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한방병원에 내원한 파킨슨병 환자의 통증의 임상적 특성에 관한 후향적 의무기록 분석 연구

Clinical Characteristics of Pain in Patients with Parkinson's Disease Who Have Visited a Korean Medical Hospital : A Retrospective Chart Review

  • 정혜선 (강동경희대학교한방병원 뇌신경센터 한방내과) ;
  • 김하리 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 김서영 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 임태빈 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 진철 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 권승원 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 조승연 (강동경희대학교한방병원 뇌신경센터 한방내과) ;
  • 정우상 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 문상관 (경희대학교 대학원 한방순환신경내과학교실) ;
  • 박정미 (강동경희대학교한방병원 뇌신경센터 한방내과) ;
  • 고창남 (강동경희대학교한방병원 뇌신경센터 한방내과) ;
  • 박성욱 (강동경희대학교한방병원 뇌신경센터 한방내과)
  • Jeong, Hye-Seon (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Kim, Ha-Ri (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Seo-Young (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Yim, Tae-Bin (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Jin, Chul (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kwon, Seung-Won (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Cho, Seung-Yeon (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Jung, Woo-Sang (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Moon, Sang-Kwan (Department of Cardiology and Neurology of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Park, Jung-Mi (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Ko, Chang-Nam (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Park, Seong-Uk (Stroke and Neurological Disorders Center, Kyung Hee University Korean Medicine Hospital at Gangdong)
  • 투고 : 2020.04.07
  • 심사 : 2020.05.21
  • 발행 : 2020.06.01

초록

Objectives: To investigate the prevalence of pain, clinical characteristics of pain, association between clinical features and pain of patients with Parkinson's Disease(PD). Methods: We undertook a retrospective review of the medical records of patients diagnosed with PD between 2012 and 2019 at Kyung Hee University Korean Medicine Hospital at Gangdong in South Korea. Results: A total of 172 PD patients met entry criteria and 147 out of 172 patients(85.5%) reported pain. In comparison with general population, PD patients has high prevalence of pain. Female PD patients more frequently reported pain than male (P=0.03). 102 out of 147patients(69.3) complained of musculoskeletal pain, and musculoskeletal pain show significant difference depending on the PD motor subtypes (P=0.039). Pain was mainly locatedin the leg (57.8%) in all PD motor subtypes. Tremor-dominant PD more frequently felt pain in upper limb than postural instability-gait difficulty dominant(PIGD) PD, but it was not statistically significant. Conclusions: These findings showed high prevalence of pain in PD patients, the correlation between female and pain, and the relationship between PD motor subtype and pain type. Our study can contribute to the clinical approach based on a more in-depth understanding of PD patients with pain.

키워드

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피인용 문헌

  1. 파킨슨병 환자의 통증에 대한 한의치료의 효과 : 후향적 연구 vol.41, pp.6, 2020, https://doi.org/10.22246/jikm.2020.41.6.947