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The Journal of Internal Korean Medicine 2012;33(4): 347-366. |
| 중풍환자에 대한 일차 한의임상진료 가이드라인 |
| 한창호1,2 |
1동국대학교 한의과대학 경주한방병원 내과
2중풍 한의임상진료지침개발 연구팀 |
| Clinical Practice Guideline of Korean Medicine for Stroke : Preliminary Guideline and Recommendation |
| Chang-ho Han1,2 |
1Dept. of Internal Medicine, College of Korean Medicine, Dong-Guk University
2Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke |
| Correspondence |
Chang-ho Han ,Tel: 054-770-1257, Fax: 054-770-1500, Email: hani@dgu.ac.kr
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Published online: December 30, 2012. |
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| ABSTRACT |
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The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice. |
| Key words:
clinical practice guideline, korean medicine, stroke, acupuncture, herbal medicine |
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