DOI QR코드

DOI QR Code

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

  • 구승혁 (부천자생한방병원 한방재활의학과) ;
  • 김성현 (부천자생한방병원 한방재활의학과) ;
  • 문현우 (부천자생한방병원 한방재활의학과) ;
  • 안상준 (부천자생한방병원 한방재활의학과) ;
  • 최현진 (부천자생한방병원 한방재활의학과) ;
  • 황보승윤 (부천자생한방병원 한방재활의학과) ;
  • 박현석 (부천자생한방병원 한방재활의학과) ;
  • 이종현 (부천자생한방병원 한방재활의학과)
  • Seunghyeok Ku (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Sunghyun Kim (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Hyunwoo Moon (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Sangjoon An (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Hyunjin Choi (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Seungyoon Hwangbo (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Hyunsuk Park (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Jonghyun Lee (Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine)
  • 투고 : 2022.11.30
  • 심사 : 2022.12.18
  • 발행 : 2023.01.31

초록

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.

키워드

참고문헌

  1. The Society of Korean Medicine Rehabilitaion. Korean medicine rehabilitation. 4th ed. Paju:Koonja Publishing. 2015:206-10, 364-71, 380-416. 
  2. The Korean Orthopaedic Association. Orthopaedics. 7th ed. Seoul:ChoiSin medical Publishing Co. 2013:87, 94-5, 1161-2, 1159-61, 1385-94, 1419. 
  3. Park MS. Fracture and dislocation. Seoul:Korea Medical Book Publishing Company. 2000:11-2. 
  4. Seoul National University College of Medicine Departmet of Orthopaedic. Textbook of fractures and joint injuries. Seoul:Koonja Publishing Co. 2001:105. 
  5. Lee KM, Lim SH, Yoon DY, Kim SJ, Jeong SH. Two clinical cases on patients with pain and limited range of motion about shoulder subsequent to scapular fracture by oriental medical treatments and chuna treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2009;4(2):99-107. 
  6. The Korean Orthopaedic Association. Orthopaedics. 5th ed. Seoul:ChoiSin medical Publishing Co. 1999:571-88. 
  7. Lee SH. Pelvic ring injury. Journal of the Korean Hip Society. 2009;21(4):292-9.  https://doi.org/10.5371/jkhs.2009.21.4.292
  8. Bae KJ, Jeong JW, Jung MY, Kim SJ. Reviewing research on the treatment and study of fracture in Korean journals objective-focus on domestic thesis. J Korean Med Rehabil. 2015;25(3):27-36, 41-53.  https://doi.org/10.18325/jkmr.2015.25.3.27
  9. Paik SW, Nam KH, Choi SK, Lee JH, Han YH. A review of case reports on the application of acupuncture as a treatment for fracture since 2013. J Korean Med Rehabil. 2021;31(4):49-63.  https://doi.org/10.18325/jkmr.2021.31.4.49
  10. Lee C, Cho IH, Heo GY, Kang HK, Kim MH, Han CW, Kim SY, Choi JY, Park SH, Yoon YJ, Hong JW, Kwon JN, Park EY, Lee I. Analysis of the numeric rating scale (NRS) used in clinical studies based on randomized controlled studies. The Journal of Internal Korean Medicine. 2021;42(4):510-31.  https://doi.org/10.22246/jikm.2021.42.4.510
  11. Thompson AJ, Turner AJ. A comparison of the EQ-5D-3L and EQ-5D-5L. PharmacoEconomics. 2020;38(6):575-91.  https://doi.org/10.1007/s40273-020-00893-8
  12. Kim DH, Shin WS, Lee JW, Park WH, Cha YY, Ko YS, Lee JH, Chung WS, Shin BC, Song YK, Go HY. A review of questionnaire for the clinical trials on chronic low back pain. J Korean Med Rehabil. 2013;23(4):95-115. 
  13. Geisser ME, Clauw DJ, Strand V, Gendreau RM, Palmer R, Williams DA. Contributions of change in clinical status parameters to patient global impression of change (PGIC) scores among persons with fibromyalgia treated with milnacipran. Pain. 2010;149(2):373-8.  https://doi.org/10.1016/j.pain.2010.02.043
  14. Lee SW, Park WH, Cha YY, Kim MK, Kim HD. Clinical research on 1 case of pelvic bone fracture. J Korean Med Rehabil. 2004;14(2):147-53. 
  15. Moon SJ, Lee EG, Ko YS, Song YS, Lee JH. A case report on pelvic fracture accompanied with osteoporosis improved by conservative treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2010;5(1):49-56. 
  16. Cho MR, Jang HJ. Classification of pelvic bone fracture and conservative treatment. Journal of the Korean Hip Society. 2005;17(3):215-21. 
  17. The Korean Fracture Society. Principles of fracture management. Seoul:Panmuneducation. 2013:3, 10, 40. 
  18. The Textbook Compilation Committee of the Histology. Human histology. 6th ed. Seoul:Komoonsa. 2011:104-5. 
  19. Jeon DH, Oh MS. Healing effect of danggwisu-san (dangguixu-san) on femur fractured mice. J Korean Med Rehabil. 2021;31(1):1-16. https://doi.org/10.18325/jkmr.2021.31.1.1