Daejeon Jaseng Hospital of Korean Medicine, Seo-gu, Daejeon, Republic of Korea.
Jaseng Hospital of Korean Medicine, Gangnam-gu, Seoul, Republic of Korea.
Medicine (Baltimore). 2024 May 24;103(21):e38250. doi: 10.1097/MD.0000000000038250.
The number of traffic accidents (TAs) is rising each year, and the severity of injuries can vary. Many people experience limitations in activities of daily living following TAs, affecting their quality of life. In pregnant women, even simple injuries caused by a TA could lead to unfavorable obstetric outcomes. Thus, we conducted a retrospective chart review and follow-up questionnaire survey to assess the safety and effectiveness of integrative Korean medicine (KM) treatment for pregnant women injured in TAs. To assess integrative KM effectiveness, the numeric rating scale (NRS) for TA-related symptoms, neck disability index (NDI) score, Oswestry disability index (ODI) score, shoulder pain and disability index score, Western Ontario and McMaster Universities Arthritis Index score, EuroQol 5-dimension 5-level (EQ-5D-5L) score, and patient global impression of change score were investigated for pregnant women injured in TAs. Additionally, for safety evaluation, obstetric and neonatal outcomes, as well as symptoms related to pregnancy, were assessed. At the end of treatment and follow-up, there were significant reductions in NDI and ODI scores, as well as NRS for neck pain, lower back pain, and headache, compared to scores at baseline. EQ-5D-5L scores significantly increased. A follow-up of 50 patients showed no major differences in obstetric and neonatal outcomes compared to the typical outcomes that occur in pregnant women and neonates. Major improvements were observed in the symptoms of patients who underwent integrative KM treatment after being injured in TAs. The symptoms occurred at a rate similar to those in typical pregnant women, while causality with integrative KM treatment was assessed to be unlikely or unclear. Therefore, integrative KM treatment may be considered an alternative treatment option for pregnant women who currently have limited treatment options.
交通事故（TA）的数量逐年增加，受伤的严重程度也各不相同。许多人在经历 TA 后日常生活活动受限，影响生活质量。在孕妇中，即使是由 TA 引起的简单损伤也可能导致不良的产科结局。因此，我们进行了回顾性图表审查和随访问卷调查，以评估综合韩国医学（KM）治疗 TA 孕妇的安全性和有效性。为了评估综合 KM 的有效性，使用 TA 相关症状的数字评分量表（NRS）、颈部残疾指数（NDI）评分、Oswestry 残疾指数（ODI）评分、肩痛和残疾指数评分、西安大略和麦克马斯特大学关节炎指数评分、欧洲五维健康量表（EQ-5D-5L）评分和患者整体变化印象评分来评估 TA 孕妇。此外，为了进行安全性评估，还评估了产科和新生儿结局以及与妊娠相关的症状。在治疗结束和随访时，与基线相比，NDI 和 ODI 评分以及颈部疼痛、下腰痛和头痛的 NRS 均显著降低，EQ-5D-5L 评分显著升高。对 50 名患者的随访显示，产科和新生儿结局与典型孕妇和新生儿的结局相比没有显著差异。在经历综合 KM 治疗后，患者的症状有了显著改善。这些症状的发生率与典型孕妇相似，而与综合 KM 治疗的因果关系被评估为不太可能或不清楚。因此，综合 KM 治疗可能被视为目前治疗选择有限的孕妇的一种替代治疗选择。
