• Title/Summary/Keyword: 고혈압 환자

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고지혈증의 원인과 치료 - 당뇨병환자에게 처방되는 고지혈증약

  • Jo, Jeong-Gu
    • The Monthly Diabetes
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    • s.285
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    • pp.23-29
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    • 2013
  • 당뇨병은 심근 경색의 재발 위험이나 심혈관 질환에 의한 사망 위험이 높다는 것은 잘 알려진 사실로 당뇨병 자체로도 관상동맥질환이 있는 것과 같이 대등한 위험인자로 취급하도록 권고되고 있다. 이러한 당뇨병에 이상지질혈증, 고혈압, 복부비만이 동반되어 있는 경우를 대사증후군으로 명명하기도 하며 심혈관질환 위험이 훨씬 증가한다.

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특집 : 올바른 신장합병증 관리를 위해 - 신장은 우리 몸에 어떤 기능을 할까? 노폐물 걸러주고, 하나 떼어내도 생존

  • 사단법인 한국당뇨협회
    • The Monthly Diabetes
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    • s.261
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    • pp.8-9
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    • 2011
  • 건강보험심사평가원(원장 강윤구)에 따르면 최근 5 년간 만성신부전 환자가 37.1%로 증가한 것으로 나타났다. 매년 (5년간 연평균) 약 8.2%씩 증가하고 있으며, 진료비 또한 10.2%씩 늘어난 것으로 나타났다. 해가 갈수록 증가하는 이유는 당뇨병과 고혈압 등 만성질환자가 증가하는 것이 원인으로 추정하고 있다.

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The Effects of the Inhalation Method Using Essential Oils on Blood Pressure and Stress Responses of Clients with Essential Hypertension (향기흡입법이 본태성고혈압 환자의 혈압 및 스트레스반응에 미치는 효과)

  • Hwang, Jin-Hee
    • Journal of Korean Academy of Nursing
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    • v.36 no.7
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    • pp.1123-1134
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    • 2006
  • Purpose: The purpose of this study was to identify the effects of aromatherapy on blood pressure and stress responses of clients with essential hypertension. Method: There were fifty-two subjects divided into an essential oil group, placebo group, and control group by random assignment. The application of aromatherapy was the inhalation method of blending oils with lavender, ylangylang, and bergamot once daily for 4 weeks. To evaluate the effects of aromatherapy, blood pressure and pulse were measured two times a week and serum cortisol levels, catecholamine levels, subjective stress, and state anxiety were measured before and after treatment in the three groups. Data was analyzed by repeated measures of ANOVA, one-way ANOVA, and $X^2-test$ using the SPSS 10.0 program. Results: The blood pressure, pulse, subjective stress, state anxiety, and serum cortisol levels among the three groups were significantly statistically different. The differences of catecholamine among the three groups were not significant statistically Conclusion: The results suggest that the inhalation method using essential oils can be considered an effective nursing intervention that reduces psychological stress responses and serum cortisol levels, as well as the blood pressure of clients with essential hypertension.

Clinical Analysis of Arteriovenous Fistula in Chronic Renal Failure Patients (만성 신부전 환자에서의 동정맥루 조성술의 임상고찰)

  • Song Chang-Min;Ahn Jae-Bum;Kim In-Sub;Kim Woo-Sik;Shin Yong-Chul;Yoo Hwan-Kuk;Kim Byung-Yul
    • Journal of Chest Surgery
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    • v.39 no.9 s.266
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    • pp.692-698
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    • 2006
  • Background: Owing to the fact that the average life span has increased and the progress in medical science has been made, the number of patients with chronic renal failure (CRF) who have to take hemodialysis (HD) has been going up gradually. Accordingly, it is considered to be as a significant issue to obtain blood vessels which can be used repetitively and supply enough blood flows. Therefore, there have been various kinds of study on an inosculation rate andfactors influencing it following an arteriovenous fistula (AV fistula) and lots of studies are ongoing for the purpose of escalating the inosculation rate. The authors analyzed the effects of short-term result, age, sex, diabetes and hypertension on arteriovenous inosculations in 134 anatomical snuffbox operated subjects among the patients who have taken an AV fistula at this center. Material and Method: Based on 134 patients who underwent an AV fistula at the department of thoracic surgery of this center from July, 2000 to May, 2004, the difference in arteriovenous inosculation rate was compared and analyzed depending or age (discriminated by 65-year-old), sex and the condition of the presence or absence of diabetes and hypertension. Correlation analyses were conducted for each parameter and statistical tests were performed by using SPSS for windows Release 11.0.1, which were determined to be statistically significant if p value was below 0.05. Result: The total number of operations was 169 including 35 of re-operations. The male/female rate was 70 : 64 (52% : 48%). The average age was $56.3{\pm}12.26$ years and there were 33 (24%) old aged patients above 65-year-old; there were 103 (71%) patients with hypertension and 90 (67%) patients with diabetes. Overall arteriovenous inosculation rate was $93{\pm}2.4%,\;91{\pm}2.7%,\;89{\pm}3.0%$ at 6, 12, 24 months, respectively. The arteriovenous inosculation rate of above 65-year-old patient group was $85{\pm}4.8%,\;80{\pm}5.8%,\;80{\pm}5.8%$ and below 64-year-old patient group's was $85{\pm}4.8%,\;80{\pm}5.8%,\;80{\pm}5.8%$ at given time points, respectively, which showed higher inosculation rate in below 64-year-old patient group with a statistical significance (p=0.0034). However, no statistical significance was found between the patients with hypertension and diabetes and the patients with no complication. In addition, there was no statistical significance in inosculation rate between male and female. Conclusion: The arteriovenous inosculation ratewas higher in the treated patient below 64-year-old than in the treated patient above 65-year-old. Thus it is advantageous for increase in long-term inosculation rate to obtain hemodialysis routes at an early age. The conditions of sex and the presence or absence of diabetes and hyper- tension do not make statistically significant effect on the arteriovenous inosculation rate.

당뇨관리: 춘곤증처럼 나른하고 피곤한 당뇨인 피로, 혈당관리하면 사라져

  • Kim, Seon-Ju
    • The Monthly Diabetes
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    • s.258
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    • pp.36-37
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    • 2011
  • 스멀스멀 아지랑이 피듯 나른한 오월, 몸이 피곤하고 의욕이 없는 증상은 누구나 한 번쯤 겪어 보았을 것이다. 일반적으로 과로에 의한 피로는 충분한 휴식과 영양을 공급해주면 회복된다. 그러나 휴식을 취해도 호전되지 않고 피로가 6개월 이상 지속된다면 '만성피로'로 의사의 진찰을 받아보아야 한다. 왜냐하면, 피로의 원인이 당뇨, 암, 갑상선질환, 고혈압, 우울증 등에 있을 수 있기 때문이다. 실제로 원인 모를 피곤함으로 병원을 찾은 환자 중 종종 당뇨 진단을 받기도 한다. 그러면 당뇨병환자는 왜 기력이 떨어지고 피곤해하는지 당뇨와 피로의 상관관계에 대해 알아보도록 하자.

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