과제정보
이 연구는 한국한의학연구원 기관고유사업 '뇌혈관질환의 한의 변증지표 표준화 및 과학화 기반연구'(K11131)의 지원을 받아 수행하였습니다.
대한중풍순환신경학회지 (The Journal of the Society of Stroke on Korean Medicine)
- 제13권1호
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- Pages.33-42
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- 2012
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- 2466-0248(pISSN)
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- 2466-0272(eISSN)
급성기 뇌경색 환자에 있어 변증형별 유의한 임상지표의 분석
Analysis of Clinical Indicators related to Pattern-Identification in Acute Cerebral Infarction Patient
- 이은찬 (경희대학교 한방병원 한방순환.신경내과) ;
- 현상호 (경희대학교 한방병원 한방순환.신경내과) ;
- 곽승혁 (경희대학교 한방병원 한방순환.신경내과) ;
- 우수경 (경희대학교 한방병원 한방순환.신경내과) ;
- 박주영 (경희대학교 한방병원 한방순환.신경내과) ;
- 정우상 (경희대학교 한방병원 한방순환.신경내과) ;
- 문상관 (경희대학교 한방병원 한방순환.신경내과) ;
-
조기호
(경희대학교 한방병원 한방순환.신경내과)
;
- 박성욱 (강동 경희대학교병원 중풍.뇌질환센터 한방내과) ;
- 고창남 (강동 경희대학교병원 중풍.뇌질환센터 한방내과)
- Lee, Eun-chan (Dep. of Cardiovascular & Neurologic Disease (Stroke center), Korean Medicine Hospital, Kyung-Hee University) ;
- Hyun, Sang-ho (Dep. of Cardiovascular & Neurologic Disease (Stroke center), Korean Medicine Hospital, Kyung-Hee University) ;
- Kwak, Seung-hyuk (Dep. of Cardiovascular & Neurologic Disease (Stroke center), Korean Medicine Hospital, Kyung-Hee University) ;
- Woo, Su-kyung (Dep. of Cardiovascular & Neurologic Disease (Stroke center), Korean Medicine Hospital, Kyung-Hee University) ;
- Park, Ju-young (Dep. of Cardiovascular & Neurologic Disease (Stroke center), Korean Medicine Hospital, Kyung-Hee University) ;
- Jung, Woo-sang (Dep. of Cardiovascular & Neurologic Disease (Stroke center), Korean Medicine Hospital, Kyung-Hee University) ;
- Moon, Sang-kwan (Dep. of Cardiovascular & Neurologic Disease (Stroke center), Korean Medicine Hospital, Kyung-Hee University) ;
-
Cho, Ki-ho
(Dep. of Cardiovascular & Neurologic Disease (Stroke center), Korean Medicine Hospital, Kyung-Hee University)
;
- Park, Sung-wook (Dep. of Korean Internal Medicine, Stroke & Neurological Disorders Center, Kyung-Hee University Hospital at Gangdong) ;
- Ko, Chang-nam (Dep. of Korean Internal Medicine, Stroke & Neurological Disorders Center, Kyung-Hee University Hospital at Gangdong)
- 발행 : 2012.12.01
초록
Object : The aim of this study was to assess the clinical indicators related to Pattern-Identification(PI) in acute cerebral infarction patients. Methods : We studied hospitalized patients within 30days after ictus, who admitted at Korean Medicine Center of Kyung-Hee University from January 2010 to October 2012.(n=290) Two Traditional Korean Medicine(TKM) physicians evaluated the patients independently and diagnosed PI. Inter-rater reliability was measured using simple percentage agreement and the Cohen's kappa(κ) coefficient. To assess the clinical indicators closely related to each PI, we analysed average score of each indicator in each group. Results : Simple percentage agreement of PI between raters was 64.83% and Cohen's kappa(κ) coefficient was 0.526(95% CI: 0.451-0.600). Inter-rater reliability level was fair to good. We analysed the clinical indicators in each group. Significant indicators for Fire-Heat Pattern(FHP) were reddened complexion and strong pulse power, and meaningful indicators for FHP were halitosis and thick tongue fur. Significant indicator for Dampness-Phlegm Pattern(DPP) was overweight and there was no meaningful indicator. Significant indicator for Yin-Deficiency Pattern(YDP) was dry tongue fur and meaningful indicator for YDP was thirst. There was no significant indicator for Qi-Deficiency Pattern(QDP) and pale complexion and faint low voice were meaningful indicators for QDP. Conclusions : This study reveals the significant and meaningful clinical indicators related to each Pattern-Identification in acute cerebral infarction patients. It will contribute to standardization of Korean Medical Diagnosis and Treatment in acute cerebral infarction patients.