DOI QR코드

DOI QR Code

한의 단독 치료를 통한 화상환자 통증 완화 치험 1례 증례 보고

A Case Report of Pain Relief for Burn Patient through only Korean Medicine

  • Kwon, Joong Chul (The Member of the Korean Academy of Medical Gi-Gong) ;
  • Na, Sam Sik (The Member of the Korean Academy of Medical Gi-Gong) ;
  • Chang, Sung Jin (The Member of the Korean Academy of Medical Gi-Gong) ;
  • Lee, Jae Heung (The Member of the Korean Academy of Medical Gi-Gong)
  • 투고 : 2020.11.16
  • 심사 : 2020.12.12
  • 발행 : 2020.12.31

초록

Objective : The purpose of this study is to report that Korean Medicine treatment is effective in treating pain in burn patients. Results : We effectively reduced the pain that occurred after the end of the burn treatment through Korean Medicine such as multiple acupuncture, cupping, Sugi therapy, and external salve. VAS(Visual Analog Scale) values were reduced from 8 to 2 after about 23 days of treatment. Conclusions : This report shows that there was no special effect on dermatology treatment for pain that occurred after the end of treatment of burn patient, but it can also be excellent through Korean Medicine alone. It's only one case, so it cannot be determined that Korean Medicine for a burn is excellent. but if more excellent burn treatment of Korean Medicine is reported continuously, it will prove its validity. Therefore, it is hoped that more case reports and studies on burn treatments will be done in the future.

키워드

참고문헌

  1. Park E-o. The Effects of Abdominal Breathing on Pain, Anxiety and Vital signs during Dressing Change of Burn Patients. [Master's Thesis]. Deajeon:Deajeon University. 2011:63.
  2. Yang JO. The effects of sleep dressing on pain and anxiety of pediatric patients with burn [Master's Thesis]. Chuncheon:Halym University. 2016:68.
  3. Lee J, Jeong S, Choi Y, Jeong M. Acupuncture for the Treatment of Burns: A Systematic Review of Randomized Controlled Trials and Case Controlled Trials. J The Journal of Pediatrics of Korean Medicine. 2017;31(4):19-30.
  4. Jung S-Y, Kang E-K, Seo H-S. One case of second degree burn wound. J of Korean Medicine Ophthalmology Dermatology. 2007;20(1):285-93.
  5. Geisser ME, Bingham HG, Robinson ME. Pain and anxiety during burn dressing changes:concordance between patients' and nurses' ratings and relation to medication administration and patient variables. J The Journal of burn care rehabilitation. 1995;16(2):165-71.
  6. Patterson DR, Ptacek J, Carrougher GJ, Sharar SR. Lorazepam as an adjunct to opioid analgesics in the treatment of burn pain. J Pain. 1997;72(3):367-74. https://doi.org/10.1016/S0304-3959(97)00064-X
  7. ChoiniEre M, MELZACK R, RONDEAU J, GIRARD N, PAQUIN M-J. The pain of burns: characteristics and correlates. The Journal of Trauma: Injury, Infection, and Critical Care. 1989;29(11):1531-9. https://doi.org/10.1097/00005373-198911000-00013
  8. Beag JY, Cho MG, Bae JR, Kang HJ, Kim JC, Lee JH, et al. Introduction of Whidam's Su-Gi therapy - Focused on Cervical spine. J of Korean Academy of Medical Gi-Gong. 2017;17(1):24-51.
  9. Jeong EJ, Pi CM, Ahn HM, Jang SC, Bae JR. One Case Report of Infertile Woman Taking Whidam's Su-Gi therapy with Korean Medical Treatment. J of Korean Academy of Medical Gi-Gong. 2017;17(1):64-82.
  10. Shim S-Y, Park H-J, Lee J-M, Lee H-S. An overview of pain measurements. Korean Journal of Acupunct. 2007;24(2):77-97.
  11. Miller A, Hickman L, Lemasters GJTJobc, rehabilitation. A distraction technique for control of burn pain. 1992;13(5):576-80.
  12. Kwon H, Bae J-S, Jung S-N. The Treatment of Deep Second and Third Degree Burn Wounds of Upper Extremity with Silicone Gel Sheet. Korean burn society. 2004;7(2):113-8.
  13. Ju HS, Lim JS, Choi YS. Treatment of 2 o Burn Wounds with Silicone Gel Sheets. Korean burn society. 2005;8(2):220-6.
  14. Kim YS, Chung CM, Kim HS, Seo DK, Cho WS. Treatment of Second Degree Burn Wound Using Hydrocolloid Dressings. Korean burn society. 2005;8(1):88-96.
  15. Lee EH, Go J, Kim JE, Koh EK, Song SH, Sung JE, et al. Therapeutic effect of hydrocolloid membrane containing Liriope platyphylla extracts on the burn wounds of SD rats. Journal of Life Science. 2015;25(5):523-32. https://doi.org/10.5352/JLS.2015.25.5.523
  16. Ahn S-Y, Park S-O. Effects of low-power laser and TDP on the cutaneous wound healing. Journal of Korean Physical Therapy. 1997;9(1):1-18.
  17. Kim K, Kim D, Kim K, Lee S, Cho B, So H. The effects of music therapy on reduction of pain, anxiety, and vital sign in the exchange of burn wound dressing. Unpublished master's thesis, Jeonnam University, Gwangju. 2000.
  18. Son JT, Kim SH. The effects of self-selected music on anxiety and pain during burn dressing changes. Journal of Korean Academy of Nursing. 2006;36(1):159-68. https://doi.org/10.4040/jkan.2006.36.1.159
  19. Kim S. The effects of music therapy on pain, anxiety, and discomfort behavior during burn dressing change. Journal of Korean Clinical Nursing Research. 2007;13(1):143-55.
  20. Son JT, Lee EJ, Kim SH. Effect of Music Listening on Pain, Anxiety, and Vital Signs of Burn Patients. Korean Journal of Music Therapy. 2009;11(1):124-41. https://doi.org/10.21330/kjmt.2009.11.1.124
  21. Choi S-y. The Effects of Therapeutic Music Listening on the Pain Relief for the Patients with Burn [Master's Thesis]. Seoul:Myongji Univ. 2008:85.
  22. TOBIASEN JM, HIEBERT JM. Burns and adjustment to injury: do psychological coping strategies help? Journal of Trauma and Acute Care Surgery. 1985;25(12):1151-5. https://doi.org/10.1097/00005373-198512000-00006
  23. Knudson-Cooper MS. Relaxation and Biofeedback Training in the Treatment of Severely Burned Children. The Journal of Burn Care & Rehabilitation. 1981;2(2):102-10. https://doi.org/10.1097/00004630-198103000-00008
  24. Patterson DR. Practical Applications of Psychological Techniques in Controlling Burn Pain. The Journal of Burn Care & Rehabilitation. 1992;13(1):13-8. https://doi.org/10.1097/00004630-199201000-00005
  25. Van der Does AJW. Patients' and nurses' ratings of pain and anxiety during burn wound care. Pain. 1989;39(1):95-101. https://doi.org/10.1016/0304-3959(89)90179-6
  26. Jung IH. (The) effect of clinical skin massage therapy for pain, itching and sleep among burn patients [Master's Thesis]. Chuncheon:Halym University. 2008:58.
  27. Kim HG. Effects of Clinical Art Therapy on Pain, Depression and Self-image of Burn Patients [Master's Thesis]. Pocheon:CHA University. 2011:128.
  28. Eo SK, Kim SH, Lee BC, Eo EK. Effect of Clinical Art Therapy on Self-Esteem, Anxiety, and Pain of Pediatric Burn Patients. Journal of Korean Burn Society. 2013;16(1):40-5.
  29. Kim KJ, Kim J, Jeong GS. The Effects of Providing Lavender Inhalation Therapy on Anxiety and Alleviation of Pain before Burn Dressings. Journal of Korean Academy of Fundamentals of Nursing. 2020;27(1):29-39. https://doi.org/10.7739/jkafn.2020.27.1.29
  30. Summer GJ, Puntillo KA, Miaskowski C, Green PG, Levine JD. Burn injury pain: the continuing challenge. The journal of pain. 2007;8(7):533-48. https://doi.org/10.1016/j.jpain.2007.02.426
  31. Choiniere M, Melzack R, Papillon J. Pain and paresthesia in patients with healed burns: an exploratory study. Journal of pain symptom management. 1991;6(7):437-44. https://doi.org/10.1016/0885-3924(91)90043-4
  32. Malenfant A, Forget R, Papillon J, Amsel R, Frigon J-Y, Choiniere M. Prevalence and characteristics of chronic sensory problems in burn patients. Pain. 1996;67(2-3):493-500. https://doi.org/10.1016/0304-3959(96)03154-5
  33. Latarjet J, Choinere M. Pain in burn patients. Burns. 1995;21(5):344-8. https://doi.org/10.1016/0305-4179(95)00003-8
  34. Cho YS, Seo CH. The Effect of Extracorporeal Shock Wave Therapy on the Scar Pain of Burn Patients: A Case Report. Journal of Korean Burn Society. 2014;17(1):38-42.
  35. Cho YS. Extracorporeal shock wave therapy on the scar pain of burn patients : A prospective randomized single blind placebo-controlled study [Mastyer's Thesis]. Chuncheon:Hallym University. 2015:36.
  36. Jeong D-H, Sim S-H, Choi J-H. A Case of Treatment of 3 degree burn. The Journal of Oriental Medical Surgery Ophthalmology & Otolaryngology. 2002;15(2):315-25.
  37. Ku Y-h, Choi I-h. A case of second degree burn on the feet. The Journal of Korean Medicine Ophthalmology Otolaryngology Dermatology. 2003;16(3):260-7.
  38. Won S-h, Owi j-s, Choi E-j, Ki-ok K. A clinical case study of Acupuncture treatment for burned hand. J of Korean Acupuncture & Moxibustion Society. 2005;22(1):13-7.
  39. Jeong H-S, Nam J-S, Lee D-H, Jang I-S, Seo E-S. A Case Report of Scald Burns Treated with Pharmacoacupuncture. Journal of Pharmacopuncture. 2009;12(3):89-95. https://doi.org/10.3831/KPI.2009.12.3.089
  40. Im J, Jang I, Kim M, Jeong M. A case report on superficial second-degree burn of an infant's forearm. The Journal of Pediatrics of Korean Medicine. 2016;30(4):1-7. https://doi.org/10.7778/jpkm.2016.30.4.001
  41. Melzack R, Wall PD. Psychophysiology of pain. International Anesthesiology Clinics. 1970;8(1):3-34. https://doi.org/10.1097/00004311-197000810-00003
  42. 木村邦夫, 兵頭正義, 김태요, 이강창(譯). (증례로 배우는)통증치료. 서울:군자출판사. 1996:333.
  43. 안강. 화상벌레에 물리면 극심한 통증을 느끼는 이유 : 안강의 통증 이야기. 주간동아. 2019:38-9.
  44. Hoffman HG, Patterson DR, Carrougher GJ. Use of virtual reality for adjunctive treatment of adult burn pain during physical therapy: a controlled study. The Clinical journal of pain. 2000;16(3):244-50. https://doi.org/10.1097/00002508-200009000-00010
  45. Cho YS, Jeon JH, Hong A, Yang HT, Yim H, Cho YS, et al. The effect of burn rehabilitation massage therapy on hypertrophic scar after burn: a randomized controlled trial. Burns. 2014;40(8):1513-20. https://doi.org/10.1016/j.burns.2014.02.005
  46. 전국한의과대학-침구경혈학교실. 鍼灸學 (上). 서울:集文堂. 1994:759. p.331, p.382, p.405.
  47. Hye BS, Hong-kyon K, Il KN. A Study of medical cases of burns. Korean Society of the Medical History. 2008;21(2):49-60.
  48. 홍원식. (精校)黃帝內經素問. 서울:東洋醫學硏究院出版部. 1985:326. p.71.