DOI QR코드

DOI QR Code

재발성 요추간판탈출증의 한의학적 치료에 대한 국내·외 연구 동향 체계적 문헌고찰 및 메타분석

A Review on the Effect of Traditional Medicine Treatments in Korea and China for Recurrent Lumbar Disc Herniation: Systematic Review and Meta-Analysis

  • 고아라 (울산자생한방병원 한방재활의학과) ;
  • 이영진 (울산자생한방병원 한방재활의학과) ;
  • 최지은 (울산자생한방병원 한방재활의학과) ;
  • 김소정 (울산자생한방병원 한방재활의학과) ;
  • 김현우 (울산자생한방병원 침구과) ;
  • 조혜정 (울산자생한방병원 침구과) ;
  • 채고은 (울산자생한방병원 침구과)
  • Ah-Ra Koh (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • Young-Jin Lee (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • Ji-Eun Choi (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • So-Jung Kim (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • Hyun-Woo Kim (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • Hye-Jeong Jo (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • Go-Eun Chae (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Hospital of Korean Medicine)
  • 투고 : 2024.06.18
  • 심사 : 2024.07.01
  • 발행 : 2024.07.31

초록

Objectives This study aimed to examine the efficacy of Korean traditional medicine treatments for recurrent lumbar disc herniation by analyzing randomized controlled trials (RCTs). Methods The following 6 databases were used Korean studies Information Service System, Oriental Medicine Advanced Searching Integrated System, Research Information Sharing Service, ScienceON, PubMed, and China National Knowledge Infrastructure. Only RCTs were selected. The risk of bias was assessed by Cochrane's risk of bias tool. Results A total of 10 RCTs were analyzed, which utilized 8 types of interventions, including acupuncture, moxibustion, warm needling, electroacupuncture, herbal medicine, cupping, and chuna manual therapy. Acupuncture and moxibustion were the most frequently used treatments. There were 7 outcome measures, including the effective rate, visual analog scale, Japanese Orthopedic Association. The effective rate was assessed in all studies. Meta-analysis results indicated that warm needling therapy and traditional Chinese medicine interventions were more effective compared with the control. Conclusions In this study, warm needling therapy and herbal medicine interventions demonstrated beneficial effects. As the meta-analysis was conducted with only a subset of RCT studies, further large-scale, systematic RCT studies are needed.

키워드

참고문헌

  1. Swartz KR, Trost GR. Recurrent lumbar disc herniation. Neurosurgical Focus. 2003;15(3):E10.
  2. Shepard N, Cho W. Recurrent lumbar disc herniation: a review. Global Spine Journal. 2019;9(2):202-9. https://doi.org/10.1177/2192568217745063
  3. Yaman ME, Kazanci A, Yaman ND, Bas F, Ayberk G. Factors that influence recurrent lumbar disc herniation. Hong Kong Medical Journal. 2017;23(3):258-63.
  4. Kim KT, Park SW, Kim YB. Disc height and segmental motion as risk factors for recurrent lumbar disc herniation. Spine. 2009;34(24):2674-8. https://doi.org/10.1097/BRS.0b013e3181b4aaac
  5. Tian R, Sun T, Shen X, Zhang X, Jia Y, Hu W. The significance of lumbar MRI in the diagnosis of recurrented lumbar disc herniation after surgery. Zhonghua Wai Ke Za Zhi. 2014;52(4):258-62.
  6. McGirt MJ, Ambrossi GL, Datoo G, Sciubba DM, Witham TF, Wolinsky JP, Gokaslan ZL, Bydon A. Recurrent disc herniation and long-term back pain after primary lumbar discectomy: review of outcomes reported for limited versus aggressive disc removal. Neurosurgery. 2009;64(2):338-44. https://doi.org/10.1227/01.NEU.0000337574.58662.E2
  7. Moon BG, Oh SH, Kim YS, Go Y, Oh SJ, Kim NK, Kim KM. Clinical analysis of recurrent lumbar disc herniation. Journal of Korean Neurosurgical Society. 1994;23(1):97-102.
  8. Hueftle MG, Modic MT, Ross JS, Masaryk TJ, Carter JR, Wilber RG, Bohlman HH, Steinberg PM, Delamarter RB. Lumbar spine: postoperative MR imaging with Gd-DTPA. Radiology. 1988;167(3):817-24. https://doi.org/10.1148/radiology.167.3.2966418
  9. Patel MS, Braybrooke J, Newey M, Sell P. A comparative study of the outcomes of primary and revision lumbar discectomy surgery. Bone and Joint Journal. 2013;95-B(1):90-4.
  10. Wang JC, Dailey AT, Mummaneni PV, Ghogawala Z, Resnick DK, Watters WC 3rd, Groff MW, Choudhri TF, Eck JC, Sharan A, Dhall SS, Kaiser MG. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: lumbar fusion for disc herniation and radiculopathy. Journal of Neurosurgery: Spine. 2014;21(1):48-53. https://doi.org/10.3171/2014.4.SPINE14271
  11. Greenleaf RM, Harris MB, Bono CM. The role of fusion for recurrent disk herniations. Seminars in Spine Surgery. 2011;23(4):242-8.
  12. Mroz TE, Lubelski D, Williams SK, O'Rourke C, Obuchowski NA, Wang JC, Steinmetz MP, Melillo AJ, Benzel EC, Modic MT, Quencer RM. Differences in the surgical treatment of recurrent lumbar disc herniation among spine surgeons in the United States. Spine Journal. 2014;14(10):2334-43. https://doi.org/10.1016/j.spinee.2014.01.037
  13. Ambrossi GL, McGirt MJ, Sciubba DM, Witham TF, Wolinsky JP, Gokaslan ZL, Long DM. Recurrent lumbar disc herniation after single-level lumbar discectomy: incidence and health care cost analysis. Neurosurgery. 2009;65(3):574-8. https://doi.org/10.1227/01.NEU.0000350224.36213.F9
  14. Fritzell P, Knutsson B, Sanden B, Stromqvist B, Hagg O. Recurrent versus primary lumbar disc herniation surgery: patient-reported outcomes in the Swedish spine register swespine. Clinical Orthopaedics and Related Research. 2015;473(6):1978-84. https://doi.org/10.1007/s11999-014-3596-8
  15. Youn YS, Park WS, Ha IH, Lee JS, Shin HD. A clinical study on the effect of Korean medical treatments for patients with lumbar disc herniation. Journal of Acupuncture Research. 2008;18(1):153-61.
  16. Lee GM, Lee KC, Hwang YJ. Collaborative study of Collaborative study of oriental-western medicine on HIVD. Journal of Korean Acupuncture and Moxibustion Society. 2000;17(2):1-10.
  17. Shen Y. Clinical research of acupuncture in the Huatuo Jiaji point of lumbar in the treatment of postoperative recurrence of lumbar disc prolapse. Medical Innovation of China. 2016;13(1):120-3.
  18. Li B. Effect analysis of modified moxibustion combined with electroacupuncture in the treatment of patients with postoperative recurrence of lumbar intervertebral disc herniation. Clinical Journal of Chinese Medicine. 2019;11(30):76-9. https://doi.org/10.1016/j.cca.2018.10.038
  19. Sang H, Geng W, Du F, Zhang W. The effect observation of chiropractic combined acupuncture in the treatment of non-intervertebral fusion postoperative recurrence protrusion of lumbar intervertebral disc. Modern Chinese Clinical Medicine. 2017;24(4):46-9.
  20. Lu H. Treating recurrence of lumbar disc herniation by acupuncture on lumbar Huatuojiaji point. Clinical Journal of Chinese Medicine. 2020;12(8):99-101.
  21. Du K, Su X, Song Y. Observation on the efficacy of modified moxibustion combined with electroacupuncture in the treatment of postoperative recurrence of lumbar disc herniation. Laboratory Medicine and Clinic. 2016;13(7):966-8.
  22. Zeng J, Tan H, Xu M, Wang X, Chen C, Liu Y, Gao X. 43 cases of postoperative recurrence of lumbar disc herniation treated with abdominal acupuncture combined with massage. Shaanxi Journal of Traditional Chinese Medicine. 2011;32(12):1650-1.
  23. Gu Y, Ding X. 42 cases of postoperative recurrence of lumbar disc herniation treated with small needle knife release. Henan Traditional Chinese Medicine. 2010;30(8):802-4.
  24. Niu H, Zhang R, Hu Y, He X, Mai F. Observation on the clinical efficacy of warming yang and strengthening the kidney method in the treatment of recurrent lumbar disc herniation. Ningxia Medical Journal. 2015;37(12):1212-3.
  25. Jia H, Liu Y, Tan P, Luo M, Zhang Z. Observation on the efficacy of chiropractic acupuncture combined with traditional Chinese medicine in the treatment of recurrent lumbar disc herniation. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine. 2016;26(22):76-7.
  26. Wu J, Ruan Y, Ping G, Li Y, He X. Observation on the efficacy of using aconite combined with Yanghe decoction in the treatment of recurrent lumbar disc herniation. Journal of New Chinese Medicine. 2015;47(11):121-3.
  27. Kim CH, Chung CK, Kim MJ, Choi Y, Kim MJ, Hahn S, Shin S, Jong JM, Lee JH. Increased volume of lumbar surgeries for herniated intervertebral disc disease and cost-effectiveness analysis: a nationwide cohort study. Spine. 2018;43(8):585-93. https://doi.org/10.1097/BRS.0000000000002473
  28. Hoogland T, van den Brekel-Dijkstra K, Schubert M, Miklitz B. Endoscopic transforaminal discectomy for recurrent lumbar disc herniation: a prospective, cohort evaluation of 262 consecutive cases. Spine. 2008;33(9):973-8. https://doi.org/10.1097/BRS.0b013e31816c8ade
  29. Wu PH, Kim HS, Jang IT. Intervertebral disc diseases PART 2: a review of the current diagnostic and treatment strategies for intervertebral disc disease. International Journal of Molecular Sciences. 2020;21(6):2135.
  30. Lee DY, Shim CS, Ahn Y, Choi YG, Kim HJ, Lee SH. Comparison of percutaneous endoscopic lumbar discectomy and open lumbar microdiscectomy for recurrent disc herniation. Journal of Korean Neurosurgical Society. 2009;46(6):515-21. https://doi.org/10.3340/jkns.2009.46.6.515
  31. Drazin D, Ugiliweneza B, Al-Khouja L, Yang D, Johnson P, Kim T, Boakye M. Treatment of recurrent disc herniation: a systematic review. Cureus. 2016;8(5):e622.
  32. Andersen SB, Smith EC, Stottrup C, Carreon LY, Andersen MO. Smoking is an independent risk factor of reoperation due to recurrent lumbar disc herniation. Global Spine Journal. 2018;8(4):378-81. https://doi.org/10.1177/2192568217730352
  33. Park MJ, Jin SR, Kim ES, Lee HS, Hwang KH, Oh SJ, Lee JY, Kim D, Lee YJ, Ha IH. Long-term follow-up of intensive integrative treatment including motion style acupuncture treatment (MSAT) in hospitalized patients with lumbar disc herniation: an observational study. Healthcare. 2022;10(12):2462.
  34. Lee MS, Kang KR, Woo KW, Baek SH, Ha IH, Shin MS, Lee JH. The trend review of acupoints for lumbar HIVD treatment and the literature review of anatomical location of Hwatahyeopcheock. Korean Journal of Acupuncture. 2015;32(3):81-9. https://doi.org/10.14406/acu.2015.018
  35. We JS, Won SH, Hwang JS, Sun SH, Ahn YM, Sohn SH, Park KC, Park HS. The comparison of effectiveness between acupuncture and its cotreatment with direct moxibustion to low back pain patient. Journal of Acupuncture Research. 2004;21(6):221-31.
  36. Lin XJ, Chen CY. Advances on study of treatment of lumbar disk herniation by Chinese medicinal herbs. Zhongguo Zhong Yao Za Zhi. 2007;32(3):186-91.