DOI QR코드

DOI QR Code

The Effectiveness of Moxibustion Treatment for Primary Dysmenorrhea: A Systematic Review and Meta-Analysis

원발성 월경곤란증의 뜸 치료에 대한 체계적 문헌고찰 및 메타분석

  • Lee, Hye-In (Dept. of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Dae-Jeon University) ;
  • Baek, Seon-Eun (Dept. of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Dae-Jeon University) ;
  • Lee, Ho-Jung (Korean Medicine Clinical Trial Center, Kyung-Hee University Korean Medicine Hospital) ;
  • Park, Kyoung-Sun (Dept. of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Lee, Jin-Moo (Dept. of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Kyung-Hee University) ;
  • Yoo, Jeong-Eun (Dept. of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Dae-Jeon University)
  • 이혜인 (대전대학교 한의과대학 부인과교실) ;
  • 백선은 (대전대학교 한의과대학 부인과교실) ;
  • 이호정 (경희대학교 한방병원 한의약임상시험센터) ;
  • 박경선 (경희대학교 한의과대학 부인과교실) ;
  • 이진무 (경희대학교 한의과대학 부인과교실) ;
  • 유정은 (대전대학교 한의과대학 부인과교실)
  • Received : 2017.04.24
  • Accepted : 2017.05.22
  • Published : 2017.05.26

Abstract

Objectives: The purpose of this study is to investigate the effectiveness of moxibustion for primary dysmenorrhea (PD). Methods: We searched 10 electronic databases (CNKI, WANFANG, VIP, AMED, CiNii, Embase, PubMed, Cochrane, OASIS, Korea Traditional Knowledge Portal) to identify eligible studies published before November 2016. We included randomized controlled clinical trials (RCTs) using moxibustion for primary dysmenorrhea. The methodological quality of each RCT was assessed by the Cochrane risk of bias tool. Results: Ten RCT studies were eligible in our review. The overall risk of bias was evaluated as unclear. The meta-analysis of 4 trials indicated that favorable results for the use of moxibustion. Conclusions: This systematic review and meta-analysis of clinical trials suggests that moxibustion can achieve good efficacy for PD patients. However, because of studies included analysis was biased due to unclear risk of bias and unreliable study design, future high-quality RCT studies are needed to determine the association moxibustion with PD.

Keywords

References

  1. The Society of Korean Obstetrics and Gynecology. Korean Obstetrics & Gynecology(Ha) 1st edition. Seoul: Euiseongdang. 2012:86-91.
  2. Dawood MY. Nonsteroidal anti-inflammatory drugs and changing attitudes toward dysmenorrhea. J Am J Med. 1988;84(5A):23-32.
  3. Gupta M, Duckitt K. Dysmenorrhoea. J Women's Health Med. 2005;2(3):10-3.
  4. Davis AR, Westhoff CL. Primary dysmenorrhea in adolescent girls and treatment with oral contraceptives. J Pediatr Adolesc Gynecol. 2001;14(1):3-8. https://doi.org/10.1016/S1083-3188(00)00076-0
  5. Koga K, et al. Prevention of the recurrence of symptom and lesions after conservative surgery for endometriosis. Fertility and sterility. 2015;104(4):793-801. https://doi.org/10.1016/j.fertnstert.2015.08.026
  6. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. The acupuncture and moxibustion medicine.1st edition. Paju:Jipmoondang. 2012:329.788-90.
  7. Kim HJ, Kim YS, Kim GC. The effect of abdominal moxibustion on menstrual discomfort in university students. Journal of Physiology & Pathology in Korean Medicine. 2007;21(2):554-60.
  8. Hong WS. Whangjenaegyeong youngchu. Seoul:traditional culture research. 1994:338.
  9. Heo J. Dongeuibogam. 1st editon. Gyeonnam:Dongeuibogam publisher. 2010:122.
  10. Cheun JR. The effect of moxibustion cheun chu, kwan won, shin kweul hole of juveniles to relieve their diarrhea. Graduate School of Nursing. Catholic University of Pusan. Master's thesis. 2005.
  11. The Cochrane Collaboration. Cochrane handbook for systematic reviews of interventions. version 5.0.2[cited March 13, 2017]. Available from:URL:http://handbook.cochrane.org/v5.0.2/.
  12. Gao J, et al. The effect of moxibustion on alleviating menstrual pain in a population of young nursing students: A prospective randomized cross-over pilot study. Complementary Therapies in Medicine. 2015;23(6):773-81. https://doi.org/10.1016/j.ctim.2015.08.005
  13. Cho JH, et al. A Clinical Study on the Effect of Aroma Ceramic Moxibustion for Primary Dysmenorrhea. J Korean Obests Gynecol. 2009;22(1):172-81.
  14. Zhou JL. Treatment of 35 case of traditional chinese medicine on umbilical and moxibustion for cold-dampness stagnation type dysmenorrhea(中藥 臍療聯合艾灸治療寒濕凝滞型痛經35例). Journal of External Therapy TCM. 2013;22(1):34-5.
  15. Li RX. Comparison of traditional Chinese medicine and traditional Chinese medicine plus moxibustion for the treatment of primary dysmenorrhea(中藥与中藥加艾灸治 療原發性痛經療效對照). Modern Journal of Integrated Traditional Chinese and Western Medicine. 2010;19(35):4544-5.
  16. Zhou CX. Comparison of the effects of traditional Chinese medicine plus moxibustion for primary dysmenorrhea (中藥加艾灸治療原發性痛經的效果比較). xdyangsheng. 2014;16:234.
  17. Rao Y. Treatment of 30 cases of moxibustion for primary dysmenorrhea (熱敏点灸療治療原發性痛經30例). Jiangxi Journal of Traditional Chinese Medicine. 2009;12:69-70.
  18. Li WJ, et al. Feature Study on Abdominal Thermal Infrared Image in the Treatment of Dysmenorrhea by Moxibustion at Diji(SP 8). Shanghai J Acu-mox. 2012;31(9):659-61.
  19. Ji L, et al. Treatment Effect of Herb-partitioned Moxibustion for Dysmenorrhea of Cold Stagnation Type and Its Effect on $PGF2{\alpha}$ and PGE2. Shanghai J Acu-mox. 2012;31(12):882-4.
  20. Zhu Y, et al. Efficacy observation of primary dysmenorrhea treated with isolated-herbal moxibustion on Shenque (CV 8). Chinese Acupuncture & Moxibustion. 2010;30(6):453-5.
  21. Zhu Y, et al. Effect of herb-partitioned moxibustion different amounts on the Serum $PGF2{\alpha}/PGE2$ in Patients with cold stagnation type dysmenorrhea (隔藥灸不同灸量對寒凝型痛經患者血清 $PGF2{\alpha}/PGE2$影響). Journal of Changchun Univerity of traditional chinese medicine. 2012;4:606-7.
  22. Steen M, Cooper K. Cold therapy and perineal wounds: too cool or not too cool. British Journal of Midwifery. 1998;6(9):572-9. https://doi.org/10.12968/bjom.1998.6.9.572
  23. Akin MD, et al. Continuous low-level topical heat in the treatment of dysmenorrhea. Obstetrics & Gynecology. 2001;97(3):343-9. https://doi.org/10.1016/S0029-7844(00)01163-7
  24. Wei S-Y, et al. Changes in functional connectivity of pain modulatory systems in women with primary dysmenorrhea. Pain. 2016;157(1):92-102. https://doi.org/10.1097/j.pain.0000000000000340
  25. Tu CH, et al. Brain morphological changes associated with cyclic menstrual pain. PAIN. 2010;150(3):462-8. https://doi.org/10.1016/j.pain.2010.05.026
  26. Tu CH, et al. Abnormal cerebral metabolism during menstrual pain in primary dysmenorrhea. Neuroimage. 2009;47(1):28-35. https://doi.org/10.1016/j.neuroimage.2009.03.080
  27. Yang M, et al. Moxibustion for pain relief in patients with primary dysmenorrhea: A randomized controlled trial. PLoS One. 2017;12(2):1-17.
  28. Arulkumaran S. The roles of prostanoid EP receptors in the control of contractions of human myometrium. Department of Medicine. Imperial College London. Doctor's thesis. 2012.
  29. Gou CQ, et al. Moxibustion for Primary Dysmenorrhea at Different Interventional Times: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2016:1-8. Available from: URL:http://http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0170952.
  30. National oriental medicine school coeditorship of herbal medicines professors. Herbal medicine. 2nd rev ed. Seoul:Youngrimsa. 2008:127, 171-2, 236-7, 375-6, 378-80, 386, 444-5, 462.