경추성 현훈에 대한 추나치료와 약물치료 효과 비교: 체계적 문헌고찰과 메타분석 | ebook

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경추성 현훈에 대한 추나치료와 약물치료 효과 비교: 체계적 문헌고찰과 메타분석

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영문명: Comparison of Chuna Manual Therapy and Pharmacotherapy for Cervicogenic Dizziness: A Systematic Review and Meta-Analysis
발행기관: 척추신경추나의학회
저자명: 박인화(In-hwa Park) 김병준(Byung-Jun Kim) 허인(In Heo) 차윤엽(Yun-Yeop Cha) 이규영(Kyou-Young Lee)
간행물 정보: 『척추신경추나의학회지』제20권 제1호, 87~104쪽, 전체 18쪽
주제분류: 의약학 > 한의학
파일형태: PDF
발행일자: 2025.06.30

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국문 초록

Objectives To evaluate the clinical efficacy and safety of Chuna Manual Therapy (CMT) versus standard pharmacotherapy in patients with cervicogenic dizziness. Methods We searched nine international and Korean databases (PubMed, EMBASE, CENTRAL, CNKI, KMbase, ScienceOn, RISS, KISS, OASIS) through April 30, 2025, for RCTs comparing CMT (alone or combined with pharmacotherapy) to drug treatment alone. Data on study design, participant numbers, interventions, follow-up, outcome measures (ESCV, CSS, VAS, total efficacy rate, hemodynamic and biomarker indices), and adverse events were extracted independently by two reviewers. Risk of bias was assessed with the Cochrane RoB tool; meta-analyses were performed in RevMan 5.4.1 using fixed or random effects models according to heterogeneity (I , Q-test). Results Twenty-two RCTs (1,735 patients) were included. CMT yielded significantly greater improvements in ESCV scores (SMD 1.26; 95% CI 1.01–1.51; p<0.00001) and CSS components (dizziness SMD –1.70; neck-shoulder pain SMD –1.47; headache SMD –1.10; all p<0.00001) with low heterogeneity. Total efficacy rate was higher in both CMT-only (RR 1.22; 95% CI 1.13–1.32; p<0.00001) and CMT + pharmacotherapy groups (RR 1.23; 95% CI 1.15–1.32; p<0.00001). Hemodynamic analysis showed sig- nificant improvement in basilar artery PSV (SMD 0.59; 95% CI 0.31–0.87; p<0.0001). Adverse events were infrequent and mild. Conclusions Chuna Manual Therapy demonstrates superior symptomatic and func- tional benefits compared to pharmacotherapy, with a favorable safety profile, support- ing its use in cervicogenic dizziness management. High-quality, multicenter RCTs are needed to confirm generalizability and refine integrated treatment protocols.

영문 초록

키워드

Cervicogenic dizziness Chuna manual therapy Pharmacotherapy Systematic review Meta-analysis

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