대한한의학회지 (The Journal of Korean Medicine)

  • 제44권2호
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  • Pages.149-169
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  • 2023
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  • 1010-0695(pISSN)
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  • 2288-3339(eISSN)
대한한의학회 (The Society of Korean Medicine)
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일개 한방병원에서의 흉요추 압박골절 입원 환자에 대한 통계적 분석: 후향적 차트리뷰

Statistical Analysis on Hospitalized Patients with Thoracolumbar Compression Fracture at Single Korean Medicine Hospital: Retrospective Review

  • 장현진 (대전대학교 한의과대학 침구학교실) ;
  • 김소정 (대전대학교 한의과대학 침구학교실) ;
  • 김민주 (대전대학교 한의과대학 침구학교실) ;
  • 최현규 (대전대학교 한의과대학 침구학교실) ;
  • 박필제 (대전대학교 한의과대학 침구학교실) ;
  • 강연수 (대전대학교 한의과대학 침구학교실) ;
  • 정정교 (대전대학교 한의과대학 침구학교실) ;
  • 전주현 (대전대학교 한의과대학 침구학교실) ;
  • 김영일 (대전대학교 한의과대학 침구학교실)
  • Hyun jin Jang (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • So jeong Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Min Ju Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Hyeon Kyu Choi (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Pil Je Park (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Yeon Soo Kang (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jeong Kyo Jeong (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Ju Hyun Jeon (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Young Il Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • 투고 : 2023.04.20
  • 심사 : 2023.05.10
  • 발행 : 2023.06.01
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초록

Objectives: This study was designed to statistically analyze patients hospitalized for thoracolumbar compression fractures at Daejeon University Daejeon Korean Medicine Hospital from January 1, 2017 to December 31, 2021. Methods: A total of 62 patients were analyzed through electronic medical records in this study. The extracted data was analyzed using IBM SPSS ver.27.0. Results: 1. Traffic accident patients were more likely to reduce pain by more than half compared to falls and other patients. Patients without spinal disease were more likely to reduce pain by more than half compared to those without. The shorter the absolute bed rest and the longer the hospital stay, the higher the probability of pain reduction by more than half. 2. The duration of pain half-reduction was longer in patients with diabetes than in patients without diabetes. 3. The longer the hospitalization period and the shorter the absolute bed rest period, the less pain was reported upon discharge. Males complained of less pain at discharge than females, and patients without spinal disease complained less than those without. Patients who did not receive absolute bed rest complained of less pain upon discharge than those who did not. Conclusions: This study included patients hospitalized for thoracolumbar compression fractures and showed that etiology, absolute bed rest period, hospitalization period, gender, spinal disease, diabetes statistically affected the degree of pain reduction.

키워드

참고문헌

  1. The Society of Korean Medicine Rehabilitation. (2011). The Oriental Rehbilitation Medicine. (3rd ed.). Seoul:Koonja.
  2. Kim HK. (2005). Clinical findings on vertebral compression fracture diagnosed with MRI. J Radiol Sci Technol. 28(3). 219-226.
  3. Orthopaedics (2013). The Korean Orthopaedic Association. (7th ed). Seoul:Choisin.
  4. Lee JS, Han SH. (2002). A case report on burning acupuncture treatments for stable compression fracture. JKCMSN. 3(1). 167-174.
  5. Song WS, Shin YI, Lee BR, Hwang JY. (2001). The clinical study on Hua-Tuo-Jia-Ji-Xue acupuncture tratment of patient with thoracolumbar compression fracture. J Acupunct Res. 18(4). 55-67.
  6. Jin ES, Koh DH, Kim HN, Kim JW, Hong SS, Kim HK et al. (2008). The clinical study of 35 admission patients to oriental medical hospital due to thoraco-lumbar compression fracture. JKMR. 3(2). 19-27.
  7. Han SW, Jung YH, Kim JW, Kim CY, Uhm BK, Lee CR et al. (2011). A case report of prescribing Tong shun-san for three patients with compression fracture. JKMR. 6(2). 145-154.
  8. Kim SJ, Bae KJ, Jeong JW, Jung MY. (2015). Reviewing research on the treatment and study of fracture in Korean journals objective - Focus on Domestic Thesis. JKMR. 25(3). 27-36. DOI: 10.18325/jkmr.2015.25.3.27
  9. Lee SN, Hong SY, Byun IJ, Kang MS, Kwon SJ, Kim KH et al. (2002). The clinical study on Bee Venom acupuncture treatment of patient with thoracolumbar compression fracture. J Acupunct Res. 19(6). 35-48.
  10. Kim DE, Kim JH, Jung JS, Yu SA, Cho SW. (2017). A Review of Recent Studies for Treatment of Compression Fracture Using CNKI Database. JKMR. 27(3). 1-12. DOI:10.18325/jkmr.2017.27.3.1
  11. Oh SJ, Jo EC, Li YC, Lee EJ. (2018). Effects of Korean medicine treatments on pain reduction of thoracolumbar compression fracture patients : A restrospective observational study. J Physiol & Pathol Korean Med. 32(4). 283-290. DOI: 10.15188/kjopp.2018.08.32.4.283
  12. Shim SY, Park HJ, Lee JM, Lee HS. (2007). An overview of pain measurements. Korean J Acupunct. 24(2). 77-97.
  13. Kim KH, Bea JM, Yang GY, Choi JW. (2019). The effectiveness and safety of acupuncture for recovery of patients with vertebral compression fractures: A systematic review and meta-analysis. J Acupunct Res. 36(1). 1-18. DOI: 10.14406/acu.2019.036
  14. Ahn HL, Shin MS, Kim SJ, Choi JB. (2007). Effects of Neutral Eohyeol(Yuxue) herbal acupuncture and Dangkisoo-san (Dangguixu-san) on fracture healing in the early stage in rats. JKMR. 17(1). 1-16.
  15. Baek SE, Yoo HE, Jang SB Choi KH. (2016). The analysis of the Eexperimental research trend of efficacy of Gyejibokryeong-hwan. J Korean Obstet Gynecol. 29(2). 99-112. DOI:10.15204/jkobgy.2016.29.2.099
  16. Uhm DK, Cho TY, Jung YH, Lee CR, Lee JY, Ahn YT. (2010). A case report of prescribing Whallak-tang(Huoluo-tang) for the two patients with whiplash injury. KSCMM. 5(1). 125-136.
  17. Lee H, Lim HH. (2003). Effects of Ssanghwa -tang added to Cervi Cornu Parvum on bone density and bone biochemical marker in ovariectomized rats. J Ori R med. 13. 45-67.
  18. Ryum YH, Oh MS, Song TW. (1999). Helling effect of Gamigungguitang and GamigungguitangGaNokyong water extract on tibia fractured Rats. Journal of Daejeon University Korean medical institute. 8(1). 675-87.
  19. Yoo DY, Jung EH. (2016). Effects of Kanghwalsokdan-tang Gamibang water extract on osteoclast differentiation and osteoblast proliferation. J Korean Obstet Gynecol. 29(2). 66-82. DOI: 10.15204/jkobgy.2016.29.2.066
  20. Frequent Diseasestatics Healthcare Bigdata Hub [Internet]2022. Available from:https://opendata_visual.hira.or.kr/hbis/action.do?keywd=&type=
  21. Fursth P, Heyde C. E., Robinson Y., Olerud c. (2011). Kyphoplasty in osteoporotic vertebral compression fractures-guidelines and technical considerations. J Orthop Surg Res. 19(6). 43. DOI: 10.1186/1749-799X-6-43
  22. Jung KH, Cha JH, Hwang HS, Jeon JCm Lee TH, Lee EY et al. (2009). Effect of Oriental Medicine Treatment on Inpatient with Thoracolumbar Compression Fracture. J Acupunct Res. 26(1). 81-90.
  23. Daniela A., William S. (2012). Evaluation and management of vertebral compression fracture. Perm J. 16(4). 46-51. DOI: 10.7812/tpp/12-037
  24. Andersen M.O., Lauritsen J, Rousing R., Jespersen S. M., Thomsen K. (2009). Percutaneous vertebroplasty compared to conservative treatment in patients with painful acute or subacute osteoporotic vertebral fractures: Three-months follow-up in a clinical randomized study. Spine(Phila Pa 1976). 34(13). 1349-1354. DOI: 10.1097/BRS.0b013e3181a4e628
  25. Shin BJ. (1999). Thoracic and lumbar spine injury. J of Korean Spine Surg. 6(2). 271-280.
  26. Baek SW, Cho JL, Park YS, Sung IH. (2008). Treatment of combined degenerative lumbar disease and adjacent vertebral fracture. J of Korean Spine Surg. 15(4). 236-242. DOI:10.7469/JKSS.2008.15.4.236
  27. Cooper C., Lindsay R., Silverman S. L., Hanley D. A., Barton I., Broy S. B. et al. (2001). Risk of new vertebral fracture in the year following a fracture. JAMA. 285(3). 320-323. DOI:10.1001/jama.285.3.320
  28. Shim JI, Chung JW. (2013). Diabetic neuropathy. J Korean Foot Ankle Soc. 17(4). 251-256.
  29. Lee IS, Chung SG. (2014). Pathophysiology of degenerative spinal disease causing lumbar and cervical spinal pain. J Korean Med Assoc. 57(4). 300-307. DOI: 10.5124/jkma.2014.57.4.300
  30. Kim BL, Lee HJ, Kim DY, Lee KT, Kim JY, Kim SS et al. (2010). Gender differences associated with pain patterns and psychological variables in chronic musculoskeletal pain patients. JRM. 34(2). 197-203.
  31. Hilibrand A, Truumees E, Vaccaro A. R. (2003). Percutaneous vertebral augmentation. Spine J. 4(2). 218-229. DOI: 10.1016/j.spinee.2003.08.029
  32. Koh YD, Kim JO. (1999). Risk fractors in progression of deformity in compression fracture of thoracolumbar junction. J Korean Fract Soc. 12(2). 372-378. DOI: 10.12671/jksf.1999.12.2.372
  33. Kang JW, Kim WJ, Park KY, Park JG, Jung SH, Choy WS. (2006). Clinical outcome of conservative treatment for osteoporotic compression fractures in thoracolumbar junction. J Korean Soc Spine Surg. 13(4). 240-246. DOI: 10.4184/jkss.2006.13.4.240
  34. Koh YD, Park HS, Yoon JS, Hwang JY. (2008). The relationship between progression of body collapse and MRI findings in osteoporotic stable thoracolumbar fractures. J Korean Fract Soc. 21. 304-311. DOI:10.12671/jkfs.2008.21.4.304
  35. Kim JH. Public Hearing Presentation Material for National Medical Expenditure Review Unification. 2005.03.02
  36. Cappuccio F. P., Duneclift S, Eastwood J. B., kalaitzidis R. (2000). Unravelling the links between calcium excretion, salt intake, hypertension, kidney stones and bone metabolism. J Nephrol. 13(3). 169-177.
  37. Kim YJ, Kim YJ, Lee SY, Yoo NW, Choi SH. (2002). The Association between Blood Pressure and Bone Mineral Loss in Perimenopausal Women; A Cross Sectional Study. Korean J Fam Med. 23(2). 787-793.
  38. Bagger YZ, Christiansen C, Nielsen SB, Tanko LB. (2003). Does serum cholesterol contribute to vertebral bone loss in postmenopausal women. Bone. 32(1). 8-14. DOI: 10.1016/s8756-3282(02)00918-3
  39. Avorn J, Mogun H, Wang P. S., Solomon D. H. (2000). HMG-CoA reductase inhibitors and the risk of hip fractures in elderly patients. JAMA. 283(24). 3211-3216. DOI:10.1001/jama.283.24.3211