DOI QR코드

DOI QR Code

요추 추간판탈출증 입원환자 72례에 대한 한의학적 복합치료 효과의 관찰 연구

The Effect of Korean Medical Combination Treatment on 72 Cases of Herniated Intervertebral Lumbar Disc Patients: An Observational Study

  • 김상민 (대전자생한방병원 침구의학과) ;
  • 이순호 (대전자생한방병원 침구의학과) ;
  • 신유빈 (대전자생한방병원 침구의학과) ;
  • 최지훈 (대전자생한방병원 침구의학과) ;
  • 구자성 (대전자생한방병원 한방내과) ;
  • 유형진 (대전자생한방병원 한방재활의학과) ;
  • 이동현 (대전자생한방병원 한방재활의학과)
  • Kim, Sang Min (Department of Acupuncture & Moxibusion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Lee, Sun Ho (Department of Acupuncture & Moxibusion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Shin, You Bin (Department of Acupuncture & Moxibusion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Choi, Ji Hoon (Department of Acupuncture & Moxibusion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Koo, Ja Sung (Department of Oriental Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Yoo, Hyung Jin (Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Lee, Dong Hyun (Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine)
  • 투고 : 2015.04.17
  • 심사 : 2015.05.26
  • 발행 : 2015.06.20

초록

Objectives : This study was designed to assess the general distribution and clinical effectiveness of Korean medical treatment on lumbar disc herniation. Methods : This is an observational study. 72 patients admitted to Daejeon Jaseng Hospital of Korean Medicine with a diagnosis of herniated intervertebral disc(HIVD) by lumbar-CT of lumbar-MRI were observed from July, 2014 to April, 2015. They were analyzed according to sex, age, the period of disease, causal factors, symptoms on admission, admission day, disc herniation type and treatment efficacy. All patients received a combination of treatments during hospitalization, including acupuncture, Chuna, herbal medicines and physical therapy. A zero to ten numerating rating scale(NRS) assessing pain, Oswestry disability index(ODI) and EuroQol-5 dimension(EQ-5D) was used before and after treatments. Results : Average admission duration was $28.00{\pm}12.85$ days in lumbar disc patients. For lumbar patients, lower back pain NRS decreased from $5.89{\pm}2.00$ to $3.42{\pm}1.87$(p<0.001) and radiating pain from $5.96{\pm}2.12$ to $3.38{\pm}1.83$(p<0.001). ODI decreased from $46.69{\pm}19.25$ to $35.69{\pm}16.67$(p<0.001), and EQ-5D index increased from $0.63{\pm}0.26$ to $0.71{\pm}0.20$(p<0.05) after treatment in lumbar disc patients. Conclusions : Korean medical combination treatment might be effective in reducing pain and improving quality of life for patients with lumbar disc herniation. This study further confirmed the efficacy of Korean medical treatment on HIVD.

키워드

참고문헌

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피인용 문헌

  1. Change in Radiating Leg Pain After Traffic Accidents in Patients With and Without Herniated Intervertebral Disc vol.34, pp.4, 2015, https://doi.org/10.13045/jar.2017.02208
  2. A Study on the Development and Application of Korean Medical Critical Pathway of Lumbar Disc Herniation in Four Different Medical Associations vol.42, pp.3, 2015, https://doi.org/10.13048/jkm.21021