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근거중심한의약 DB

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Title

족관절 염좌의 봉독 약침 치료에 대한 체계적 문헌 고찰

Authors

구지향, 이옥진, 조동찬, 이은정

Journal

한방재활의학과학회지.

Year

2018

Vol (Issue)

28(3)

Page

55-66.

doi

10.18325/jkmr.2018.28.3.55

PMID

Url

http://www.ndsl.kr/ndsl/search/detail/article/articleSearchResultDetail.do?cn=JAKO201823954941292

MeSH

Keywords

Ankle sprains; Bee venom; Review; Meta-analysis

한글 키워드

족관절 염좌; 봉독; 리뷰; 메타 분석

KMCRIC
Summary & Commentary

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Korean Study

Y

Abstract

Objectives
To evaluate the evidence supporting the effectiveness of bee venom acupuncture for ankle sprain.
Methods
We conducted search across 11 electronic databases (Pubmed, EMBASE, Cochrane CENTRAL [CENTRAL], KoreaMed, Kmbase, Koreanstudies Information Service System [KISS], National Digital Science Library [NDSL], Korea Institute of Science and Technology Information [KISTI], China National Knowledge Infrastructure [CNKI], Wanfang and Chinese Scientific Journals Database [VIP] database) to find clinical trials that used bee venom acupuncture as treatment for ankle sprain. The methodological quality of randomized controlled clinical trials (RCTs) were assessed using the Cochrane Risk of Bias (RoB) tool, while non-randomized controlled clinical trials (NRCTs) were assessed using the Cochrane Risk of Bias Assessment tool for Non-randomized Study (RoBANS) tool.
Results
Four RCTs and one nRCT met our inclusion criteria. Almost studies showed that bee venom acupuncture has positive effect on ankle sprain. 4 studies of same intervention and control included in the meta-analysis. When comparing bee venom acupuncture and acupuncture with acupuncture, the effect size of standardized mean difference (SMD) was -0.19 (95% confidence interval [CI]: -1.95~1.56, Z=0.55, p=0.83). And when comparing bee venom acupuncture with acupuncture, the effect size of SMD was -0.17 (95% CI: -0.65~0.31, Z=0.71, p=0.48).
Conclusions
Although our systematic review found encouraging but limited evidence of bee venom acupuncture for ankle sprain, most of the studies included in the analysis were evaluated as methodologically high risk of bias. From now on further well-designed RCTs should be encouraged.

국문초록

Language

한국어

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