Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 538 Gangnam-daero, Gangnam-gu, Seoul, Republic of Korea.
Third Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea.
BMC Complement Altern Med. 2018 Apr 6;18(1):124. doi: 10.1186/s12906-018-2188-7.
Patients are free to choose conventional or Korean medicine treatment under the dual medical system in Korea, and the prevalence of patients who choose Korean medicine treatment for whiplash-associated disorders (WADs) is high. This study analyzed the sociodemographic characteristics and medical service use in this population to provide healthcare providers with basic usage information of complementary and alternative medicine for WAD.
A total of 8291 outpatients who registered under automobile insurance coverage and visited the main branch of Jaseng Hospital of Korean Medicine from April 1, 2014 to August 10, 2016 were included. Data on sociodemographic characteristics, symptoms, and accident and treatment-related details were collected from electronic medical records. Univariate and multivariate regression analyses were performed to identify baseline factors predictive of total treatment duration.
The most prevalent demographic of patients who chose Korean medicine for WAD treatment was males in their thirties whose initial visit to the hospital was 16.1 ± 94.1 days from the accident. Neck pain accompanied by low back pain (57.0%) was the most common complaint, and for singular pain, neck pain (13.5%) was the most prevalent. Baseline numeric rating scale (NRS) pain levels were generally moderate (4-6) regardless of area. Patients received 7.2 ± 10.2 sessions of treatment for 32.6 ± 55.3 days. The most commonly prescribed treatment modalities in order of highest frequency were acupuncture, cupping, pharmacopuncture, and herbal medicine, which collectively accounted for > 90% of treatments. Acupuncture was administered 29.0 ± 40.8 times, and cupping 14.0 ± 18.7 times as the two highest frequency treatments. In multivariate regression analysis, longer treatment periods were found to be associated with higher NRS, older age, and delayed initial visits at baseline.
This study highlights the characteristics and Korean medicine use of WAD patients. These results are particularly relevant and informative for consideration of personal preferences and effective prioritization in further insurance coverage.
在韩国的双重医疗体系下，患者可以自由选择传统医学或韩医学治疗，选择韩医学治疗颈背部扭伤（WAD）的患者比例较高。本研究分析了这一人群的社会人口学特征和医疗服务利用情况，为医疗保健提供者提供 WAD 补充和替代医学的基本使用信息。
共纳入 8291 名 2014 年 4 月 1 日至 2016 年 8 月 10 日期间在汽车保险覆盖下登记并访问 Jaseng 韩医院主院区的门诊患者。从电子病历中收集社会人口学特征、症状和事故及治疗相关详细信息。采用单变量和多变量回归分析确定总治疗持续时间的基线预测因素。
选择韩医学治疗 WAD 的患者最常见的人口统计学特征是 30 多岁的男性，他们从事故发生到首次就诊的时间为 16.1±94.1 天。最常见的症状是颈痛伴腰痛（57.0%），单一疼痛中最常见的是颈痛（13.5%）。基线数字评定量表（NRS）疼痛水平普遍为中度（4-6），与部位无关。患者接受了 7.2±10.2 次治疗，持续 32.6±55.3 天。按频率从高到低排列，最常开具的治疗方式依次为针灸、拔罐、药针和草药，这三种方式共占治疗方法的 90%以上。针灸治疗 29.0±40.8 次，拔罐治疗 14.0±18.7 次，为两种频率最高的治疗方法。多变量回归分析显示，治疗时间较长与 NRS 较高、年龄较大以及基线时首次就诊延迟有关。
本研究强调了 WAD 患者的特征和韩医学使用情况。这些结果对于考虑个人偏好和进一步保险覆盖的有效优先事项具有特别的相关性和信息性。
