DOI QR코드

DOI QR Code

한의학적 치료를 받은 자폐 스펙트럼 장애 환아 63례에 대한 후향적 차트리뷰

A Retrospective Study of Autism Spectrum Disorder in Children Treated by Korean Medicine

  • 박소현 (경희대학교한방병원 한방소아과) ;
  • 김예지 (경희대학교 대학원 한방소아과) ;
  • 박슬기 (경희대학교한방병원 한방소아과) ;
  • 이선행 (경희대학교한방병원 한방소아과) ;
  • 이지홍 (강동경희대학교병원 한방소아과) ;
  • 박용석 (강동경희대학교병원 한방소아과) ;
  • 김재현 (경희대학교 대학원 한방소아과) ;
  • 장규태 (경희대학교 대학원 한방소아과) ;
  • 이진용 (한국한의학연구원)
  • Park, So Hyun (Department of Pediatrics, Kyung Hee University Korean Medicine Hospital) ;
  • Kim, Ye Ji (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Park, Sul Gi (Department of Pediatrics, Kyung Hee University Korean Medicine Hospital) ;
  • Lee, Sun Haeng (Department of Pediatrics, Kyung Hee University Korean Medicine Hospital) ;
  • Lee, Jihong (Department of Pediatrics of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Park, Yong Seok (Department of Pediatrics of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Kim, Jae Hyun (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Chang, Gyu Tae (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Lee, Jin Yong (Korea Institute of Oriental Medicine)
  • 투고 : 2021.06.24
  • 심사 : 2021.08.23
  • 발행 : 2021.08.31

초록

Objectives This study aimed to analyze the clinical characteristics of 63 patients with autism spectrum disorder (ASD) who received Korean medicine treatment. Methods This study identified and retrospectively reviewed the first visit records and clinical characteristics of all of the patients who visited the Kyung Hee University Korean Medicine Hospital and Kyung Hee University Korean Medicine Hospital at Gangdong in South Korea with ASD as their chief complaints. The herbal medicines that were prescribed according to the patient's symptoms were analyzed by separating them into categories. Results The data of 83 children with ASD were collected. Among them, the primary medical record charts of 63 patients were reviewed. Additional analysis was performed for 56 patients who were treated with herbal medicine. Through a retrospective chart review, the patients' clinical characteristics and the tendency of the prescribed herbal medicine was identified. Conclusions This study was conducted to provide preliminary data that proposes Korean medicine as a new alternative medical treatment. Our study is meaningful as it used the demographic and clinical records of 63 patients with ASD in Korea who visited an Korean medicine hospital in the last 11 years to identify tendencies and analyzed the prescriptions of two or more Korean medicine pediatricians.

키워드

참고문헌

  1. American Psychiatric Association. Autism spectrum disorder. In: diagnostic and statistical manual of mental disorders, 5th ed. Arlington: American Psychiatric Association Press. 2013:50.
  2. Kim YS, Leventhal BL, Koh YJ, Fombonne E, Laska E, Lim EC, Cheon KA, Kim SJ, Kim YK, Lee H, Song DH, Grinker RR. Prevalence of autism spectrum disorders in a total population sample. Am J Psychiatry. 2011;168(9):904-12. https://doi.org/10.1176/appi.ajp.2011.10101532
  3. Park JH, Park JH, Baeck EK, Yun YJ, Jeong SK, Lim JS, Lyu YS, Kang HW, Clinical study on the correlation between five kinds of flaccidity in infants (五軟), five kinds of retardation (五遲) and Autistic disorder. J Orient Neuropsychiatry. 2005;16(2):25-34.
  4. Kim GW. A study of methods for oriental, western medical approach of child neuropsychiatric disorders. J Orient Neuropsychiatry. 2003;14(2):15-25.
  5. Department of Pediatrics at Yonsei University College of Medicine. Severance manual of pediatrics. 4th ed. Seoul Yonsei University Publishing Co. 2013:705-21.
  6. Lee J, Lee SH, Lee B, Yang IJ, Chang GT. A survey of Korean medicine doctors' clinical practice patterns for autism spectrum disorder: preliminary research for clinical practice guidelines. BMC Complement Altern Med.2018;18(1):90. https://doi.org/10.1186/s12906-018-2162-4
  7. Baxter AJ, Brugha TS, Erskine HE, Scheurer RW, Vos T, Scott JG. The epidemiology and global burden of autism spectrum disorders. Psychol Med. 2015;45(3):601-13. https://doi.org/10.1017/S003329171400172X
  8. Fombonne E. Epidemiology of pervasive developmental disorders. Pediatr Res. 2009;65(6):591-8. https://doi.org/10.1203/PDR.0b013e31819e7203
  9. Centers for Disease Control and Prevention (CDC). Mental health in the United States: parental report of diagnosed autism in children aged 4-17 years - United States, 2003-2004. MMWR Morb Mortal Wkly Rep. 2006;55(17):481-6.
  10. Muhle R, Trentacoste SV, Rapin I. The genetics of autism. Pediatrics. 2004;113(5):e472-86.
  11. Baron-Cohen S. Two new theories of autism: hyper-systemising and assortative mating. Arch Dis Child. 2006;91(1):2-5. https://doi.org/10.1136/adc.2005.075846
  12. Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ, Baek JH, Sung HK, Yu SA, Lee SY, Lee JY, Lee HJ, Chang GT, Jeong MJ, Chai JW, Cheon JH, Han YJ, Han JK. Hanbangsoacheongsonyeonuihak (ha). 2nd ed. Seoul: Ui Sung Dang Publishing Co. 2015:35.
  13. Hwang EW, Lee JS, Kim JW, Goo BS, Kim RH, Kim BK, Kim CH, Ryu YS, Oh GS, Lee DW, Lee SY, Lee SG, Lee JH, Jung DG. Haneuisingyungjungsingwahak. 2nd ed. Seoul: Jip Moon Dang Publishing Co. 2011:444.
  14. Lee JY, Kim DG. Korean medicine treatment of autistic disorder. J Pediatr Korean Med. 1994;8(1):157-63.
  15. Kim YY, Min SY, Kim JH. Clinical trial study on acupuncture for autism based on the current traditional Chinese medical journals. J Pediatr Korean Med. 2009;23(2):117-29.
  16. Lee JH, Han JK, Lee HL, Kim YH. Review of clinical studies for oriental treatment of autism in traditional Chinese medicine. J Pediatr Korean Med. 2014;28(4):85-95. https://doi.org/10.7778/jpkm.2014.28.4.085
  17. Lee JN, Lee SH, Lee JY. Recent clinical research on effect of acupuncture for autism spectrum disorder. J Pediatr Korean Med. 2015;29(4):119-26. https://doi.org/10.7778/jpkm.2015.29.4.119
  18. Doh TY, Lee SH, Lee JY, Chang GT. Review of pathogenesis, pattern differentiation, treatment principle, formula of traditional Chinese medicine for autism spectrum disorder. J Pediatr Korean Med. 2018;32(2):11-25. https://doi.org/10.7778/JPKM.2018.32.2.011
  19. Cho YS, Baek JH. A comparison between Korean and Chinese clinical studies for the treatment of autism spectrum disorder. J Pediatr Korean Med. 2018;32(2):26-42. https://doi.org/10.7778/JPKM.2018.32.2.026
  20. Jang JH, Lim YW, Lee SY. Two cases report about atypical autistic children. J Pediatr Korean Med. 2005;19(2):85-97.
  21. Lee SJ, Min JH. A case report of autistic disorder patient with aggression and impulse control problem. J Korean Med Assoc Clin Sanghan-Geumgwe. 2011;3(1):63-8.
  22. Lee JN, Kim DG, Lee JY. Report on seven cases on patients with autism spectrum disorder treated by Kwakhyangjungkisanhapyukmijihwangtang-gamibang. J Pediatr Korean Med. 2015;29(1):50-9. https://doi.org/10.7778/jpkm.2015.29.1.050
  23. Hong SJ, Choi KH, Song IS. A clinical report of scalp acupuncture effects on autistic children. J Pediatr Korean Med. 2009;23(3):133-42.
  24. Kim YH, Han JK, Kim YH. A case report of asperger' syndrome. J Pediatr Korean Med. 2006;20(2):1-9.
  25. Shin HJ, Lee BR, Lee JH, Chang GT. A clinical study of treating autism spectrum disorder in childhood. J Pediatr Korean Med. 2017;31(4):49-60. https://doi.org/10.7778/JPKM.2017.31.4.049