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요추 방출성 골절로 입원한 당뇨병 환자의 한양방 협진 치료 1례

A Case of Korean-Western Medical Treatment of a Diabetic Patient Admitted with Lumbar Burst Fracture

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Objectives: In the case of a diabetic patient diagnosed with lumbar burst fracture, we aim to present effective results in terms of pain management and blood glucose level stabilization. Methods: A patient was given combined traditional Korean medicine therapy, such as herbal medicine, acupuncture, and antidiabetic medications, during a hospitalization period. We measured the state and progress of this case with the NRS (Numeric Rating Scale) and ODI/NDI (Oswestry/Neck Disability Index). We also checked blood glucose levels regularly. Results: After treatment, the patient’s pain was controlled, and the NRS score was decreased. Not only were the overall symptoms of the patient improved positively but the ODI/NDI scores were also improved. Blood glucose level was stabilized. Conclusions: One case of a diabetic patient diagnosed with lumbar burst fracture showed improvement of ODI, NDI, and NRS scores for back and neck pain. Further, the blood glucose level was stabilized.

Abstract

Objectives: In the case of a diabetic patient diagnosed with lumbar burst fracture, we aim to present effective results in terms of pain management and blood glucose level stabilization. Methods: A patient was given combined traditional Korean medicine therapy, such as herbal medicine, acupuncture, and antidiabetic medications, during a hospitalization period. We measured the state and progress of this case with the NRS (Numeric Rating Scale) and ODI/NDI (Oswestry/Neck Disability Index). We also checked blood glucose levels regularly. Results: After treatment, the patient’s pain was controlled, and the NRS score was decreased. Not only were the overall symptoms of the patient improved positively but the ODI/NDI scores were also improved. Blood glucose level was stabilized. Conclusions: One case of a diabetic patient diagnosed with lumbar burst fracture showed improvement of ODI, NDI, and NRS scores for back and neck pain. Further, the blood glucose level was stabilized.

참고문헌 (27)

  1. Andrikopoulos S, "Evaluating the glucose tolerance test in mice", Am J Physiol Endocrinol Metab, 295(6), pp.E1323~E1332 (2008)[DOI]
  2. Lecka-Czernik B, "High bone mass in adult mice with diet-induced obesity results from a combination of initial increase in bone mass followed by attenuation in bone formation; implications for high bone mass and decreased bone quality in obesity", Mol Cell Endocrinol, 410, pp.35~41 (2014)
  3. Shu L, "High-fat diet causes bone loss in young mice by promoting osteoclastogenesis through alteration of the bone marrow environment", Calcif Tissue Int, 96(4), pp.313~323 (2015)[DOI]
  4. Stabley JN, "Type 2 diabetes alters bone and marrow blood flow and vascular control mechanisms in the ZDF rat", J Endocrinol, 225(1), pp.47~58 (2015)[DOI]
  5. Brown ML, "Delayed fracture healing and increased callus adiposity in a C57BL", 6J murine model of obesity-associated type 2 diabetes mellitus, 2014, pp.9(6), e99656~
  6. Yamamoto M, "Diabetic patients have an increased risk of vertebral fractures independent of BMD or diabetic complications", J Bone Miner Res, 24(4), pp.702~709 (2009)[DOI]
  7. Schwartz AV, "Older women with diabetes have an increased risk of fracture: a prospective study", J Clin Endocrinol Metab, 86(1), pp.32~38 (2001)[DOI]
  8. Miao J, "Elevated hip fracture risk in type 1 diabetic patients: a population-based cohort study in Sweden", Diabetes Care, 28(12), pp.2850~2855 (2005)[DOI]
  9. Atlas SW, "The Radiographic characterization of Burst Fractures of the Spine", AJR, 147(3), pp.575~582 (1986)[DOI]
  10. Kim C, "Modified transpedicular approach with laminoplasty in thoracolumbar burst fracture", Journal of Chosun Medical College (2002)
  11. 김은주, "Foot analyzer를 이용한 만성 요통 환자들의 족저 압력 분석", 한방재활의학과학회지, 19(4), pp.115~126 (2009), 한방재활의학과학회
  12. Orthopedic Society of Korea, "Orthopedics, Fifth Edition", pp.670~683 (2001), Choisin publisher
  13. Stephen I. Esses, "Understanding Spinal Disease", pp.300~ (2008), Gunja publisher
  14. Neumann T, "Glycaemic control is positively associated with prevalent fractures but not with bone mineral density in patients with Type 1 diabetes", Diabet Med, 28(7), pp.872~875 (2011)[DOI]
  15. Abdulameer SA, "Osteoporosis and type 2 diabetes mellitus: what do we know, and what we can do?", Patient Prefer Adherence, 6, pp.435~448 (2012)
  16. Leslie WD, "Type 2 diabetes and bone", J Bone Miner Res, 27(11), pp.2231~2237 (2012)[DOI]
  17. Gorman E, "Bone health and type 2 diabetes mellitus: a systematic review", Physiother Can, 63(1), pp.8~20 (2011)[DOI]
  18. Bridges MJ, "Influence of diabetes on peripheral bone mineral density in men: a controlled study", Acta Diabetol, 42(2), pp.82~86 (2005)[DOI]
  19. Bonds DE, "Risk of fracture in women with type 2 diabetes: the Women's Health Initiative Observational Study", J Clin Endocrinol Metab, 91(9), pp.3404~3410 (2006)[DOI]
  20. Vestergaard P, "Relative fracture risk in patients with diabetes mellitus, and the impact of insulin and oral antidiabetic medication on relative fracture risk", Diabetologia, 48(7), pp.1292~1299 (2005)[DOI]
  21. Janghorbani M, "Systematic review of type 1 and type 2 diabetes mellitus and risk of fracture", Am J Epidemiol, 166(5), pp.495~505 (2007)[DOI]
  22. Catalina P, "2017 Fracture Risk Assessment in Patients with Diabetes Mellitus", Journal of Clinical Densitometry: Assessment & Management of Musculoskeletal Health, 20(3), pp.432~443 (2017)
  23. Roszer T, "Inflammation as death or life signal in diabetic fracture healing", Inflamm Res, 60(1), pp.3~10 (2011)[DOI]
  24. Hamann C, "Delayed bone regeneration and low bone mass in a rat model of insulin-resistant type 2 diabetes mellitus is due to impaired osteoblast function", Am J Physiol Endocrinol Metab, 301(17), pp.E1220~E1228 (2011)[DOI]
  25. Starup-Linde J, "Biochemical bone turnover markers in diabetes mellitus - a systematic review", Bone, 82, pp.69~78 (2015)
  26. Furst JR, "Advanced glycation end products and bone material strength in type 2 diabetes", J Clin Endocrinol Metab, 101(6), pp.2502~2510 (2016)[DOI]
  27. Phimphilai M, "Impaired osteogenic differentiation and enhanced cellular receptor of advanced glycation end products sensitivity in patients with type 2 diabetes", J Bone Miner Metab, 35(6), pp.631~641 (2016)

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