대용량약침 및 한방치료를 적용한 요추 추간판 탈출증 환자 치험 3례, 경추 추간판 탈출증 환자 치험 1례

A Clinical Case Report Treated by Megadose Pharmacoacupuncture and Korean Medical treatments for the three Patients with HIVD of L-Spine and one Patient with HIVD of C-Spine

  • 주영국 (부천자생한방병원 한방재활의학과) ;
  • 김태호 (부천자생한방병원 침구의학과) ;
  • 이소진 (부천자생한방병원 침구의학과) ;
  • 안상민 (부천자생한방병원 한방내과) ;
  • 신수지 (부천자생한방병원 한방부인과) ;
  • 권옥준 (부천자생한방병원 한방재활의학과) ;
  • 김주원 (부천자생한방병원 한방재활의학과) ;
  • 윤문식 (부천자생한방병원 한방재활의학과)
  • Ju, Yeong-Guk (Dept. of Rehabilitation Medicine of Korean Medicine, Bucheon Jaseng Korean medicine Hospital) ;
  • Kim, Tae-Ho (Dept. of Acupuncture and Moxibustion of Korean Medicine, Bucheon Jaseng Korean medicine Hospital) ;
  • Lee, So-Jin (Dept. of Acupuncture and Moxibustion of Korean Medicine, Bucheon Jaseng Korean medicine Hospital) ;
  • Ahn, Sang-Min (Dept. of Korean Internal Medicine, Bucheon Jaseng Korean medicine Hospital) ;
  • Sin, Su-Ji (Dept. of Gynecology of Korean Medicine, Bucheon Jaseng Korean medicine Hospital) ;
  • Kwon, Ok-Jun (Dept. of Rehabilitation Medicine of Korean Medicine, Bucheon Jaseng Korean medicine Hospital) ;
  • Kim, Joo-Won (Dept. of Rehabilitation Medicine of Korean Medicine, Bucheon Jaseng Korean medicine Hospital) ;
  • Yoon, Moon-Sik (Dept. of Rehabilitation Medicine of Korean Medicine, Bucheon Jaseng Korean medicine Hospital)
  • 투고 : 2015.11.13
  • 심사 : 2015.12.11
  • 발행 : 2015.12.30

초록

Objective : To report cases of HIVD of C&L-Spine successfully treated with conservative Korean Traditional Medicine treatment with Megadose Pharmacoacupuncture. Methods : Four patients diagnosed with HIVD of C&L-Spine were treated with Megadose Pharmacopuncture, acupuncture and herbal medicine. Numeric Rating Scale(NRS), Neck Disablility Index(NDI) and Oswestry low back pain Disablility Index(ODI) scores were collected before and after treatment for comparison. Results : There was a significant decrease in NRS, NDI and ODI scores. The mean NRS score decresed from 9 to 2.25, NDI from 45 to 14 and ODI from 46.66 to 11.33. Conclusion : The result suggests Megadose Pharmacoacupuncture can be an effective treatment on patients with HIVD of C&L-Spine.

키워드

참고문헌

  1. 한방재활의학과학회. 한방재활의학. 3판. 서울:군자 출판사. 2011: 70.
  2. 대한약침학회 학술위원회.약침의학연구소. 약침학. 2판. 서울:엘스비어코리아. 2011:3.
  3. 황민섭. 경근이론의 형성과정과 의의에 대한 연구. 동국대 학위논문(박사). 2006.
  4. 하인혁, 박원상, 우인, 김하늘, 고동현, 윤유석. 요각통 환자의 통증 평가에 있어서 수직, 수평선 Visual Analogue Scale과 Numerical Rating Scale 간의 상관관계. 한방재활의학과학회지. 2006;16:125-33.
  5. 전창훈, 김동재, 김동준, 이환모, 박희전, 한국어판 Oswestry Disablility Index(장애지수)의 문화적 개작. 대한척추외과학회지. 2005; 12(2):146-52. https://doi.org/10.4184/jkss.2005.12.2.146
  6. 康鎖彬 外. 鐵灸腧穴學. 河北科學技術出版社. 1995:235.
  7. 馬振文. 頸腰夾脊穴對治療半身不逐的會. 遼寧中醫雜志. 1985;(2):39.
  8. 王樹年. 針刺華陀夾脊穴治療急性腰扭傷 308例, 中國鍼灸, 1989;(6):22.
  9. Rantanen J, Hurme M, Falck B, Alaranta H, Nykvist F, Lehto M, Einola S, Kaimo H. The lumbar multifidus muscle five years after surgery for a lumbar intervertebral disc herniation. Spine, 1993;18:568-74. https://doi.org/10.1097/00007632-199304000-00008
  10. Sihvonen T.Hemo A, Paljarvi L, Airaksinen O, Partanen J, Tapaninaho A. Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome. Spine. 1993:18:575-81. https://doi.org/10.1097/00007632-199304000-00009
  11. Kim DW, Kim Y, Shin SJ. The clinical effect of Cheongpa-jeon on the group of patients who were treated under conservative remedies for LBP(Low Back Pain). The Journal of Korea Chuna Manual Medicine. 2004;5(1):85.
  12. Cha BC, Lee EH. HPLC Analysis and Screening of Standard Compound on Saposhnikoviae Radix for Standardization of GCSB-5 Preparation. Kor J Pharmacogn. 2009;40(2):103-8.
  13. Chung HJ, Lee HS, Shin JS et al. Modulation of acute and chronic inflammatory processes by a traditional medicine preparation GCSB-5 both in vitro and in vivo animal models. Journal of Ethnopharmachology. 2010;457-8
  14. Kim TH, Yoon SJ, LeeWC et al. Protective effect of GCSB-5, an herbal preparation, against peripheral nerve injury in rats. Journal of Ethnopharmachology. 2011; 136(2):297-304. https://doi.org/10.1016/j.jep.2011.04.037
  15. 전병철, 김은수, 김동섭, 김태헌, 김지용. 요추추간판탈출증에 대한 신바로약침의 효과 : 무작위 대조군 시험. 척추신경추나의학회지. 2011;6(2):117.
  16. Saal JA, Saal JS and Herzog RJ. The natural history of lumbar intervertebral disc extrusions treated nonoperatively. Spine. 1990:15(7):683-6. https://doi.org/10.1097/00007632-199007000-00013