폐경 전 여성 요실금에 대한 침치료 효과 : 예비연구

Effects of Acupuncture on Urinary Incontinence in Premenopausal Women : Preliminary Study

  • 윤영주 (부산대학교 한의학전문대학원 동서협진의학) ;
  • 강경원 (한국한의학연구원 표준화연구본부 침구경락연구센터) ;
  • 양주노 (경희예당한의원) ;
  • 전미선 (아주대학교병원 통합의학센터) ;
  • 최종보 (아주대학교병원 통합의학센터) ;
  • 양정인 (아주대학교병원 통합의학센터)
  • Yun, Young-Ju (Department of Integrative Medicine, Pusan National University School of Korean Medicine) ;
  • Kang, Kyung-Won (Acupuncture Moxibustion & Meridian Research Center, Standard Research Division, Korea Institute of Oriental Medicine) ;
  • Yang, Ju-No (Kyunghee Yedang Oriental Medical Clinic) ;
  • Chun, Mi-Son (Integrative Care Center, Ajou University Hospital) ;
  • Choi, Jong-Bo (Integrative Care Center, Ajou University Hospital) ;
  • Yang, Jeong-In (Integrative Care Center, Ajou University Hospital)
  • 투고 : 2011.05.11
  • 심사 : 2011.03.25
  • 발행 : 2011.06.20

초록

Objectives : The purposes of this preliminary study was to examine the feasibility of recruiting women into a clinical trial designed to examine the effects of acupuncture in treating urinary incontinence (UI) in premenopausal women with delivery history and the feasibility of performing the study procedures. We also tried to determine if there was preliminary evidence to suggest that acupuncture may be effective in reducing UI and improving disease-specific quality of life. Methods : This study was a pragmatic randomized clinical trial. Subjects between the ages of 20 and 49 years were randomly assigned to a treatment(n=11) or control group(n=11) and analyzed. Both groups were supposed to do Kegel exercise at home during 4 weeks and acupuncture was applied to the treatment group twice a week(8 sessions) additionally. Subjects performed 1 hour pad test and completed a 3-day urination diary, international consultation on incontinence modular questionnaire(ICIQ), and incontinence - quality of life(I-QOL) at base line and 5 weeks. Results : Both group showed improvement in 1 hour pad test and the reducing amount of UI was significantly larger in treatment group(p=0.0182). The significant improvements in ICIQ and I-QOL were also observed in treatment group and sustained until the follow-up measurement at 16 weeks. Any adverse reaction related to acupuncture did not happen. Conclusions : It was feasible to recruit subjects and perform the study procedures. The positive results of this study support the requirement for additional research investigating the efficacy of acupuncture in the treatment of UI in women.

키워드

참고문헌

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