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JKM > Volume 40(3); 2019 > Article
Choi, Kim, Park, and Lee: A Study Assessing 2018 Gyenggi-do Korean medicine Support Project for Subfertility

Abstract

Objectives

This study aims to assess the Gyenggi-do support project of Korean medical treatment in subfertility in 2018. And we would like to propose a plan to improve the project by analyzing the results of the project.

Methods

We got the medical records of 260 participants that personal information was deleted by the association of Korean Medicine in Gyenggi-do. We collected the participants’ characteristics, treatment records, results of treatment, laboratory results and satisfaction survey results. We coded the data and analyzed them using SPSS 23 at 5% significance level.

Results

After the treatment, 11.0% of participants became pregnant spontaneously. There was no significant change in blood test before and after the treatment and observation period, and there was no adverse event during the project. After the project, the satisfaction survey was conducted. 84.2% of participants answered that they were satisfied with the result of the treatment.

Conclusions

We analyzed the results of Gyenggi-do support project of Korean medical treatment for infertile women in 2017 and 2018. This study suggests the effectiveness and safety of Korean medical treatment for infertile women.

Fig. 1
Flow diagram of the project
jkm-40-3-76f1.gif
Fig. 2
Satisfaction survey results
jkm-40-3-76f2.gif
Table 1
Patient Characteristics at Baseline (N=227)
Variable Mean SD Minimum Maximum
Patient Age (years) 36.93 4.34 27.00 45.00
Height (cm) 161.58 4.86 145.00 172.00
Weight (kg) 57.59 9.21 40.00 98.00
BMI 22.06 3.49 16.36 39.26

Husbands Age (years) 38.74 4.40 28.00 53.00
Height (cm) 174.41 5.59 160.00 189.00
Weight (kg) 76.76 10.22 53.00 105.00

Length of marriage period (months) 62.11 36.48 5.00 184.00
frequency of sexual intercourse (number/month) 4.94 2.97 0.30 16.00
Length of trial time for pregnancy (months) 50.08 33.97 12.00 184.00
Table 2
Prescription frequency of prescribed Herbal medicine
Prescription N* %
調經種玉湯 121 53.3
排卵着床方 137 60.4
溫經湯 8 3.5
泰山盤石散 13 5.7
歸脾湯 31 13.7
八珍湯 1 0.4
毓麟珠 55 24.2
導痰湯 26 11.5
安奠二天湯 23 10.1
十全大補湯 3 1.3
others 54 23.8

* Number of prescribed patients

Table 3
Pregnancy Outcome
N %
Pregnant 25 11.0
Pregnancy maintenance (12 week) Yes 20 8.8
No 5 2.2

Non-pregnant 202 89.0

Total 227 100.0
Table 4
Result of Blood and Urine Test of the Patients
N Mean SD t p
Blood test Fasting blood sugar (mg/dl) Before project 128 93.29 10.78 −2.399 .018
After project 96.55 15.02
AST(GOT) (IU/L) Before project 135 19.94 11.67 1.292 .199
After project 18.71 6.10
ALT(GPT) (IU/L) Before project 135 16.09 14.26 0.013 .989
After project 16.07 11.52
Hb (g/dL) Before project 138 13.30 .90 2.428 .017
After project 13.14 1.05
Total cholesterol (mg/dL) Before project 128 188.60 32.22 −.540 .590
After project 189.62 33.39
Urine test PH Before project 60 5.90 0.57 −0.151 .88
After project 5.92 0.70
Protein (mg/dL) Before project 64 1.94 0.24 −1.000 .321
After project 1.97 0.18

참고문헌

1. The Society of Korean Obstetrics and Gynecology. Korean Medicine Obstetrics and Gynecology. 2:Seoul: Euiseongdang;2012. p. 203–24.


2. Hwang N, Lee S, Jang I. Analysis and evaluation of supporting project for infertility couples in 2016. Korea Institute for Health and Social Affairs;2017. p. 1–236.


3. Choi MS, Lee DN, Kim DI. A survey study on use condition of Korean medical institution and demand of Korean medical treatment project of infertility in infertile couple. J Korean Obstet Gynecol. 2013; 26:2. 151–65.
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4. Hwang N, Chae S, Jang I. Analysis and evaluation of supporting project for infertility couples in 2014. Korea Institute for Health and Social Affairs;2015. p. 108–109.


5. Kim CB, Kim DI, Park MB, Jang BH, Jung HS, Jo JY. A study on the actual condition of the participants of local governments’ Korean medicine supporting projects for infertile couples. Research report. Ministry of Health and Welfare;2016. p. 1–110.


6. Choi SJ, Park JK, Lee MY, Kim DI. A study on the subfertility support project of Korean medicine in Gyeonggi-do. J Korean Obstet Gynecol. 2018; 31:4. 73–88.


7. World Health Organization. WHO laboratory manual for the Examination and processing of human semen. 5th edition. Geneva: World Health Organization;2010. p. 223–225.


8. Choi CM, Kim SH, Song MH, Hwang DS, Cho HB, Kim DI. Analysis of Korean traditional medicinal treatment trend of infertility and development of questionnaire for infertility treatment. J Korean Obstet Gynecol. 216. 29:2. 29–46.
crossref

9. Kim DI. Oriental medicine clinical practice guideline of infertility. Seoul: The association of Korean Medicine;2010. p. 46


10. Malizia BA, Hacker MR, Penzias AS. Cumulative live-birth rates after In vitro Fertilization. N Engl J Med. 2009; 360:236–43.
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11. Gervaize PA. The psychosexual impact of infertility and its treatment. Can J Hum Sex. 1993; 2:141–7.


12. Kim HY. Comparisons of depression, marital intimacy, sexual function and quality of life in sexual active or inactive groups of post-menopausal married women. J Korean Acad Fundam Nurs. 2015; 22:3. 258–67.
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