알레르기 비염 한의표준임상진료지침 방향 제언 - 2018 중국 임상진료지침을 바탕으로 = Suggestions for developing Korean Medicine Clinical Practice Guideline for Allergic Rhinitis - Based on 2018 Chinese Clinical Practice Guideline

다국어 초록 (Multilingual Abstract)

Objective : The purpose of this study is to examine the treatment of allergic rhinitis introduced in the Chinese guideline, and to find out the direction of evidence-establishment and applicability in developing Korean Medicine clinical practice guideline for allergic rhinitis.
Method : We studied Traditional Chinese Medicine treatment of allergic rhinitis introduced in the 2018 Chinese society of allergy guidelines for diagnosis and treatment of allergic rhinitis. The treatment are classified into three categories; herbal medicines, acupuncture and the others. And we compared this guidelines with other guidelines for how they differ in description of the database, evidence of level, and strength of recommendation.
Results : Herbal medicines are presented based on syndrome differentiation. The basic acupoints for allergic rhinitis are introduced as follows; Fengchi(GB20), Yingxiang(LI20), Feishu(BL13) and Taiyuan(LU9). And in comparison with other guidelines for allergic rhinitis, the Chinese guideline showed lack of description in the database, evidence of level, and strength of recommendation, though they used evidence-based models.
Conclusions : Clinical practice guideline projects are also underway in Korea for benefit expansion and improving quality of medical services. It is important to develop guidelines which should be evidence-based and reflect Korean medical environment.

참고문헌 (Reference)

1 정창운, "알레르기 비염의 한의학적 관리를 위한 최신 지견" 대한한방안이비인후피부과학회 29 (29): 95-113, 2016

2 김영은, "알레르기 비염의 한의 진료 현황 설문조사" 대한한방안이비인후피부과학회 30 (30): 75-96, 2017

3 이동효, "알레르기 비염의 침 치료에 대한 경제성 평가 연구 경향 분석" 대한한방안이비인후피부과학회 29 (29): 1-11, 2016

4 송지현, "삼복첩의 치료 효과와 만족도에 대한 연구" 대한한방소아과학회 32 (32): 1-10, 2018

5 신지혜, "비염의 침 치료에 대한 최근 임상 연구 동향 - RCT, Review 중심으로 -" 대한한방소아과학회 26 (26): 46-59, 2012

6 Cao W, "Triple-strong stimulation therapy at Dazhui(GV 14)in prevention and treatment of children allergic rhinitis : a randomized controlled trial" 35 (35): 38-42, 2015

7 Zhao Y, "Treatment of perennial allergic rhinitis using Shi-Bi-Lin, a Chinese herbal formula" 122 (122): 100-105, 2009

8 Tang ZM, "Therapy of cantharides extract for perennial allergic rhinitis and its effect on total IgE in serum" 15 (15): 334-336, 1995

9 Rao YQ, "Therapeutic effect of acupuncture on allergic rhinitis and its effects on immunologic function" 26 (26): 557-560, 2006

10 정재우, "Therapeutic Effects of Fermented Red Ginseng in Allergic Rhinitis: A Randomized, Double-Blind, Placebo-Controlled Study" 대한천식알레르기학회 3 (3): 103-110, 2011

11 Xinwu L, "The mechanism analysis of treating nasal disease by sphenopalatine ganglion(acupoint"ZhiBi 3")stimulation with acupuncture needle and an introduction to the relevant needling method" 21 : 193-196, 2011

12 Chan RY, "The effects of two Chinese herbal medicinal formulae vs. placebo controls for treatment of allergic rhinitis: a randomised controlled trial" 15 : 261-, 2014

13 Hu G, "The Chinese herbal formulation biminne in management of perennial allergic rhinitis : a randomized, double-blind, placebo-controlled, 12-week clinical trial" 88 (88): 478-487, 2002

14 Wang K, "Sphenopalatine ganglion acupuncture improves nasal ventilation and modulates autonomic nervous activity in healthy volunteers : a randomized controlled study" 6 : 29947-, 2016

15 Zhang H, "Short effect and adverse reaction of dog days plaster for allergic rhinitis" 36 (36): 33-36, 2016

16 Chen C, "Observation of long-term efficacy and life quality in allergic rhinitis treated with acupoint catgut embedding therapy combined with acupuncture-moxibustion therapy" 34 (34): 439-443, 2014

17 Korea National Health Insurance Service and Korea Health Insurance Review and Assessment Services, "National Health Insurance Statistical Annual Report" 2017

18 Kim SY, "NECA’s Handbook for Clinical Practice Guideline Developer"

19 Chen S, "Moderate and severe persistent allergic rhinitis treated with acupuncture : a randomized controlled trial" 35 (35): 1209-1213, 2015

20 Wang S, "Meta-analysis of clinical trials on traditional Chinese herbal medicine for treatment of persistent allergic rhinitis" 67 (67): 583-592, 2012

21 Jo SH, "Manual for developing Evidence-based Clinical Practice Guidelines of Korean Medicine"

22 Lenon GB, "Lack of efficacy of a herbal preparation(RCM-102)for seasonal allergic rhinitis : a double blind, randomised, placebo-controlled trial" 2 (2): 187-194, 2012

23 Lenon GB, "Lack of efficacy of a herbal preparation(RCM-102)for seasonal allergic rhinitis : a double blind, randomised, placebo-controlled trial" 2 (2): 187-194, 2012

24 Xie Y, "Impacts on the life quality of the patients with allergic rhinitis treated with warming acupuncture in winter and summer" 35 (35): 1215-1220, 2015

25 Qiu BS, "Experimental study of the correlation between allergic rhinitis and spleen deficiency" 21 (21): 1040-1041, 2003

26 Liu TS, "Efficacy on perennial allergic rhinitis treated with acupuncture at three nasal poinits and the acupoints selected by syndrome differentiation" 34 (34): 1083-1086, 2014

27 Chen Y, "Efficacy of acupuncture on moderate and severe allergic rhinitis" 35 (35): 339-343, 2015

28 Ou WX, "Efficacy observation on Jin’s three-needle therapy for allergic rhinitis of lung qi deficiency and cold syndrome" 34 (34): 445-448, 2014

29 Wang H, "Effect of penetrating needling at head acupoints on perennial allergic rhinitis" 33 (33): 789-792, 2013

30 Xue CC, "Effect of adding a Chinese herbal preparation to acupuncture for seasonal allergic rhinitis : randomised double-blind controlled trial" 9 (9): 427-434, 2003

31 Qiu BS, "Effect of Buzhong Yiqi Decoction for Allergic Rhinitis with Spleen-qi Deficiency in Guinea Pigs" 14 (14): 147-149, 2003

32 Lin HW, "Clinical study on the treatment of allergic rhinitis by replenishing qi and consolidating the exterior" 9 : 263-266, 1989

33 Liao Y, "Clinical observation on the therapeutic effect of Metal-clearing method on allergic rhinitis and a study on the semeiological basis for this kind of therapy" 15 (15): 427-429, 2007

34 Chen ZX, "Clinical observation on acupuncture for treatment of allergic rhinitis" 27 (27): 578-580, 2007

35 Zhang YQ, "Clinical experience in acupuncture treatment of allergic rhinitis" 29 (29): 186-189, 2009

36 Sun YM, "Clinical Observation on Yougui Decoction for the Treatment of Allergic Rhinitis with Deficiency of Kidney-yang" 10 (10): 40-41, 2004

37 Kim YH, "Clinical Guidelines of Allergic Rhinitis" 1-83, 2015

38 Lei Cheng, "Chinese Society of Allergy Guidelines for Diagnosis and Treatment of Allergic Rhinitis" 대한천식알레르기학회 10 (10): 300-353, 2018

39 Xu Zhang, "Chinese Herbal Medicine to Treat Allergic Rhinitis: Evidence From a Meta-Analysis" 대한천식알레르기학회 10 (10): 34-42, 2018

40 Brożek JL, "Allergic Rhinitis and its Impact on Asthma(ARIA)guidelines : 2010 revision" 126 (126): 466-476, 2010

41 Brinkhaus B, "Acupuncture in patients with allergic rhinitis : a pragmatic randomized trial" 101 (101): 535-543, 2008

42 Zhang L, "Acupuncture at ganglion pterygoplatinum for 71 cases of chronic simple rhinitis" 33 (33): 495-496, 2013

43 Brinkhaus B, "Acupuncture and Chinese herbal medicine in the treatment of patients with seasonal allergic rhinitis : a randomized-controlled clinical trial" 59 (59): 953-960, 2004

44 Han D, "Acupoint selection and medication rules analysis for allergic rhinitis treated with acupoint application-based on data mining technology" 35 (35): 1177-1180, 2015

45 Chui SH, "A panel study to evaluate quality of life assessments in patients suffering from allergic rhinitis after treatment with a Chinese herbal nasal drop" 24 (24): 609-613, 2010

46 Choi SM, "A multicenter, randomized, controlled trial testing the effects of acupuncture on allergic rhinitis" 68 (68): 365-374, 2013

47 Choi S, "A multicenter, randomized, controlled trial testing the effects of acupuncture on allergic rhinitis" 68 (68): 365-374, 2013