메뉴 건너뛰기
.. 내서재 .. 알림
소속 기관/학교 인증
인증하면 논문, 학술자료 등을  무료로 열람할 수 있어요.
한국대학교, 누리자동차, 시립도서관 등 나의 기관을 확인해보세요
(국내 대학 90% 이상 구독 중)
로그인 회원가입 고객센터 ENG
주제분류
인문학
인문학 일반 역사학 철학 종교학 어문학 기타 인문학
사회과학
사회과학 일반 경영학 관광학 교육학 군사학 문헌정보학 법학 사회학 신문방송학 심리과학 정치외교학 지리학 행정학 경제학 무역학 인류학 기타 사회과학
자연과학
자연과학 일반 물리학 생물학 생활과학 수학·통계학 천문학 지구과학 화학 기타 자연과학
공학
공학 일반 건축공학 기계공학 산업공학 재료·에너지공학 전기전자공학 조선해양공학 화학공학 컴퓨터학 기타공학
의약학
의학 일반 간호학 수의학 약학 한의학 기초의학 임상의학 기타 의약학
농수해양학
농수해양학 일반 농학 수산학 식품과학 임학 축산학 해상운송학 기타 농수해양학
예술체육학
예술 일반 디자인 미술 미용 사진 음악학 의상 체육 공연매체예술 기타 예술체육학
복합학
학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

ENG

추천
검색

논문 기본 정보

자료유형
학술저널
저자정보
저널정보
연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제54권 제4호
발행연도
2013.1
수록면
999 - 1,005 (7page)

이용수

표지
📌
연구주제
📖
연구배경
🔬
연구방법
🏆
연구결과
AI에게 요청하기
추천
검색

초록· 키워드

오류제보하기
Purpose: The pathological mechanism of lumbar spinal stenosis is reduced blood flow in nerve roots and degeneration of nerve roots. Exercise and prostaglandin E1 is used for patients with peripheral arterial disease to increase capillary flow around the main artery and improve symptoms; however, the ankle-brachial index (ABI), an estimation of blood flow in the main artery in the leg, does not change after treatment. Lumbar spinal nerve roots contain somatosensory, somatomotor, and unmyelinated autonomic nerves. Improved blood flow by medication with prostaglandin E1 and decompression surgery in these spinal nerve roots may improve the function of nerve fibers innervating muscle, capillary, and main vessels in the lower leg, resulting in an increased ABI. The purpose of the study was to examine whether these treatments can improve ABI. Materials and Methods: One hundred and seven patients who received conservative treatment such as exercise and medication (n=56) or surgical treatment (n=51) were included. Low back pain and leg pain scores, walking distance, and ABI were measured before treatment and after 3 months of conservative treatment alone or surgical treatment followed by conservative treatment. Results: Low back pain, leg pain, and walking distance significantly improved after both treatments (p<0.05). ABI significantly increased in each group (p<0.05). Conclusion: This is the first investigation of changes in ABI after treatment in patients with lumbar spinal stenosis. Improvement of the spinal nerve roots by medication and decompression surgery may improve the supply of blood flow to the lower leg in patients with lumbar spinal stenosis.
#Ankle-brachial index #pain #lumbar #spinal stenosis

목차

등록된 정보가 없습니다.

참고문헌 (1)

참고문헌 신청
Konno S / 1995 / A model for acute, chronic, and delayed graded compression of the dog cauda equina. Presentation of the gross, microscopic, and vascular anatomy of the dog cauda equina and accuracy in pressure transmission of the compression model / Spine 20 : 2758 ~ 2764 | 2. [학술지(정기간행물)] - Sekiguchi M / 2004 / Experimental spinal stenosis: relationship between degree of cauda equina compression, neuropathology, and pain / Spine 29 : 1105 ~ 1111 | 3. [학술지(정기간행물)] - Müller B / 1987 / Action of the stable prostacyclin analogue iloprost on microvascular tone and -permeability in the hamster cheek pouch / Prostaglandins Leukot Med 29 : 187 ~ 198 | 4. [학술지(정기간행물)] - Takahashi K / 1993 / Double-level cauda equina compression: an experimental study with continuous monitoring of intraneural blood flow in the porcine cauda equina / J Orthop Res 11 : 104 ~ 109 | 5. [학술지(정기간행물)] - Murakami M / 1997 / Effects of intravenous lipoprostaglandin E1 on neurogenic intermittent claudication / J Spinal Disord 10 : 499 ~ 504 | 6. [학술지(정기간행물)] - Ooi Y / 1990 / Myeloscopic study on lumbar spinal canal stenosis with special reference to intermittent claudication / Spine 15 : 544 ~ 549 | 7. [학술지(정기간행물)] - Inoue M / 2008 / Acupuncture Treatment for Low Back Pain and Lower Limb Symptoms-The Relation between Acupuncture or Electroacupuncture Stimulation and Sciatic Nerve Blood Flow / Evid Based Complement Alternat Med 5 : 133 ~ 143 | 8. [학술지(정기간행물)] - Dezawa A / 2002 / Changes in the microhemodynamics of nerve root retraction in patients with lumbar spinal canal stenosis / Spine 27 : 2844 ~ 2849 | 9. [학술지(정기간행물)] - Ferreira AC / 2010 / A review of simple, non-invasive means of assessing peripheral arterial disease and implications for medical management / Ann Med 42 : 139 ~ 150 | 10. [학술지(정기간행물)] - Ichihara A / 2006 / Benefits of candesartan on arterial and renal damage of non-diabetic hypertensive patients treated with calcium channel blockers / Am J Nephrol 26 : 462 ~ 468 | 11. [학술지(정기간행물)] - Sasamura H / 2006 / Effects of the angiotensin receptor blocker candesartan on arterial stiffness and markers of extracellular matrix metabolism in patients with essential hypertension / Clin Exp Hypertens 28 : 511 ~ 520 | 12. [학술지(정기간행물)] - Karlsson M / 1991 / Fibre composition of the ventral roots L7 and S1 in the owl monkey (Aotus trivirgatus) / Anat Embryol 184 : 125 ~ 132 | 13. [학술지(정기간행물)] - Ko HY / 2009 / Unmyelinated fibers in human spinal ventral roots: C4 to S2. / Spinal Cord 47 : 286 ~ 289 | 14. [학술지(정기간행물)] - Konnai Y / 2000 / Sensory innervation of the lumbar dura mater passing through the sympathetic trunk in rats / Spine 25 : 776 ~ 782 | 15. [학술지(정기간행물)] - Norgren L / 2007 / Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) / J Vasc Surg 45 : S5 ~ S67 | 16. [학술지(정기간행물)] - Swainston Harrison T / 2007 / Limaprost / Drugs 67 : 109 ~ 118 | 17. [학술지(정기간행물)] - Matsudaira K / 2009 / The efficacy of prostaglandin E1 derivative in patients with lumbar spinal stenosis / Spine 34 : 115 ~ 120 | 18. [학술지(정기간행물)] - Kovacs FM / 2011 / Surgery versus conservative treatment for symptomatic lumbar spinal stenosis: a systematic review of randomized controlled trials / Spine 36 : E1335 ~ E1351 | 19. [학술지(정기간행물)] - Beebe HG / 1999 / A new pharmacological treatment for intermittent claudication: results of a randomized, multicenter trial / Arch Intern Med 159 : 2041 ~ 2050 | 20. [학술지(정기간행물)] - Strandness DE Jr / 2002 / Effect of cilostazol in patients with intermittent claudication: a randomized, double-blind, placebo-controlled study / Vasc Endovascular Surg 36 : 83 ~ 91 | 21. [학술지(정기간행물)] - Mohler ER 3rd / 2001 / Effects of cilostazol on resting ankle pressures and exercise-induced ischemia in patients with intermittent claudication / Vasc Med 6 : 151 ~ 156 | 22. [학술지(정기간행물)] - Norgren L / 2007 / Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II) / Eur J Vasc Endovasc Surg 33 (1) : S1 ~ S75 google schola

이 논문의 저자 정보

최근 본 자료

전체보기

댓글(0)

0