한방병원에 입원한 요추관협착증을 동반한 말초성 안면신경마비 환자에 대한 한방 치료 1례
A Case Report of Peripheral Facial Nerve Palsy in a Patient with Spinal Stenosis Hospitalized at a Korean Medicine Hospital and Treated with Korean Medicine
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study is to investigate the effectiveness of using Korean medical treatment for peripheral facial nerve palsy. Methods: We primarily treated the patient’s peripheral facial nerve palsy during hospitalization (06/28/21~07/13/21) without any other steroids or antiviral drug treatments and additionally treated their spinal stenosis, using Korean medical treatments in both cases (herbal medicine, acupuncture, and herbal acupuncture therapy). The House-Brackmann grading system and Yanagihara’s unweighted grading system were used to assess facial symptom changes, and the Numerical Rating Scale was used to evaluate the back pain caused by the spinal stenosis. Results: Following treatment, the patient’s House-Brackmann and Numerical Rating Scale scores decreased, while their Yanagihara unweighted score improved. Conclusions: This study suggests that Korean medicine may be effective in the treatment of facial nerve palsy.
Abstract
Objectives: The purpose of this study is to investigate the effectiveness of using Korean medical treatment for peripheral facial nerve palsy. Methods: We primarily treated the patient’s peripheral facial nerve palsy during hospitalization (06/28/21~07/13/21) without any other steroids or antiviral drug treatments and additionally treated their spinal stenosis, using Korean medical treatments in both cases (herbal medicine, acupuncture, and herbal acupuncture therapy). The House-Brackmann grading system and Yanagihara’s unweighted grading system were used to assess facial symptom changes, and the Numerical Rating Scale was used to evaluate the back pain caused by the spinal stenosis. Results: Following treatment, the patient’s House-Brackmann and Numerical Rating Scale scores decreased, while their Yanagihara unweighted score improved. Conclusions: This study suggests that Korean medicine may be effective in the treatment of facial nerve palsy.
참고문헌 (20)
- 김수진, "Acute Peripheral Facial Palsy: Recent Guidelines and a Systematic Review of the Literature", Journal of Korean Medical Science, 35(30), pp.1~10 (2020), 대한의학회[DOI]
- 윤대환, "高脂肪食餌로 誘發된 肥滿白鼠모델에서 저용량 레이져 요법이 血淸脂質 및 肝機能에 미치는 影響", Korean Journal of Acupuncture, 21(4), pp.53~68 (2004), 경락경혈학회
- Holland NJ, "Bell's palsy", BMJ Clin Evid, 2014, pp.1204~ (2014)
- Chen N, "Acupuncture for Bell's palsy", Cochrane Database Syst Rev, 2010(8), pp.CD002914~ (2010)
- Jeong JH, "Risk factors for Bell's palsy based on the Korean National Health Insurance Service National Sample Cohort data", Sci Rep, 11(1), pp.23387~ (2021)[DOI]
- Heckmann JG, "The Diagnosis and Treatment of Idiopathic Facial Paresis(Bell's Palsy)", Dtsch Arztebl Int, 116(41), pp.692~702 (2019)
- 김명우, "한국에서의 급성 안면마비 환자에 대한 조기 스테로이드치료의 의미와 중요성", 대한이비인후-두경부외과학회지, 59(5), pp.346~352 (2016), 대한이비인후과학회[DOI]
- 김지훈, "말초성 안면신경마비의 한양방 협진치료에 관한 임상적 연구", 한방안이비인후피부과학회지, 22(1), pp.148~156 (2009), 대한한방안이비인후피부과학회
- 양현주, "벨마비 입원환자 35례에 대한 임상보고 조기 한방치료가 벨마비에서 House-Brackmann grade에 미치는 영향을 중심으로", 한방안이비인후피부과학회지, 24(3), pp.108~118 (2011), 대한한방안이비인후피부과학회
- 한지선, "안면마비 환자에 대한 Sunnybrook Facial Grading System의 적용 실태 분석 : 후향적 관찰연구", Journal of Acupuncture Research, 33(4), pp.101~108 (2016), 대한침구의학회
- Berg T, "Agreement between the Sunnybrook, House-Brackmann, and Yanagihara Facial Nerve Grading Systems in Bell’s Palsy", Otol Neurotol, 25(6), pp.1020~1026 (2004)
- Bielewicz J, "VAS and NRS, Same or Different? Are Visual Analog Scale Values and Numerical Rating Scale Equally Viable Tools for Assessing Patients after Microdiscectomy?", Pain Research and Management, 2022, pp.5337483~ (2022)
- Finsterer J, "Management of peripheral facial nervepalsy", Eur Arch Otorhinolaryngol, 265(7), pp.743~752 (2008)
- Murthy JMK, "Bell's palsy : Treatment guidelines", Ann Indian Acad Neurol, 14(1), pp.70~72 (2011)
- 양태준, "구안와사 입원환자 25명에 대한 황련해독탕 약침을 병행한 한방치료 증례 보고", Korean Journal of Acupuncture, 31(4), pp.229~233 (2014), 경락경혈학회[DOI]
- 원재선, "급성기 안면마비 (Bell's palsy) 환자의 예후 및 치료율에 대한 임상고찰 80례", 한방안이비인후피부과학회지, 23(2), pp.151~162 (2010), 대한한방안이비인후피부과학회
- 김민수, "The clinical research of the efficacy of bee venom aqua-acupunture on peripheral facial paralysis", Journal of Acupuncture Research, 21(4), pp.251~262 (2004), 대한침구의학회
- 김지수, "구안와사에 대한 훈증요법 복합치료 효과", 대한한의학 방제학회지, 23(1), pp.151~159 (2015), 대한한의학방제학회[DOI]
- 김수연, "통합적인 한방치료로 호전된 삼차신경통을 동반한 말초성 안면마비 환자 1례 보고", 대한한방내과학회지, 40(5), pp.760~767 (2019), 대한한방내과학회[DOI]
- 이윤하, "안면마비에 대한 SJS 무저항요법-안면마비(SJSNRT-F)를 포함한 복합한방치료 증례보고 3례", 척추신경추나의학회지, 16(2), pp.87~95 (2021), 척추신경추나의학회[DOI]