자궁적출술 후 한의약 치료에 대한 국내 임상 연구 고찰

임지영, 황덕상, 이진무, 이창훈, 장준복
In: The Journal of Korean Obstetrics and Gynecology · 2021 · vol. 34(1) , pp. 66–81 · W3171392146
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This review analyzed 12 domestic case reports on Korean medicine treatments for post-hysterectomy complications, finding improvements in symptoms like pain, fatigue, and weakness with herbal medicine, acupuncture, and moxibustion.

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This review analyzed twelve domestic clinical studies, all of which were case reports, to evaluate the efficacy of Korean medicine for post-hysterectomy complications. The underlying indications for hysterectomy in these cases were primarily uterine myomas and adenomyosis, with patients presenting symptoms such as abdominal pain, low back pain, and fatigue. Treatment protocols consistently utilized herbal medicine alongside acupuncture, moxibustion, or cupping over inpatient stays ranging from five to thirty-nine days. The authors concluded that these interventions effectively improved patient symptoms, though they emphasized the need for larger, well-designed studies to substantiate these findings. Relevance to endometriosis: listed as one indication for hysterectomy (alongside adenomyosis), though the paper's main focus is on general post-surgical recovery using Korean medicine rather than specific management of endometriosis or adenomyosis pathology.

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Abstract

Objectives: The purpose of this review is to analyze the domestic study trends on complications of post-hysterectomy treated with Korean medicine. Methods: We investigated the studies on Korean medicine treatment for complications of post-hysterectomy via searching 4 online databases up to October 2020. After searching studies, we analyzed selected studies. Results: 12 clinical studies were selected and all studies were case reports. The most common cause of hysterectomy was myoma of uterine, followd by adenomyosis. The major complaints of post-hysterectomy were abdominal pain, low back pain and fatigue, general weakness. Herbal medicine was used in all studies. In addition, acupuncture, moxibustion and cupping were performed. The duration of inpatient treatment ranged from 5 to 39 days. All cases showed that chief complaints and accompanying symptoms were improved. Conclusions: Korean medicine treatment is an effective treatment option for complications of post-hysterectomy. Further large, well-designed studies are needed to establish the foundation of Korean medicine treatment after hysterectomy.
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Objectives

The purpose of this review is to analyze the domestic study trends on complications of post-hysterectomy treated with Korean medicine.

Methods

We investigated the studies on Korean medicine treatment for complications of post-hysterectomy via searching 4 online databases up to October 2020. After searching studies, we analyzed selected studies.

Results

12 clinical studies were selected and all studies were case reports. The most common cause of hysterectomy was myoma of uterine, followd by adenomyosis. The major complaints of post-hysterectomy were abdominal pain, low back pain and fatigue, general weakness. Herbal medicine was used in all studies. In addition, acupuncture, moxibustion and cupping were performed. The duration of inpatient treatment ranged from 5 to 39 days. All cases showed that chief complaints and accompanying symptoms were improved.

Conclusions

Korean medicine treatment is an effective treatment option for complications of post-hysterectomy. Further large, well-designed studies are needed to establish the foundation of Korean medicine treatment after hysterectomy.

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adenomyosis

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