본문 바로가기
KERD
논문KCI 등재

요추 후관절 약침 치료를 병행한 임신 중 요통 및 하지방사통이 악화된 요추 추간판 탈출증 환자 증례 보고

A Case Report inculding Pharmacopuncture Therapy at Lumbar Facet joints for a Patient with Lumbar Disc Herniation with Lower Back Pain and Leg Radiating Pain that Worsen during Pregnancy

2

조회

0

다운로드

4

인용

0

참고문헌

키워드

주제분류한의학

초록

Objectives: The purpose of this study was to report a case of a pregnant woman diagnosed with lumbar disc herniation that improved in lumbar pain and radiating leg pain through combined korean medical treatment including pharmacopuncture at lumbar facet joints in situations surgical and pharmacological treatment is limited due to pregnancy. Methods: A combination of treatment including pharmacopuncture at lumbar facet joints, acupuncture, cupping, and herbal medicine was provided for 1 month to a woman at 21 weeks pregnant who was diagnosed with lumbar disc herniation. Her progress was assessed with Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5Dimension (EQ-5D) before and after treatment. Results: After the treatment, the pain decreased and the quality of life was enhanced. No adverse events were observed. Conclusions: The findings indicate that combined korean medical treatment including pharmacopuncture at lumbar facet joints can be safe and effective alternative to treat lumbar disc herniation during pregnancy.

Abstract

Objectives: The purpose of this study was to report a case of a pregnant woman diagnosed with lumbar disc herniation that improved in lumbar pain and radiating leg pain through combined korean medical treatment including pharmacopuncture at lumbar facet joints in situations surgical and pharmacological treatment is limited due to pregnancy. Methods: A combination of treatment including pharmacopuncture at lumbar facet joints, acupuncture, cupping, and herbal medicine was provided for 1 month to a woman at 21 weeks pregnant who was diagnosed with lumbar disc herniation. Her progress was assessed with Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5Dimension (EQ-5D) before and after treatment. Results: After the treatment, the pain decreased and the quality of life was enhanced. No adverse events were observed. Conclusions: The findings indicate that combined korean medical treatment including pharmacopuncture at lumbar facet joints can be safe and effective alternative to treat lumbar disc herniation during pregnancy.

참고문헌 (20)

  1. Cunningham FG, "Williams Obstetrics", pp.209~240 (1997), Appleton & Lange
  2. Fast A, "Low back pain in pregnancy", Spine, 12(4), pp.868~871 (1987)
  3. Park J, "safety of acupuncture during pregnancy : a systematic review", Acupunct Med, 32(3), pp.257~266 (2014)
  4. 이수연, "한방 복합치료를 시행한 임신 중 요통 환자 치험 3례", Journal of Acupuncture Research, 33(3), pp.197~205 (2016), 대한침구의학회
  5. 김선경, "황련해독탕 약침 치료를 병행한 임신 중 좌골신경통을 동반한 요통 환자의 증례보고", 대한한방부인과학회지, 32(2), pp.138~147 (2019), 대한한방부인과학회[DOI]
  6. 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
  7. 심성윤, "통증평가도구에 관한 고찰", Korean Journal of Acupuncture, 24(2), pp.77~97 (2007), 경락경혈학회
  8. Fairbank j, "The Owenstry disability index", Spine, 25(22), pp.940~952 (2000)
  9. 성상석, "한국인에서 EQ-5D를 이용한 건강 관련 삶의 질 측정", 대한류마티스학회지, 11(3), pp.254~262 (2004), 대한류마티스학회
  10. Zhang ZJ, "Synopsis of Prescriptions of the Golden Chamber", pp.573~ (1994), Awoolos Publishing Company
  11. The Society of Korean Medicine Rehabilitation, "Oriental Rehabiliation Medicine", pp.59~61 (2005), Koonja
  12. Park, YG, "The Effects of Epidural Steroid Injection in the Management of Low Back Pain", J Korean Acad Rehabil Med, 22(3), pp.3~14 (1998)
  13. 윤명하, "스테로이드의 사용지침", The Korean Journal of Pain, 17(2), pp.8~8 (2004), 대한통증학회
  14. 유수빈, "대용량 약침 및 한방치료로 호전된 요추 추간판탈출증 환자의 영상의학적 변화 41사례 보고", 한방재활의학과학회지, 26(4), pp.117~126 (2016), 한방재활의학과학회
  15. Kim TH, "Protective effect of GCSB-5, an herbal preparation, against peripheral nerve injury in rats", J Ethnopharmacol, 136(2), pp.297~304 (2011)
  16. Jun BC, "Effectiveness of ShinBaro Pharmacopuncture on Lumbar Spinal Herniated Intervertebral Disc : A Randomized Controlled Trial", J Korea Chuna Manual Med Spine Nerves, 6(2), pp.109~119 (2011)
  17. Korean Academy of Orthopedic Manual Therapy, "Musculoskeletal examination", pp.131~132 (2004), Panmun book
  18. Brent RL, "The effect of embryonic and fetal exposure to x-ray, microwaves, and ultrasound: counseling the pregnant and nonpregnant patient about these risks", Semin Oncol, 16(5), pp.347~368 (1989)
  19. Modic MT, "MRI of the spine", Radiolo Clin North Am, 24A, pp.229~245 (1986)
  20. Moon YS, "Effect of Kumgwedanggwi -san Decoction on Female Genital System of white Rats", J Korean Obstet Gynecol, 8(1), pp.141~159 (1995)

관련 논문AI추천

이 간행물의 다른 논문 (6건)