본문 바로가기
KERD
논문KCI 등재

지역 보건소에서 시행한 코로나 바이러스 감염증-19 진단 검사상 양성인 재택치료 환자의 비대면 한의진료 효과: 후향적 차트 리뷰

Effect of Non-contact Korean Medical Treatment for Patients Recovering at Home with Positive Coronavirus Disease 2019 Diagnostic Test Results at a Local Public Health Center : A Retrospective Chart Review

2

조회

0

다운로드

4

인용

0

참고문헌

키워드

주제분류한의학

초록

Due to the coronavirus disease 2019 (COVID-19) pandemic, appropriate management of sequelae and treatment of infectious symptoms became increasingly important healthcare issues. Although the practice guidelines and treatment cases based on the East Asian traditional medicine have been reported, there are rare studies on the use of Korean medicine in Korea. Therefore, this study aimed to present the progress of non-contact Korean medical treatment for infected patients at a local public health center using retrospective chart review. A total of 18 patients were prescribed with 5 days of herbal decoction and medicine extract covered by the national health insurance. With the questionnaire form, the progression and improvement of symptoms before and after treatment were evaluated using the numerical rating scale (NRS), and the treatment satisfaction and opinions were obtained. The symptoms such as cough (5.56±2.23 to 2.89±2.14), sputum (6.11±1,75 to 3.28±2.47), sore throat (6.06±2.70 to 1.47±1.62), anorexia (5.56±2.63 to 1.94±2.21), nausea (3.75±1.71 to 1.17±1.11), diarrhea (3.40±2.63 to 1.50±1.51), chest tightness (4.93±2.46 to 2.29±2.30) and fatigue (6.44±1.79 to 2.67±1.88) all improved according to the NRS, and the satisfaction with herbal medicine treatment on a 5-point Likert scale was 4.24±0.90. No side effects and adverse reactions were reported. Thereupon non-contact Korean medical treatment can be concluded that it effectively reduces the COVID-19 infection mild symptoms in restrictive extent. Since the retrospective data does not include a control group, the more confirmative data is needed by multicenter and large-scale controlled clinical study afterwards.

Abstract

Due to the coronavirus disease 2019 (COVID-19) pandemic, appropriate management of sequelae and treatment of infectious symptoms became increasingly important healthcare issues. Although the practice guidelines and treatment cases based on the East Asian traditional medicine have been reported, there are rare studies on the use of Korean medicine in Korea. Therefore, this study aimed to present the progress of non-contact Korean medical treatment for infected patients at a local public health center using retrospective chart review. A total of 18 patients were prescribed with 5 days of herbal decoction and medicine extract covered by the national health insurance. With the questionnaire form, the progression and improvement of symptoms before and after treatment were evaluated using the numerical rating scale (NRS), and the treatment satisfaction and opinions were obtained. The symptoms such as cough (5.56±2.23 to 2.89±2.14), sputum (6.11±1,75 to 3.28±2.47), sore throat (6.06±2.70 to 1.47±1.62), anorexia (5.56±2.63 to 1.94±2.21), nausea (3.75±1.71 to 1.17±1.11), diarrhea (3.40±2.63 to 1.50±1.51), chest tightness (4.93±2.46 to 2.29±2.30) and fatigue (6.44±1.79 to 2.67±1.88) all improved according to the NRS, and the satisfaction with herbal medicine treatment on a 5-point Likert scale was 4.24±0.90. No side effects and adverse reactions were reported. Thereupon non-contact Korean medical treatment can be concluded that it effectively reduces the COVID-19 infection mild symptoms in restrictive extent. Since the retrospective data does not include a control group, the more confirmative data is needed by multicenter and large-scale controlled clinical study afterwards.

참고문헌 (40)

  1. Ming Yang, "Characteristics of registered studies for Coronavirus disease 2019 (COVID-19): a systematic review", Integrative Medicine Research, 9(3), pp.1~10 (2020), 한국한의학연구원[DOI]
  2. Korea Centers for Disease Control and Prevention, "Updates on COVID-19 in Republic of Korea", ~ (2022)
  3. 이경은, "코로나-19 환자의 후유증 한약 치료에 대한 고찰", 대한한방내과학회지, 42(1), pp.53~66 (2021), 대한한방내과학회[DOI]
  4. Raveendran A, "Long COVID : An overview", Diabetes Metab Syndr, 15(3), pp.869~875 (2021)[DOI]
  5. 이슬, "코로나19 후유증을 호소하는 태음인 환자에 대한 치험 1례", 사상체질의학회지, 33(4), pp.32~42 (2021), 사상체질의학회[DOI]
  6. Angelo Carfì, "Persistent Symptoms in Patients After Acute COVID-19", JAMA, 324(6), pp.603~605 (2020), American Medical Association (AMA)[DOI]
  7. Tieying Dai, "Multimode participation of traditional Chinese medicine in the treatment of COVID-19", Integrative Medicine Research, 10, pp.1~9 (2021), 한국한의학연구원[DOI]
  8. Chun-Li Lu, "Traditional Chinese medicine for COVID-19 pandemic and emerging challenges: An online cross-sectional survey in China", Integrative Medicine Research, 10, pp.1~14 (2021), 한국한의학연구원[DOI]
  9. 변정익, "뇌전증약을 복용 중인 뇌전증 환자에서 코로나바이러스감염증-19 치료제를 사용할 때 고려사항", 대한신경과학회지, 40(2), pp.121~126 (2022), 대한신경과학회
  10. Fuzhou Wang, "Long-Term Respiratory and Neurological Sequelae of COVID-19", Med Sci Monit Int Med J Exp Clin Res, 26, pp.e928996~ (2020), International Scientific Information, Inc.[DOI]
  11. 지규용, "코로나바이러스감염증-19에서 나타나는 후미각손상의 특성과 한의학적 분석", 동의생리병리학회지, 34(6), pp.309~318 (2020), 한의병리학회[DOI]
  12. 박상균, "『傷寒論』 三陰病에 대한 硏究-예후 분석을 중심으로-", 대한한의학원전학회지, 34(1), pp.47~65 (2021), 대한한의학원전학회
  13. 강나루, "《傷寒論》, 《金匱要略》의 皮膚症狀 및 疾患에 대한 硏究", 한방안이비인후피부과학회지, 25(1), pp.55~74 (2012), 대한한방안이비인후피부과학회
  14. 김종현, "『傷寒論』의 刺法에 관한 硏究", 대한한의학원전학회지, 28(1), pp.127~142 (2015), 대한한의학원전학회[DOI]
  15. 박미선, "『傷寒論』과 『溫病條辨』의 병인병기론적 비교 연구", 동의생리병리학회지, 27(1), pp.1~10 (2013), 한의병리학회
  16. Lin Ang, "Herbal medicine and pattern identification for treating COVID-19: a rapid review of guidelines", Integrative Medicine Research, 9(2), pp.1~14 (2020), 한국한의학연구원[DOI]
  17. Nabeshima A, "Maoto, a traditional herbal medicine, for post-exposure prophylaxis for Japanese healthcare workers exposed to COVID-19 : A single center study", J Infect Chemother OffJ Jpn Soc Chemother, 28(7), pp.907~911 (2022)[DOI]
  18. Wu-zhong Xiong, "Efficacy of herbal medicine (Xuanfei Baidu decoction) combined with conventional drug in treating COVID-19:A pilot randomized clinical trial", Integrative Medicine Research, 9(3), pp.1~4 (2020), 한국한의학연구원[DOI]
  19. Hu K, "Efficacy and safety of Lianhuaqingwen capsules, a repurposed Chinese herb, in patients with coronavirus disease 2019: A multicenter, prospective, randomized controlled trial", Phytomedicine Int J Phytother Phytopharm, 85, pp.153242~ (2021)[DOI]
  20. Bei Yin, "Efficacy of Integrated Traditional Chinese and Western Medicine for Treating COVID-19: A Systematic Review and Meta-Analysis of RCTs", Frontiers in Public Health, 9, pp.622707~ (2021), Frontiers Media SA[DOI]
  21. "WHO Expert Meeting on Evaluation of Traditional Chinese Medicine in the Treatment of COVID-19", ~ (2022)
  22. Xingjiang Xiong, "Chinese herbal medicine for coronavirus disease 2019: A systematic review and meta-analysis", Pharmacological Research, 160, pp.105056~ (2020), Elsevier BV[DOI]
  23. Ming Liu, "Efficacy and safety of herbal medicine (Lianhuaqingwen) for treating COVID-19: A systematic review and meta-analysis", Integrative Medicine Research, 10(1), pp.1~7 (2021), 한국한의학연구원[DOI]
  24. Ming Liu, "Efficacy and Safety of Integrated Traditional Chinese and Western Medicine for Corona Virus Disease 2019 (COVID-19): a systematic review and meta-analysis", Pharmacological Research, 158, pp.104896~ (2020), Elsevier BV[DOI]
  25. 이승언, "蔘蘇飮의 항알레르기 效果", 대한한방내과학회지, 26(1), pp.1~15 (2005), 대한한방내과학회
  26. 김현진, "感冒後遺症으로 氣虛型 호흡기 질환을 호소하는 환자의 한약치료에 관한 임상연구", 대한한의학 방제학회지, 18(1), pp.181~189 (2010), 대한한의학방제학회
  27. Chae B, "A clinical study of allergic rhinitis", J Korean Orient Med, 21(3), pp.149~165 (2000)
  28. Heo J, "Donguibogam", pp.1072~1073 (2010), Donguibogam chulpansa
  29. 구자환, "한방치료와 호흡명상으로 호전된 폐암 환자의 불안 및 우울 증상 치험 1례", 동의생리병리학회지, 25(6), pp.1102~1107 (2011), 한의병리학회
  30. 김슬기, "외상성 경추 골절 후 발생한 Brown-Sequard 증후군 환자 1례", Journal of Acupuncture Research, 32(1), pp.133~140 (2015), 대한침구의학회
  31. 김혜원, "부인과 수술 후 한방 조기 회복 치료를 받은 입원 환자에 대한 후향적 분석", 대한한방부인과학회지, 32(3), pp.142~161 (2019), 대한한방부인과학회[DOI]
  32. 오정민, "만성신질환 환자의 한의 입원치료 치험 2례", 동의생리병리학회지, 30(4), pp.289~299 (2016), 한의병리학회[DOI]
  33. Jung W, "The Transient Antifebrile effect of Bangpunghaedok-tang on the incipient fever", J Kyung Hee Univ, 13(4), pp.378~389 (1997)
  34. Shin D, "Two Cases of Stroke in Childhood", J Korean Orient Pediatr, 17(1), pp.87~97 (2003)
  35. 이규진, "컴퓨터 단층촬영(OMU CT)을 통해 진단 평가된 비부비동염 5례", 한방안이비인후피부과학회지, 27(3), pp.133~144 (2014), 대한한방안이비인후피부과학회
  36. Chengyuan Liang, "Insights into forsythia honeysuckle (Lianhuaqingwen) capsules: A Chinese herbal medicine repurposed for COVID-19 pandemic", Phytomedicine Plus, 1(2), pp.100027~ (2021), Elsevier BV[DOI]
  37. Hanuigwadaehak Bonchohak Pyeonchanwiwonhoe, "Bonchohak", pp.242~ (2011), YeongRimSa Publising Co
  38. Ryutaro Arita, "Kakkonto, shosaikoto, Platycodon grandiflorum root, and gypsum (a Japanese original combination drug known as saikatsugekito): Pharmacological review of its activity against viral infections and respiratory inflammatory conditions and a discussion of its applications to COVID‐19", Traditional & Kampo Medicine, 7(3), pp.115~127 (2020), Wiley[DOI]
  39. Ming-Yue Ji, "The Pharmacological Effects and Health Benefits of Platycodon grandiflorus—A Medicine Food Homology Species", Foods, 9(2), pp.E142~ (2020), MDPI AG[DOI]
  40. Zhanglu Dong, "Forsythiae Fructus: A Review on its Phytochemistry, Quality Control, Pharmacology and Pharmacokinetics", Mol Basel Switz, 22(9), pp.E1466~ (2017), MDPI AG[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (6건)