대한한방내과학회지 (The Journal of Internal Korean Medicine)

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

DOI QR Code

급성 요추 압박골절 후 발생한 폐렴과 동반된 연하곤란 및 식욕부진에 대한 치험 1례

A Case Report of the Korean Medical Treatment of Dysphagia and Anorexia after Lumbar Compression Fracture

  • 조혜미 (동수원한방병원 한방내과) ;
  • 이은창 (동수원한방병원 한방내과) ;
  • 윤혜수 (동수원한방병원 한방내과) ;
  • 박충현 (동수원한방병원 한방내과) ;
  • 한다영 (동수원한방병원 한방재활의학과) ;
  • 정다해 (경희대학교 대학원 임상한의학과) ;
  • 이정은 (동수원한방병원 한방내과)
  • Jo, Hye-mi (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Lee, Eun-chang (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Youn, Hye-soo (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Park, Choong-hyun (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Han, Da-young (Dept. of Rehabilitation Medicine of Korean Medicine, Dongsuwon Korean Medicine Hospital) ;
  • Jung, Da-hae (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Jung-eun (Dept. of Internal Korean Medicine, Dongsuwon Korean Medicine Hospital)
  • 투고 : 2022.04.09
  • 심사 : 2022.05.23
  • 발행 : 2022.05.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: The aim of this study is to describe the effects of traditional Korean medicine on a patient with dysphagia and anorexia following an acute lumbar compression fracture. Methods: The patient was treated with acupuncture and herbal medicine (Bojungikgi-tang and Insamyangyoung-tang), and the effects of the treatment were evaluated by monitoring oral feeding and using the Modified Barium Swallow (MBS) test. Results: After treatment, the amount of oral feeding more than doubled and the MBS was also improved. Conclusion: The results suggest that traditional Korean medicine may be effective for treating dysphagia and anorexia after an acute lumbar compression fracture.

키워드

참고문헌

  1. Park BM. Causes and Management of Low Back Pain. Journal of Korean Orthopaedic Association 1977;12(1):1-8. https://doi.org/10.4055/jkoa.1977.12.1.1
  2. Spinal Cord Injury Information Network. http://www.spinalcord.uab.edu
  3. Papaioannou A, Watts NB, Kendler DL, Yuen CK, Adachi JD, Ferko N. Diagnosis and management of vertebral fractures in elderly adults. The American journal of medicine 2002;113(3):220-8. https://doi.org/10.1016/S0002-9343(02)01190-7
  4. Kim JK, Song IS, Shin HL, Jin KS, Yoon IJ, Choi SH, et al. Effects of Absolute Bed Resting Period on Bone M ineral Density in Acute Stroke Patients. Journal of Korean Orthopaedic Association 2004;14(1):19-33.
  5. Jo HG, Chu MK, Park SG, Yang MS, An GY, Kang SI, et al. A Case Report of Prescribing Doinseunggi-tang(Taorenchenqi-tang) for the Patient with Thoraco-Lumbar Compression Fracture. Journal of oriental rehabilitation medicine 2009;19(3):111-21.
  6. Jang G, Cho TY, Cho HC, Song YK, Lim HH. The Case Report about Osteoporotic Compression Fracture Treated with Band Training. The Journal of Korea CHUNA Manual Medicine 2005;6(1):147-56.
  7. Lee JS, Kim JN, Hong JS, Ryu CG, Jeong SS, Moon SI. One Case Report of Electroacupuncture Treatment at Huα-Tuo-]iα-]i-Xue on Rib Fracture and Thoracic Compression Fracture. Journal of Korean Oriental Spine Joint 2012;9(1):33-9.
  8. Hong JR, Kim YJ, Kim JS, Lee JR, Kim TG, Yoo DH, et al. 4 Cases of Patients That Improved from Traffic Accident Which Caused Lumbar Spine Compression Fracture by Complex Korean Medical Admission Treatment: Retrospective Case Study. J Korean Med Rehabi 2017;27(4):163-70. https://doi.org/10.18325/jkmr.2017.27.4.163
  9. Kim DE, Kim JH, Joung JS, Yu SA, Cho SW. A Review of Recent Studies for Treatment of Compression Fracture Using CNKI Database. J Korean Med Rehabi 2017;27(3):1-12. https://doi.org/10.18325/JKMR.2017.27.3.1
  10. Hazelwood RJ, Armeson KE, Hill EG, Bonilha HS, Martin-Harris B. Identification of swallowing tasks from a modified barium swallow study that optimize the detection of physiological impairment. Journal of Speech, Language and Hearing Research 2017;60(7):1855-63. https://doi.org/10.1044/2017_JSLHR-S-16-0117
  11. Jordi A, Laia R, Mateu SP, Roser I, Elisabet P, Viridiana A, Pere C. Oropharyngeal dysphagia is a risk factor for community-acquired pneumonia in the elderly. European Respiratory Journal 2013;41(4):923-8. https://doi.org/10.1183/09031936.00019012
  12. Kim JH, Kim JW, Nam DW, Yang KY, Lee GH, Lee EY, et al. The Acupuncture and Moxibustion Medicine. Seoul: Hanmi; 2012, p. 501-2.
  13. Koh YD, Kim DJ. Pain Relief and Associated Factors after a Kyphoplasty for Treating an Osteoporotic Vertebral Compression Fracture. Journal of Trauma and Injury 2014;27(4):186-91.
  14. Mudano AS, Bian J, Cope JU, Curtis JR, Gross TP, Allison JJ, et al. Vertebroplasty and kyphoplasty are associated with an increased risk of secondary vertebral compression fractures: a population-based cohort study. Osteoporos Int 200;20(5):819-26. https://doi.org/10.1007/s00198-008-0745-5
  15. Park YS, Cho WJ, Cho JL. Comparison of the Result of Vertebroplasty and Conservative Treatment in Osteoporotic Vertebral Compression Fracture. Journal of the Korean Fracture Society 2006;19(3):363-8. https://doi.org/10.12671/jkfs.2006.19.3.363
  16. Dusdal K, Grundmanis J, Luttin K, Ritchie P, Rompre C, Sidhu R, et al. Effects of therapeutic exercise for persons with osteoporotic vertebral fractures: a systematic review. Osteoporos Int 2011;22(3):755-69. https://doi.org/10.1007/s00198-010-1497-6
  17. Resnick NM, Marcantonio ER. How should clinical care of the aged differ? Lancet 1997;350(9085):1157-8. https://doi.org/10.1016/S0140-6736(05)63817-2
  18. Wallace JI, Schwartz RS, LaCroix AZ, Uhlmann RF, Pearlman RA. Involuntary weight loss in older outpatients: incidence and clinical significance. J Am Geriatr Soc 1995;43(4):329-37. https://doi.org/10.1111/j.1532-5415.1995.tb05803.x
  19. Roberts SB. Regulation of energy intake in relation to metabolic state and nutritional status. Eur J Clin Nutr 2000;54(3):S64-9. https://doi.org/10.1038/sj.ejcn.1601027
  20. 趣勇. 中國骨傷方藥全書. 北京: 學苑出版社; 1995, p. 1-23.
  21. Kim JH, Kim HH, Kim KH. Effects of BuZhong-Yi-Qi-Tang for the treatment of functional dyspepsia:a feasibility study protocol. Integr Med Res 2017:6(3):317-24. https://doi.org/10.1016/j.imr.2017.07.003
  22. Jeong JS. Ryu BH, Kim JS, Park JW, Choi WC, Yoon SW. Bojungikki-tang for Cancer-related Fatigue : A Randomized, Waiting List Controlled Trial. Integr Cancer Ther 2010;9(4):331-8. https://doi.org/10.1177/1534735410383170
  23. Umm JW, Chung SH, Lee JS, Kim SS, Shin HD. The Clinical study of Bojungikgi-tang and Samul-tang on Osteoporosis. Journal of oriental rehabilitation medicine 1999;9(1):59-74.
  24. Jin SM. Taepyeonghyeminhwajegukbang Beijing: China Chinese medicine publisher; 1996, p. 133.
  25. Kim DR, Lee SY, Lee HS, Moon BS, Yun JM. A Case Report of a Thyroid Cancer Patient with Hypoparathyroidism after Total Thyroidectomy by a Combination of Korean-Western Medicine Treatment Including Insamyangyoung-tang. J Int Korean Med 2018;39(4):814-21. https://doi.org/10.22246/jikm.2018.39.4.814
  26. Achem SR, Devault KR. Dysphagia in aging. J Clin Gastroenterol 2005;39(5):357-71. https://doi.org/10.1097/01.mcg.0000159272.88974.54
  27. Keller HH. Malnutrition in institutionalized elderly: how and why? J Am Geriatr Soc 1993;41(11):1212-8. https://doi.org/10.1111/j.1532-5415.1993.tb07305.x