Journal of Acupuncture Research

  • 제31권4호
  • /
  • Pages.21-28
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  • 2014
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  • 2586-288X(pISSN)
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  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
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요추 추간판 탈출증 환자에 대한 한의학적 복합치료 효과의 관찰 연구

Effects of Korean Medical Combination Treatment for Herniated Intervertebral Lumbar Disc Patients: An Observational Study

  • 김세영 (모커리한방병원 침구의학과) ;
  • 박한솔 (모커리한방병원 침구의학과) ;
  • 김민철 (모커리한방병원 재활의학과) ;
  • 서영우 (모커리한방병원 침구의학과) ;
  • 서영훈 (모커리한방병원 재활의학과) ;
  • 이상민 (모커리한방병원 재활의학과) ;
  • 김기옥 (모커리한방병원 척추센터) ;
  • 김태훈 (가천대학교 한의과대학)
  • Kim, Seh Young (Department of Acupuncture & Moxibustion Medicine, Mokhuri Neck&Back Oriental Medicine) ;
  • Park, Han Sol (Department of Acupuncture & Moxibustion Medicine, Mokhuri Neck&Back Oriental Medicine) ;
  • Kim, Min Chul (Department of Rehabilitation, Mokhuri Neck&Back Oriental Medicine) ;
  • Seo, Young Woo (Department of Acupuncture & Moxibustion Medicine, Mokhuri Neck&Back Oriental Medicine) ;
  • Seo, Young Hoon (Department of Rehabilitation, Mokhuri Neck&Back Oriental Medicine) ;
  • Lee, Sang Min (Department of Rehabilitation, Mokhuri Neck&Back Oriental Medicine) ;
  • Kim, Ki Ok (Department of Spine Center, Mokhuri Neck&Back Oriental Hospital) ;
  • Kim, Tae Hun (College of Oriental Medicine, Gachon University)
  • 투고 : 2014.10.30
  • 심사 : 2014.12.05
  • 발행 : 2014.12.20
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초록

Objectives : Lumbar disc herniations are common conditions which induce severe pain and disability. We assessed the clinical effectiveness of Korean medical combination treatment. Methods : This is an observational study. We reviewed the medical records of 46 patients with lumbar disc herniations, who attended intensive Korean medical combination treatments at Mokhuri Neck and Back Hospital, Korea during March, 2012 to October, 2012. All the patients took combination treatments of acupuncture, Chuna and herbal medicines during the hospitalization treatments. Zero to ten pain numerating rating scale(NRS) of pain and SF-36 were assessed before and after treatments. Results : During the period, 46 patients with lumbar disc herniation participated in the treatments, respectively. Average admission duration were 20.32 days(SD 9.67) in lumbar disc patients. For lumbar patients, low back pain NRS decreased from $5.84{\pm}2.58$ to $2.12{\pm}1.74$(p<0.001) and radiating pain from $6.25{\pm}2.30$ to $2.59{\pm}1.97$(p<0.001). Total SF-36 score increased significantly after treatment in lumbar disc patients(p<0.001). Conclusions : Korean medical combination treatment might be effective in reducing pain and improving life quality of patients with lumbar disc herniation.

키워드

참고문헌

  1. Gang HS, Hong SH, Gang CH. Musculoskeletal radiology. 1st. ed. Seoul : Bummun Education. 2013 : 811-5
  2. Jensen MC. Magnetic resonance imaging of the lumbar spain in people without back pain. N Eng J Med. 1994 ; 331(2) : 69-73. https://doi.org/10.1056/NEJM199407143310201
  3. Jeong SH, Kim GT. Textbook of spinal disorders, 1st. ed. Seoul : Koonja. 2008 : 188.
  4. Lee GM, Lee GC, Hwang YJ. Collaborative study of oriental-western medicine on HIVD. The Acupuncture. 2000 ; 17(2) : 1-10.
  5. Shvartzman L, Weingarten E, Sherry H, Levin C, Persaud A. Cost-effectiveness analysis of extended conservative therapy versus surgical intervention in the management of herniated lumbar intervertebral disc. Spine. 1992 ; 17(2) : 176-82. https://doi.org/10.1097/00007632-199202000-00010
  6. Hurme M, Alaranta H. Factors perdicting the results of surgery of lumbar intervertebral disc herniation. Spine. 1987 ; 12(9) : 933-8. https://doi.org/10.1097/00007632-198711000-00016
  7. Chen G, Yang S. Practical diagnostics and therapeutics of integrated traditional Chinese and western medicine. Seoul : Iljoongsa. 1992 : 1602.
  8. Kim SJ, Lee H. The clinical study on 193 cases with herniated lumbar disc. J Daejeon Oriental Med. 2011 ; 19(1) : 119-28
  9. Lee EK, Choi EH, Lee JE et al. The clinical study on 137 cases of herniated lumbar disc patients. The Acupuncture. 2008 ; 25(3) : 127-38.
  10. Deyo RA. Comparative validity of the sickness impact profile and shorter scales for functional assessment in low-back pain. Spine, 1986 ; 11(9) : 951-4 https://doi.org/10.1097/00007632-198611000-00017
  11. Lee TY, Kim JK. Comparison of quality of life related with the level of activity and the grade of activity in the elderly residing among city, farmimg and fishing area. J Korea Contents Association. 2010 ; 10(2) : 404-5
  12. Robert M, Walter N. Diagnosis and treatment of pain of vertebral origin. 2nd. ed. Seoul : Koonja. 2008 : 307.
  13. Wheeler AH, Murray DB. Chronic lumbar spine and radicular pain: pathophysiology and treatment. Curr Pain Headache Rep. 2002 ; 6(1) : 97-105. https://doi.org/10.1007/s11916-002-0005-x
  14. Kim YG. Low back pain class. 2nd. ed. Seoul : Daehakseolim. 1999 : 356.
  15. Kim HG, Lee JD. The follow-up computed tomographic view after treatment of HNP of L-spine by oriental medical method. J Kor Oriental Medical Soc. 1997 ; 18(2) : 33-42.
  16. Gwon GR, Kim SC, Kim CH et al. Pharmacopuncturology. 2nd ed. Seoul : Korean Pharmacopuncture Institute. 2011 : 6
  17. Kim JH, Lee JD. Assessment of bee-venom acupuncture effect on herniated disc patients by rating scale. J Kor Oriental Medical Soc. 1999 ; 20(2) : 200-7.

피인용 문헌

  1. Change in Radiating Leg Pain After Traffic Accidents in Patients With and Without Herniated Intervertebral Disc vol.34, pp.4, 2014, https://doi.org/10.13045/jar.2017.02208
  2. Effects of Traditional Korean Medicine Treatment On Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational Study vol.34, pp.4, 2014, https://doi.org/10.13045/jar.2017.02215