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경추증성 척수증의 한의학적 치료에 대한 국내외 연구 동향
변다영,이기언,노지애,김효준,허석원,한시훈 한방재활의학과학회 2019 한방재활의학과학회지 Vol.29 No.2
Objectives This study was performed to research the trends of Korean traditional medicine treatment for cervical spondylotic myelopathy (CSM). Methods Clinical studies about Korean traditional medicine of CSM were searched in 7 online databases. We extracted the characteristics of selected studies according to author, publication year, country, research design, treatment methods, evaluation tools, and adverse events. Results Nineteen studies were selected in online databases. The included studies consist of 8 uncontrolled trial, 7 case reports, 3 randomized controlled trials and 1 non-randomized controlled trials. In these studies, various Korean traditional medicine treatments were performed, and herbal medicine was the most common. The most commonly used outcomes was effective rate. Conclusions This study showed that Korean traditional medicine could be an effective treatment for CSM. It was suggested that various studies should be conducted to provide objective evidence of the therapeutic effects of Korean traditional medicine treatment for CSM. (J Korean Med Rehabil 2019;29(2):149-158)
추나요법의 건강보험 맟 의료급여 적용에 따른 한방병원에 내원 하는 환자군에 대한 통계적 고찰
김효준,변다영,김국범,박주언,권용수,유재은,이희원,오민석 대한한의학회 2019 대한한의학회지 Vol.40 No.3
Objectives: The objective of this study is to analyze and observe what kinds of changes in Patients who visited a Korean Medicine Hospital according to the Application of Chuna Therapy Health Insurance and Medical benefits. Methods: In this study we collected data of Patients who first visited the OOOO Korean Medicine Hospital from March 8 to May 8. we collected data of 1074 Patients who first visited the Daejeon Jaseng Korean Medicine Hospital from March 8 to May 8. Based on the medical charts, Computer order, we analyze and observe statistical data of 1074 patients putting them into six groups. Outcuomes: 1.The increase in the rate of receiving chuna therapy was significant in Group A and Group B(ρ<0.05). 2.The increase in the onset of the disease for more than one year was significant in Group C and Group D(ρ<0.05). 3.The increase in the proportion with disease Corporal was significant in Group E and Group F(ρ<0.05). Conclusions: According to according to the Application of Chuna Therapy Health Insurance and Medical benefits, the number of patients receiving Chuna Therapy increased, and people with old illnesses were more likely to receive Chuna Therapy.
반월상 연골판 손상을 동반한 전방 십자인대 부분파열 환자의 한의학적 치료 효과: 증례보고
이기언,변다영,한시훈,유형진,이진현 한방재활의학과학회 2018 한방재활의학과학회지 Vol.28 No.1
The purpose of this study is to report the effectiveness of complex Korean Medicine treatment for anterior cruciate ligament (ACL) injuries with meniscus tear. Four patients were treated with complex Korean Medicine by acupuncture, pharmacopuncture and herbal medication. We evaluated the improvement of knee pain and function by Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index). After treatment, we found that knee pain was reduced and joint function was improved by NRS and WOMAC index in all cases. In the evaluation of health-related quality of life through EQ-5D index, there was no significant difference in patients with degenerative knee osteoarthritis and severe meniscal injury. This results show that complex Korean Medicine may be an effective option for ACL injuries with meniscus tear. Further clinical studies are needed to clarify the effect of Korean Medicine therapy on ACL injuries with meniscus tear. (J Korean Med Rehabil 2018;28(1):175-184)
한시훈,이기언,변다영,김영익,김민균,민부기,임한빛,정연재,오민석 한방재활의학과학회 2019 한방재활의학과학회지 Vol.29 No.3
Objectives The purpose of this research is to evaluate the effectiveness of moxibustion theraphy for frozen shoulder through systematic review and meta-analysis. Methods The effect of moxibustion for frozen shoulder was constructed as a key question to search randomized controlled trials (RCTs) in 16 databases without type of publication restriction. Results A total of 790 studies were searched and 22 RCTs were finally selected through primary and secondary selection/exclusion process. In most of the evaluation indexes used in each study, moxibustion treatment for shoulder pain was statistically significant compared with other treatments. A meta-analysis of effective rate in 10 studies comparing moxibustion with acupuncture and acupuncture showed a statistically significant effect of moxibustion treatment. And there was a significant effect on the improvement of the shoulder mobility, but the effect size of shoulder pain was no significant effect for shoulder pain reduction. In addition in the result of meta-analysis of 4 studies' effective rate comparing moxibustion with electronic acupuncture, the effect of moxibustion was significantly higher than that of electronic acupuncture in frozen shoulder. Conclusions Moxibustion therapy was effective in symptoms in patients with frozen shoulder. However because of the high risk of bias in the quality of the included studies, the applicability of this study seems to be limited. It is thought that future randomized controlled trials will need to be designed and performed by reviewing ways to minimize bias. (J Korean Med Rehabil 2019;29(3):35-49)
보존적 한방치료를 시행한 척추 수술 실패 증후군 환자 증례보고 : 출산 후 악화를 포함한 장기 경과 관찰
노지애,이지원,변다영,홍정수,김동진 대한한방내과학회 2019 大韓韓方內科學會誌 Vol.40 No.1
Background: Because of fear of reoperation and low efficiency, some patients with failed back surgery syndrome (FBSS) opt for Korean medicine treatment. Gold standard treatment is not present for FBSS, therefore both surgical and non-surgical treatment are possible. Studies of Korean conservative medicine for FBSS had a short duration of treatment and mainly pre- and post-treatment comparisons. And case of female patients who have worsened after childbirth is rare. The purpose of this study was to report long-term follow-up and rare cases of FBSS. Case summary: A 33-year-old female patient diagnosed with lumbar disc herniation complained with low back pain and radicular pain in the left leg after surgery in 2011. Acupuncture and decoction (Cheongpa-jeon, GCSB-5) were administered to her twice a day for about 6 years and 6 months. The patient’s complaints improved with each hospitalization, and Magnetic Resonance Imaging (MRI) showed a slight decrease in the size of the recurrent disc (L4/5) and a newly developed disc (L5/S1) that had deteriorated after delivery. Conclusion: Korean medicine could be used to manage the pain of lumbar spine FBSS patients for 6-7 years and to alleviate lumbago after delivery.
교통사고로 발생한 경추 골절 환자에 대한 한방복합치료 효과: 증례보고
한시훈 ( Si-hoon Han ),이기언 ( Gi-eon Lee ),조경상 ( Kyeong-sang Jo ),변다영 ( Da-young Byun ),오민석 ( Min-seok Oh ) 대한한의학회 한방재활의학과학회 2018 한방재활의학과학회지 Vol.28 No.2
The objective of this study is to report the effects of complex Korean Medicine treatment for 2 patients who had cervical spine fracture casued by traffic accident. We used acupuncture, pharmacopuncture, moxibustion and herbal medicine to treat patients with cervical spine fracture. We observed the changes of pain by Numeric Rating Scale(NRS), Neck Disability Index(NDI) and EuroQol-5 Dimension Index(EQ-5D Index). After complex Korean Medicine treatment, we found that neck pain was reduced and quality of life were improved by NRS, NDI and EQ-5D Index. Complex Korean Medicine could be effective for patients with cervical spine fracture caused by traffic accident. (J Korean Med Rehabil 2018;28(2):113-120)
족저부 통증 및 비증을 호소하는 측만증 동반 환자에게 족부 보조기와 추나 치료를 포함한 한의학적 치료를 병행한 증례보고
이현호(Hyun-Ho Lee),정성현(Seong-Hyun Jeong),최지훈(Ji-Hoon Choi),이기언(Gi-Eon Lee),조경상(Kyung-Sang Jo)변다영(Da-Young Byun) 척추신경추나의학회 2017 척추신경추나의학회지 Vol.12 No.2
Objectives : The purpose of this study is to report the effect of foot orthosis and Korean Medicine therapy including Chuna on symptom that accompany scoliosis by observing one clinical case study. Methods : One patient suffer sole pain and numbness that accompany scoliosis who received outpatient treatment was investigated for the changes in numerical rating scale(NRS), pelvic height and pelvic angle. Pelvic height and angle were checked by using Whole spine X-ray. During outpatient treatment, patient treated by foot orthosis and Korean Medicine therapy including Chuna. Results : After 7 times treatment, NRS showed a remarkable difference, which decreased from 7 to 1. Pelvic height decreased from 11.16mm to 8.58mm and pelvic angle decreased from 5.03°to 3.16°. They showed a slight difference. Conclusions : Foot orthosis and Korean Medicine therapy including Chuna might be effective in the patient that showed symptoms which is caused by scoliosis.