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産後 乳汁不行의 한약 치료에 대한 중의학 임상 연구 동향- RCT를 중심으로 -
경희대학교 대학원 임상한의학과(Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University),이보람(Bo Ram Lee),권찬영(Chan Young Kwon),이은주(Eun Ju Lee),이지홍(Ji Hong Lee),장규태(Gyu Tae Chang) 대한모유수유한의학회 2016 대한모유수유한의학회지 Vol.2 No.1
Objectives: The purpose of this study is to provide clinical evidence of herbal medicine for postpartum hypogalactia by review of randomized controlled trials on the effect of herbal medicine for postpartum hypogalactia. Methods: We searched randomized controlled trials about herbal medicine of postpartum hypogalactia from the China National Knowledge Infrastructure (CNKI) (January 2012 to 16th September 2016). The selected literatures were assessed by Jadad scale. Results: 25 papers were selected from 570 studies. Analyses of selected studies indicated that the total effective rate was significantly higher in the herbal medicine treatment group, as compared to general treatment, placebo, western medicine or no treatment group. The most commonly used herbs were Angelicae Gigantis Radix (當歸), Vaccariae Semen (王不留行), Astragali Radix (黃芪), Tetrapanacis Medulla (通草), Codonopsis Pilosulae Radix (黨蔘), Glycyrrhizae Radix (甘草), Radix Ophiopogonis (麥冬), Ligustici Rhizoma (川芎), Bupleuri Radix (柴胡), Radix Rhapontici seu Echinopsis (漏蘆). There were no serious adverse events reported from herbal medicine treatment group during the treatment period. Conclusions: Herbal medicine has been shown as not only effective but also safe treatment on postpartum hypogalactia. This finding can be widely utilized in clinical practice and can form the basis for the development of clinical practice guidelines in future.
모유수유에 대한 이침요법의 임상적 효과: 무작위 대조군 연구 동향
경희대학교 대학원 임상한의학과(Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University),권찬영(Chan Young Kwon),최은지(Eun Ji Choi) 대한모유수유한의학회 2016 대한모유수유한의학회지 Vol.2 No.1
Objectives: This study was conducted to investigate randomized controlled trials using ear acupuncture therapy on breast feeding and to determine its clinical efficacy. Methods: All relevant studies were searched in the China National Knowledge Infrastructure and were reviewed by authors independently to select suitable studies. Risk of bias tool was used to assess the quality of included studies. Results: 38 studies were selected consequentially. In normal maternities and maternities with hypogalactia, most of studies showed that ear acupuncture therapy increases the amount of milk, advances the initial time of lactation, and increases the level of prolactin. The risk of bias on included studies were unclear and high generally. Conclusions: Ear acupuncture therapy has a significant clinical efficacy on breast feeding related problems, especially on the amount of milk, the initial time of lactation, and the level of prolactin. Moreover it is a simple and safe nonpharmacological therapy. However more high-quality studies are needed to be confident its efficacy and safety.