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聚焦超声引导下大剂量 Shinbaro 2 穴位注射治疗急性椎间盘突出症的整合医学：病例报告

Integrative Medicine Focusing on Ultrasound-Guided High-Dose Shinbaro 2 Pharmacopuncture for Acute Herniated Intervertebral Discs: A Case Report.

作者信息

Lee Nam-Woo, Lee Jinho, Yun Jung-Min, Kim Siwon, Chung Won-Seok

机构信息

Department of Clinical Korean Medicine, Kyung Hee University, 23 Kyunghee-daero, Dongdaemun-gu, Seoul 02447, Republic of Korea.

Jaseng Hospital of Korean Medicine, 536 Gangnam-daero, Gangnam-gu, Seoul 06110, Republic of Korea.

出版信息

Healthcare (Basel). 2024 Aug 14;12(16):1620. doi: 10.3390/healthcare12161620.

DOI:10.3390/healthcare12161620
PMID:39201178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11353620/
Abstract

This study aimed to investigate the effects of ultrasound-guided high-dose Shinbaro 2 pharmacopuncture on the pain, dysfunction, and quality of life in patients with low back pain and radiating pain due to an acute herniated intervertebral disc (HIVD). A 39-year-old male patient with low back pain and radiating pain caused by an acute HIVD was treated with Korean and Western integrative medicine, with a focus on ultrasound-guided high-dose Shinbaro 2 pharmacopuncture at Kambin's triangle. The treatment lasted 16 weeks, including a 12-day hospitalization. The low back pain and radiating pain were evaluated using the numeric rating scale (NRS). The lumbar function and quality of life were assessed using the Oswestry disability index (ODI) and the EuroQol five-dimension index (EQ5D). Satisfaction was gauged using the patient global impression of change (PGIC). After treatment, the NRS score decreased from 10 to 1, whereas the ODI and EQ5D scores improved from 84.44 to 28.89 and from 0.303 to 0.871, respectively. The PGIC was rated as 1, indicating considerable improvement. Notably, the changes observed during hospitalization were significant. This report suggests that ultrasound-guided high-dose Shinbaro 2 pharmacopuncture at Kambin's triangle significantly improves the pain, dysfunction, and quality of life in patients with an acute HIVD, demonstrating its potential usefulness among Korean medicine practitioners.

摘要

本研究旨在探讨超声引导下大剂量新宝2穴位注射对急性椎间盘突出症（HIVD）所致腰痛及放射性疼痛患者的疼痛、功能障碍和生活质量的影响。一名39岁因急性HIVD导致腰痛及放射性疼痛的男性患者接受了韩西医结合治疗，重点是在坎宾三角区进行超声引导下大剂量新宝2穴位注射。治疗持续16周，包括12天的住院治疗。使用数字评分量表（NRS）评估腰痛和放射性疼痛。使用奥斯威斯功能障碍指数（ODI）和欧洲五维健康量表（EQ5D）评估腰椎功能和生活质量。使用患者总体印象变化（PGIC）来衡量满意度。治疗后，NRS评分从10分降至1分，而ODI和EQ5D评分分别从84.44分提高到28.89分，从0.303提高到0.871。PGIC评分为1分，表明有显著改善。值得注意的是，住院期间观察到的变化很显著。本报告表明，在坎宾三角区进行超声引导下大剂量新宝2穴位注射可显著改善急性HIVD患者的疼痛、功能障碍和生活质量，证明其在韩医从业者中的潜在实用性。

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本文引用的文献

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J Pain Res. 2023 Aug 3;16:2697-2712. doi: 10.2147/JPR.S413512. eCollection 2023.
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Effects of the administration of Shinbaro 2 in a rat lumbar disk herniation model.信保二（Shinbaro 2）对大鼠腰椎间盘突出症模型的给药效果。
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The effect of ultrasound-guided acupotomy and Juanbi decoction on lumbar disc herniation: A randomized controlled trial.
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