Clinical Study on the Complications after Stroke

뇌졸중으로 한방병원에 입원치료 하였던 환자들의 합병증에 관한 임상적 고찰

  • 김관식 (원광대학교 한의과대학 내과학교실) ;
  • 서관수 (원광대학교 한의과대학 내과학교실) ;
  • 김동웅 (원광대학교 한의과대학 내과학교실) ;
  • 신선호 (원광대학교 한의과대학 내과학교실) ;
  • 한명아 (원광대학교 한의과대학 내과학교실) ;
  • 정용준 (원광대학교 한의과대학 내과학교실) ;
  • 장통영 (원광대학교 한의과대학 내과학교실) ;
  • 양재훈 (원광대학교 한의과대학 내과학교실)
  • Published : 2000.12.01

Abstract

Background and Purpose : Medical and Neurological complications in patients with acute stroke may affect their prognosis including death rate, function and admission period. Some of these complications may be preventable. But few data exist regarding complications occurring in the first weeks. So we sought to observe the type, timing, and frequency of complications in hospitalized patients after stroke. Methods : We retrospectively examined the case notes of patients admitted in Won Kwang Oriental Medical Hospital after stroke. Two observers inspected the case notes using predifined diagnostic criteria and recorded the type, timing, and frequency of complications that occurred during the inpatient period. Results : Complications were recorded in 43 patients(82.7%). The most common medical complications were constipation(25.0%) and shoulder pain(21.2%). The most frequent serious medical problems were pulmonary infection(9.6%) and UTI(7.7%). The most common neurological complications were insomnia(34.6%) and dysphagia(23.7%). The most frequent serious medical problem was mental deterioration(7.7%). Conclusion : Complications after acute stroke are common. There were more medical complications than neurological complications. So we should compile much knowledge about medical complications and treat them actively. The differences between our study and previous studies are attributable to the different methods including patient selection and diagnostic criteria.

Keywords

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