• 제목/요약/키워드: HIVD of L-SPINE

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요통환자에 있어서 방사통과 영상의학검사 소견상의 연관성 분석 (Correlation Analysis Between Radiological Result and Radiating Pain in Lumbosacral Pain)

  • 김한겸;김석;반효정;윤현석;염선규;홍순성
    • 척추신경추나의학회지
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    • 제4권1호
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    • pp.95-102
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    • 2009
  • Objectives : We studied in order to compare the differences between the symptoms of patients and findings of MRI and X-Ray of patients with herniated disc which has been diagnosed often recently. Methods : We randomly selected among the 301 patients with X-Ray and L-spine MRI films who have visited Jaseng Hospital with low-back pain and lumbar and low extremity pain from Jan.1st of 2009 to Jan.28. We used SPSS 13.0 for Windows I in analyzing statistical data of study results and the level of significance were below 0.05. Results and Conclusions : 1. If there were radiating pain, based on MRI findings, the amount of herniation was more severe(P>0.05). 2. If the finding of a X-ray showed narrowing, based on MRI findings, the amount of herniation was more severe(P>0.05). 3. There were no significant differences between the presence of radiating pain and the findings of X-Ray(P>0.05). 4. Among the 301 cases, cases which showed findings beside HIVD were 79. 7 cases of hemanggioma(2.3%), 24 cases of spinal neoplasm(cord cyst, tumor etc)(8%), 7 cases of spondylitis(2.3%), 16 cases of spinal canal stenosis(5,3%) 9 cases of ligamentum flavum thickening(3%) and 16 cases of facet syndrome(5.3%).

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M.S.T로 호전된 요통 환자 1례 보고 (Case Report of Low Back Pain patient treated with Motion Style Treatment)

  • 권승로;유혜경;김규태
    • 대한추나의학회지
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    • 제5권1호
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    • pp.93-100
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    • 2004
  • 본 증례는 요각통 환자에게 다양한 한방치료를 시술하였으나 별무호전인 경우 M.T.S요법을 추가로 시행함으로써 양호한 결과를 보인 임상례이다. 요통환자가 장기간의 치료에도 차도가 없거나 호전에 미미했을 때 물론 의사의 마음에도 불가피하게 수술을 해야 될 것이라는 생각이 떠오르게 된다. 하지만 수술을 해야 할 것인지 혹은 하지 말아야 할 것인지 결정을 내리기 전에 충분히 다른 치료법을 시행해 볼 필요가 있다. 이에 저자는 장기간의 치료에도 차도가 없거나 호전이 미미한 요통 환자에게 M.S.T 요법을 시행할 경우 양호한 결과를 얻으리라 사료되어 보고하는 바이다.

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오공약침(蜈蚣藥針)을 이용한 요추간판탈출증(腰椎間板脫出症) 치료(治療)의 임상적(臨床的) 연구(硏究) (Clinical study on treatment of HIVD of lumbar spine using Scolopendrid herbal acupuncture)

  • 박소영;이경윤;최회강;소기숙;이종덕;김성철;고강훈
    • 대한약침학회지
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    • 제4권3호
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    • pp.47-57
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    • 2001
  • Objective: This study is performed for the purpose of examining into the efficacy of the scolopendrid(Scolopendra morsitans L) which has been used among the Korean people for the H.I.V.D of lumbar spine. Methods & Results: Using the herbal acupuncture made of scolopendrid(Scolopendra morsitans L), we treated the 10 H.l. V.D patients for 1 week and operated 4 pre and post treatment test ; D.I.T.I, 6 kind of physical test, Oswestry disability index, and self-conscious pain rate. Trough Lite test, we saw 50-100% of efficacy rate in each test. Otherwise, only 5 of the 7 point in D.I.T.I and self-conscious pain rate showed statistically valuable change. Conclusion: we brought to the conclusion that the scolopendrid herbal acupuncture has possibility to be efficient to cure the H.I.V.D patients. So we suggest the possibility to use this new remedy for the H.I.V.D.

소염약침 병행치료가 요추추간판탈출증 환자의 입원초기 증상 호전에 미치는 영향 (The Effect of the Acupuncture Therapy in Combination with Soyeom Pharmacopuncture Therapy on the Improvement of the Symptoms of the Patients with Herniated Intervertebral Disk of L-spine in His Initial Stage of Hospitalization)

  • 송형근;최주영;강재희;이현
    • 대한약침학회지
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    • 제12권4호
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    • pp.111-118
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    • 2009
  • Objectives: Herniated Intervertebral Disk(HIVD) of L-spine is one of the most common diseases that cause back pain and radiating pain. The aim of this study is to find out if the acupuncture therapy combined with Soyeom Pharmacopuncture therapy can improve the symptoms of the patients suffering from the disease more effectively than the acupuncture only therapy. Methods: We separated 30 patients into two groups. Group A was treated with the acupuncture only therapy, and Group B was treated with Soyeom Pharmacopuncture therapy in addition to the acupuncture therapy. We have observed patients for 7 days. We checked the Visual Analog Scale(VAS) for 4 times and did Straight Leg Raising Test(SLRT) twice. Results: 1. For 7 days from the admission day, the VAS score has been decreased significantly in both Group A and Group B. 2. For 7 days from the admission day, the VAS score of Group B has been appeared signifi cantly lower than that of Group A, so that we can know that patients in Group B has more rapidly improved than patients in Group A 3. From the admission day to the 3rd hospital day, the improvement index of VAS scroe of Group B has appeared significantly higher than that of Group A, but after 5th hospital day, there was no significance between the improvement index of VAS score of Group A and that of Group B. 4. For 7 days from the admission day, the SLRT(degree) has been improved significantly in both Group A and B, but there was no significance between the SLRT(degree) of Group A and that of Group B. Conclusion: We can use Soyeom Pharmacopuncture therapy with acupuncture therapy to make the patients suffering from back pain and radiating pain improve more rapidly.

급성 근육기인성 요배부 통증환자에 대한 간이정신진단검사를 통한 고찰 (A Clinical Study of Acute Low Back Pain Patients in Muscular Origin Through Symptom Check List-90-Revision(SCL-90-R))

  • 이강수
    • 척추신경추나의학회지
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    • 제1권1호
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    • pp.1-14
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    • 2006
  • Objectives : The causative pathology of acute muscular pain cannot be defined in many patients. To evaluate the relations between mental state and acute muscular pain patients, the author surveyed symptom check list-90-Revision(SCL-90-R) in patients with acute muscular pain. Materials and Methods : From November 2004 to June 2005, a questionnaire including SCL-90-R was given to patients(52 persons) who visited our department for acute(<7days)muscular pain of neck(22 persons) or low back(30 persons). Fifty two patients(30 male, 22 female) completed SCL-90-R Results : 1. Mean values of T-scores on all 9 basic scales in the patients groups were within normal range. but T-scores SOM in the patients groups were significantly very higher than those in Normal groups(p<0.01). 2. The T-scores of SOM In low back pain patients were significantly higher than those in Normal groups(p<0.05). 3. There was no significant difference in all scales between acute muscular pain and L-spine HIVD patients groups. 4. There was no significant difference in all scales between acute muscular pain and general back pain patients groups. 5. There was no significant difference in all scales between male and female in the patients groups. Conclusion : It is concerned between T-scores on all 9 bas κ scales of SCL-90-R and acute muscular pain. Especially acute muscular pain of back has a relation to somatization of T-scores on all 9 basic scales of SCL-90-R.

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오공약침(蜈蚣藥針)을 이용한 요추간판탈출증(腰椎間板脫出症) 치료(治療)의 임상적(臨床的) 연구(硏究) (Clinical study on treatment of HIVD of lumbar spine using Scolopendrid herbal acupuncture)

  • 고강훈;박소영;최회강;소기숙;황우준;이건목;김성철
    • Journal of Acupuncture Research
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    • 제19권3호
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    • pp.192-206
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    • 2002
  • Objective : This study is performed for the purpose of examining into the efficacy of the scolopendrid(Scolopendra morsitans L) which has been used among the Korean people for the H.I.V.D of lumbar spine. Methods & Results : Using the herbal acupuncture made of scolopendrid(Scolopendra morsitans L), we treated the 20 H.I.V.D patients for 1 week and operated 4 pre and post treatment test ; D.I.T.I, 6 kinds of physical test, Oswestry disability index, and self-conscious pain rate. Trough the test, we saw 43-95% of efficacy rate in each test. And all of the 7 acupuncture point in D.I.T.I, Oswestry disability index and self-conscious pain rate test showed statistically valuable change. Conclusion : We brought to the conclusion that the scolopendrid herbal acupuncture has possibility to be efficient to cure the H.I.V.D patients. So we suggest the possibility to use this new remedy for the H.I.V.D.

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제 4~5번 요추 추간판 탈출 정도와 요통의 한의학적 치료 효과의 상관성 연구 (The Study on Correlation between the Degree of Herniated Intervertebral Lumbar Disc at L4~5 Level and Improvement of Low Back Pain Treated by Korean Medicine Therapy)

  • 유형진;이현호;정성현;조경상;이기언;이동현;김상민
    • 한방재활의학과학회지
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    • 제26권2호
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    • pp.105-121
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    • 2016
  • Objectives The purpose of this study was to compare the effects between the degree of herniated intervertebral lumbar disc (HIVD) at L4-5 level and improvement of low back pain treated by Korean Medicine therapy. Methods 567 patients who received inpatient treatment from May 2014 to December 2015 in the Daejeon-Jaseng of Korean Medicine Hospital were divided into 6 groups by the degree of HIVD at L4-5 level confirmed with a Lumbar spine magnetic resonance imaging. All patients received a combination of treatment including acupunture, chuna manual therapy, pharmacopunture, herbal medication. They were compared and analyzed on the basis of improvement between measuring Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index) as they were hospitalized and as they were discharged. The statistically significance was evaluated by SPSS 23.0 for windows. Results After treatment, Normal stage on Intervertebral Lumbar Disc at L4-5 level group's Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index) improvement was $1.30{\pm}1.62$, $4.52{\pm}11.82$ and $0.04{\pm}0.11$ respectively. Bulging group's improvement was $3.25{\pm}2.81$, $8.28{\pm}13.02$ and $0.09{\pm}0.17$ respectively. Spinal canal occupying ratio (SOR) less than 20 group's improvement was $2.15{\pm}1.92$, $11.79{\pm}17.81$ and $0.13{\pm}0.23$ respectively. SOR 20 to less than 40 stage group's improvement was $2.13{\pm}1.92$. $10.79{\pm}15.93$ and $0.10{\pm}0.26$ respectively. SOR 40 to less than 60 group's improvement was $2.16{\pm}2.24$, $9.80{\pm}16.62$ and $0.15{\pm}0.25$ respectively. Surgery group's improvement was $2.47{\pm}2.21$, $11.64{\pm}18.53$ and $0.15{\pm}0.27$ respectively (p<0.03). But there was no statistically significance between 6 group's improvement after treatment (p>0.05). Conclusions After inpatient treatment by Korean Medicine therapy, Most patient's pain, disability and Health Related Quality of Life was improved significantly. But there was no statistically correlation between the degree of HIVD at L4-5 level and improvement of low back pain. So We think that future research of higher quality and correct statistics shall be necessary.

대용량 약침 및 한방치료로 호전된 요추 추간판탈출증 환자의 영상의학적 변화 41사례 보고 (Fourty One Cases on MRI (Magnetic Resonance Imaging) Change of Hivd of L-Spine Patient Who Have Been Improvement on Megadose Pharmacoacupuncture and Korean Medical Treatments)

  • 유수빈;김문휘;문병헌;윤태경;주영국;권옥준;추원정;김주원
    • 한방재활의학과학회지
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    • 제26권4호
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    • pp.117-126
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    • 2016
  • Objectives The purpose of this study is to report the effect of Megadose Pharmacoacupuncture combined with conservative Korean medicine treatment on Herniated InterVertebral Disc (HIVD) of lumbar spine patient diagnosed by Magnetic Resonance Imaging (MRI). Methods This study includes 41 patients whose Lumbar Disc Herniations were by MRIbetween 1st Aprill 2011 and 31th March 2016. All of the patients were treated with Megadose Pharmacoacupuncture combined with Korean medicine treatment. The MRI examination was performed on two or more occasions (minimally, pre-treatment and post-treatment). The volume of each herniated disc was measured. For each patient, age, sex, disc migration, morphology, initial LDH size, herniated disc resorption rate were analysed. Results The mean volumes of herniated discs at pre-treatment and post-treatment were $1321.62{\pm}467.53mm^3$ and $648.72{\pm}313.38mm^3$. The volumes of all patients were decreased. The resorption means of each class of the extent of LDH were significantly different (p=0.041). On the other hand, no difference was found in sex, age, level, herniated disc grade. Conclusions The MRI results suggest that Megadose Pharmacoacupuncture combined with Korean medicine treatment can help treat lumbar herniated disc.

봉약침요법의 면역반응에 관한 임상적 연구 (The Clinical Observation of Immune Response by Korean Bee Venom Therapy)

  • 권기록;고형균
    • Journal of Acupuncture Research
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    • 제17권1호
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    • pp.169-174
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    • 2000
  • The immune response of Bee Venom Therapy is commonly appear in clinics. It is whole body delayed allergy type and generally like fatigue. Therefore, in order to analysis the clinical form, we have observed immune response of 100 patients who visited Sangji University Oriental Medical Hospital and treated Bee Venom Therapy over 10 times from November 1998 to October 1999. The results were summarized as follows. 1. The distribution of Sex was 60 females, 40 males, and the average of patients age was $50.6{\pm}1.5years$. 2. The distribution of disease was degenerative arthritis, HIVD of L-spine, RA, etc. 3. The total treated time is 2765 and is observed 361 immume responses. 4. The average of keeping time in immume response is $11.8{\pm}0.6(hr)$, and the cases of over 24hrs is occupied 24.0%. 5. In the correlation between treated times and immume response is generally in inverse proportion. 6. The general aspect of immume response is chilling, heating, powerless, headache, dizziness, etc. 7. $M{\ddot{u}}ller$ Grade II-III was observed only 1%.

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