untitled

Similar documents
139~144 ¿À°ø¾àħ

012임수진

Lumbar spine

hwp

04조남훈

12이문규

16_이주용_155~163.hwp

005송영일

<C6EDC1FD2D32382D34C8A32DBEC8C0CCBAF1C0CEC8C4B0FAC7D0C8B8C1F62E687770>

■ 경희대학교 약사

untitled

김범수

878 Yu Kim, Dongjae Kim 지막 용량수준까지도 멈춤 규칙이 만족되지 않아 시행이 종료되지 않는 경우에는 MTD의 추정이 불가 능하다는 단점이 있다. 최근 이 SM방법의 단점을 보완하기 위해 O Quigley 등 (1990)이 제안한 CRM(Continu

A 617

???춍??숏

노인정신의학회보14-1호

975_983 특집-한규철, 정원호

???? 1

109~120 õÃʾàħ Ä¡·á

<30372EC0CCC0AFC1F82E687770>

03이경미(237~248)ok

433대지05박창용

1..

Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp DOI: * A Research Trend

γ

03-ÀÌÁ¦Çö

jaeryomading review.pdf

DBPIA-NURIMEDIA

Ⅰ. 서 론 鼻 茸 은 비강과 부비동의 점막이 염증성, 부종성 변 화로 돌출되어 발생하는 질환으로 비교적 흔하며 그 표면이 매끄럽고 회백색 혹은 회적색을 띠고 있다. 감 염과 알레르기가 중요한 발병원인으로 생각되고 있으 며, 치료 후에도 잘 재발하는 만성 염증성 질환이

대한한의학원전학회지24권6호-전체최종.hwp

16(1)-3(국문)(p.40-45).fm

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI: : Researc

304.fm

Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI: * Review of Research

목 차 회사현황 1. 회사개요 2. 회사연혁 3. 회사업무영역/업무현황 4. 등록면허보유현황 5. 상훈현황 6. 기술자보유현황 7. 시스템보유현황 주요기술자별 약력 1. 대표이사 2. 임원짂 조직 및 용도별 수행실적 1. 조직 2. 용도별 수행실적

지원연구분야 ( 코드 ) LC0202 과제번호 창의과제프로그램공개가능여부과제성격 ( 기초, 응용, 개발 ) 응용실용화대상여부실용화공개 ( 공개, 비공개 ) ( 국문 ) 연구과제명 과제책임자 세부과제 ( 영문 ) 구분 소속위암연구과직위책임연구원

( ) ) ( )3) ( ) ( ) ( ) 4) 1915 ( ) ( ) ) 3) 4) 285

03-서연옥.hwp


< FB5B5BAF1B6F32C20B8F1C2F D34292E687770>

패션 전문가 293명 대상 앙케트+전문기자단 선정 Fashionbiz CEO Managing Director Creative Director Independent Designer

< D B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A E687770>

DBPIA-NURIMEDIA

JY Im et al. 111 I. 緖 論 임신중에는 호르몬의 변화로 색소침착, 임신선, 혈 관변화, 부종, 기미 등이 생긴다. 에스트로겐, 프로게 스테론과 다양한 안드로겐의 혈중치 증가와 코르티 솔, 알도스테론, 디옥시콜티코스테론 등 부신스테로 이드들의 혈중치 변화는

Journal of Educational Innovation Research 2017, Vol. 27, No. 1, pp DOI: * The

<31382D322D3420BDC5B1D4C8AF5FB3EDB9AE28C3D6C1BEBABB292E687770>

충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~ Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교

14.531~539(08-037).fm

자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr

Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp DOI: * A Analysis of

04_이근원_21~27.hwp

Analysis of objective and error source of ski technical championship Jin Su Seok 1, Seoung ki Kang 1 *, Jae Hyung Lee 1, & Won Il Son 2 1 yong in Univ

001-학회지소개(영)

歯1.PDF

( )Kju269.hwp

<C6EDC1FD2D32362D34C8A32DBEC8C0CCBAF1C0CEC8C4B0FAC7D0C8B8C1F62E687770>

Kbcs002.hwp

untitled


untitled

달생산이 초산모 분만시간에 미치는 영향 Ⅰ. 서 론 Ⅱ. 연구대상 및 방법 達 은 23) 의 丹 溪 에 최초로 기 재된 처방으로, 에 복용하면 한 다하여 난산의 예방과 및, 등에 널리 활용되어 왔다. 達 은 이 毒 하고 는 甘 苦 하여 氣, 氣 寬,, 結 의 효능이 있

°Ç°�°úÁúº´6-2È£

황지웅

기관고유연구사업결과보고

( )Jkstro011.hwp

Journal of Educational Innovation Research 2017, Vol. 27, No. 3, pp DOI: (NCS) Method of Con

2.대상 및 범위(계속) 하천 하천 등급 하천명 연장 (km) 연장 (km) 시점 금회수립현황 종점 지방 하천 함안천 경남 함안군 여항면 내곡리 경남 함안군 함안면 함안천(국가)기점 검단천 경남 함안군 칠북면 검단리 칠원천 6.70

YI Ggodme : The Lives and Diseases of Females during the Latter Half of the Joseon Dynasty as Reconstructed with Cases in Yeoksi Manpil (Stray Notes w

Rheu-suppl hwp



Table 1. Distribution by site and stage of laryngeal cancer Supraglottic Glottic Transglottic Total Stage Total 20

Research subject change trend analysis of Journal of Educational Information and Media Studies : Network text analysis of the last 20 years * The obje

untitled

약수터2호최종2-웹용

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ

현대패션의 로맨틱 이미지에 관한 연구

<C7D1B1B9B1B3C0B0B0B3B9DFBFF85FC7D1B1B9B1B3C0B05F3430B1C733C8A35FC5EBC7D5BABB28C3D6C1BE292DC7A5C1F6C6F7C7D42E687770>

Analyses the Contents of Points per a Game and the Difference among Weight Categories after the Revision of Greco-Roman Style Wrestling Rules Han-bong

untitled

11¹ÚÇý·É

10(3)-09.fm

THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. vol. 29, no. 10, Oct ,,. 0.5 %.., cm mm FR4 (ε r =4.4)

02이용배(239~253)ok

, Next Step of Hangul font As an Example of San Serif Han San Seok Geum ho, Jang Sooyoung. IT.. Noto Sans(Adobe, Han-San). IT...., Muti Script, Multi



Jkbcs016(92-97).hwp

2009;21(1): (1777) 49 (1800 ),.,,.,, ( ) ( ) 1782., ( ). ( ) 1,... 2,3,4,5.,,, ( ), ( ),. 6,,, ( ), ( ),....,.. (, ) (, )

?

<35335FBCDBC7D1C1A42DB8E2B8AEBDBAC5CDC0C720C0FCB1E2C0FB20C6AFBCBA20BAD0BCAE2E687770>

Kinematic analysis of success strategy of YANG Hak Seon technique Joo-Ho Song 1, Jong-Hoon Park 2, & Jin-Sun Kim 3 * 1 Korea Institute of Sport Scienc

( )Kjhps043.hwp

DBPIA-NURIMEDIA

<B0A3C3DFB0E828C0DBBEF7292E687770>

DBPIA-NURIMEDIA

Journal of Educational Innovation Research 2018, Vol. 28, No. 1, pp DOI: A study on Characte

Can032.hwp


<31362DC1F6BFB5BDC22DC6EDC3F8BEC8B8E9B0E6B7C3BFA120B8C5BCB1C4A7B9FDC0BB20C6F7C7D4C7D120C7D1B9E6C4A1B7E120C4A1C7E82032B7CA2E687770>

Transcription:

Journal of Korean Medicine Rehabilitation Vol. 28 No. 1, January 2018 pissn 1229-1854 eissn 2288-4114 https://doi.org/10.18325/jkmr.2018.28.1.53 Review Article 한, 양방협진치료에대한연구경향분석 : 국내논문을대상으로 한국인 신선호 임광묵 이정한 * 고연석우석대학교한의과대학한방재활의학과교실, 원광대학교한의과대학한방재활의학과교실 * Reviewing Research of Eastern-Western Integrative Medicine Studies in Korea Kuk-In Han, K.M.D., Seon-Ho Shin, K.M.D., Gwang-Mook Lim, K.M.D., Jung-Han Lee, K.M.D.*, Youn-Seok Ko, K.M.D. Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Woo-Suk University, Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Won-kwang University* RECEIVED November 6, 2017 ACCEPTED November 10, 2017 CORRESPONDING TO Youn-Seok Ko, Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Woo-Suk University, Junghwasandong 2-ga, Wansan-gu, Jeonju 54987, Korea TEL (063) 220-8626 FAX (063) 227-6234 E-mail koyan@hanmail.net Objectives The purpose of this study is to analyze research trends on Eastern-Western integrative medicine in Korea. Methods We searched the studies on Eastern-Western integrative medicine in 5 Korean web database (NDSL, KoreanTK, KISS, OASIS, DBPIA). 66 research papers we founded. Results 13 papers were published at 2010. The studies on Eastern-Western integrative medicine were mainly published in the Journal of Society of Preventive Korean Medicine. 24 papers were case report, include 7 studies on neurology, 4 studies on each oncology and dermatology, 2 studies on each gastroenterology and ophthalmology and otorhinolaryngology, 1 study on each obstetrics and gynecology and endocrinology and nephrology. In 24 case reports, 7 kinds of Eastern medicine treatment method and 4 kinds of Western medicine treatment method were existed. In case reports, medication (100%), herbal medicine, acupuncture (95.8%), moxibustion (58.3%), cupping, infusion solution (25%), pharmacopuncture (20.8%), physical therapy (12.5%), laser, injection, rehabilitation (8.3%) were used. Conclusions In this study, we analyzed the trends of Eastern-Western integrative medicine in korea from 2010 to 2017. There were various studies about Eastern-Western integrative medicine. In case reports, Eastern-Western integrative medicine tend to concentrated on treatment not diagnosis. Not only treatment but also diagnosis is needed in Eastern-Western integrative medicine studies. (J Korean Med Rehabil 2018;28(1):53-60) Copyright 2018 The Society of Korean Medicine Rehabilitation Key words Eastern-Western, Integrative medicine, Recent trends 서론»»» 우리나라는 1952년한, 양방병존형의료제도를채택한이래두의료체계의교육, 인력, 기관, 업무를뚜렷이분리시키는정책을실시해왔음에도불구하고, 1970년이후한, 양방협진의개념이등장하였고이에대한꾸준한 실험적시도와논의가지속되어왔다 1). 1971년국내최초로 한, 양방복합진료시스템 이경희의료원에도입된이후로한, 양방협진의형태가시도되어상호교류의기반을마련하였으며, 이후협진을표방하는병원의수는한방병원을중심으로급증하기시작했다. 한, 양방협진이란의사와한의사가진단과치료과정에같이참여해서 www.e-jkmr.org 53

한국인 신선호 임광묵 이정한 고연석 로의장점은취하고단점은보완하여환자의건강상태나질병에가장적합한치료방법을찾아나가는방식이다 2). 하지만의사와한의사의소속및업무범위가법적으로명확히구분되어있었기때문에한기관안에서활발하게이루어지는협진의형태는볼수가없었다. 그러나 2010년부터법적으로병원급이상의료기관에서의사, 한의사가상호교차하여고용할수있도록허용하여동일기관내진료과목을개설이가능해져한기관내협진이가능하게되었다. 이러한협진체계는국가의료자원의효율적활용을통해사회적비용을감소시키고또한상호의료기술과의학적지식을공유하여서로의장단점을보완할수있어, 환자들이제공받는의료서비스의질도향상될수있게되었다 3). 의료서비스질향상을위한협진이더욱활성화되기위해서는제도적뒷받침뿐만아니라그효용성이입증되어야할필요가있다. 현재꾸준히협진의효과, 경제성, 만족도에대한연구들이보고되고있고또한인식조사및체계개발등여러분야에서다양한연구가이루어지고있는상황이다. 한, 양방협진에대한기존의문헌고찰연구로는이등 4) 의근골격계질환에대한협진치료효과연구에대한체계적문헌고찰연구와김등 5) 의한, 양방약물의병용치료에대한문헌고찰연구가있으나, 한, 양방협진에대한연구들의경향성분석은미비한편이다. 이에본저자는 2010년부터 2017년까지최근국내의한, 양방협진에대한연구들의최신동향을살펴보고자국내논문을고찰하던중약간의지견을얻었기에보고하는바이다. 2. 논문검색및선별 1) 검색방법논문검색은과학기술정보통합서비스 (NDSL), 한국전통지식포탈 (KoreanTK), 한국학술정보 (KISS), 전통의학정보포털 (OASIS), 누리미디어 (DBPIA) 의 5가지데이터베이스를대상으로 한양방, 양한방, 협진, 협의진료 를검색어로사용하였다. 2) 선별방법검색된결과에서중복된문헌을제외하고 98개의문헌이검색되었으며, 원문을구할수없는 3편과한, 양방협진과관련이없는 29편을제외한총 66편의논문을대상으로선정하였다. 결과»»» 1. 발표년도별분류대상논문들을연도별로살펴보면 2010년에 13편 (19.6%), 2011년에 5편 (7.5%), 2012년에 12편 (18.1%), 2013년에 8편 (12.1%), 2014년에 5편 (7.5%), 2015년에 8 편 (12.1%), 2016년에 12편 (18.1%), 2017년에 3편 (4.5%) 의논문이발표되었다 (Table I). 2. 발표학술지별분류 대상및방법»»» 1. 논문선정기준본연구의대상논문은 2010년이후 2017년 10월까지국내의한, 양방협진을주제로발표된학위논문및학회지에등재된학술논문을분석대상으로선정하였다. 논문이발표된학술지별로분류해보면대한예방한의학회지 9편 (13.6%), 대한한방내과학회지, 한방재활의학과학 Table I. Distribution by Year of Articles Published Year Number 2010 13 (19.6%) 2011 5 (7.5%) 2012 12 (18.1%) 2013 8 (12.1%) 2014 5 (7.5%) 2015 8 (12.1%) 2016 12 (18.1%) 2017 3 (4.5%) 54 J Korean Med Rehabil 2018;28(1):53-60

한, 양방협진치료에대한연구경향분석 : 국내논문을대상으로 회지각 7편 (10.6%), 대한침구의학회지, 한방안이비인후피부과학회지각 6편 (9%), 동의생리병리학회지 3편 (4.5%), 대한한의진단학회지, 대한한방부인과학회지, 동의신경정신과학회지, 대한암한의학회지, 대한한의학회지각 2편 (3%), 대한한의학방제학회, 대한한방소아과학회지, 대한중풍학회지, 대한경락경혈학회지각 1편 (1.5%) 이게재되었다 (Table II). 3. 발표내용의분류 한, 양방협진치료에대한논문의내용을파악하여관련내용을분석한결과증례보고에관한내용이 24편 (36.6%) 으로가장많았으며, 현황조사에관한내용이 10 편 (15.1%), 인식조사에관한내용이 9편 (13.6%), 체계개발에관한내용이 6편 (9%), 효과비교에관한내용이 6 편 (9%), 만족도조사에관한내용이 5편 (7.5%), 문헌고찰에관한내용이 4편 (6%), 경제성평가에관한내용이 2 편 (3.0%) 으로조사되었다. 협진에관하여치료효과보고뿐만아니라현황조사및개발, 인식및만족도분석등여러분야에걸쳐전반적으로연구가진행되고있음을알수있었다 (Table III). Table II. Distribution by Journal of Articles Published Journal Number Journal of Society of Preventive Korean Medicine 9 Journal of Korean Oriental Internal Medicine 7 Journal of Korean Medicine Rehabilitation 7 The Journal of Korean Acupuncture & Moxibustion 6 Medicine Society The Journal of Oriental Medical Ophthalmology 6 & Otolaryngology & Dermatology Korean Journal of Oriental Physiology & Pathology 3 The Journal of The Korean Institute of Oriental 2 Medical Diagnostics The Journal of Oriental Obstetrics & Gynecology 2 Journal of Oriental Neuropsychiatry 2 Journal of Korean Traditional oncology 2 Journal of Korean Medicine 2 Official Journal of The Korean Medicine Society 1 For The Herbal Formula Study Journal of Korean Oriental Pediatrics 1 The Korean Journal of Joongpoong 1 Korean Journal of Acupuncture 1 4. 증례에관한논문 증례보고에관한내용이 24편으로가장많았는데, 증례보고된질환들의특성및협진치료의방법등을분석하고자살펴보았다 (Table IV). 1) 질환에따른분류 증례보고 24편중신경과질환 ( 소뇌위축증, 파킨슨, 뇌교수초용해증, 뇌경색, 무도병, 벨마비 ) 7편 (29.1%), 종양내과질환 ( 혈액암, 폐암, 신장암 ), 피부과질환 ( 대상포진, 아토피피부염, 필러시술부작용 ) 각 4편 (16.6%), 소화기내과질환 ( 복통, 만성B형간염 ), 안과질환 ( 안구건조증, 보그트- 고야나기-하라다병 ), 이비인후과질환 ( 양측돌발성난청, 양성돌발성체위현훈 ) 각 2편 (8.3%), 산부인과질환 ( 조기진통 ), 내분비내과질환 ( 당뇨병성족부감염 ), 신장내과질환 ( 만성신부전 ) 각 1편 (4.1%) 으로조사되었다. 2) 협진에이용된한방치료 증례보고 24편중총 7종류의한방치료방법이사용되었으며한약치료 23편 (95.8%), 침치료 23편 (95.8%), 뜸치료 14편 (58.3%), 부항치료 6편 (25%), 약침치료 5편 (20.8%), 물리치료 3편 (12.5%), 레이저치료 2편 (8.3%) 으로조사되었다. 3) 협진에이용된양방치료 증례보고 24편중총 4종류의양방치료방법이사용되었으며약물치료 24편 (100%), 수액치료 6편 (25%), 주사치료 2편 (8.3%), 재활치료 2편 (8.3%) 으로조사되었다. Table III. Distribution on Research Contents Distribution Number of Articles Case Report 24 (36.6%) Status Report 10 (15.1%) Investigation of Awareness 9 (13.6%) Research for Development of System 6 (9%) Clinical Trial 6 (9%) Survey on Satisfaction 5 (7.5%) Literature Review 4 (6%) Economic Evaluations 2 (3.0%) www.e-jkmr.org 55

한국인 신선호 임광묵 이정한 고연석 Table IV. Summary of Included Report First Author (year) Dignosis Sample size EM* Treatment Method WM Treatment Method Song (2010) 6) Bilateral Sudden Sensorineural 1 AT, MT, H-med, Laser, Medication, Injection Hearing Loss Cupping, Pharmacopuncture Lee (2010) 7) Olivopontocerebellar Atropy 1 AT, MT, H-med, Cupping Medication Choi (2010) 8) Polycythemia Vera 1 AT, H-med, Pharmacopuncture Medication Kim (2011) 9) Side Effect after Filler Injection 1 AT, H-med, Cupping Medication Park (2011) 10) Chronic Hepatitis B 1 AT, MT, H-med Medication Park (2011) 11) Lung Cancer 1 AT, MT, H-med, Physical Medication therapy Kim (2012) 12) Acute Abdominal Pain 1 AT, MT, H-med Medication, Infusion Solution Min (2012) 13) Herpes Zoster 1 AT, H-med, Cupping, Medication, Infusion Solution Pharmacopuncture Lee (2012) 14) Dry Eye Syndrome 11 AT Medication Jo (2012) 15) Preterm Labor 1 H-med Medication Han (2012) 16) Renal Cancer 1 AT, MT, H-med Medication Yang (2014) 17) Vogt-Koyanagi-Harada Disease 1 AT, MT, H-med, Laser, Medication Cupping Lee (2014) 18) Parkinson s Disease 3 AT, MT, H-med, Cupping, Medication, Rehabilitation Pharmacopuncture, Electroacupuncture Cho (2014) 19) Herpes Zoster 1 AT, MT, H-med, Medication Pharmacopuncture, Electroacupuncture Kang (2015) 20) Lung Cancer 2 AT, MT, H-med Medication, Infusion Solution Kim (2015) 21) Atopic Dermatitis 1 AT, H-med Medication Suk (2015) 22) Bell s palsy 270 AT, H-med, Medication Pharmacopuncture, Physical therapy Lee (2015) 23) Diabetic Foot Infection 1 AT, H-med Medication Kang (2016) 24) Central Pontine Myelinolysis 1 AT, H-med, Medication Physical therapy Kim (2016) 25) Paradoxical Embolism 1 AT, MT, H-med Medication, Injection, Infusion Solution, Rehabilitation Kim (2016) 26) Chorea Hyperglycemia Basal 1 AT, H-med Medication, Infusion Solution Ganglia syndrome Park (2016) 27) Benign Paroxysmal Positional 1 AT, MT, H-med Medication, Infusion Solution Vertigo Ok (2016) 28) Delayed Vascular Chorea 1 AT, MT, H-med, Medication Rehabilitation Hwang (2016) 29) Chronic Renal Failure 1 AT, MT, H-med Medication *EM: Eastern Medicine, WM: Western Medicine, AT: Acupuncture, MT: Moxibustion, H-med: Herbal Medicine. 4) 증례보고대상수 270례, 11례, 3례, 2례보고가각 1편 (4.1%), 1례보고가 20편 (83.3%) 으로대부분 1례보고에그쳤다. 고찰»»» 한방과양방은사람의건강과질병을다룬다는공통점에도불구하고, 서로다른사회문화적배경에의해서반목과대립의관계가지속되어왔다. 한, 양방협진은한방과양방이결합된의료로서, 특정질병에대해각각대등한위치에서장점을발휘하고더좋은치료효과와예방 56 J Korean Med Rehabil 2018;28(1):53-60

한, 양방협진치료에대한연구경향분석 : 국내논문을대상으로 효과를보기위한체계적인노력이라고정의한다 30). 최근한, 양방협진은만성질환등완치가어려운질환의증가와의료비급증, 현대의학의한계성, 한, 양방협진에대한환자들의긍정적인선호도등으로인해부각되고있다. 미국, 유럽, 중국, 일본등세계각국은한, 양방협진에대한수요증대로다양한정책을추진하고있으며, 국내의경우에도병의원과한방의료기관이여러단계의통합의료정책을실시중이며, 몇몇의료기관을중심으로한, 양방협진서비스를제공하는등점차한, 양방협진의료기관의수가증가하고있는추세이다. 이렇게한, 양방협진이활성화되고있음과더불어국내에서도한, 양방협진을주제로한다양한연구들이발표되고있다. 이에저자는한, 양방협진에대한국내연구동향을살펴보기위해국내학술데이터베이스를검색하여 2010 년부터 2017년 10월까지발표된논문을수집하여총 66 편의논문을최종분석대상으로선정하였다. 발표연도별로분류해보면 2010년에 13편 (19.6%), 2011년에 5편 (7.5%), 2012년에 12편 (18.1%), 2013년에 8 편 (12.1%), 2014년에 5편 (7.5%), 2015년에 8편 (12.1%), 2016년에 12편 (18.1%), 2017년에 3편 (4.5%) 으로 2010년도에가장논문발표가활발했음을알수있다. 발표학술지별로분류해보면대한예방한의학회지가 9 편 (13.6%) 으로가장많았고, 대한한방내과학회지, 한방재활의학과학회지각 7편 (10.6%) 이었으며, 대한침구의학회지, 한방안이비인후피부과학회지각 6편 (9%), 동의생리병리학회지 3편 (4.5%), 대한한의진단학회지, 대한한방부인과학회지, 동의신경정신과학회지, 대한암한의학회지, 대한한의학회지각 2편 (3%), 대한한의학방제학회, 대한한방소아과학회지, 대한중풍학회지, 대한경락경혈학회지각 1 편 (1.5%) 이게재되었다. 발표내용별로분류해보면증례보고에관한내용이 24편 (36.6%) 으로가장많았으며, 현황조사에관한내용은 10편 (15.1%) 으로자료는심평원의빅데이터, 원내차트후향분석, 내원환자설문조사등의자료들을사용하였고질환은중풍, 안면마비, 신경계통질환, 섬유근통증후군등의질환을대상으로하여입원및외래환자등을대상으로현황조사를보고한논문들이있었다. 인식조사에관한내용은 9편 (13.6%) 으로지역주민, 의약계열대학생, 의사및한의사, 환자, 공무원등의집단을대상으로한, 양방협진에대한인식을조사하여환자및일반인들의 협진에관한선호도및의사와한의사의협진방식에대한인식의차이에대한내용들을보고한논문들이있었다. 체계개발에관한내용은 6편 (9%) 으로치매, 요통등의질환에대한협진모델개발연구들과협진평가모형개발및협진코디네이터교육에관한보고들이있었다. 만족도조사에관한내용은 5편 (7.5%) 으로전반적인협진진료에대한만족도연구와안면마비, 산후조리, 재활치료등특정질환의협진에대한만족도조사들이있었으며연구들에서대체로치료효과에대한만족도에서는높은점수를받았으나진료절차의편의성등에서는치료효과만큼의만족도가나오지않는경향이있었다. 문헌고찰에관한내용은 4편 (6%) 으로근골계질환, 암성통증등특정질환을주제로한고찰과한, 양방약물복합투여, 협진에대한의사들의인식변화등을다룬문헌고찰들이있었다. 경제성평가에관한내용은 2편 (3.0%) 으로만성요통및안면마비에대해다루고있으며두연구모두에서양방일반치료에비교하여한방침치료협진이비용효과적이라는결론을다루고있었다. 효과비교에관한내용은 6편 (9%) 으로대상질환으로는뇌혈관질환 3편, 요통및요추디스크 2편, 안면신경마비 1편이있었고대상수로는 200례이상 1편, 100례이하 5편이었다. 실험군은모두한, 양방협진이었으며대조군이양방단독치료로설정된연구는 4편, 한방단독치료로설정된연구는 2편이있었고 6편모두에서한, 양방협진치료가단독치료에비해유의한효과가있었음을보고하였다. 증례보고에대한논문 24편을질환별로분류해보면신경과질환 ( 소뇌위축증, 파킨슨, 뇌교수초용해증, 뇌경색, 무도병, 벨마비 ) 7편 (29.1%), 종양내과질환 ( 혈액암, 폐암, 신장암 ), 피부과질환 ( 대상포진, 아토피피부염, 필러시술부작용 ) 각 4편 (16.6%), 소화기내과질환 ( 복통, 만성B형간염 ), 안과질환 ( 안구건조증, 보그트-고야나기-하라다병 ), 이비인후과질환 ( 양측돌발성난청, 양성돌발성체위현훈 ) 각 2편 (8.3%), 산부인과질환 ( 조기진통 ), 내분비내과질환 ( 당뇨병성족부감염 ), 신장내과질환 ( 만성신부전 ) 각 1편 (4.1%) 으로각과에서다양한질환에대해보고가있었음을알수있다. 협진에이용된중재법중한방치료는한약치료 23편 (95.8%), 침치료 23편 (95.8%), 뜸치료 14편 (58.3%), 부항치료 6편 (25%), 약침치료 5편 (20.8%), 물리치료 3편 (12.5%), 레이저치료 2편 (8.3%) 으로조사되어, 한방치료로는한약치료와침치료가가장많은비중 www.e-jkmr.org 57

한국인 신선호 임광묵 이정한 고연석 (95.8%) 을차지하여협진치료시가장선호되는한방치료임을알수있었고, 뜸치료와부항치료뿐아니라약침치료, 물리치료, 레이저치료등다양한한방치료가함께협진에사용되고있음을알수있다. 협진에이용된양방치료로는약물치료 24편 (100%), 수액치료 6편 (25%), 주사치료 2편 (8.3%), 재활치료 2편 (8.3%) 으로조사되어, 양방치료로는약물치료가가장많은비중을차지하였고모든증례에서사용된치료로협진시가장선호되는양방치료임을알수있었으며, 한방치료에서는총 7가지, 양방치료에서는총 4가지의중재법이조사되어협진에이용되는한방치료의종류가더다양함을알수있었다. 증례수에따라분류한결과, 270례, 11례, 3례, 2례보고가각 1 편 (4.1%), 1례보고가 20편 (83.3%) 으로대부분 1례보고로조사되어연구에있어서충분한표본수모집이필요한것으로사료되었다. 본연구를통해 2010년부터 2017년까지한, 양방협진에대한국내연구동향을살펴볼때, 매년꾸준한연구들이발표되고있으나대부분증례보고에그친점, 그리고 24편의증례보고논문들은대부분 1례보고에그쳐충분한표본수의확보및개선해야할부분이있음을알수있었다. 효과비교연구 6편중에서는일정한배정방법을사용한논문은없었으며이를통해체계적인설계가이루어진임상연구가필요함을알수있었다. 증례논문들에서는한, 양방협진을치료에만집중하여보고한경향이있었는데, 진단부분에서의한, 양방협진에대한보고는미비하였고또한논문들에서다루고있는대상질환들이대체로안면신경마비, 뇌혈관질환, 근골격계질환등의질환에많이집중된경향을보였다. 앞으로한, 양방협진에대한연구의방향이좀더다양한질환을다루어더넓은방향으로나아가야할것으로보였고또한협진에대한연구의방향이치료부분뿐만아니라진단부분에서의연구역시필요할것으로생각된다. 결론»»» 한, 양방협진치료에대한최근의국내연구동향을알아보기위해국내학술지에게재된논문을 66편을조사, 분석하였다. 발표년도별로는 2010년에 13편 (19.6%) 이발표되어가장많은비중을차지했고, 학술지별분포 를살펴보면대한예방한의학회지가 9편 (13.6%) 으로가장많았다. 발표내용별로분류하였을때증례보고가 24편 (36.6%), 현황조사에관한내용이 10편 (15.1%), 인식조사에관한내용이 9편 (13.6%), 체계개발에관한내용이 6편 (9%), 효과비교에관한내용이 6편 (9%), 만족도조사에관한내용이 5편 (7.5%), 문헌고찰에관한내용이 4편 (6%), 경제성평가에관한내용이 2편 (3.0%) 이었다. 증례보고 24편중신경과질환 7편 (29.1%), 종양내과질환, 피부과질환각 4편 (16.6%), 소화기내과질환, 안과질환, 이비인후과질환각 2편 (8.3%), 산부인과질환, 내분비내과질환, 신장내과질환각 1편 (4.1%) 으로조사되었다. 협진에이용된한방치료로는한약치료 23편 (95.8%), 침치료 23편 (95.8%), 뜸치료 14편 (58.3%), 부항치료 6편 (25%), 약침치료 5편 (20.8%), 물리치료 3편 (12.5%), 레이저치료 2편 (8.3%) 으로조사되었고협진에이용된양방치료로는약물치료 24편 (100%), 수액치료 6편 (25%), 주사치료 2편 (8.3%), 재활치료 2편 (8.3%) 으로조사되었다. 증례보고대상수로는 270례, 11례, 3례, 2례보고가각 1편 (4.1%), 1례보고가 20편 (83.3%) 으로조사되었다. References»»» 1. Park MJ. Performance of Collaboration Between Korean Medicine and Western Medicine-Utilization and Quality of Care for Stroke Patients-. Master s dissertation. Seoul Uniersity. Seoul. Korea. 2016:1. 2. Kim KH. A Study on Utilization of Medical Doctors Cooperated with Traditional Korean Medicine. Seoul: Korean Medical Association. 2004:1-88. 3. Lim SM. An Actual Utilization and Development Plan Study of Interdisciplinary Medical Care at the National Rehabilitation Center. The Journal of The Korean Institute of Oriental Medical Diagnostics. 2014;18(1): 25-31. 4. Lee SJ, Shin BC, Song GS, Hwang EH, Yun YJ, Cho HW. A Systematic Review of the Effectiveness of Eastern-Western Integrative Medicine for Musculoskeletal Disorders. Journal of Korean Medicine Rehabilitation. 2011;21(4):87-96. 5. Kim CS, Kim SK, Kim YG, Kim C, Yea SJ, Jan HC, Song MY. A Literature Review of the East-West Medical Combined Treatment. Korea Journal of Oriental Medicine. 2012;18(2):101-16. 6. Song MK, Hong SU. A Case of Bilateral Sudden 58 J Korean Med Rehabil 2018;28(1):53-60

한, 양방협진치료에대한연구경향분석 : 국내논문을대상으로 Sensorineural Hearing Loss with Incomplete Recovery by Oriental and Western Medical Therapy. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2010;23(1):289-99. 7. Lee JW, Chang WS, Baek KM. A Case of Western- Oriental Medicine Combined Treatment on the Dizziness Patient Diagnosed as Olivopontocerebellar Atropy (OPCA). The Journal of East-West Medicine. 2010; 35(4):73-83. 8. Choi JE, Lee YW, Cho CK, Yoo HS. A Case Report of One Polycythemia Vera Patient Treated with Oriental Medicine in Conjunction with Conventional Medicine. Journal of Korean Traditional Oncology. 2010;15(1): 105-10. 9. Kim BH, Nam HJ. Oriental-Western Cooperative Treatment Clinical Sudy of Side Effect after Filler Injection Glabella Region. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2011;24(2):79-86. 10. Park SH, Park SC, Kim DH, Kim SY, Choi JY, Han CW. HBV-DNA Suppression in a Chronic Hepatitis B Patient Treated with Western Medicine Plus Traditional Korean Medicine Combination Therapy. Korean Journal of Oriental Physiology & Pathology. 2011;25(4):743-7. 11. Park SC, Kim DH, Han CW, Park SH, Lee I, Choi JY. Integrated Medicine Therapy for an End-stage Lung Cancer Patient with Brain Metastasis. Journal of Korean Traditional oncology. 2011;16(2):43-51. 12. Kim SB, Park JW, Cho CK, Lee YW, Yoo HS. A Case Report of Patient with Alcoholic Derogation Acute Abdominal Pain Using Oriental Medicine Combined with Conventional Treatment. Journal of DaeJeon University Institute of Oriental Medicine. 2012;21(1):79-85. 13. Min SJ, Park MJ, You KG, Yeam SR, Kwon YD. A Clinical Case of the Korean and Western Medical Treatment for the Patient with Herpes Zoster Opthalmicus. Journal of Korean Rehabilitation Medicine. 2012; 22(4):199-207. 14. Lee DJ, Hwang BM, Seo HS, Kim SJ, Lee JS. Eastern and Western Combined Medical Treatments on 11 Patients with Dry Eye Syndrome. The Journal of Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2012; 25(2):61-7. 15. Jo JY, Park KS, Lee CH, Jang JB, Lee KS, Lee JM. A Case Report of Preterm Labor Patient at High Risk for Preterm Delivery Treated by Combination of Herbal Medicine and Conventional Treatment. The Journal of Oriental Obstetrics & Gynecology. 2012;25(2):200-6. 16. Han CW, Kim DH, Park SC, Cho MK, Kim SY, Hong JW, Lee I, Park SH, Kwon JN, Choi JY. Case of Stage IV Renal Cancer Patient Whose Metastatic Lymph Node and Severe Back Pain Improved after Integrative Treatment. Korean Journal of Oriental Physiology & Pathology. 2012;26(2):228-33. 17. Yang JH, Hong SU. A case report for probable Vogt-Koyanagi-Harada Disease Improved by Korean- Western Medicine Treatment. The Journal of Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2014;27(2):89-100. 18. Lee YE, Lee DH, Lee JH, Lu HY, Cho SY, Park JM, Ko CN, Bae HS, Park SU. Case Report : Three Case Reports of Postural Instability and Gait Difficulty in Parkinson s Disease Patients Treated with Korean and Western Medicine. Korean Journal of Acupuncture. 2014; 31(1):40-7. 19. Cho YE, Lee SM, Yun KH, Lim JS, Kim JH, Choi DY, Lee JD. A Case Report of Herpes Zoster Patient Improved by the East-West Medical Combined Treatment. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2014;31(1):177-86. 20. Kang JY, Kim JY, Son CG, Cho JH. Long-Term Survival of Patients with Lung Cancer Treated by Traditional Korean Medicine Combined with Western Treatment: Report of Two Cases. Journal of Korean Oriental Internal Medicine. 2015;36(1):58-68. 21. Kim HH, Park SY, Kim JH, Jeong MY, Choi JH. A Case of Atopic Dermatitis Patient with Exudate Using Korean Medicine Treatment and Western Treatment. The Journal of Korean Medicine Ophthalmology & Otolaryngology & Dermatology. 2015;28(4):156-64. 22. Suk KH, Lee JH, Ryu SH, Lee SY, Kim HG, Ryoo DW, Goo BH, Kim MJ, Park YC, Seo BK, Baek YH. Clinical Research: Effectiveness of East-West Collaborative Hospital Treatment on the Prognosis of Bell s Palsy: A retrospective study. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2015;32(4):167-75. 23. Lee JS, Kim SW, Baek KM, Jang WS. Integrated Medicine Therapy for a Patient with a Diabetic Foot Infection. Journal of Korean Oriental Internal Medicine. 2015;36(2):207-16. 24. Kang DH, Lim MA, Lee HJ, Kim DR, Kang JH, Kim SY, Youn IY. A Case Report of a Central Pontine Myelinolysis Patient Treated with Korean and Western Medicine. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2016;33(4):191-201. 25. Kim MS, Ok HJ, Yang JY, Jung TS, Seon JJ, Yoo SJ. A Case Report of Integrative Treatment with Conventional and Korean Medicine Applied to a Patient with Cerebral Infarction Due to Presumed Paradoxical Embolism Through a Patent Foramen Ovale. Journal of Korean Oriental Internal Medicine. 2016;37(5):733-40. 26. Kim SY, Park JH, Ahn JH, Jo JJ, Lee SM, Kang JW, Nam DW. A Case Report of a Right-sided Hemichorea Patient Diagnosed with Chorea Hyperglycemia Basal Ganglia www.e-jkmr.org 59

한국인 신선호 임광묵 이정한 고연석 Syndrome : A Combined Western-Korean Medicine Approach. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2016;33(1):117-25. 27. Park YH, Lim BR, Ok HJ, Sun JJ, Park JH. Case of Combined Eastern-Western Medicine Treatment on a Patient Diagnosed with Benign Paroxysmal Positional Vertigo after Acute Vestibular Neuritis. Journal of Korean Oriental Internal Medicine. 2016;37(2):273-82. 28. Ok HJ, Park YH, Lim BR, Kwon DI, Choi MK, Nam SH. A Case Report of a Delayed Vascular Chorea Patient Treated with Sukjihwangbogan-tang-gagam. Journal of Korean Oriental Internal Medicine. 2016;37(5):741-9. 29. Hwang YK, Lee BR, Kim WI. A Case Report of Chronic Renal Failure(stage4) on Stroke Patient through Integrative Medicine Therapy. Official Journal of The Korean Medicine Society For The Herbal Formula Study. 2016;24(3):233-42. 30. Kim HJ. A Basic Study on the Development of Evaluation Model for Korean-Western Cooperative Medical Treatment. Master s dissertation. Won-kwang University. Iksan. Korea. 2012:1. 60 J Korean Med Rehabil 2018;28(1):53-60