대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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한방치료로 호전된 섬망을 동반한 좌측 중대뇌동맥경색 환자의 치험 1례

A Case Report of a Patient with a Left Middle Cerebral Artery Infarction and Delirium Treated with Korean Medicine

  • 노현석 (경희대학교 대학원 임상한의학과) ;
  • 하유경 (동국대학교 한의과대학 내과학교실) ;
  • 이찬솔 (동국대학교 일산한방병원 한방내과) ;
  • 홍승철 (동국대학교 한의과대학 내과학교실) ;
  • 박송원 (동국대학교 한의과대학 내과학교실) ;
  • 최동준 (동국대학교 한의과대학 내과학교실) ;
  • 박봉기 (동국대학교 일산한방병원 한방내과)
  • Noh, Hyeon-seok (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ha, You-kyoung (Dept. of Internal Medicine, College of Oriental Medicine, Dong-Guk University) ;
  • Yi, Chan-sol (Dept. of Oriental Internal Medicine, Dong-Guk University Il-san Oriental Medicine Hospital) ;
  • Hong, Seung-cheol (Dept. of Internal Medicine, College of Oriental Medicine, Dong-Guk University) ;
  • Park, Song-won (Dept. of Internal Medicine, College of Oriental Medicine, Dong-Guk University) ;
  • Choi, Dong-jun (Dept. of Internal Medicine, College of Oriental Medicine, Dong-Guk University) ;
  • Park, Bong-ki (Dept. of Oriental Internal Medicine, Dong-Guk University Il-san Oriental Medicine Hospital)
  • 투고 : 2017.03.24
  • 심사 : 2017.05.26
  • 발행 : 2017.05.30
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초록

Objectives: The purpose of this case study is to describe the effect of Korean medicine on a patient with delirium caused by a left middle cerebral artery infarct. Methods: The patient was treated with Sopungbosimdodam-tang, acupuncture, and moxibustion. The Korean version of the Delirium Rating Scale (K-DRS), Neelon and Champagne (NEECHAM) Confusion Scale, and Korean Version of the Mini-Mental State Examination (MMSE-K) were used to evaluate the effect of the treatment. Results: After 50 days of treatment with Sopungbosimdodam-tang, the patient's K-DRS score decreased from 16 to 8. The NEECHAM Confusion Scale also improved from 17 to 23, and the MMSE-K score improved from 1 to 7. Conclusion: This clinical study suggested that Korean medicine could contribute greatly to the treatment of delirium caused by a left middle cerebral artery infarct.

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참고문헌

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