동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제34권4호
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  • Pages.473-485
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  • 2023
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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진정수면제를 음독한 노인 입원 환자에서 발생한 섬망에 대한 한의복합중재 증례보고

Korean Medicine Treatments for Delirium in an Elderly Patient Caused by Sedative-Hypnotics Overdose

  • 조한별 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 구병수 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 김근우 (동국대학교 한의과대학 한방신경정신과학교실)
  • Han-byul Cho (Department of Oriental Neuropsychiatry, Graduate School of Oriental Medicine, Dongguk University) ;
  • Byung-Soo Koo (Department of Oriental Neuropsychiatry, Graduate School of Oriental Medicine, Dongguk University) ;
  • Geun-Woo Kim (Department of Oriental Neuropsychiatry, Graduate School of Oriental Medicine, Dongguk University)
  • 투고 : 2023.12.10
  • 심사 : 2023.12.25
  • 발행 : 2023.12.30
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초록

Objectives: The purpose of this study was to report the effectiveness of the combination of Korean medicine therapy on elderly patients with delirium due to overdose of sedative-hypnotics. Methods: The patient was diagnosed with delirium, which occurred after an overdose of sedative-hypnotics. The patient received Korean Medicine treatment, including herbal medicine, acupuncture, moxibustion and psychotherapy, and other treatments. The evaluation variables to check the effectiveness of the interventions were the Korean Version of the Delirium Rating Scale-Revised-98 (K-DRS-R-98) Mini-Mental State Examination-Korean (MMSE-K) Clinical Dementia Rating (CDR) and Manual Muscle Test (MMT). Results: During the hospitalization period, the K-DRS-R-98 score decreased from 31 to 4, MMSE-K score increased from 18 to 26. CDR score decreased from 2 to 0. MMT in the Right lower extremity was improved. Normal daily activities were possible. Conclusions: Combining Korean Medicine treatments, including herbal medicine, acupuncture, moxibustion, psychotherapy, and other treatments, may help alleviate delirium.

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