요추관협착증의 한의학적 보존적 치료에 대한 임상적 고찰

The Clinical Study of Lumbar Spinal Stenosis in Oriental Medical Hospital

  • 황재연 (한서대학교 한방병원 침구과) ;
  • 도원석 (한서대학교 한방병원 침구과)
  • Hwang, Jae-Yeon (Department of Acupuncture & Moxibustion Hanseo University Oriental Medical Hospital) ;
  • Do, Won-Seok (Department of Acupuncture & Moxibustion Hanseo University Oriental Medical Hospital)
  • 투고 : 2000.08.08
  • 심사 : 2000.08.26
  • 발행 : 2000.09.20

초록

This clinical study was carried out 15 cases with lumbar spinal stenosis patients, who had been admitted and diagnosed by Computed Tomography from June, 1999 to May, 2000, in the department of acupuncture and moxibustion. Hanseo University Oriental Medical Nospital. The results obtained from this study were as follows; 1. We investigated 10 female and 5 male patients. The age distribution was from early 20's to 70's, among which 30's and 50's were most common. 2. The most common duration of symptom was less than a year(46.7%). 3. Regarding to the number of the involved levels, one was 12 cases(80%), two was 3 cases(20.0%). In the one level cases, L4~5 was the most common involved site. 4. Regarding to the clinical symptoms, low back pain was the most common, followed by lower extremity radiating pain, intermittent claudication, lower extremity paresthesia. 5. In orthopaedic examinations, positive sign in Milgram test was 80.0%, positive sign in straight leg raising test was 40.0%, and positive sign in Braggard test was 33.3%. Inneurologic examinations, sensory loss was seen in 60.0%, motor weakness and decreased deep tendon reflex were 26.7% in each. 6. According to clinical symptom scale proposed by Chae(1989), grade I1I was the most common (53.3%), followed by grade II, grade IV, grade I . 7. According to treatment outcome scale proposed by Chae(1989), Good was the most common (73.3%), followed by Excelleat, Fair and Poor.

키워드

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