Effectiveness of Oriental Medical Treatments to Symptoms and Quality of Life in the Patients with Herniated Lumbar Disc being Suggested Operation

한의학적 치료가 수술 권유받은 요추간판탈출증 환자의 임상 증상 및 삶의 질에 미치는 효과

  • Lee, Eu-Gene (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Moon, Soo-Jung (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Ko, Youn-Seok (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Park, Tae-Yong (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Kong, Jae-Cheol (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Hsin, Pi Chien (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Song, Yung-Sun (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Lee, Jeong-Han (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University)
  • 이유진 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 문수정 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 고연석 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 박태용 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 공재철 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 필감흔 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 송용선 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 이정한 (원광대학교 한의과대학 한방재활의학과교실)
  • Received : 2009.09.16
  • Accepted : 2009.10.14
  • Published : 2009.10.31
  • 15 0


Abstract

Objectives : The purpose of this study was to report effectiveness of oriental medical treatments to symptoms and quality of life in the patients with herniated lumbar disc being suggested operation. Methods : Eighteen patients diagnosed with herniated lumbar disc by MRI in hospital were treated by oriental medical treatments. Symptoms of the patients were assessed by visual analogue scale(VAS) and SF-36. Results : After the treatments, the VAS of symptoms of herniated lumbar disc and the score of role-physical scale in SF-36 were improved but the other scores of scales were not significantly different. Conclusions : It could be suggested that oriental medical treatments were effective for the patients with herniated lumbar disc being suggested operation. Further study of the effect of oriental medical treatments on herniated lumbar disc is needed.

Keywords

Herniated lumbar disc;Oriental medical treatments;Quality of life;Surgical indication

References

  1. Ware JE, Sherbourne CD. The MOS36-Item Short-form health survey(SF-36). Med care. 1992;30(6):473-83. https://doi.org/10.1097/00005650-199206000-00002
  2. 남봉현, 이승욱. 건강수준 측정도구 SF-36의 타당성 평가에 대한 연구. 한국보건통계학회지. 2003;28(2):3-24.
  3. Jenkinson C, Counter A, Wright L. Short form 36(SF36) health survey questionnaire : normative data for adults of working age. BMJ. 1993 ;306:1437-40. https://doi.org/10.1136/bmj.306.6890.1437
  4. Bush K, Cowan N, Katz DE, Gishen P. The natural history of sciatica associated with discpathology. Spine. 1992;17(10):1205-12. https://doi.org/10.1097/00007632-199210000-00013
  5. Simpson JM, Sileri CP, Balderston RA et al. The results of operations on the lumbar spine in patients who have diabetes mellitus. J Bone Joint Surg. 1993;75A:1823-9.
  6. 김형균, 이종덕. 한방요법에 의한 요추수핵탈출증 치료 전후의 CT소견 비교. 대한한의학회지. 1997;18(2):33-42.
  7. 김성아, 박기수, 장미경, 감신. SF-36에 의한 직장 남성의 건강수준과 의료이용과의 관련성. 대한산업의학회지. 2006;18:272-83.
  8. Brazier J.E., Harper R., Jones N.M., O'Cathain A., Tomas K.J., Userwood T., et al. Validation of the SF-36 health survey questionnaire: New outcome measure for primary care. British Medical Journal. 1992;305:160-4. https://doi.org/10.1136/bmj.305.6846.160
  9. Young K.J., Longman A.J.. Quality of life and persons with melanoma: A pilot study. Cancer nursing. 1983;6:219.
  10. 고상백, 차봉석, 장세진, 박종구, 강명근. SF-36을 이용한 근로자들의 건강수준 평가. 대한산업의학회지. 1998;10(1):9-19.
  11. 문형철, 황우준, 이건목, 조남근, 강성도, 조재운, 장병선, 진경선. 조기 한방치료를 시행한 요추수핵탈출증 환자의 CT상 5-7년 후의 추간판의 변화. 대한침구학회지. 2001;18:1-12.
  12. Hakelius A. Prognos is in sciatica: A clinical follow-up of surgical and non-surgical treatment. Acta Orthop Scand. 1970;129(suppl.):1-76.
  13. Mixter WJ, Barr JS. Rupture of the intervertebral disc with involvement of the spinal canal. New England Journal of Medicine.1934;211 :210-5. https://doi.org/10.1056/NEJM193408022110506
  14. Weber H. Lumbar disc herniation: A prospective study of prognostic factors including a controlled trial. J Oslo City Hosp. 1978;28:33-64, 89-120.
  15. Kraemer J. Presdental address: natural course and prognos is of intervertebral disc disease. Spine. 1995;20(6):635-9. https://doi.org/10.1097/00007632-199503150-00001
  16. 신민섭, 노정두, 최석우, 이동호, 송범룡, 육태한. 파열형 요추 추간판탈출증에 대한 임상적 연구. 대한침구학회지. 2001;18(6):84-92.
  17. 노유자. 서울지역 중년기 성인의 삶의 질에 관한 분석 연구. 서울대학교 대학원. 1988.
  18. 한방재활의학과학회. 한방재활의학. 서울:군자출판사. 2005:60-1.
  19. Ware JE. Measuring patients' views : the Optimum outcome measure. BMJ. 1993;306: 1429. https://doi.org/10.1136/bmj.306.6890.1429
  20. 홍서영, 박성호, 안광현, 송윤경, 임형호. 요추추간판탈출증 비율의 감소를 나타낸 임상 증례 보고. 한방재활의학과학회지. 2003;13(1):161-70.
  21. Waddell G, McCulloch JA and Kummel EG. Nonorganic physical signs in lower back pain. Spine. 1980;5:117-25. https://doi.org/10.1097/00007632-198003000-00005
  22. Weber H. Lumbar disc herniation: A controlled, prospective study witht enyears of observation. Spine. 1983;8:131-40. https://doi.org/10.1097/00007632-198303000-00003
  23. Doris H, Marie-Louise WE, Gregor L, Jerzy L. Quality of life and seeking help in women with urinary incontinence. Acta Obstet Gynecol Scand. 2001;80:1051-5.
  24. Perneger T.V., Leplege A., Etter J.F., Rougemont A.. Validation of a French-Language version of the MOS 36-Item short form health survey (SF-36)in young healthy adults. Journal of Clinical Epidemiology. 1995;48:1051-60. https://doi.org/10.1016/0895-4356(94)00227-H
  25. Deyo RA, Loeser J, Bigos S. Herniated lumbar intervertebral disc. Ann Intern Med. 1990; 112:598. https://doi.org/10.7326/0003-4819-112-8-598
  26. 이현송. 한국인의 삶의 질:객관적 차원을 중심으로. 한국사회학. 1997;31(2):269-301.
  27. 이춘기, 장봉순, 이동호, 이재철. 요추 추간판 탈출증의 자연 경과 및 수술 적응증. 대한척추외과학회지. 2000;7(2):283-9.
  28. Brazier JE, Harper R, Jones NM, O'Cathain A, Thomas KJ, Usherwood T, Westlake L. Validation the SF-36 health survey questionnaire, new outcome measure for primary care. BMJ. 1992;305:160-4. https://doi.org/10.1136/bmj.305.6846.160
  29. Saal JA, Saal JS and Herzog. The natural history of lumbar intervertebral disc extrusions treated nonoperatively. Spine. 1990;15(7):683-6. https://doi.org/10.1097/00007632-199007000-00013
  30. Smart A.I., Yates J.W.. Quality of life. Cancer. 1987;60(3):620-2. https://doi.org/10.1002/1097-0142(19870801)60:3+<620::AID-CNCR2820601529>3.0.CO;2-B