대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
권호 표지
DOI QR코드

DOI QR Code

요추 방출성 골절로 입원한 당뇨병 환자의 한양방 협진 치료 1례

A Case of Korean-Western Medical Treatment of a Diabetic Patient Admitted with Lumbar Burst Fracture

  • 강아현 (강남자생한방병원 한방내과) ;
  • 한동근 (강남자생한방병원 한방내과) ;
  • 서혜진 (강남자생한방병원 한방내과) ;
  • 성재연 (강남자생한방병원 한방내과) ;
  • 오주현 (강남자생한방병원 한방내과) ;
  • 이유라 (강남자생한방병원 한방내과) ;
  • 이형철 (강남자생한방병원 한방내과) ;
  • 엄국현 (강남자생한방병원 한방내과) ;
  • 송우섭 (강남자생한방병원 한방내과)
  • Kang, Ah-hyun (Dept. of Internal Medicine, Gang-nam Ja-Seng Korean Medicine Hospital) ;
  • Han, Dong-kun (Dept. of Internal Medicine, Gang-nam Ja-Seng Korean Medicine Hospital) ;
  • Seo, Hye-jin (Dept. of Internal Medicine, Gang-nam Ja-Seng Korean Medicine Hospital) ;
  • Sung, Jae-yeon (Dept. of Internal Medicine, Gang-nam Ja-Seng Korean Medicine Hospital) ;
  • Oh, Ju-hyun (Dept. of Internal Medicine, Gang-nam Ja-Seng Korean Medicine Hospital) ;
  • Lee, Yu-ra (Dept. of Internal Medicine, Gang-nam Ja-Seng Korean Medicine Hospital) ;
  • Lee, Hyung-chul (Dept. of Internal Medicine, Gang-nam Ja-Seng Korean Medicine Hospital) ;
  • Um, Guk-hyun (Dept. of Internal Medicine, Gang-nam Ja-Seng Korean Medicine Hospital) ;
  • Song, Woo-sub (Dept. of Internal Medicine, Gang-nam Ja-Seng Korean Medicine Hospital)
  • 투고 : 2018.03.15
  • 심사 : 2018.05.25
  • 발행 : 2018.05.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: In the case of a diabetic patient diagnosed with lumbar burst fracture, we aim to present effective results in terms of pain management and blood glucose level stabilization. Methods: A patient was given combined traditional Korean medicine therapy, such as herbal medicine, acupuncture, and antidiabetic medications, during a hospitalization period. We measured the state and progress of this case with the NRS (Numeric Rating Scale) and ODI/NDI (Oswestry/Neck Disability Index). We also checked blood glucose levels regularly. Results: After treatment, the patient's pain was controlled, and the NRS score was decreased. Not only were the overall symptoms of the patient improved positively but the ODI/NDI scores were also improved. Blood glucose level was stabilized. Conclusions: One case of a diabetic patient diagnosed with lumbar burst fracture showed improvement of ODI, NDI, and NRS scores for back and neck pain. Further, the blood glucose level was stabilized.

키워드

참고문헌

  1. Andrikopoulos S, Blair AR, Deluca N, Fam BC, Proietto J. Evaluating the glucose tolerance test in mice. Am J Physiol Endocrinol Metab 2008; 295(6):E1323-32. https://doi.org/10.1152/ajpendo.90617.2008
  2. Lecka-Czernik B, Stechschulte LA, Czernik PJ, Dowling AR. High bone mass in adult mice with diet-induced obesity results from a combination of initial increase in bone mass followed by attenuation in bone formation; implications for high bone mass and decreased bone quality in obesity. Mol Cell Endocrinol 2014;410:35-41.
  3. Shu L, Beier E, Sheu T, Zhang H, Zuscik MJ, Puzas EJ, et al. High-fat diet causes bone loss in young mice by promoting osteoclastogenesis through alteration of the bone marrow environment. Calcif Tissue Int 2015;96(4):313-23. https://doi.org/10.1007/s00223-015-9954-z
  4. Stabley JN, Prisby RD, Behnke BJ, Delp MD. Type 2 diabetes alters bone and marrow blood flow and vascular control mechanisms in the ZDF rat. J Endocrinol 2015;225(1):47-58. https://doi.org/10.1530/JOE-14-0514
  5. Brown ML, Yukata K, Farnsworth CW, Chen DG, Awad H, Hilton MJ, et al. Delayed fracture healing and increased callus adiposity in a C57BL/6J murine model of obesity-associated type 2 diabetes mellitus. PLoS ONE 2014;9;6: Article ID e99656. https://doi.org/10.1371/journal.pone.0099656
  6. Yamamoto M, Yamaguchi T, Yamauchi M, Kaji H, Sugimoto T. Diabetic patients have an increased risk of vertebral fractures independent of BMD or diabetic complications. J Bone Miner Res 2009; 24(4):702-9. https://doi.org/10.1359/jbmr.081207
  7. Schwartz AV, Sellmeyer DE, Ensrud KE, Cauley JA, Tabor HK, Schreiner PJ, et al. Older women with diabetes have an increased risk of fracture: a prospective study. J Clin Endocrinol Metab 2001;86(1):32-8. https://doi.org/10.1210/jcem.86.1.7139
  8. Miao J, Brismar K, Nyren O, Ugarph-Morawski A, Ye W. Elevated hip fracture risk in type 1 diabetic patients: a population-based cohort study in Sweden. Diabetes Care 2005;28(12):2850-5. https://doi.org/10.2337/diacare.28.12.2850
  9. Atlas SW, Regenbogen V, Rogers LF, Kim KS. The Radiographic characterization of Burst Fractures of the Spine. AJR 1986;147(3):575-82. https://doi.org/10.2214/ajr.147.3.575
  10. Kim C, Lee SM. Modified transpedicular approach with laminoplasty in thoracolumbar burst fracture. Journal of Chosun Medical College 2002.
  11. Kim EJ, Cho YJ, Song MY. Foot Pressure Analysis of Chronic Low Back Pain Patients by Foot Analyzer. Oriental Rehabilitation Medicine 2009;18(4):117.
  12. Orthopedic Society of Korea. Orthopedics. Fifth Edition. Seoul: Choisin publisher; 2001, p. 670-83.
  13. Stephen I. Esses. Understanding Spinal Disease. Seoul: Gunja publisher; 2008, p. 300.
  14. Neumann T, Samann A, Lodes S, Kästner B, Franke S, Kiehntopf M, et al. Glycaemic control is positively associated with prevalent fractures but not with bone mineral density in patients with Type 1 diabetes. Diabet Med 2011;28(7) :872-5. https://doi.org/10.1111/j.1464-5491.2011.03286.x
  15. Abdulameer SA, Sulaiman SA, Hassali MA, Subramaniam K, Sahib MN. Osteoporosis and type 2 diabetes mellitus: what do we know, and what we can do? Patient Prefer Adherence 2012;6:435-48.
  16. Leslie WD, Rubin MR, Schwartz AV, Kanis JA. Type 2 diabetes and bone. J Bone Miner Res 2012;27(11):2231-7. https://doi.org/10.1002/jbmr.1759
  17. Gorman E, Chudyk AM, Madden KM, Ashe MC. Bone health and type 2 diabetes mellitus: a systematic review. Physiother Can 2011;63(1) :8-20. https://doi.org/10.3138/ptc.2010-23bh
  18. Bridges MJ, Moochhala SH, Barbour J, Kelly CA. Influence of diabetes on peripheral bone mineral density in men: a controlled study. Acta Diabetol 2005;42(2):82-6. https://doi.org/10.1007/s00592-005-0183-1
  19. Bonds DE, Larson JC, Schwartz AV, Strotmeyer ES, Robbins J, Rodriguez BL, et al. Risk of fracture in women with type 2 diabetes: the Women's Health Initiative Observational Study. J Clin Endocrinol Metab 2006;91(9):3404-10. https://doi.org/10.1210/jc.2006-0614
  20. Vestergaard P, Rejnmark L, Mosekilde L. Relative fracture risk in patients with diabetes mellitus, and the impact of insulin and oral antidiabetic medication on relative fracture risk. Diabetologia 2005;48(7):1292-9. https://doi.org/10.1007/s00125-005-1786-3
  21. Janghorbani M, Van Dam RM, Willett WC, Hu FB. Systematic review of type 1 and type 2 diabetes mellitus and risk of fracture. Am J Epidemiol 2007;166(5):495-505. https://doi.org/10.1093/aje/kwm106
  22. Catalina P, Cristina C. 2017 Fracture Risk Assessment in Patients with Diabetes Mellitus. Journal of Clinical Densitometry: Assessment & Management of Musculoskeletal Health 2017;20(3):432-43.
  23. Roszer T. Inflammation as death or life signal in diabetic fracture healing. Inflamm Res 2011; 60(1):3-10. https://doi.org/10.1007/s00011-010-0246-9
  24. Hamann C, Goettsch C, Mettelsiefen J, Henkenjohann V, Rauner M, Hempel U, et al. Delayed bone regeneration and low bone mass in a rat model of insulin-resistant type 2 diabetes mellitus is due to impaired osteoblast function. Am J Physiol Endocrinol Metab 2011;301(17):E1220-8. https://doi.org/10.1152/ajpendo.00378.2011
  25. Starup-Linde J, Vestergaard P. Biochemical bone turnover markers in diabetes mellitus - a systematic review. Bone 2015;82:69-78.
  26. Furst JR, Bandeira LC, Fan WW, Agarwal S, Nishiyama KK, Mcmahon DJ, et al. Advanced glycation end products and bone material strength in type 2 diabetes. J Clin Endocrinol Metab 2016;101(6):2502-10. https://doi.org/10.1210/jc.2016-1437
  27. Phimphilai M, Pothacharoen P, Kongtawelert P, Chattipakorn N. Impaired osteogenic differentiation and enhanced cellular receptor of advanced glycation end products sensitivity in patients with type 2 diabetes. J Bone Miner Metab 2016;35(6):631-41.

피인용 문헌

  1. 통합 한방치료로 호전된 강직성 척추염 환자 1례 보고 vol.40, pp.5, 2018, https://doi.org/10.22246/jikm.2019.40.5.776