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통풍의 한의임상진료현황 - 온라인(웹기반) 설문조사

Current Status of Clinical Practice for Gout in Korean Medicine - On-line (Web-Based) Survey

경락경혈학회지 2021년 38권 1호 p.16 ~ 31
황지혜, 이광호, 남동우, 육태한, 송호섭,
소속 상세정보
황지혜 ( Hwang Ji-Hye ) - Gachon University College of Korean Medicine Department of Acupuncture & Moxibustion Medicine
이광호 ( Lee Kwang-Ho ) - Sangji University College of Korean Medicine Department of Acupuncture & Moxibustion Medicine
남동우 ( Nam Dong-Woo ) - Kyung Hee University Korean Medicine Hospital Department of Acupuncture & Moxibustion Medicine
육태한 ( Yook Tae-Han ) - Woosuk University Korean Medicine Hospital Department of Acupuncture and Moxibustion Medicine
송호섭 ( Song Ho-Sueb ) - Gachon University College of Korean Medicine Department of Acupuncture & Moxibustion Medicine

Abstract


Objectives : The purpose of this study was to investigate the current status of clinical practice for gout in Korean Medicine (KM).

Methods : On-line survey was adopted for this study, targeted at KM Doctors who were registered in the Association of Korean Medicine. The questionnaire included the general status of treatment, pattern identification and treatment method according to three stages given: acute, chronic and asymptomatic hyperuricemia stage.

Results : Data from a total of 384 respondents was analyzed. Participants who responded most were in their 40s, working in KM clinics located in Seoul. Acupuncture and herbal medicines were the top priority treatments in preparing recommendations in clinical practice guidelines for gout, and where clinical trials were considered essential. As of the past year, the average number of first visits per month was 86.7%, and the average treatment duration was less than 1 month, accounting for 72.9%. As for the diagnostic method used for gout patients, the “diagnosed by clinical pattern” response was the highest, and the “blood and urine test” response was the highest as the diagnostic equipment used. As for the evaluation scale being used, the “VAS/NRS” response was the highest. Regardless of the gout stage, acupuncture was the most commonly used treatment method for gout patients, and bee venom pharmacopuncture was the highest for the pharmacopuncture used. In the case of herbal medicine, it was found that a wider variety of herbal medication uninsured in health insurance and herbal prescription were used for the staged treatment of gout than herbal medication in national health insurance coverage. In clinical practice, “acupuncture treatment three times a week” was the most common, and the “acupoints in the limb” were the most frequently used; LR3 and SP3 were the most frequently used acupoints.

Conclusions : It is suggested that this survey should be helpful to develop clinical practice guideline for gout that reflects actual clinical practice.

키워드

gout; Korean Medicine; treatment trend; online survey; clinical practice guideline; hyperuricemia

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