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유방암 환자의 이차성 림프부종에 대한 침 치료 임상 연구 고찰

A Review on Clinical Studies of Acupuncture Treatment for Breast Cancer-Related Lymphedema

대한한방부인과학회지 2019년 32권 3호 p.102 ~ 115
박경덕 ( Park Kyung-Dug ) - 부산대학교 한방병원 한방부인과

황수인 ( Hwang Su-In ) - 부산대학교 한방병원 한방부인과
박장경 ( Park Jang-Kyung ) - 부산대학교 한방병원 한방부인과
윤영진 ( Yoon Young-Jin ) - 부산대학교 한방병원 한방부인과

Abstract


Objectives: The purpose of this study is to confirm the effectiveness and safety of acupuncture for treating breast cancer-related lymphedema, thus providing a clinical basis for acupuncture treatment and helping to develop clinical practice guideline through consideration of used meridians and acupoints.

Methods: Clinical studies applying acupuncture on breast cancer-related lymphedema were searched through 7 databases such as The Cochrane Library Central, Embase, Pubmed and CAJ. Interventions and results of the selected clinical studies were analyzed.

Results: 8 Clinical studies were finally included according to inclusion and exclusion criteria. There were 6 randomized controlled studies and 2 single-arm pilot studies. All of those studies were searched in The Cochrane Library Central, Embase, Pubmed and CAJ and written in English and Chinese. Treatment group applied acupuncture as a korean medicine intervention. Interventions of control group were made with non-treatment, upper limb exercise, and oral administration of capillary stabilizer or diuretics. Outcome measurements varied from paper to paper but every study measured reduction in arm circumference. Among 8 studies, 6 studies reported statistically significant reduction in arm circumference in treatment group and there were no serious adverse effects.

Conclusions: This study suggested that acupuncture has few side effects as well as statistically significant effects on many aspects in treating breast cancer-related lymphedema. However the results should be taken cautiously as more clinical studies are needed.

키워드

Breast Cancer; Lymphedema; Acupuncture; BCRL
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