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수유부의 모유수유 결과와 체질 간의 상관성에 관한 문헌고찰
권찬영(Chan-YoungKwon),이보람(Bo-Ram Lee) 대한모유수유한의학회 2018 대한모유수유한의학회지 Vol.4 No.1
Objectives:Thisstudywasconductedtosynthesizeresearchesreportingtherelationship betweenbreastfeedingoutcomesandconstituition. Methods:Twoindependentresearchersdetermined whetherthesearched articlesmet fortheinclusioncriteria.Theresultsofincludedstudiesweresummarizedasfollows:the relationshipbetweenbreastfeedingoutcomesandconstitutionsuchaspostpartum lactation volume,hypogalactia,rateofbreastfeedingandmastitis. Results:A totalofnineobservationalstudieswereincludedinthisreview.Amongthe includedstudies,onestudyinvestigatedtheSasang(SS)constitution,whiletheremaining studiesinvestigatedthetraditionalChinesemedicine(TCM)constitution.IntheSSconstitution, Soyanginwasreportedtohavesignificantlyhigherpostpartum lactationvolumethanSoeumin orTaeumin.IntheTCM constitution,thegentlenesstypewasassociatedwithalowincidence ofhypogalactiaandmastitis,andahighrateofbreastfeeding,whilepathologicaltypes,especially qi-depressiontypeandqi-deficiencytype,werereportedtobemostrelatedtothenegative resultsofbreastfeedingresults,suchashypogalactia,mastitis,andlowerbreastfeedingrate. Conclusions:Severalstudieshavebeenconductedtoinvestigatetherelationshipbetween breastfeedingoutcomesandconstitution,andtheresultscanbeusedtoestablishcomprehensive managementforpromotionofbreastfeeding.FurtherresearchesareneededinSouthKorea toinvestigatetherelationshipbetweenSSconstitutionandbreastfeedingoutcomesandto establishconstitution-basedcomprehensivemanagementstrategiestoimprovebreastfeeding outcomes.
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.