대장암 환자의 한약 및 침치료에 대한 국내외 임상연구 결과에 대한 고찰 = Pubmed를 중심으로

다국어 초록 (Multilingual Abstract)

The aim of this study was to collect and analyze the clinical studies of traditional herbal medicine and acupuncture treatments for colorectal cancer patients searched in Pubmed and Cochrane library in English. We collected the clinical studies, including randomized controlled trial, case control study and cohort study, in the PubMed and Cochrane library using keywords ‘Colorectal Cancer’, ‘Korean Medicine’, ‘Traditional Chinese Medicine’, ‘Kampo’ and ‘Acupuncture’. Then we analyzed them according to the objective of the therapy, i.e. improving therapy prognosis, reducing chemotherapy’s adverse event and reducing operational adverse event. In case RCT, we evaluate the quality of the study with jadad scale. Total 18 studies were selected. There were 3 studies about improving therapy prognosis, 6 studies about reducing chemotherapy’s adverse event and 9 studies about reducing operational adverse event. Traditional medicine might improve therapy prognosis in terms of the survival rate, relapse/metastasis rate, quality of life and immune function. The specific herbal formula, ‘Goshajinkigan’ might not be successful about reducing chemotherapy’s adverse event, peripheral neurotoxicity. ‘Hangeshanshinto’ might reduce the duration of oral mucositis but it is not clear to reduce the incidence of that. ‘PHY906’ might reduce the incidence of diarrhea. Acupuncture might reduce operational adverse event such as gastrointestinal dysfunction and pain. And ‘Daikenchuto’ might not be successful in reducing operational adverse event, gastrointestinal dysfunction. Further studies are needed to clarify the efficacy of traditional herbal medicine and acupuncture for colorectal cancer patients.

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