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요추 추간판 탈출증 환자 78명의 한방치료 후 디스크 재흡수 증례 보고

Lumbar Herniated Disc Resorption of 78 Patients after Korean Medicine Treatment

  • 정범환 (자생한방병원 한방재활의학과) ;
  • 조주현 (자생한방병원 한방재활의학과) ;
  • 윤용일 (자생한방병원 한방재활의학과) ;
  • 박상원 (자생한방병원 한방재활의학과) ;
  • 김성문 (자생한방병원 한방재활의학과) ;
  • 고웅 (자생한방병원 한방재활의학과) ;
  • 정진수 (자생한방병원 한방재활의학과) ;
  • 김정훈 (자생한방병원 한방재활의학과) ;
  • 허석원 (자생한방병원 한방재활의학과) ;
  • 김지원 (자생한방병원 한방안이비인후피부과) ;
  • 김문휘 (자생한방병원 침구의학과)
  • Jung, Bum-Hwan (Department of Korean Rehabilitation Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Jo, Joo-Hyun (Department of Korean Rehabilitation Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Yoon, Yong-Il (Department of Korean Rehabilitation Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Park, Sang-won (Department of Korean Rehabilitation Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Kim, Sung-Moon (Department of Korean Rehabilitation Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Go, Ung (Department of Korean Rehabilitation Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Jung, Jin-soo (Department of Korean Rehabilitation Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Kim, Jung-Hoon (Department of Korean Rehabilitation Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Huh, Suk-Won (Department of Korean Rehabilitation Medicine, Ja-Seng Korean Medicine Hospital) ;
  • Kim, Ji-Won (Department of Korean Medicine Opthalmology, Otolaryngology & Dermatology, Ja-Seng Korean Medicine Hospital) ;
  • Kim, Moon-Hwi (Department of Korean Acupucture & Moxibustion, Ja-Seng Korean Medicine Hospital)
  • 투고 : 2015.11.30
  • 심사 : 2015.12.04
  • 발행 : 2016.01.31

초록

Objectives To analyze the resorption of herniated lumbar intervertebral disc on MRI in patients who were treated with Korean Medicine. Methods 78 patients with lumbar disc herniation were included, 47 males and 32 females. Patients' diagnosis was based on magnetic resonance imaging (MRI). All of the patients were only treated with Korean Medicine for 6 months treatment, and underwent MRI examination twice, pre-treatment and post-treatment. MR images were assessed by reduction in diameter of T2-weighted image between pre-treatment and post-treatment, and analyzed by differences in sex, age and disc type. Results 91.2% (71 people) of total patients had extrusion type. Korean medicine treatment reduced lumbar disc herniation diameter of all the patients from 7.11 mm to 3.67 mm on average (p<0.001). The reduction of diameter in the male group was 3.52 mm on average. The reduction of diameter in the female group was 3.32 mm on average. The reduction of diameter was 3.28 mm in the group below age 29, 3.88 mm in the 30~39 age group, 3.39 mm in the 40~49 age group, and 2.71 mm in the above 50 age group on average. Conclusions The MRI results suggest that lumbar herniated disc can resorb with Korean Medicine treatment. The likelihood of lumbar disc resorption was higher at extrusion type. but there was not a significant difference between the sexes and between ages.

키워드

참고문헌

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피인용 문헌

  1. 대용량 약침 및 한방치료로 호전된 요추 추간판탈출증 환자의 영상의학적 변화 41사례 보고 vol.26, pp.4, 2016, https://doi.org/10.18325/jkmr.2016.26.4.117
  2. A descriptive statistical analysis of inpatients with lumbar disc herniation at a Korean medicine hospital in 2014 vol.34, pp.2, 2016, https://doi.org/10.13045/acupunct.2017080
  3. 보존적 한방치료를 진행한 요추 추간판 탈출증 환자의 시간에 따른 영상의학적 추간판 크기 변화 1례 vol.39, pp.5, 2016, https://doi.org/10.22246/jikm.2018.39.5.879