 精神療法으로 호전된 갱년기 장애를 동반한 우울증 환자 치험 2례", 동의신경정신과학회지, 20(2), pp.177~186 (2009), 대한한방신경정신과학회
  14. Jadad AR, "Assessing the quality of reports of randomized clinical trials: Is blinding necessary", Controlled Clinical Trials, 17(1), pp.1~12 (1996)
  15. National Evidence-based Healthcare Collaborating Agency, "NECA's guidance for undertaking systematic reviews and meta-analyses for intervention", pp.65~85 (2011), NECA
  16. Gan SH, "Observation on Curative Effect of Acupuncture plus Music Relaxation Therapy for Insomnia", China Modern doctor, 45(10), pp.55~56 (2007)
  17. Fan CL, "Insomnia treated with abdominal acupuncture combined three-route relaxation therapy", World Journal of Acupuncture-Moxibustion, 20(4), pp.19~22 (2010)
  18. Chen D, "Treatment of 30 Cases of Insomnia with Relieving Training Combined with Syndrome Differentiation", Guiding Journal of Traditional Chinese Medicine and Pharmacy, 18(8), pp.76~77 (2012)
  19. Lin JZ, "Long-term effect study of acupuncture therapy combining with biofeedback relaxation therapy on senile chronic insomnia patients", Chinese Journal of Traditional Chinese Medicine and Pharmacy, 27(8), pp.2222~2224 (2012)
  20. Wang DY, "Clinical Observation on Treatment of Insomnia with Cervical Jiaji Point Combined with Relaxation Therapy", Heilongjiang Medical Journal, 38(5), pp.560~561 (2014)
  21. Tu CL, "Effects of relaxation training plus auricular seed pressing on sleep quality of the patients with insomnia", Clinical Journal of Traditional Chinese Medicine, 7(26), pp.113~115 (2015)
  22. Wang Z, "Effect of Acupuncture plus Relaxation on Preoperative Anxiety of Local Anesthesia", Liaoning Journal of Traditional Chinese Medicine, 33(5), pp.605~ (2006)
  23. Li H, "Effects of acupuncture combined with relaxation training on sub-health state anxiety", Liaoning Journal of Traditional Chinese Medicine, 35(2), pp.276~277 (2008)
  24. Hou GY, "Effect of Acupuncture Combined with Comprehensive Intervention on the Anxiety Emotion of the Implanted Device for Relieving Heart Rate", Information on Traditional Chinese Medicine, 33(3), pp.114~116 (2016)
  25. Liu DH, "Observations on the Efficacy of Acupuncture and Moxibustion plus Psychotherapy in Treating Female Climacteric Syndrome", Shanghai J Acu-mox, 28(7), pp.373~374 (2009)
  26. Yu L, "Treatment of refractory central hiccough by acupuncture combined with psychological intervention", Chinese Journal of Rehabilitation, 27(5), pp.338~339 (2012)
  27. Psychiatric Branch of Chinese Medical Association, "Chinese Criteria of Classification and Diagnosis of Mental Diseases (CCMD-3) (Chin)", pp.118~ (2001), Shandong Science and Technology Press
  28. Psychiatric Branch of Chinese Medical Association, "Chinese Criteria of Classification and Diagnosis of Mental Diseases (CCMD-2-R) (Chin)", pp.114~132 (1994), Dongnan University Press
  29. State Administration of Traditional Chinese Medicine of the People’s Republic of China, "Criteria of Diagnosis and Therapeutic Effect of Diseases and Syndromes in Traditional Chinese Medicine" (1994), Nanjing University
  30. Zhang ZJ, "A Manual of Behavioral Medicine Scale", pp.214~215 (2005), Chinese Medical Multimedia Press
  31. Lu GC, "Subhealth state comprehensive prevention program", pp.4~ (2004), Xueyuan Press
  32. China Mental Health Association, "Counselor (Level 3)" (2012), National Press
  33. Lu zaiying, "Internal Medicine", pp.424~425 (2008), People's medical publishing house
  34. 이향숙, "STRICTA(침 임상연구에서 중재 보고를 위한 표준) 개정판 : CONSORT Statement의 확충안", Korean Journal of Acupuncture, 27(3), pp.1~23 (2010), 경락경혈학회
  35. Hurgobin S, "Autogenic Training(AT) for reducing anxiety and promoting psychological well-being", pp.2006
  36. Ajimsha MS, "Effectiveness of autogenic training in improving motor performances in Parkinson's disease", Complementary therapies in medicine, 22(3), pp.419~425 (2014)
  37. Chen SF, "Effect of Relaxation With Guided Imagery on The Physical and Psychological Symptoms of Breast Cancer Patients Undergoing Chemotherapy", Iran Red Crescent Med J, 17(11), pp.e31277~ (2015)
  38. Demiralp MF, "Effects of relaxation training on sleep quality and fatigue in patients with breast cancer undergoing adjuvant chemotherapy", J Clin Nurs, 19, pp.1073~1083 (2010)
  39. Dayapoğlu N, "Evaluation of the effect of progressive relaxation exercises on fatigue and sleep quality in patients with multiple sclerosis", J Altern Complement Med, 18(10), pp.983~987 (2012)
  40. Pluess M, "Muscle tension in generalized anxiety disorder: a critical review of the literature", Journal of anxiety disorders, 23(1), pp.1~11 (2009)
  41. Manzoni GM, "Relaxation training for anxiety: a ten-years systematic review with meta-analysis", BMC psychiatry, 8, pp.41~ (2008)
  42. Jorm AF, "Relaxation for depression", The Cochrane database of systematic reviews, (4), pp.Cd007142~ (2008)
  43. Zhao L, "Effects of progressive muscular relaxation training on anxiety, depression and quality of life of endometriosis patients under gonadotrophin-releasing hormone agonist therapy", European journal of obstetrics, gynecology, and reproductive biology, 162(2), pp.211~215 (2012)
  44. Bae BG, "Progressive muscle relaxation therapy for atopic dermatitis:objective assessment of efficacy", Acta dermato venereol, 92(1), pp.57~61 (2012)
  45. Sloman R, "Relaxation and imagery for anxiety and depression control in community patients with advanced cancer", Cancer nursing, 25(6), pp.432~435 (2002)
  46. Tsitsi T, "Effectiveness of a relaxation intervention (progressive muscle relaxation and guided imagery techniques) to reduce anxiety and improve mood of parents of hospitalized children with malignancies: A randomized controlled trial in Republic of Cyprus and Greece", Eur J Oncol Nurs, 26, pp.9~18 (2017)
  47. Liao J, "Progressive muscle relaxation combined with Chinese medicine five-element music on depression for cancer patients: A randomized controlled trial", Chinese Journal of integrative medicine, pp.1~5 (2017)
  48. Blanaru M, "The effects of music relaxation and muscle relaxation techniques on sleep quality and emotional measures among individuals with posttraumatic stress disorder", Ment Illn, 4(2), pp.e13~ (2012)

관련 논문AI추천

이 간행물의 다른 논문 (7건)