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신혜진(Hye-Jin Shin),장규태(Gyu-TaeChang) 대한모유수유한의학회 2018 대한모유수유한의학회지 Vol.4 No.1
Objectives:ThisstudywasconductedtoinvestigatewhetherHordeiFructusGerminatus ismoreeffectiveandsafethanestrogenmedicationorconservativetreatmentinstopping lactationwithoutdiscomfort. Methods: 6electronicdatabasewereused tosearch forrandomized controlled trials (RCTs)andcontrolledclinicaltrials(CCTs)publishedbeforeSeptember2018.Andthen, selectedliteratureswerecollectedandanalyzed in orderofrecentpublication year.The qualityofincludedstudieswasassessedbyRiskofbias(RoB)toolandRiskofBias AssessmenttoolforNon-randomizedStudy(RoBANS). Results:6RCTswith595womenand4CCTswith2,852womenwereincludedfor analysis.4outof10studiescomparedtherapeuticeffectsofHordeiFructusGerminatusto estrogenmedication,andtheoverallefficacyoftreatmentgroupwassignificantlyhigher thanthatofcontrolgroup(p<0.05).Inaddition,thesafetyofHordeiFructusGerminatus treatmentgroupwasremarkablyhigh,andtherewasnoseriousadverseeventsreported. Thequalityofincludedstudieswasgenerallyunclearorlow. Conclusion:Maltcanbeeffectiveandsafeoptionfordelactationwithoutpainordiscomfort. However,additionalwell-designed controlled clinicalstudiesneed to be performed to establishafundamentalclinicalapproach.
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이보람(Bo-Ram Lee),권찬영(Chan-YoungKwon),장규태(Gyu-TaeChang) 대한모유수유한의학회 2018 대한모유수유한의학회지 Vol.4 No.1
Objectives:Theobjectiveofthisstudywastoanalyzeacupuncturetreatmentresearch forweaningbyreviewingclinicaltrials. Methods:SevenelectronicdatabasesincludingEnglish,Korean,Chinesedatabaseswere comprehensivelysearchedforclinicaltrialsreportingtheeffectsofacupuncturetreatment forweaninguptoOctober31,2018.Inaddition,weevaluatedthemethodologicalquality ofincludedstudiesbyusingrelevanttoolsaccordingtothestudydesign. Results:Totally,11studiesincludingonerandomized controlledtrial,twocontrolled clinicaltrials,sevensinglearm studyandonecasereport,wereincludedinthisreview. Thirteen acupointswereused,and themostfrequently used acupointswereGB37and GB41(45.45%,respectively).Themostcommonlydescribedneedleretentiontimewas30 minutes(36.36%),and thetreatmentwasmostly conducted oncea day (80.00%).All included studiesreported thatacupunctureshortened thetimeneeded forweaningand relieved varioussymptomssuch asbreastpain and swelling.Therewereno reported adverse events associated with acupuncture treatment.The methodologicalquality of includedstudieswasgenerallyunclearorlow. Conclusion:Thisstudysuggestedthattheacupuncturetreatmentmaybeeffectivefor facilitating weaning and relieving various symptoms associated with weaning.Further well-designed clinicaltrialswith low methodologicalquality and appropriateassessment toolsneedtobeperformedtosolidifythesefindings.
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