경추 추간판 탈출증 입원 환자 102례에 관한 한의학적 복합치료효과의 관찰 연구 (Effects of Korean Medical Combination Treatment for 102 Cases of Cervical Disc Herniation : An Observational Study)

서지정보

· 발행기관 : 대한침구의학회
· 수록지 정보 : Journal of Acupuncture Research / 33권 / 2호 / 11 ~ 20페이지
· 저자명 : 최지훈, 이순호, 김상민, 김현중, 구자성, 이현호, 정성현, 윤덕원

초록

Effects of Korean Medical Combination Treatment for 102 Cases of Cervical Disc Herniation : An Observational Study Ji Hoon Choi1,*, Sun Ho Lee1, Sang Min Kim1, Hyun Joong Kim1, Ja Sung Koo2, Hyun Ho Lee3, Seong Hyun Jung3 and Deok Won Youn4 1Department of Acupuncture & Moxibusion Medicine, Daejeon Jaseng Hospital of Korean Medicine 2Department of Oriental Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine 3Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine 4Department of Acupuncture & Moxibusion Medicine, Haeundae Jaseng Hospital of Korean Medicine Objectives : The purpose of this study is to investigate the clinical effectiveness of Korean medical combination treatment for cervical disc herniation.
Methods : This is an observational study. 102 patients diagnosed with cervical disc herniation by MRI (Magnetic Resonance Imaging) were investigated from January, 2015 through to December, 2015 at Daejeon Jaseng Hospital of Korean Medicine. They were sorted according to the distribution of sex, age, causing factor, the period of disease, admission day and pain area. All patients were treated with acupuncture, Chuna treatment, and herbal therapy and physical therapy during the admission period. After treatment, NRS (Numeric Rating Scale), NDI (Neck Disability Index) and EQ-5D were assessed to evaluate the treatment efficacy.
Results : There were more females than Males with a ratio of 1 : 1.37, the age of fifty was the most with 35.29 %, reason unknown was the most with 72.55 % and the subacute stage was the most with 38.24 %. According to disc herniation types, patients with protruded disc types were the most with 66.67 % and a lesion of C5/6 was the most with 41.18 %. For patients diagnosed with cervical disc herniation, neck and shoulder pain NRS decreased from 6.43 ± 1.77 to 3.96 ± 1.96(p＜0.001) and radiating pain NRS decreased from 5.64 ± 1.96 to 3.57 ± 1.88 (p＜0.001). NDI decreased from 41.72 ± 14.04 to 30.84 ± 15.34(p＜0.001), and the EQ-5D index increased from 0.68 ± 0.17 to 0.79 ± 0.14(p＜0.001) after treating cervical disc patients.
Conclusion : Korean medical combination treatment might be effective in decreasing pain and raising the life quality of patients with cervical disc herniation.

영어초록

Effects of Korean Medical Combination Treatment for 102 Cases of Cervical Disc Herniation : An Observational Study Ji Hoon Choi1,*, Sun Ho Lee1, Sang Min Kim1, Hyun Joong Kim1, Ja Sung Koo2, Hyun Ho Lee3, Seong Hyun Jung3 and Deok Won Youn4 1Department of Acupuncture & Moxibusion Medicine, Daejeon Jaseng Hospital of Korean Medicine 2Department of Oriental Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine 3Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine 4Department of Acupuncture & Moxibusion Medicine, Haeundae Jaseng Hospital of Korean Medicine Objectives : The purpose of this study is to investigate the clinical effectiveness of Korean medical combination treatment for cervical disc herniation.
Methods : This is an observational study. 102 patients diagnosed with cervical disc herniation by MRI (Magnetic Resonance Imaging) were investigated from January, 2015 through to December, 2015 at Daejeon Jaseng Hospital of Korean Medicine. They were sorted according to the distribution of sex, age, causing factor, the period of disease, admission day and pain area. All patients were treated with acupuncture, Chuna treatment, and herbal therapy and physical therapy during the admission period. After treatment, NRS (Numeric Rating Scale), NDI (Neck Disability Index) and EQ-5D were assessed to evaluate the treatment efficacy.
Results : There were more females than Males with a ratio of 1 : 1.37, the age of fifty was the most with 35.29 %, reason unknown was the most with 72.55 % and the subacute stage was the most with 38.24 %. According to disc herniation types, patients with protruded disc types were the most with 66.67 % and a lesion of C5/6 was the most with 41.18 %. For patients diagnosed with cervical disc herniation, neck and shoulder pain NRS decreased from 6.43 ± 1.77 to 3.96 ± 1.96(p＜0.001) and radiating pain NRS decreased from 5.64 ± 1.96 to 3.57 ± 1.88 (p＜0.001). NDI decreased from 41.72 ± 14.04 to 30.84 ± 15.34(p＜0.001), and the EQ-5D index increased from 0.68 ± 0.17 to 0.79 ± 0.14(p＜0.001) after treating cervical disc patients.
Conclusion : Korean medical combination treatment might be effective in decreasing pain and raising the life quality of patients with cervical disc herniation.

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