PubMed로 검색한 과민성장증후군의 침치료에 관한 문헌 고찰 = A PubMed Literature Study of Korean Medicine Treatment (Acupuncture) in Irritable Bowel Syndrome

다국어 초록 (Multilingual Abstract)

Objectives The purpose of this study is to review the effectiveness of acupuncture treatment in irritable bowel syndrome (IBS). Methods We reviewed 8 randomized controlled trials (RCT) of acupuncture treatment in IBS which were published from 2008 to 2018 in PubMed. The acupoints, methods of assessment, treatment, results and adverse events were analyzed. Results There were 8 RCT of acupuncture treatment in IBS. The most commonly used acupoints were 天樞 (ST25), and 上巨虛 (ST37). Frequently used assessments in IBS were Bristol scale, visual analogue scale, IBS-symptom severity score, quality of life, and symptom scale. 3 out of 8 studies, the acupuncture treatment group showed significant effectiveness than that of the control group. Conclusions All of the studies have not shown that the acupuncture treatment was effective in relieving IBS symptoms. More clinical studies are needed to prove the effectiveness of the acupuncture treatment in IBS.

참고문헌 (Reference)

1 박정호, "과민성 장증후군의 진단: 체계적인 문헌고찰" 대한소화기학회 55 (55): 308-315, 2010

2 Akehurst R, "Treatment of irritable bowel syndrome: a review of randomised controlled trials" 48 (48): 272-282, 2001

3 Linde K, "The impact of patient expectations on outcomes in four randomized controlled trials of acupuncture in patients with chronic pain" 128 (128): 264-271, 2007

4 Korean Acupuncture & Moxibustion Medicine Society, "The acupuncture and moxibustion medicine" Jipmoondang 2016

5 Dong Won Park, "The Differences in Prevalence and Sociodemographic Characteristics of Irritable Bowel Syndrome According to Rome II and Rome III" 대한소화기 기능성질환∙운동학회 16 (16): 186-193, 2010

6 Wasserstein RL, "The ASA’s statement on p-values: context, process, and purpose" 70 (70): 129-133, 2016

7 Anastasi JK, "Symptom management for irritable bowel syndrome: a pilot randomized controlled trial of acupuncture/moxibustion" 32 (32): 243-255, 2009

8 Dong WZ, "Study of visceral hypersensitivity in irritable bowel syndrome" 5 (5): 103-109, 2004

9 Lowe C, "Sham acupuncture is as efficacious as true acupuncture for the treatment of IBS: a randomized placebo controlled trial" 29 (29): e13040-, 2017

10 Crowell MD, "Role of serotonin in the pathophysiology of the irritable bowel syndrome" 141 (141): 1285-1293, 2004

11 Silverman DH, "Regional cerebral activity in normal and pathological perception of visceral pain" 112 (112): 64-72, 1997

12 Spiller RC, "Problems and challenges in the design of irritable bowel syndrome clinical trials: experience from published trials" 107 (107): S91-S97, 1999

13 Kim KB, "Hanbangsoacheongsonyeonuihak (sang)" Ui Sung Dang Publishing Co. 402-, 2015

14 Longstreth GF, "Functional bowel disorders" 130 (130): 1480-1491, 2006

15 Zheng H, "Electroacupuncture for patients with diarrhea-predominant irritable bowel syndrome or functional diarrhea: a randomized controlled trial" 95 (95): e3884-, 2016

16 Chao GQ, "Effectiveness of acupuncture to treat irritable bowel syndrome: a meta-analysis" 20 (20): 1871-1877, 2014

17 Zhao JM, "Comparison of electroacupuncture and moxibustion on brain-gut function in patients with diarrhea-predominant irritable bowel syndrome: a randomized controlled trial" 21 (21): 855-865, 2015

18 Zhenzhong L, "Comparative effect of electroacupuncture and moxibustion on the expression of substance P and vasoactive intestinal peptide in patients with irritable bowel syndrome" 35 (35): 402-410, 2015

19 Sun JH, "Clinical evaluation of soothing Gan and invigorating Pi acupuncture treatment on diarrhea-predominant irritable bowel syndrome" 17 (17): 780-785, 2011

20 Quartero AO, "Bulking agents, antispasmodic and antidepressant medication for the treatment of irritable bowel syndrome" 18 (18): 2005

21 Jadad AR, "Assessing the quality of reports of randomized clinical trials: is blinding necessary?" 17 (17): 1-12, 1996

22 Lim B, "Acupuncture for treatment of irritable bowel syndrome" 18 (18): 2006

23 MacPherson H, "Acupuncture for irritable bowel syndrome: primary care based pragmatic randomised controlled trial" 12 : 150-, 2012

24 Stuardi T, "Acupuncture for irritable bowel syndrome: diagnosis and treatment of patients in a pragmatic trial" 18 (18): 1021-1027, 2012

25 MacPherson H, "Acupuncture for irritable bowel syndrome: 2-year follow-up of a randomised controlled trial" 35 (35): 17-23, 2017

26 Lembo AJ, "A treatment trial of acupuncture in IBS patients" 104 (104): 1489-1497, 2009

27 Won TH, "A study on the oriental recognition of irritable bowel syndrome: centering around the etiological factors pathological mechanism and diagnosis and treatment" 14 (14): 196-206, 1993