Department of Clinical Korean Medicine, Graduate School, Kyung Hee University, Seoul, 02453, Republic of Korea.
Department of Pediatrics of Korean Medicine, Kyung Hee University Hospital at Gangdong, #892 Dongnam-ro, Gangdong-gu, Seoul, 05278, Republic of Korea.
BMC Complement Altern Med. 2018 Mar 13;18(1):90. doi: 10.1186/s12906-018-2162-4.
The aim of this study was to investigate autism spectrum disorder (ASD) clinical practice patterns of Korean medicine doctors (KMDs) through questionnaire survey.
Questionnaires on Korean medicine (KM) treatment for ASD were distributed to 255 KMDs on December 5, 2016. The KMDs were psychiatrists, pediatricians, or general practitioners, who treated patients with ASD. The questionnaire covered items on treatment methods, aims of treatment, KM syndrome differentiation, diagnostic tools, and sociodemographic characteristics. Frequency analysis was conducted to describe the participants and their practices.
A total 22.4% KMDs (n = 57/255) completed the questionnaires and 54 KMDs (21.2%) matched the inclusion criteria. The KMDs utilized herbal medicine (27.3%), body acupuncture (17.6%), scalp acupuncture (10.7%), moxibustion (6.4%), and Korean medical psychotherapy (5.9%) to treat ASD. The most commonly prescribed herbal medicine was Yukmijihwang-tang. Forty-eight (88.9%) KMDs responded that they used KM syndrome differentiation. 'Organ system, Qi, Blood, Yin, Yang, Fluid and Humor diagnosis' was most frequently used for syndrome differentiation. ASD was mainly diagnosed based on the fourth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV) and DSM-5.
The present study demonstrated the current status of KMDs' diagnosis and treatment of ASD. In future clinical trials and clinical practice guidelines, these findings will provide meaningful information on the actual practice patterns of KMDs.
本研究旨在通过问卷调查来调查韩国医学博士（KMD）的自闭症谱系障碍（ASD）临床实践模式。
2016 年 12 月 5 日，向 255 名 KMD 分发了关于 ASD 韩医学（KM）治疗的问卷。这些 KMD 是治疗 ASD 患者的精神科医生、儿科医生或全科医生。问卷涵盖了治疗方法、治疗目的、KM 辨证、诊断工具和社会人口学特征等项目。采用频率分析对参与者及其实践进行描述。
共有 22.4%的 KMD（n=57/255）完成了问卷，54 名 KMD（21.2%）符合纳入标准。KMD 采用草药（27.3%）、体针（17.6%）、头皮针（10.7%）、艾灸（6.4%）和韩医学心理疗法（5.9%）治疗 ASD。最常开的草药是玉美至黄汤。48 名（88.9%）KMD 表示他们使用 KM 辨证。“脏腑、气、血、阴、阳、津液、体液辨证”最常用于辨证。ASD 主要根据《精神障碍诊断与统计手册》第四版（DSM-IV）和 DSM-5 进行诊断。
本研究展示了 KMD 诊断和治疗 ASD 的现状。在未来的临床试验和临床实践指南中，这些发现将为 KMD 实际实践模式提供有意义的信息。
