뇌성마비 아동의 한의치료 양상 분석 = Analysis of Korean Medicine Treatment in Children with Cerebral Palsy

다국어 초록 (Multilingual Abstract)

with cerebral palsy (CP) according to the disease characteristics.
Methods: In a prospective observational multicenter study for children with CP, we analyzed 78 baseline questionnaires of children having experience of KM treatments such as acupuncture and Korean herbal medicine and 43 follow-up data of children who have received KM during the one observation year.
Results: Of all the 182 participants, 38 children were currently getting KM treatment and 40 children have discontinued KM treatment. Children with non-spastic CP and more health problems tended to use KM. The most frequent reason for quitting acupuncture therapy was ‘suffering of children’ and the highest reason of stopping herbal medicine was ‘rejection of children’. Among the 133 participants finished one year follow-up, 43 children have received at least one KM treatment. The average number of acupuncture therapy was twice a week and the average monthly cost of acupuncture therapy and herbal medicine were 65,922 won and 476,003 won, respectively. Children under 32 month old have received significantly more acupuncture and children with non-spastic CP have taken significantly more herbal medicine.
Conclusions: Further study will be required to confirm the effectiveness of KM and increase the utilization of KM among the children with CP. More efforts should be made to increase the convenience of acupuncture therapy and herbal medicine and to expand the insurance coverage of KM for children with CP.

참고문헌 (Reference)

1 서영준, "한방의료서비스 이용과 만족도의 영향요인에 대한 계통적 고찰" 대한한의학회 31 (31): 69-80, 2010

2 이경규, "중국 중의약 미래 예측 과제(1990-2010) 평가 연구" 대한한의학회 28 (28): 117-125, 2007

3 유선애, "발달장애 아동의 한약치료에 관한 치험2례" 대한한방소아과학회 25 (25): 39-54, 2011

4 문세희, "발달장애 아동의 침치료에 대한 최근 동향 고찰" 경락경혈학회 20 (20): 11-146, 2003

5 김부영, "뇌성마비아동 보호자들의 재활치료 선택 과정: 근거이론 중심" 한국장애인재활협회 부설 재활연구소 22 (22): 175-212, 2018

6 이유경, "行遲로 진단된 하지부 운동발달지연 환아의 치험 1례 보고" 대한한방소아과학회 21 (21): 215-221, 2007

7 김영화, "小兒 腦性麻痺患者에 관한 硏究" 대한침구의학회 19 (19): 89-100, 2002

8 Zhang Y, "Traditional Chinese Medicine for treatment of cerebral palsy in children : a systematic review of randomized clinical trials" 16 (16): 375-395, 2010

9 You HS, "The literature study on the cerebral palsy" 9 (9): 469-501, 2009

10 Wu Y, "Randomized Controlled Trial of traditional Chinese medicine (Acupuncture and Tuina) in Cerebral Palsy: Part 1-Any increase in seizure in integrated acupuncture and rehabilitation group versus rehabilitation group?" 14 (14): 1005-1009, 2008

11 Park MS, "Prevalence and lifetime healthcare cost of cerebral palsy in South Korea" 100 (100): 234-238, 2011

12 Johnston MV, "Plasticity in the developing brain:implications for rehabilitation" 15 (15): 94-101, 2009

13 Korean Society of Pediatric Rehabilitation &Developmental Medicine, "Pediatric Rehabilitation" Gunja Publishing Co 365-, 2013

14 Li LY, "Meta-Analysis on scalp acupuncture based therapy in treating children cerebral palsy" 24 (24): 49-53, 2014

15 Kim IJ, "Factors contributing to the use of complementary and alternative medicine by people with epilepsy" 8 (8): 620-624, 2006

16 Lee JS, "Effect and safety of Shihogyejitang for drug resistant childhood epilepsy" 2016

17 Kim SY, "Concurrent Complementary and Alternative Medicine and Conventional Rehabilitation Therapy in the Management of Children with Developmental Disorders" 2013

18 Hurvitz EA, "Complementary and alternative medicine use in families of children with cerebral palsy" 45 : 364-370, 2003

19 Holt RL, "Care for child development:basic science rationale and effects of interventions" 44 (44): 239-253, 2011

20 Hong JS, "A study on health care utilization of children with cerebral palsy" Seoul National Univ. 2004

21 Hye-Yoon Lee, "A cross-sectional survey of clinical factors that influence the use of traditional Korean medicine among children with cerebral palsy" 한국한의학연구원 7 (7): 333-340, 2018