DOI QR코드

DOI QR Code

만성 신부전환자의 뇌출혈 후 배뇨곤란에 대한 열다한소탕가미방 치험례

A Case Report of Voiding Dysfunction after Intracerebral Hemorrhage in CKD Patient Improved with Yeoldahanso-tanggamibang

  • 문원경 (경희대학교 한의과대학 사상체질과, 경희대학교 한방병원) ;
  • 박상우 (경희대학교 일반대학원 임상한의학과 사상체질의학전공) ;
  • 유현지 (경희대학교 일반대학원 임상한의학과 사상체질의학전공) ;
  • 이의주 (경희대학교 한의과대학 사상체질과, 경희대학교 한방병원)
  • Won Kyoung Moon (Dept. of Sasang Constitutional Medicine, Kyung Hee Univ. College of Korean Medicine, Kyung Hee University Korean Medicine Hospital) ;
  • Sang Woo Park (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Kyung Hee Univ.) ;
  • Hyun Ji Yoo (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Kyung Hee Univ.) ;
  • Eui Ju Lee (Dept. of Sasang Constitutional Medicine, Kyung Hee Univ. College of Korean Medicine, Kyung Hee University Korean Medicine Hospital)
  • 투고 : 2024.06.12
  • 심사 : 2024.07.01
  • 발행 : 2024.07.31

초록

Objectives This case study was aimed to report improvement of taeum-in patient with chronic kidney disesase who had voiding dysfunction after intracerebral hemorrhage using Yeoldahanso-tanggamibang. Methods A patient who complained of voiding dysfunction after intracerebral hemorrhage was administered with Yeoldahanso-tanggamibang through sasang consitutional medicine approach. To evaluate the improvement of voiding dysfunction, the number of nelaton catheterizations after removal of foley catheter and the amount of post void residual volume were compared, and laboratory follow-up was performed to determine whether renal function deteriorated. Results After treatment with Yeoldahanso-tanggamibang for 8 weeks, the number of nelaton catheterizations after removal of foley catheter decreased, the amount of post void residual volume decreased, and the renal function did not change. Conclusions This case study suggests the significance of Yeoldahanso-tanggamibang treatment for taeum-in patient who had voiding dysfunction after intracerebral hemorrhage.

키워드

과제정보

WK Moon, EJ Lee are supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (Grant no. HI20C1405).

참고문헌

  1. Choi IS. Internal medicine as understood by pathophysiology 10, Neurological disease. Seoul: Jeongdam. 2008:198-200.
  2. Korean stroke society. Stroke 2nd rev. Seoul: Bumnun. 2015:521-523.
  3. Woo DS, Lee KH, Kim HJ. Urodynamic Evaluation in Patients with Voiding Dysfunction Associated. J of Urololgy. 1997;38(4):404-409.
  4. Doo HK. Dong-Eui Study of Kidney. Seoul: Researcher of Oriental Medicine. 1993:85-97, 101. (Korean)
  5. Crowe H, Clift R, Duggan G, Bolton D, Costello A. Randomized study of the effect of midnight removal of urinary catheters. Urol Nurs 1994;14(1):18-20.
  6. Heu J. Dongeuibogam. Seoul: Bubinmunhwasa. 1999:400-403, 950, 967, 1108.
  7. Lee JW, Lee EJ, Shin BC, Lee MS, Lim SM, Cho CS, et al. Clinical practice guideline for acupuncture in post-stroke urinary retention. J Korean Med 2016;37(1):1-9. (Korean) DOI : 10.13048/jkm.16001
  8. Yoon SP, Kim TK, Kim ID, Kim TH, Jung WS, Moon SG, et al. Effectiveness of moxibution for urinary retention in patients with stroke. Korean J. Orient. Int. Med. 2003;24(3):651-661.
  9. Ju JW, Choi YT. The clinical study of the effect of electroacupuncture and moxibustion on urinary disturbance as a complication of CVA. J of Acupuncture Research. 1997;14(2):1-14.
  10. Kang AR, Lee HG, Son JH, Cho KH, Moon SK, Jung WS. A case study of a stroke patient with voiding dysfunction treated by traditional korean medicine. J Int Korean Med. 2015:157-161. (Korean) DOI: 10.22246/jikm.2023.44.5.1041
  11. Kwon SW, Park CH, Lee JY, Yoon HS, Lee EC, Son JM, et al. A case report of a patient with voiding dysfunction cased by cerebral infarction treated with Dangguishaoyao-san-hap-Jeoryeongtang. J Int Korean medicine. 2023;44(5):1041-1049. (Korean) DOI : 10.22246/jikm.2023.44.5.1041
  12. Leem JT, Park JY, Byeon HS, Yoon SK, Choi WW, Park SW, et al. The case of removal of suprapubic cysttostomy in post stroke urinary retention patient due to pontine infarction. J Int Korean Med. 2009;30(105):214-221. (Korean) DOI : 10.1136/bcr-2013-200787
  13. Dromerick AW, Edwards DF. Relation of postvoid residual to urinary tract infection during stroke rehabilitation. Archives of Physical Medicine and Rehabilitation 2003;84(9):1369-72. DOI : 10.1016/s0003-9993(03)00201-6
  14. Wilson D, Lowe D, Hoffma A, Rudd A, Wagg A. Urinay incontinence in stroke: results from the UK National Sentinel Audits of Stroke. 1998-2004. Age and Ageing 2008;37(5):542-6. DOI: 10.1093/ageing/afn134
  15. Park JB, Kim TY, Oh MG, Shin HS, Han JH. Three case reports of urinary disturbance as heat syndrome treated with jasin-hwan. Korean J. Orient. Int. Med. 2006;27(4):927-935.
  16. Burney TL, Senapati M, Desai S, Choudhary ST, Badlani GH. Effects of cerebrovascular accident on micturition. Urol Clin North Am. 1996;23(3):483-490. DOI : 10.1016/s0094-0143(05)70327-x
  17. Lee JW, Jang HS, Kim YH, Lee JH, Lee EJ, Koh BH. A Case Study of 1 Taeeumin Patient Experiencing Hand Tremor, Heat Flash, and Dysarthria Treated Successfully with Yeoldahansotang. J Sasang Constitut Med. 2009;21(1):254-262. (Korean)
  18. Kim HY, Ahn YM, Kho MC, Park JH, Lee JY, Lee SH, et al. Effects of the Water Extracts of Mantidis Ootheca, Rosa Laevigata, and Imperata Cylindrica on Blood Pressure in Renovascular Hypertension Induced by 2K1C. J. Physiol & Pathol Korean Med. 2016;30(2):95-100. (Korean) DOI : 10.15188/kjopp.2016.04.30.2.95
  19. W.Tang. G.Eisenbrand. Chinese Drugs of Plant Origin. Berlin. Springer-Verlag. 1992.
  20. Park BW, Yun JM, Moon BS. Review of clinical research on acupuncture treatment of voiding difficulty in stroke patients. J. Int. Korean Med. 2015;36(2):152-164. (Korean)