The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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The effectiveness of oriental medical therapy compared to oriental-western medical therapy on acute bell's palsy

급성기 말초성 안면신경마비에 대한 한방치료와 한양방 병용치료의 효과비교

  • Cho, Ki-Ho (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University) ;
  • Jung, Woo-Sang (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University) ;
  • Hong, Jin-Woo (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University) ;
  • Hwang, Jae-Woong (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University) ;
  • Na, Byung-Jo (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University) ;
  • Park, Seong-Uk (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University) ;
  • Moon, Sang-Kwan (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University) ;
  • Park, Jung-Mi (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University) ;
  • Ko, Chang-Nam (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Young-Suk (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University) ;
  • Bae, Hyung-Sup (Department of Cardiovascular &Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung Hee University)
  • 조기호 (경희대학교 한의과대학 심계내과학교실) ;
  • 정우상 (경희대학교 한의과대학 심계내과학교실) ;
  • 홍진우 (경희대학교 한의과대학 심계내과학교실) ;
  • 황재웅 (경희대학교 한의과대학 심계내과학교실) ;
  • 나병조 (경희대학교 한의과대학 심계내과학교실) ;
  • 박성욱 (경희대학교 한의과대학 심계내과학교실) ;
  • 문상관 (경희대학교 한의과대학 심계내과학교실) ;
  • 박정미 (경희대학교 한의과대학 심계내과학교실) ;
  • 고창남 (경희대학교 한의과대학 심계내과학교실) ;
  • 김영석 (경희대학교 한의과대학 심계내과학교실) ;
  • 배형섭 (경희대학교 한의과대학 심계내과학교실)
  • Published : 2008.03.31
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Abstract

Objectives : This study was to assess the effectiveness of oriental medical therapy (OM) on acute Bell's palsy, comparing its outcome with that of oriental-western medical therapy (OWM). Methods : Subjects were enrolled atKyung Hee Medical Center from March 2007 to December 2007. We prescribed Igigeopung-san and acupuncture therapy to both the OM and OWM groups, and prednisolone only to the OWM group. Effectiveness was assessed by the House-Brackmann facial nerve grading system (HBGS) and Yanagihara's unweighted grading system (YUGS) every week. Results : There were 31 patients in the OM group and 34 in the OWM group. About grading system scores and weekly score gaps, no significant differences were revealed between the two groups, but statistical significant difference was detected at recovery time. After 2 weeks of treatment, the OM group's HBGS score showed significant difference from baseline score, but the OWM group showed it after 1 week. After 3 weeks of medication, pain was reduced in 22% of OM group patients, but 50% in the OWM group (p=0.028). We made the same comparison study for patients treated within 4 days from onset, but there was no significant difference between the two groups. 3 cases of adverse effect of hyperglycemia were found in the OWM group, which could be due to hyperglycemic side-effect of prednisolone. Conclusion : This work could help us to understand the effectiveness of OM compared to OWM on acute Bell's palsy.

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