[논문]흉요추 압박골절 치료에 대한 한의복합치료 고찰: 후향적 관찰 연구

조민진; 이지윤; 이명종; 김호준; 한경선

doi:10.18325/jkmr.2023.33.4.109

흉요추 압박골절 치료에 대한 한의복합치료 고찰: 후향적 관찰 연구
A Review of Korean Medicine Treatment for Managing the Thoracolumbar Compression Fractures: A Retrospective Observational Study 원문보기

Journal of Korean Medicine Rehabilitation : JKMR = 한방재활의학과학회지, v.33 no.4, 2023년, pp.109 - 124

조민진 (동국대학교 한의과대학 한방재활의학교실) , 이지윤 (동국대학교 한의과대학 한방재활의학교실) , 이명종 (동국대학교 한의과대학 한방재활의학교실) , 김호준 (동국대학교 한의과대학 한방재활의학교실) , 한경선 (동국대학교 한의과대학 한방재활의학교실)

Abstract ▼ AI-Helper

Objectives This study aims to find out effect of Korean medicine treatment on managing thoracolumbar compression fractures through retrospective observational study. Methods Among hospitalized patients at the Department of Korean Medicine Rehabilitation from January 1st, 2018 to February 28th, 2023, a total of 24 inpatients who were diagnosed with thoracolumbar compression fractures and received Korean medicine treatment were included in this study. Numeric rating scale (NRS) was used for pain assessment and clinical variables such as sex, symptoms, age, thoracolumbar injury classification and severity (TLICS) scores were collected. For subgroup analysis to analyze factors affecting treatment response, we divided patients into responders and non-responders according to NRS change. For statistical analysis, we compared before/after hospitalization and analyzed distinct features between two groups. Results Most of the patients were in their 70s and 83.33% were female. Average hospitalization period was 24.54±11.91 days. All patients had back pain as their chief complaint and only 2 patients received surgeries. In TLICS, only 1 patient got score 6, which represented surgery indication. After Korean medicine treatment, NRS of almost every patient got lower significantly at the time of discharge (3.02±1.93) than admission (5.52±1.95). Comparing two groups, responders had lower NRS at the time of discharge and TLICS score of them were lower than non-responders. Conclusions Our results show that Korean medicine treatment for thoracolumbar compression fractures was effective in reducing pain. There were distinct clinical features such as age, past history, surgeries between those with significant improvement in pain scores and those who did not.

주제어

표/그림 (11)

그림 Fig. 1. Flow chart of the study. Total 24 patients were selected after assessing the eligibility criteria.
표 Table I. Demographic Characteristics of the Patients (N=24)
표 Table II. Korean Medicine Treatments for Thoracolumbar Compression Fractures
$Fig. 2. Present illness and past history of the patients. Each frequency was presented as percentage. (A) It represents present illness. (B, C) It represent osteoporosis or osteopenia history and thoracolumbar compression fracture history, respectively.$ 그림 Fig. 2. Present illness and past history of the patients. Each frequency was presented as percentage. (A) It represents present illness. (B, C) It represent osteoporosis or osteopenia history and thoracolumbar compression fracture history, respectively.
표 Table III. TLICS Classification of the Patients
표 Table IV. NRS Change at Admission and at Discharge of the Patients
표 Table V. Demographic Information and Clinical Characteristics between Two Groups
표 Table VI. Comparison of NRS Change at Admission and at Discharge between Two Groups.
표 Table VII. Comparison of Present Illness between Two Groups
표 Table VIII. Comparison of Past History between Two Groups
표 Table IX. Comparison of TLICS Classification between Two Groups

참고문헌 (32)

Alexandru D, So W. Evaluation and management of vertebral compression fractures. The Permanente Journal. 2012;16(4):46.

상세보기
Old JL, Calvert M. Vertebral compression fractures in？the elderly. American Family Physician. 2004;69(1):111-6.

상세보기
Fink HA, Milavetz DL, Palermo L, Nevitt MC, Cauley？JA, Genant HK, Black DM, Ensrud KE. What proportion of incident radiographic vertebral deformities is？clinically diagnosed and vice versa? Journal of Bone？and Mineral Research. 2005;20(7):1216-22.

상세보기
Prather H, Watson JO, Gilula LA. Nonoperative management of osteoporotic vertebral compression fractures.？Injury. 2007;38(3):40-8.

상세보기
McCarthy J, Davis A. Diagnosis and management of？vertebral compression fractures. American Family？Physician. 2016;94(1):44-50.

상세보기
Lee JY, Vaccaro AR, Lim MR, Oner F, Hulbert RJ,？Hedlund R, Fehlings MG, Arnold P, Harrop J, Bono？CM, Anderson PA, Anderson DG, Harris MB, Brown？AK, Stock GH, Baron EM. Thoracolumbar injury classification and severity score: a new paradigm for the？treatment of thoracolumbar spine trauma. Journal of？Orthopaedic Science. 2005;10(6):671-5.
Park HG, Kim MH, Yoo MJ, Lee SC, Park JY, Hwang？WY, An JW. Complications after vertebroplasty of treatment for compression fracture with osteoporosis. Journal？of the Korean Society of Fractures. 2003;16(4):534-40.

상세보기
Li JL, Rong S, Zhou Z, Zhang XB, Tang ZH, Huang？QS, Li WH. The efficacy and safety of acupuncture for？treating osteoporotic vertebral compression fracture-(OVCF-) induced pain: a systematic review and meta-analysis of randomized clinical trials. Evidence-Based？Complementary and Alternative Medicine. 2021;2021:1-12.
Liao HH, Livneh H, Chung YJ, Lin CH, Lai NS, Yen？HR, Tsai TY. A comparison of the risk of fracture in？rheumatoid arthritis patients with and without receiving？Chinese herbal medicine. Journal of Multidisciplinary？Healthcare. 2021;14:3399-409.

상세보기
Silverman S. The clinical consequences of vertebral？compression fracture. Bone. 1992;13:S27-31.

상세보기
Lee DH, Chung NS, Son KH, Jeoung US, Jeon CH.？MRI patterns in the acute or subacute stage of osteoporotic vertebral fractures. Journal of Korean Society of？Spine Surgery. 200916(4):266-73.
Jang HJ, Kim SJ, Kim MJ, Choi HK, Park PJ, Kang？YS, Jeong JK, Jeon JH, Kim YI. Statistical analysis on？hospitalized patients with thoracolumbar compression？fracture at single Korean medicine hospital: retrospective review. The Journal of Korean Medicine.？2023;44(2):149-69.
Krebs EE, Carey TS, Weinberger M. Accuracy of the？pain numeric rating scale as a screening test in primary？care. Journal of General Internal Medicine. 2007;22(10):1453-8.
Luo D, Wan X, Liu J, Tong T. Optimally estimating？the sample mean from the sample size, median, mid-range,？and/or mid-quartile range. Statistical Methods in Medical？Research. 2018;27(6):1785-805.

상세보기
Chang H, Kim H, Kim S, Kim S, Park JH, Bae JH,？Shin W, Yoon YJ, Lee H, Chung WS. Korean medical？treatment including phototherapy after hip fracture surgery: three case reports. J Korean Med Rehabil. 2018;28(4):113-24.
Yin Y, Cao S, Wang C, Liu Y, Zhang H. Effect of core？stability training on unstable support surfaces in postoperative rehabilitation of thoracolumbar vertebral compression fractures in the elderly. Computational and？Mathematical Methods in Medicine. 2022;2022:4480349.

상세보기
Oh KH. Study on interferential current therapy. Journal？of the Korean Physical Therapy Association. 1989;10(2):95-103.
Kim DH, Vaccaro AR. Osteoporotic compression fractures of the spine; current options and considerations？for treatment. The Spine Journal. 2006;6(5):479-87.

상세보기
The Society of Korean Medicine Rehabilitation. Korean？rehabilitation medicine. 5th ed. Globooks. 2020:214.
Heo J. Donguibogam. 1st ed. Bubin. 2015:661.
Heo J. Eonhaegukupbang [Internet]. Korea Institute of？Oriental Medicine; 1607 [cited 2023 Sep 7]. Available？from: URL: https://mediclassics.kr/books/44/volume/2#content_48.
Lee KJ, Oh MS, Lee EJ, Shin BC, Hwang EH, Kim？SJ, Cha YY, Ko YS, Song YK. Trends of Korean medicine conservative treatment using low back pain patients？registry data: analysis of medical records of 7 Korean？medical hospital. J Korean Med Rehabil. 2019;29(3):87-101.
Kim SW, Shin JC. The effects of Korean medical treatment combined with embedding acupuncture on patients？with chronic lower back pain: a retrospective study.？Journal of Acupuncture Research. 2016;33(2):165-71.
Mukwaya E, Xu F, Wong MS, Zhang Y. Chinese herbal？medicine for bone health. Pharmaceutical Biology.？2014;52(9):1223-8.

상세보기
An HR, Shin M, Choi JB, Kim SJ. Effects of neutral？Eohyeol (Yuxue) herbal acupuncture and Dangkisoo-san？(Dangguixu-san) on fracture healing in the early stage？in rats. J Korean Med Rehabil. 2007;17(1):1-16.
Lee SH, Yoon JW, Kim SJ. A comparative review on？carthmi-flos pharmacopuncture treatment-focused on？clinical study. J Korean Med Rehabil. 2017;27(4):55-65.
Hong JR, Kim YJ, Kim JS, Lee JR, Kim TG, Yoo DH, Choi IS, Lee SW. 4 cases of patients that improved from？traffic accident which caused lumbar spine compression？fracture by complex Korean medical admission treatment: retrospective case study. J Korean Med Rehabil.？2017;27(4):163-70.
Wong CC, McGirt MJ. Vertebral compression fractures:？a review of current management and multimodal therapy.？Journal of Multidisciplinary Healthcare. 2013;6:205-14.

상세보기
Park EY, Choi JH, Jo HI, Lee SK, Lee JH, Kang SW,？Won YJ, Choi SR, Cho YJ. Combined Korean medicine？treatment of a rare case of burst fracture in an elderly？patient with kissing spine. Journal of Acupuncture？Research. 2021;38(2):165-9.

원문보기 상세보기
Tang P, Long A, Shi T, Zhang L, Zhang L. Analysis？of the independent risk factors of neurologic deficit after？thoracolumbar burst fracture. Journal of Orthopaedic？Surgery and Research. 2016;11(1):1-7.
Lavy C, Marks P, Dangas K, Todd N. Cauda equina？syndrome-a practical guide to definition and classification.？International Orthopaedics. 2022;46(2):165-9.

상세보기
Lee KB, Yang KJ, Gi YM, Kim TG, Jo H, Choi J.？Combination therapy of conventional and Korean medicine for multiple vertebral compression fractures associated with postpartum osteoporosis: a case report.？Journal of Acupuncture Research. 2018;35(4):244-7.

원문보기 상세보기

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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