기침으로 급성 악화된 요추 추간판 파열 환자의 대용량 약침 및 복합 한방치료 호전사례 1례
A Case Report on a Patient with Acute Herniated Lumbar Disc due to Coughing Treated with Megadose Pharmacopuncture and Combined Korean Medicine
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective: The purpose of this study was to report the radiological and symptomatic changes in a patient with acute herniated lumbar disc due to coughing, treated with megadose pharmacopuncture and combined Korean medicine. Methods: MRI examination diagnosed an acute lumbar disc herniation by coughing. We performed a combination treatment of megadose pharmacopuncture and integrated Korean medicine. NRS, ODI, EQ-5D, SLR test, and big toe extension test were checked on admission, after two weeks, on discharge, and after four months to confirm symptom improvements. Results: In the acute stage of lumbar intervertebral disc rupture, megadose pharmacopuncture combined with Korean medicine treatment showed improvement in NRS, ODI, EQ-5D, SLRT, and big toe extension tests. In addition, absorption of the herniated intervertebral discs was observed through an MRI scan on discharge. Conclusions: For patients with herniated lumbar disc acutely deteriorated by coughing, a combination of megadose pharmacopuncture with Korean medicine treatment may be a solution.
Abstract
Objective: The purpose of this study was to report the radiological and symptomatic changes in a patient with acute herniated lumbar disc due to coughing, treated with megadose pharmacopuncture and combined Korean medicine. Methods: MRI examination diagnosed an acute lumbar disc herniation by coughing. We performed a combination treatment of megadose pharmacopuncture and integrated Korean medicine. NRS, ODI, EQ-5D, SLR test, and big toe extension test were checked on admission, after two weeks, on discharge, and after four months to confirm symptom improvements. Results: In the acute stage of lumbar intervertebral disc rupture, megadose pharmacopuncture combined with Korean medicine treatment showed improvement in NRS, ODI, EQ-5D, SLRT, and big toe extension tests. In addition, absorption of the herniated intervertebral discs was observed through an MRI scan on discharge. Conclusions: For patients with herniated lumbar disc acutely deteriorated by coughing, a combination of megadose pharmacopuncture with Korean medicine treatment may be a solution.
참고문헌 (19)
- Sarwark JF, "Essentials of Musculoskeletal Care", pp.616~ (2013), Bummoon education
- Korea Institute of Oriental Medicine, "KMCPG -Lumbar Herniated Intervertebral Disc(HIVD)", Korea Institute of Oriental Medicine, 34~ (2016)
- Yoon HS, "Herniated Lumbar Disc in a patient Who is Deteriorated by Coughing : A case Report", The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, 5(2), pp.69~76 (2010)
- Jang G, "Herniated Lumbar Disc in a patient Undergoing Lumbar Chuna Manipulation Treatment : A Case Report", The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, 1(2), pp.137~142 (2006)
- Youn YS, "Ruptures Lumbar Disc in a Patient Undergoing Lumbar Chuna Treatment : A Case Report", The Journal of Korea CHUNA Manual Medicine, 5(1), pp.163~168 (2004)
- Kim HS, "Ruptured Lumbar Disc in Patients Undergoing Manipulation of the Lumbar Spine", The Jorunal of Korean Orthop Assoc, 33(5), pp.1326~1333 (1998)
- 유수빈, "대용량 약침 및 한방치료로 호전된 요추 추간판탈출증 환자의 영상의학적 변화 41사례 보고", 한방재활의학과학회지, 26(4), pp.117~126 (2016), 한방재활의학과학회
- 차재덕, "요추간판탈출증에 기인한 요통환자의 침치료와 봉독약침 병행치료에 대한 비교 연구", Journal of Acupuncture Research, 21(1), pp.149~158 (2004), 대한침구의학회
- 유상민, "요추 추간판 탈출증 환자의 침 치료와 봉독침, 봉약침 병행치료에 대한 비교연구", Journal of Acupuncture Research, 23(5), pp.39~54 (2006), 대한침구의학회
- 심성윤, "통증평가도구에 관한 고찰", Korean Journal of Acupuncture, 24(2), pp.77~97 (2007), 경락경혈학회
- Lee SH, "The study of factors affecting functional disability of the low back pain patients using oswestry disability index(ODI)assessment tool", Korean J Orthop Manu Ther, 13(1), pp.18~25 (2007)
- Chang Hoon Jeon, "Validation in the Cross-Cultural Adaptation of the Korean Version of the Oswestry Disability Index", Journal of Korean Medical Science, 21(6), pp.1092~1097 (2006), 대한의학회
- Lee YK, "South Korean time trade-off values for EQ-5D health states : modeling with observed values for 101 health states", Value Health, 12(8), pp.1187~1193 (2009)
- The Society of Korean Medicine Rehabilitation, "Oriental Rehabilitation Medicine", pp.50~ (2012), Koonja publishing company
- Wang DA, "Macnab's Backache", pp.161~165 (2008), Gabon medical
- Lee JS, "Operative Treatment of Lumbar Disc Herniation", Journal of Korean Society of Spine Surgery, 8(3), pp.327~335 (2001)
- Korean Pharmacopuncture Institute, "Korea institute of herbal acupuncture", Korean Pharmacopuncture Institute, 187~194 (1999)
- Saal JA, "The natural history of lumbar intervertebral disc extrusions treated nonoperatively", Spine, 15(7), pp.683~686 (1990)
- 주영국, "대용량약침 및 한방치료를 적용한 요추 추간판 탈출증 환자 치험 3례, 경추 추간판 탈출증 환자 치험 1례", 척추신경추나의학회지, 10(2), pp.61~71 (2015), 척추신경추나의학회