针药结合治疗腰骶神经根病4例报告。

IF 0.9 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Journal of Acupuncture and Meridian Studies Pub Date : 2022-08-31 DOI:10.51507/j.jams.2022.15.4.264
Han Chae, Yoona Oh, Ji Won Choi, Soo Kwang An, Yeon Hak Kim, Jun Hwan Lee, Eunseok Kim, Byung Ryul Lee, Gi Young Yang
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引用次数: 0

摘要

腰骶神经根病(LR)是一种肌肉骨骼疾病或疼痛综合征,通常与神经根受压或刺激有关。人们对开发与西医相媲美的有效针灸治疗LR的兴趣越来越大。对4例LR患者进行结构化的韩国传统医学治疗,包括使用由坐姿改变的g型体位对EX-B2点进行强化针刺刺激,并根据客观临床终点(包括数值评定量表(NRS)、Oswestry残疾指数(ODI)、手动肌肉测试(MMT)、神经症状和足底摄影)对结果进行评估。在住院和随访期间,患者在NRS、ODI、MMT和神经系统症状方面均有改善,无不良反应。此外,我们观察到大量的角化过度溶解和脚底干燥,这在以前没有报道过。这四个病例显示了传统医学的临床应用和足底摄影诊断的适用性。然而,需要进一步的随机对照试验来证实我们的发现。
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Treatment of Lumbosacral Radiculopathy with Acupuncture and Medical Herbs: Four Case Reports.

Lumbosacral radiculopathy (LR) is a musculoskeletal disorder or pain syndrome that is generally linked to the compression or irritation of the nerve root. There is a growing interest in the development of efficient acupuncture-based treatments for LR comparable to western medicine. Structured traditional Korean medical treatments including intensified acupuncture stimulus on the EX-B2 point using the G-shaped posture modified from the sitting posture were applied to four LR patients, and the outcomes were evaluated based on objective clinical endpoints including a numeric rating scale (NRS), the Oswestry disability index (ODI), the manual muscle test (MMT), neurological symptoms, and plantar photography. Patients showed improvements in NRS, ODI, MMT, and neurological symptoms without adverse effects during hospitalization and follow-up visits. Moreover, we observed substantial dissolvement of hyperkeratinization and parchedness of the soles of the feet, which was not reported previously. These four cases demonstrate the clinical usefulness of traditional medicine and the diagnostic applicability of plantar photography. However, further randomized controlled trials are required to confirm our findings.

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来源期刊
Journal of Acupuncture and Meridian Studies
Journal of Acupuncture and Meridian Studies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.50
自引率
10.00%
发文量
35
审稿时长
12 weeks
期刊介绍: The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine. Manuscripts should fall into one of the categories: topical review, original research paper, brief ... click here for full Aims & Scope The Journal of Acupuncture and Meridian Studies is a quarterly, peer-reviewed journal featuring high-quality studies related to basic and clinical acupuncture and meridian research. It also includes new paradigm of integrative research, covering East–West and traditional–modern medicine.
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