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퇴행성 반월상 연골판 파열 환자의 한의학적 치료 효과와 Kellgren-Lawrence-grade, Body Mass Index의 상관성

The Correlation between Korean Medical Treatment on Degenerative Meniscus Tear and Kellgren-Lawrence-grade, Body Mass Index

  • 이기언 (경희대학교 대학원 임상한의학교실) ;
  • 이건영 (청연한방병원 한방재활의학과) ;
  • 한시훈 (대전자생한방병원 한방재활의학과) ;
  • 김국범 (대전자생한방병원 한방재활의학과) ;
  • 김효준 (대전자생한방병원 한방재활의학과) ;
  • 장재원 (대전자생한방병원 한방내과) ;
  • 장영우 (대전자생한방병원 한방안이비인후피부과) ;
  • 조재흥 (경희대학교 한의과대학 한방재활의학과교실)
  • Lee, Gi-Eon (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Geon-Yeong (Department of Korean Rehabilitation Medicine, Chung-Yeon Korean Medicine Hospital) ;
  • Han, Si-Hoon (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Gook-Beom (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Hyo-Jun (Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Jang, Jae-Won (Department of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Jang, Youngwoo (Department of Korean Opthalmology, Otolaryngology and Dermatology, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Cho, Jae-Heung (Department of Korean Rehabilitation Medicine, College of Korean Medicine, Kyung Hee University)
  • 투고 : 2018.08.21
  • 심사 : 2018.10.08
  • 발행 : 2018.10.31

Abstract

Objectives The aim of this study is to observe the effectiveness of complex Korean medicine treatment applied to the patients with degenerative meniscal tear and the correlation among clinical effectiveness, body mass index (BMI) and Kellgren-Lawrence grade (KL-grade). Methods The study participants were 38 patients who had been diagnosed with degenerative meniscal tear. Participants were classified by BMI, KL-grade and treated with acupuncture, electroacupuncture and pharmacopuncture. Clinical outcomes were assessed using Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index) and EuroQol-5 Dimension Index (EQ-5D Index). Results Both NRS and WOMAC scores were significantly reduced after treatment (p<0.001). The EQ-5D for assessing quality of life showed further improvement (p<0.05). A statistically significant correlation was observed between the BMI and NRS, EQ-5D. KL-grade was correlated with WOMAC. Conclusions These results show that complex Korean medicine treatment to the patient with degenerative meniscal tear may be effective as a conservative therapy. Further research is required to confirm the effectiveness of Korean medicine treatment.

Keywords

References

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