• Title/Summary/Keyword: 경구 요법

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Analysis of the Factors Relating Nutritional Status in Discharging of Leukemia Patients Receiving Chemotherapy (항암화학요법을 받고 있는 혈액암 환자의 퇴원시 영양 상태와 관련한 요인 분석)

  • So, Eun-Jin;Kim, Jee-Yeon;Jung, Su-Jin;Park, Sook
    • Journal of Nutrition and Health
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    • v.43 no.1
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    • pp.26-33
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    • 2010
  • This study was performed to investigate the changes of oral diet intake during the admission period and identify the factors related with nutritional status in discharging of leukemia patients. This is a retrospective cross sectional study on 46 leukemia patients receiving chemotherapy at the Catholic University of Korea Seoul St. Mary's Hospital from July to September 2009. The patients' charts were surveyed on the general characteristics and factors relating chemotherapy. The calorie count method was used to investigate diet intake during admission period. Multivariate logistic regression analysis was used to identify possible confounding factors. A p < 0.05 was considered statistically significant. The mean age was $42.8\;{\pm}\;14.6$ years and the average length of stay was $30.4\;{\pm}\;7.0$ days. The incidence of malnourished patients was 60.9% in discharging. There was a significant difference in chemotherapy sessions and chemotherapy period between well-nourished and malnourished patients. The average energy intake was 1,525.9 kcal in well-nourished patients and 1,143 kcal in malnourished patients, which was significant different. From repeated measures ANOVA test, the changes of oral intake during admission period were significant by groups. In addition, there were significant differences in oral intake according to each period between well-nourished and malnourished patients. In multivariate logistic regression analysis, both the ratio of total oral energy intake to recommended energy intake and chemotherapy sessions were significantly associated with nutritional status in discharging. The results of this study could be used to establish a protocol of nutritional management for leukemia patients receiving chemotherapy.

설사를 동반한 위장염에 있어서의 경구적 보액의 효과

  • 이방환
    • Journal of the korean veterinary medical association
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    • v.24 no.3
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    • pp.129-135
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    • 1988
  • 지금까지의 자축의 설사병 치료에 응용되는 경구적 보액요법에 관해서 그 유래와 효과 그리고 경구보액 처방의 선택에 있어서의 참고사항을 소개하였다. 경구보액의 적용은 소아의 설사병 치료에서 유래되어 수의임상에서는 주로 자축의 설사병 치료에 유효하게 응용될 수 있으며 특히 자축에 가장 흔히 발생되는 Salmonella, E. coli 및 Rotavirus에 기인한 설사병에 관해서 실험적 및 자연발생 증예에 대한 경구적 보액의 유효성을 입증하는 여러 근거자료를 제시하였다. 자축의 설사병 치료에 이용되는 경구보액 으로서는 가급적 glucose, glycine, citrate 및 기타의 electrolytes가 함유되는 산성의 등장용액이 바람직하다는 이론을 부연하였다.

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A COMPARATIVE STUDY OF CHLORAL HYDRATE/HYDROXYZINE VERSUS MIDAZOLAM/MEPERIDINE AS ORAL CONSCIOUS SEDATIVE REGIMENS (Chloral hydrate/Hydroxyzine과 Midazolam/Meperidine의 경구 투여 진정효과에 관한 비교 연구)

  • Kim, Yong-Heon;Kim, Ji-Yeon;Park, Ki-Tae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.2
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    • pp.262-269
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    • 2005
  • The purpose of this study was to compare the efficacy and complications of two oral sedative regimens, chloral hydrate (60mg/kg)/hydroxyzine(25mg) versus midazolam(1mg/kg)/meperidine(1mg/kg) for the sedation of pediatric dental patients. Fifteen patients(mean age 36.2months, range 24-47months), ASA Class I or II, who needed at least two restorative dental procedures were selected in this double-blind, randomized study. All subjects were randomly assigned to receive either chloral hydrate/hydroxyzine or midazolam/meperidine and 50% $N_2O/O_2$ was administered at each appointment. Behavior assessment(sleep, movement, crying, overall behavior) was made using Houpt Sedation Rating Scale and physiologic parameters(pulse rate, oxygen saturation) were monitored using pulse oximeter. The incidence of hypoxia($SpO_2$ 90% or less, at least 10s duration) and vomiting was recorded. Patients sedated with chloral hydrate/hydroxyzine showed significantly better overall behavior score than patients sedated with midazolam/meperidine. There was no clinically significant difference in the incidence of hypoxia and vomiting. It was concluded that oral administration of chloral hydrate/hydroxyzine is more effective than midazolam/meperidine for the sedation of pediatric dental patients.

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ANTEROGRADE AMNESIC EFFECT OF MIDAZOLAM (Midazolam 투여시 선행성 건망증 발현에 관한 연구)

  • Lee, Jung-Ha;Kim, Mi-Ra;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.3
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    • pp.412-420
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    • 2004
  • The purpose of this study was to assess the anterograde amnesic effect of Midazolam administrated by intranasal and oral route. Fifteen healthy volunteers(ASA I) were administrated with placebo, oral Midazolam(15mg), intranasal Midazolam(0.25mg/kg) every 2 weeks. First picture cards were shown to volunteers before medication. At 15, 30, 45 minutes, other picture cards were shown to volunteers. BP, $SpO_2$ and sedation scores were measured. After 24 hours, the volunteers were questioned about their memory of pictures. To assess amnesic effect, recall and recognition test were performed using a series of picture cards designed for this purpose. The obtained results were as follows; 1. Compared to placebo, Midazolam group(oral and intranasal) experienced a significant anterograde amnesic effect(P<0.01) 2. There was no difference between oral and intranasal Midazolam(P>0.01). 3. Anterograde amnesic effect of oral and intranasal Midazolam group began at 15minutes. It became increasingly, oral Midazolam group experienced extremely amnesic effect at 45minutes, intranasal Midazolam group was at 30minutes. 4. After 30minutes of Midazolam administration, anterograde amnesia of oral Midazolam group is more effective than intranasal Midazolam group.

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경구혈당강하제와 관련된 운동요법

  • 제세영
    • The Monthly Diabetes
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    • s.173
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    • pp.32-33
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    • 2004
  • 당뇨병 환자에 있어 규칙적인 운동은 인슐린 민감도를 좋게 하여 혈당조절을 원활하게 하고 체중을 감소시키며 당뇨병으로 인한 합병증을 예방하거나 지연시키는데 중요한 역할을 한다. 인슐린이나 경구혈당강하제를 치료받고 있는 환자들의 경우 단독적으로 약물만 치료할 때 보다 운동을 병행할 경우에는 혈당관리 및 합병증 예방에 더 효과적이다. 따라서 운동은 당뇨병 환자들에게 필수적으로 권고 되어지는 요소이다.

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Clinical Use of Oral Hypoglycemic Agents (경구혈당강하제의 사용법)

  • Lee, Tai-Hee
    • The Journal of the Korean life insurance medical association
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    • v.17
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    • pp.21-30
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    • 1998
  • 인슐린의존형당뇨병 환자의 혈당조절의 방법으로 먼저 식이요법과 운동이 권장되며, 이러한 방법으로 혈당조절이 만족스럽지 않을 때 경구혈당강하제를 사용하는 것은 혈당조절과 합병증 예방에 중요한 역할을 할 수 있다. 국내에서는 경구혈당강하제로 설폰요소제, 비구아나이드제인 메트포르민(metformin) 및 알파글루코시다제(${\alpha}$-glucosidase) 억제제인 아카보스(acarbose) 등이 사용되고 있다. 새로 개발중인 트로글리타존, 지방산 산화 억제제 등의 약제는 아직 임상에서 널리 사용되고 있지는 않다.

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