[논문]경·요추 감압치료를 시행한 추간판탈출증 환자에 대한 후향적 통계 분석

이예지; 김정일; 전주현; 김은석; 김영일

doi:10.13048/jkm.21011

경·요추 감압치료를 시행한 추간판탈출증 환자에 대한 후향적 통계 분석
Retrospective Statistical Analysis of Patients with Disc Herniation Treated with Cervical or Lumbar Decompression Treatment 원문보기

Journal of Korean Medicine = 대한한의학회지, v.42 no.2, 2021년, pp.1 - 20

이예지 (대전대학교 한의과대학 침구학교실) , 김정일 (대전대학교 혜화리버럴아츠칼리지대학 통계학과) , 전주현 (대전대학교 한의과대학 침구학교실) , 김은석 (부산대학교 한방병원 침구의학과) , 김영일 (대전대학교 한의과대학 침구학교실)

Abstract ▼ AI-Helper

Objectives: The purpose of this study was to confirm the relavance between the dependent variables and the treatment effects of nonsurgical spinal decompression(NSD). Methods: 105 patients suffering from disc herniation and treated with NSD were investigated and analyzed. Results: The intention of retreatment showed a tendency to be higher in having occupation, western treatment only before NSD(WTB) and non-western treatment(WTN) group. As the number of NSD increased, satisfaction score and the Numeric Rating Scale(NRS) difference increased and the NRS after NSD decreased. On the other hand, as western treatment after NSD increased, satisfaction score and the NRS difference decreased and the NRS after NSD increased. The odds ratio of having intention of retreatment was lower in western treatment only after NSD(WTA) group than WTN group. The NRS difference showed a high tendency in the age group of 20s, 60s, and 70s and older. The NRS difference of group with NSD more than 10 times was higher than that of the group with less than 10 times. Satisfaction score of WTN and WTB group was higher than that of WTA group. Adjusted NRS after NSD was the lowest in non-western treatment group and the highest in WTA group. Adjusted NRS after NSD was the lowest in the group with NSD over 21 times, and the NRS after NSD increased as the number of NSD decreased. Conclusion: This study included patients with cervical or lumbar disc herniation and showed that occupation, the number of NSD, western treatment and age statistically affected the treatment effect.

주제어

표/그림 (20)

그림 Fig. 1. Study flow chart
표 Table 1. Frequency analysis of demographic variables
표 Table 2. Frequency analysis of disease variables
표 Table 3. Frequency analysis of therapeutic variables
표 Table 4. Frequency analysis of therapeutic effectiveness
표 Table 5. Crossover analysis of occupation and intention of retreatment
표 Table 6. Crossover analysis of western treatment and intention of retreatment
표 Table 7. Multiple linear regression analysis of satisfaction score
표 Table 8. Multiple linear regression analysis of the NRS difference
표 Table 9. Multiple linear regression analysis of the NRS after NSD
표 Table 10. Logistics regression analysis of intention of retreatment
그림 Fig. 2. NRS difference for the number of NSD
표 Table 11. ANOVA of age and the NRS difference
그림 Fig. 3. Satisfaction score for western treatment
표 Table 12. ANOVA of the number of NSD and the NRS difference
그림 Fig. 4. Adjusted NRS after NSD for the number of NSD
표 Table 13. ANOVA of western treatment and satisfaction score
그림 Fig. 5. Adjusted NRS after NSD for western treatment
표 Table 14. ANCOVA of western treatment and the NRS after NSD
표 Table 15. ANCOVA of the number of NSD and the NRS after NSD

참고문헌 (27)

Korean Acupuncture and Moxibustion Medicine Society. Acupuncture Medicine, Seoul : Hanmi Medical Publishing Company. 2016: 495-6.
Castro WHM, Grossman TW, Jerosch J. Examination and diagnosis of musculoskeletal disorders II. Seoul : Hanmi Medical Publishing Company. 2002: 520, 532.
Yang H, Liu H, Li Z, Zhang K, Wang J, Wang H, et al. Low back pain associated with lumbar disc herniation: role of moderately degenerative disc and annulus fibrous tears. Int J Clin Exp Med. 2015; 8: 1634-44.

상세보기
Kim SM, Kim YI. 2019 National Health Insurance Statistical Yearbook. National Health Insurance Service, Health Insurance Review & Assessment Service. 2020: 654-68, 686-97.
Esses SI. Textbook of spinal disorders. Seoul(Korea): Koonja; 2008: 194, 202-3.
Fast A. Low back disorders: conservative management. Arch Phys Med Rehabil. 1988; 69: 880-91.

상세보기
Macario A., Pergolizzi J. V. Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain. Pain Practice. 2006; 6, 171-8.

상세보기
Lee KH, Kim HY, Kim KY, Nam HW, Jung YH, Koh YT. Case Report of L-spine HIVD treated with Spine Decompression. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2007; 21: 39-47.
Won JK, Park DS, Pi CH, Song YS, Kwon YM, Park TY. The Clinical Effects of Non Surgical Spinal Decompression Treatment on HIVD. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2007; 2(2): 41-8.
Seo SK, Kim BJ, Park KJ, Kang JH, Kim SK, Seo DW. The Clinical Studies for Non Surgical Spinal Decompression Treatment on Cervical Disc Herniation. J Oriental Rehab Med. 2011; 21(4): 131-43.
Ma SY, Kwon WA, Lee JH, Min DG. The Effects of Spinal Decompression Combined with Therapeutic Modalities for Patients with Lumbar Radiculopathy. Journal of the Korea Academia-Industrial cooperation Society. 2013; 14(1): 336-43.

원문보기 상세보기
Huh KY. Effect of Spinal Decompression Therapy Compared with Intermittent Mechanical Traction in Lumbosacral Disc Herniation. Master's degree, Graduate School, Kyung Hee University, 2009.
Oh KO. The Effects of Manual Theapy and Decompression Therapy for Treatment of Lumbar Herniation Disk. Master's degree, Graduate School of Pubic Health, Inje University, 2016.
Park SW, Kim SS, Kim JY, Kim SH, Lee GM. The Comparative Study of Effects between Acupotomy and its Cotreatment with Spine Decompression Therapy on HIVD Patients. J Korean Acupunct Moxib Soc. 2012; 29(3): 29-39.
Kim JI, Jeong JK, Kim MK, Jeon JH, Kim ES, Kim YI. A Retrospective Statistical Analysis of Miniscalpel Needle Therapy for Herniated Intervertebral Disc or Spinal Stenosis. J Acupunct Res. 2018; 35(4): 225-37.
Jeong JK, Kim MK, Park GN, Kim JH, Kim YI. A descriptive statistical analysis of inpatients with lumbar disc herniation at a Korean medicine hospital in 2014. The Acupuncture. 2017; 34(2): 19-38.

원문보기 상세보기
Kim MJ, Lee MS. Effects of Rumba Sports Dances on the ROM of Patients with Chronic Low Back Pain. Journal of Naturopathy 2014; 3(1): 61-6.
Hawker GA, Mian S, Kendzerska T, French M. Measures of Adult Pain. Arthritis Care Res (Hoboken). 2011; 63: 240-52.

상세보기
Seok SI. Textbook of spinal surgery. 4st edit; Seoul(Korea): Newest Medical Company, 2016: 123, 354-7.
Kim BJ, Ko HS, Seo JG, Choo SK, Kim JH. Surgical Treatment of Cervical Disc Herniation. J. of Korean Orthop. Assoc. 1995; 30(3): 545-50.

상세보기
Lee JE, Lee HJ, Hong YK, Kang S, Yoon BC, Lee SH. Comparison between the Effect of Transforaminal Steroid Injection and Transforaminal Steroid Injection Combined with Spinal Decompressor on Lumbar Disc Herniation. J Korean Acad Rehab Med. 2007; 31(5): 590-5.
The Korean Orthopaedic Association. Orthopaedics. 5th edit; Seoul(Korea); Newest Medical Company, 1999: 449-55.
Lee HE, Cho JH, Moon JY, Kim MJ, Kang I, Lee H, et al. The Clinical Study on 88 Patients of Cervical Disc Herniation. J Korean Acupunct Moxib Soc. 2008; 25(6): 145-52.
You JW. Lumbar Dsc Disease. Journal of Korean Spine Surg. 1999; 6(2): 208-19.
Weber H. Lumbar disc herniation : A controlled prospective study with ten years of observation. SAS Journal. 2009; 3(1): 30-40.

상세보기
Jeong JD, Roh SC. Cervical HIVD Related to Long-Herm Whole Body Vibration and Awkward Posture. Korean J Occup Environ Med. 2009; 21(4): 396-405.

상세보기
Korea Institute of Oriental Medicine. KMCPG-Lumbar Herniated Intervertebral Disc (HIVD). Seoul (Korea): Elsevier Korea L.L.C.; 2015: 38.

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증