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부정맥의 뜸 치료 효과에 대한 체계적 문헌고찰

The Effect of Moxibustion Treatment for Cardiac Arrhythmia : A Systematic Review

대한한의학회지 2019년 40권 3호 p.99 ~ 111
이보라 ( Lee Bo-Ra ) - 부산대학교 한의학전문대학원 한의학과

황주영 ( Hwang Ju-Young ) - 부산대학교 한의학전문대학원 한의학과
권정남 ( Kwon Jung-Nam ) - 부산대학교 한의학전문대학원 한의학과

Abstract


Objectives: The purpose of this study was to assess the effects of moxibustion treatment for Cardiac arrhythmia through a systematic review.

Methods: Electronic database including Cochrane library, Pubmed, China National Knowledge Infrastructure, Embase, DBpia, and Korean studies Information Service System were searched by combining the keywords such as “arrhythmias”, “cardiac arrhythmias”, “心律失常”, “moxibustion” and “艾灸”. Through the searching, 5 randomized controlled trials(RCTs) were included except animal testing and cellular experiment etc. The quality of each RCTs was assessed using the Cochrane risk of bias tool.

Results: We included 5RCTs involving 468 participants. Two RCTs compared moxibustion versus conventional treatment, another RCT compared moxibustion plus acupuncture versus conventional treatment, another RCT compared moxibustion plus herbal medicine verus conventional treatment, the other RCT compared moxibustion plus herbal medicine and ointment versus conventional treatment. These studies were evaluated by the efficacy rate of treatments. Studies measured outcomes in efficacy, heart rate, electrocardiogram and symptoms. Each of 5 trials statistically showed a significant differences in efficacy rate. One study reported about side effects and another study reported about complications. The overall risk of bias was unclear in 5 studies.

Conclusions: The evidence suggests that moxibustion treatment may help to reduce cardiac arrhythmia, however, it is limited, low-certainty and we cannot rule out benefits or risks with this treatment. High-quality studies that report adverse effects are needed.

키워드

Moxibustion; Cardiac arrhythmia; acupuncture point
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