대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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한의 치료와 드레싱 요법을 병행한 뇌졸중 환자의 대퇴골 대전자부 3단계 욕창 치험 1례

Case Report of Korean Medicine Treatment and Dressing Therapy for Grade III Trochanteric Pressure Sore

  • 김광호 (원광대학교 광주한방병원 한방내과) ;
  • 이영웅 (원광대학교 광주한방병원 한방내과) ;
  • 김철현 (원광대학교 광주한방병원 한방내과) ;
  • 임현서 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 강건희 (원광대학교 한의과대학 순환신경내과학교실) ;
  • 이상관 (원광대학교 광주한방병원 한방내과)
  • Kim, Kwangho (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Lee, Young-ung (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Kim, Cheol-hyun (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center) ;
  • Lim, Hyeon-seo (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Kang, Geonhui (Dept. of Internal Medicine and Neuroscience, College of Korean Medicine, Wonkwang University) ;
  • Lee, Sangkwan (Dept. of Korean Internal Medicine, Wonkwang University Gwangju Medical Center)
  • 투고 : 2021.04.06
  • 심사 : 2021.05.25
  • 발행 : 2021.05.30
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초록

The purpose of this study is to report the effect of Korean medicine treatment on a pressure sore in a stroke patient. An 86-year-old female patient diagnosed with spontaneous intracerebral hemorrhage in the right basal ganglia had symptoms of left hemiparesis, dysphagia, and a 4.5-cm-by-2.5-cm left trochanteric pressure sore. Clinical outcomes were measured using the National Pressure Ulcer Advisory Panel (NPUAP) pressure injury stages, the Agency for Health Care Policy and Research (AHCPR) pressure ulcer stages, and the Braden scales. Treatment with Korean medicine, including acupuncture, herbal medicine, and dressing therapy, significantly improved the trochanteric pressure sore, as reflected by a NPUAP stage change from III to I, an AHCPR stage change from III to I, and a Braden scale change from 13 to 18. These findings suggest that Korean medicine treatment may be effective to treat pressure sores in stroke patients.

키워드

과제정보

This paper was supported by Wonkwang University in 2021.

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