The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Clinical Practice Guideline for acupuncture in Post-stroke urinary retention

뇌졸중후 요저류에 대한 침치료 임상진료지침

  • Lee, Ji-Won (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Eui-Ju (Dept. of Sasang Constitutional Medicine, School of Korean Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Shin, Byung-Cheul (Dept. of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Lee, Myeong-Soo (Clinical Research Division, Korean Institute of Oriental Medicine) ;
  • Lim, Sung-Min (Department of Clinical Research on Rehabilitation, Korean National Rehabilitation Research Institute) ;
  • Cho, Chung-Sik (Dept. of Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Moon, Sang-Kwan (Dept. of Korean Internal Medicine, Kyung Hee University Korean Medicine Hospital)
  • 이지원 (경희대학교 대학원 임상한의학과) ;
  • 이의주 (경희대학교 한의과대학 사상체질과) ;
  • 신병철 (부산대학교 한방병원 한방재활의학과) ;
  • 이명수 (한국한의학연구원) ;
  • 임성민 (국립재활원) ;
  • 조충식 (대전대학교 한의과대학 신계내과학교실) ;
  • 문상관 (경희대학교 한방병원 한방내과)
  • Received : 2015.11.19
  • Accepted : 2016.03.18
  • Published : 2016.03.31
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Abstract

Objectives: Objectives : This study is aimed to develop a Clinical Practice Guideline (CPG) on acupuncture treatment for the patients with Post-stroke Urinary Retention; PSUR. Methods: Experts committee, consisting of stroke or methodology specialists, searched Medline, EMBASE, Cochrane Library, China National Knowledge Infrastructure, and 19 Korean medicine journals. The search terms were selected to screen the randomized controlled trials (RCTs) or systematic reviews for the effectiveness of acupuncture on PSUR compared with placebo or conventional group. Levels of evidence and grades of recommendations were appraised based on Recommendations for Development of Clinical Practice Guideline in Korean Medicine. Results & Conclusions: 4 RCT were included to build the CPG. There was a strong evidence to support the effectiveness of acupuncture treatment for PSUR. The moderate evidence was presented that over 3 times a week of the acupuncture should be performed over 4 weeks on the acupoints, such as SP6, CV3, CV6, CV4, SP9, BL28, BL23, BL22, KI3 or BL67, for 15-30 minutes. 20-140Hz frequency and 10-20 minutes of treatment is suggested if electro-acupuncture treatment is performed with. It was also suggested that the procedure should begin at the acute stage just after the vital signs of the patients are stabilized. Finally, there was a moderate evidence to support safety of acupuncture treatment for PSUR.

Keywords

References

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