[논문]교통사고로 인한 급성 골반 골절 환자에 대한 한의학적 복합치료의 효과: 증례보고

구승혁; 김성현; 문현우; 안상준; 최현진; 황보승윤; 박현석; 이종현

doi:10.18325/jkmr.2023.33.1.97

교통사고로 인한 급성 골반 골절 환자에 대한 한의학적 복합치료의 효과: 증례보고
Effect of Integrative Korean Medicine Treatment for Patient with Acute Pelvic Fracture Caused by Traffic Accident: Case Report 원문보기

Journal of Korean Medicine Rehabilitation : JKMR = 한방재활의학과학회지, v.33 no.1, 2023년, pp.97 - 108

구승혁 (부천자생한방병원 한방재활의학과) , 김성현 (부천자생한방병원 한방재활의학과) , 문현우 (부천자생한방병원 한방재활의학과) , 안상준 (부천자생한방병원 한방재활의학과) , 최현진 (부천자생한방병원 한방재활의학과) , 황보승윤 (부천자생한방병원 한방재활의학과) , 박현석 (부천자생한방병원 한방재활의학과) , 이종현 (부천자생한방병원 한방재활의학과)

Abstract ▼ AI-Helper

The purpose of this study is to investigate the effectiveness of integrative Korean medicine treatment for patients who were diagnosed as acute fracture on pelvis. The patients were treated by Korean medicine as conservative management including acupuncture, pharmacopuncture, herbal medication and cupping for hospitalization periods. Numerical rating scale (NRS), EuroQol-5 dimensions (EQ-5D), Oswestry disability index (ODI), patient global impression of change (PGIC), self-walking distance and the changes of symptoms were measured to assess patients' improvement. NRS, ODI scores and EQ-5D definitely improved on 4 patients of 5 cases. NRS decreased from 6~7 to 3~5, ODI scores decreased from 62~75.11 to 40~52 and EQ-5D increased from 0.013~0.331 to 0.47~0.773. PGIC and self-walking distance were also enhanced after treatments. In conclusion, this study suggests that integrative Korean medicine could be effective treatment for acute pelvic fracture.

주제어

표/그림 (8)

그림 Fig. 2. Fracture of left inferior pubic ramus: coronal T2-weighted fat suppression magnetic resonance imaging of hip. Left inferior pubic ramus with high signal intensity (April 29, 2022).
그림 Fig. 1. Fracture of ischiopubic junction: coronal T2-weighted fat suppression magnetic resonance imaging in upper image, coronal T1-weighted magnetic resonance imaging of hip in lower image. Ischiopubic junction with high signal intensity in upper image, low signal intensity in lower image (April 29, 2022).
$Fig. 3. Longitudinal linear fracture of left ala of sacrum: coronal T1-weighted magnetic resonance imaging in upper image, axial T1-weighted magnetic resonance imaging of hip in lower image. Left ala of sacrum with low signal intensity in coronal view in upper image, axial view in lower image (April 29, 2022).$ 그림 Fig. 3. Longitudinal linear fracture of left ala of sacrum: coronal T1-weighted magnetic resonance imaging in upper image, axial T1-weighted magnetic resonance imaging of hip in lower image. Left ala of sacrum with low signal intensity in coronal view in upper image, axial view in lower image (April 29, 2022).
그림 Fig. 4. Oblique coronal T2-weighted fat suppression magnetic resonance imaging on left side image. Oblique coronal T1-weighted magnetic resonance imaging on right side image. High signal of right sacral ala in left, low signal of right sacral ala in right image (February 18, 2022).
$Fig. 5. High signal of S3 acute compression fracture with acute sacral bilateral ala fracture in T2-weighted fat suppression magnetic resonance imaging on left image, Low signal of S3 linear fracture in T1 sagital magnetic resonance on right imaging (June 15, 2022).$ 그림 Fig. 5. High signal of S3 acute compression fracture with acute sacral bilateral ala fracture in T2-weighted fat suppression magnetic resonance imaging on left image, Low signal of S3 linear fracture in T1 sagital magnetic resonance on right imaging (June 15, 2022).
$Fig. 6. Linear fracture of left acetabular roof in coronal T1-weighted magnetic resonance imaging on upper image, coronal computed tomography on lower image (December 12, 2020).$ 그림 Fig. 6. Linear fracture of left acetabular roof in coronal T1-weighted magnetic resonance imaging on upper image, coronal computed tomography on lower image (December 12, 2020).
그림 Fig. 7. Fracture of ischiopubic junction in coronal T2-weighted fat suppression magnetic resonance imaging on upper image, coronal T1-weighted magnetic resonance imaging on lower image (November 5, 2020).
그림 Fig. 8. Changes of the patients' (A) NRS, (B) EQ-5D, (C) ODI score. NRS: numerical rating scale, EQ-5D: EuroQol-5 dimensions, ODI: Oswestry disability index.

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