일개 보건소에서 시행한 불면증에 대한 한약치료의 효과분석
Clinical Effect of Herbal Medicine Treatment on Insomnia in a Public Health Center
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Objectives: We conducted a public health promotion program in Korean medicine for participants suf-fering from chronic insomnia in 2016∼2017. A significant improvement effect was obtained through the 8-week herbal medicine treatment program. The object of this study is to report the results of this public health promotion program.Methods: Seventy patients diagnosed with chronic insomnia participated in the program, 49 of whom completed the program. Participants were treated with the herbal medicine for insomnia treatment for 8 weeks. A sleep diary was used to assess the total sleep time, sleep latency, and number of times the participants woke. The treatment satisfaction was then evaluated.Results: Through the 8-week herbal medicine treatment program, the total sleep time was sig-nificantly increased by 109.59±70.77 minutes, the sleep latency was significantly decreased by 63.53±47.79 minutes, and the number of times the participants woke was significantly decreased by 1.54±1.19 times compared to the baseline (all, p=0.000). Among the 24 patients who were examined for the treatment satisfaction, the average score was 4.33 points of a total of 5 points. Six patients had adverse events. Except for one patient, the symptoms of other patients were mitigated by changing or discontinuing the herbal medicine. Conclusions: For patients with chronic insomnia, the 8-week herbal medicine treatment program was effective, with few side effects and high treatment satisfaction. This study has significance as this is the first report in Korea on the effect of a herbal medicine treatment program for chronic insomnia through Korean medicine public health promotion.
Abstract
Objectives: We conducted a public health promotion program in Korean medicine for participants suf-fering from chronic insomnia in 2016∼2017. A significant improvement effect was obtained through the 8-week herbal medicine treatment program. The object of this study is to report the results of this public health promotion program.Methods: Seventy patients diagnosed with chronic insomnia participated in the program, 49 of whom completed the program. Participants were treated with the herbal medicine for insomnia treatment for 8 weeks. A sleep diary was used to assess the total sleep time, sleep latency, and number of times the participants woke. The treatment satisfaction was then evaluated.Results: Through the 8-week herbal medicine treatment program, the total sleep time was sig-nificantly increased by 109.59±70.77 minutes, the sleep latency was significantly decreased by 63.53±47.79 minutes, and the number of times the participants woke was significantly decreased by 1.54±1.19 times compared to the baseline (all, p=0.000). Among the 24 patients who were examined for the treatment satisfaction, the average score was 4.33 points of a total of 5 points. Six patients had adverse events. Except for one patient, the symptoms of other patients were mitigated by changing or discontinuing the herbal medicine. Conclusions: For patients with chronic insomnia, the 8-week herbal medicine treatment program was effective, with few side effects and high treatment satisfaction. This study has significance as this is the first report in Korea on the effect of a herbal medicine treatment program for chronic insomnia through Korean medicine public health promotion.
참고문헌 (19)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Association
- Bjorvatn B, "High prevalence of insomnia and hypnotic use in patients visiting their general practitioner", Fam Pract, 34(1), pp.20~24 (2017)
- "Healthcare Bigdata Hub. Statistics of Diseases"[URL]
- Foley DJ, "Sleep complaints among elderly persons: an epidemiologic study of three communities", Sleep, 18(6), pp.425~432 (1995)
- Feinberg I, "Gamma distribution model describes maturational curves for delta wave amplitude, cortical metabolic rate and synaptic density", J Theor Biol, 142, pp.149~161 (1990)
- Qaseem A, "Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians", Ann Intern Med, 165(2), pp.125~133 (2016)
- Winkler A, "Drug treatment of primary insomnia: a meta-analysis of polysomnographic randomized controlled trials", CNS Drugs, 28(9), pp.799~816 (2014)
- Chang-Young Kwon, "Complementary and Alternative Medicine in Clinical Practice Guideline for Insomnia", 동의신경정신과학회지, 27(4), pp.235~248 (2016), 대한한방신경정신과학회
- Cheuk DK, "Acupuncture for insomnia", Cochrane Database Syst Rev, (9), pp.CD005472~ (2012)
- 유춘길, "불면의 두침치료에 대한 임상논문 고찰 -1994년부터 2011년까지 중국 논문을 중심으로-", 동의신경정신과학회지, 23(1), pp.17~29 (2012), 대한한방신경정신과학회[DOI]
- 성원영, "야뇨증에 대한 전침치료 동향 (1994-2010년 중국 임상 논문 중심으로)", 동의신경정신과학회지, 21(4), pp.69~78 (2010), 대한한방신경정신과학회
- 남지성, "불면증에 대한 이침치료의 최근 동향 (2005-2009년 임상 논문 중심으로)", 동의신경정신과학회지, 20(4), pp.103~113 (2009), 대한한방신경정신과학회
- 김근엽, "加味歸脾湯으로 호전된 불면 환자 치험 1례", 대한한방내과학회지, 37(5), pp.822~830 (2016), 대한한방내과학회
- 김효주, "한방치료와 수면제한요법으로 호전된 불면증 치험례", 동의신경정신과학회지, 18(3), pp.277~287 (2007), 대한한방신경정신과학회
- 조윤송, "天王補心丹, 溫膽湯, 歸脾湯이 멜라토닌 수용체 발현에 미치는 영향", 동의신경정신과학회지, 21(2), pp.103~123 (2010), 대한한방신경정신과학회
- 석선희, "신경정신과 약물을 복용해 온 우울증 환자의 불면증에 三黃瀉心湯을 병행 투여하여 호전된 1例", 동의신경정신과학회지, 17(3), pp.117~129 (2006), 대한한방신경정신과학회
- "Healthcare Bigdata Hub. Statistics of Frequent Diseases"[URL]
- 김경한, "국내 한의약공공보건사업 최근 연구 분석", 대한예방한의학회지, 18(2), pp.1~10 (2014), 대한예방한의학회
- Daley M, "The economic burden of insomnia: direct and indirect costs for individuals with insomnia syndrome, insomnia symptoms, and good sleepers", Sleep, 32(1), pp.55~64 (2009)
