• 제목/요약/키워드: 고혈압 환자

검색결과 694건 처리시간 0.031초

경동맥 초음파진단과 관련된 임상변수에 대한 분석 (Analyzation of Correlation between Clinical Factors and Carotid Ultrasonography Diagnosis)

  • 조진영;예수영
    • 한국방사선학회논문지
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    • 제14권5호
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    • pp.705-713
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    • 2020
  • 동맥경화는 혈관이 좁아지면서 탄력을 잃어 혈액 순환 장애가 발생하는 질병으로, 최근 증가하는 심혈관 및 뇌혈관 질환의 잠재적 원인이 된다. 경동맥초음파 검사는 동맥경화 정도를 평가하여 심혈관 및 뇌혈관 질환의 예측인자로 사용되고 있다. 이에 본 논문은 경동맥초음파 검사에서 내중막 두께 증가와 여러 임상변수들 간 상관성을 알아보고자 하였다. 경동맥초음파검사 소견을 가지고 있는 환자를 대상으로 경미한 내중막 두께 비후, 경화반, 유의한 협착 3단계로 분류하였다. 경동맥의 동맥경화 정도와 신체적 특성(성별, 연령, 신체질량지수법, 혈압), 혈액검사(총콜레스테롤, 중성지방, 고밀도지단백질, 저밀도지방단백질, 크레아틴포스포키나제, 공복혈당)와 동맥경화도 검사에서 계측된 CAVI(Carotid Ankle Vascular Index : 혈관연령) 데이터를 수집하였다. 경동맥 내중막 두께는 고혈압, 고지혈증, BMI 등의 변수와 상관관계가 있었으며, 또한 CAVI가 증가될수록 심혈관계 질환의 위험요인과 상관관계가 있음을 확인하였다.

고혈압 환자에서 생활습관 개선 프로그램의 혈압개선효과 (Effect of Lifestyle Modification Program on Blood Pressure Improvement in Patients with Hypertension)

  • 이상욱;오창모;오인환;윤태영;최중명
    • 보건교육건강증진학회지
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    • 제27권4호
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    • pp.105-112
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    • 2010
  • Objectives: The purpose of this study was to know different effect with uncontrolled hypertension patients after providing health promotion program which consisted with medicine, exercise, nutrition. Methods: The subjects of this study was comprised by uncontrolled hypertension patients in spite of medication and didn't care the pressure by medication. The health promotion program was progressed by group exercise three times a week, nutrition education once a week and medical consultation once a month for 12 weeks. Subjects were measured for body composition(weight, fat mass, % body fat and body mass index), hemo-dynamics(systolic blood pressure(SBP), diastolic blood pressure(DBP), and resting heart rate), and physical fitness (cardiopulmonary endurance, muscular strength, muscular endurance, balance, and flexibility). Results: Groups showed significant improvement in every measure except resting heart rate. SBP is decreased both taking drug group about 18.4mmHg and without taking drug group about 19.4mmHg.(p<0.001) DBP is decreased both taking drug group about 8.7mmHg and without taking drug group about 9.0 mmHg.(p<0.001) Conclusion: There are no statistical significant differences of SBP and DBP decreasing effects by medication, Since effects of decreasing pressure are not different by medication, I think the health promotion program is effective to uncontrolled hypertension patients to decrease pressure.

고혈압 환자에서 격팔상생역침법(隔八相生易鍼法)의 혈압강하 효과에 대한 대조군 연구 (The Antihypertensive Effect of Acupuncture Treatment(Gyeok-Pal Sang-Saeng-Yeok-Chim) in Hypertension Patients; Control Study)

  • 한창현;한충희;신미숙;강병갑;김기진;박선희;최선미
    • Journal of Acupuncture Research
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    • 제25권6호
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    • pp.13-22
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    • 2008
  • Objectives : Aim of this study was to investigate the antihypertensive effect of Gyeok-Pal Sang-Saeng-Yeok-Chim acupuncture treatment in hypertensive patients. Methods : The research subjects were a total of 26 hypertension patients. Eligible participants had systolic blood pressure ${\geq}140mmHg$ or diastolic blood pressure ${\geq}90mmHg$ with antihypertensive drug. Both the experimental and control group were divided into 13 participants respectively with homogeneous consideration. The experimental group had acupuncture treatment, Gyeok-Pal Sang-Saeng-Yeok-Chim, whereas the control group didn't have any treatment. Blood pressure was measured before and after acupuncture treatment for a total of 12 times. Results : After 4 weeks of treatment we could identify a decrease in both systolic and diastolic blood pressure in acupuncture, Gyeok-Pal Sang-Saeng-Yeok-Chim, treated group compared to that of control group. The given results by measuring time on blood pressure were as follows: Significant decrease in systolic blood pressure from the $1^{st}$ to $12^{th}$ day of visit(P<0.05) while diastolic blood pressure did not show significant decrease. Conclusions : The results suggest that Gyeok-Pal Sang-Saeng-Yeok-Chim acupuncture treatment is effective in decreasing blood pressure but with statistical restriction compared to that of control group.

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고혈압 환자에서 뇌신경조절의학 S'NC의 혈압강하 효과 (The depressive effect of S'NC nerve control treatment in hypertension patients)

  • 한창현;한상엽;신미숙;최선미
    • 한국한의학연구원논문집
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    • 제13권3호
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    • pp.87-95
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    • 2007
  • Objectives : The aim of this study was to investigate the antihypertensive effect of S'NC nerve control treatment in hypertensive patients. Methods: We measured the blood pressure of 5 patients who were admitted in the Oriental Medical Clinic of S'NC Medicine Research Institute from 19th April 2007 to 29th June 2007. Eligible participants had systolic blood pressure ${\ge}$140mmHg or diastolic blood pressure ${\ge}$90mmHg. Blood pressure measurements were after the patient had been in bed rest for at least 10 min. Ten sessions of S'NC nerve control treatment over 2 weeks were performed in the patients. Blood pressure were measured twice before and after each treatment. Results : After 2 weeks, blood pressure reduction was observed in the treatment patients, with an average decline of systolic blood pressure up to 21mmHg and diastolic blood pressure up to 20mmHg. But, there were not statiscally significant The effects of S'NC nerve control treatment by measuring time on blood pressure were as follows: In a systolic blood pressure(p=0.087) and diastolic blood pressure(p=0.609) was gradually deceased not significantly from 1st to 10th. Conclusion: These results suggest that S'NC nerve control treatment may be efficacious in decreasing arterial blood pressure in hypertensive patients. Controlled trials investigating the efficacy of S'NC nerve control treatment for lowering blood pressure are warranted.

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보건소를 방문한 경계성 고혈압 환자의 저염식생활 영양교육 참여정도에 따른 혈압, 나트륨 섭취 및 식행동 변화에 관한 연구 (Blood Pressure, Sodium Intake and Dietary Behavior Changes by Session Attendance on Salt Reduction Education Program for Pre-hypertensive Adults in a Public Health Center)

  • 정은진;권종숙;안소현;손숙미
    • 대한지역사회영양학회지
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    • 제18권6호
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    • pp.626-643
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    • 2013
  • This study was performed to evaluate the differences in blood pressure, sodium intake and dietary behavior changes according to the extent of session attendance on sodium reduction education program for pre-hypertensive adults in a public health center. Sodium reduction education program consisted of 8 sessions for 8 weeks. Fifty three patients who completed the pre and post nutritional assessments were classified into 2 groups according to the session attendance rate. Nineteen participants who attended the education program 3 times or less (${\leq}3$) were categorized into the less attendance (LA) group and 34 participants attended 4 times or more (${\geq}4$) into the more attendance (MA) group. Blood pressure, anthropometric measurements, serum lipid profile, nutrient intakes including sodium, nutrition knowledge and dietary behavior score were assessed before and after the nutrition education program. Mean sodium intakes (p<0.001), systolic/diastolic blood pressure (p<0.001), and weight (p<0.001) were significantly decreased in the MA group after sodium reduction education program. Compared to the MA group, mean sodium intakes, systolic/diastolic blood pressure were not significantly changed after the education program even with significantly increased nutrition knowledge (p<0.05) and dietary behavior score (p<0.01) in the LA group. It appears that pre-hypertensive adults need to attend the sodium reduction education program for at least 4 times or more to gain beneficial effects from the intervention. Positive feedback of healthcare team or offering more cooking classes may be needed to raise the attendance rate in the sodium reduction education program.

고혈압 환자 대상 저나트륨 식생활에 대한 보건소 영양교육이 혈압, 혈액 성상 및 나트륨섭취에 미치는 영향 (The Effect of Sodium Reduction Education Program of a Public Health Center on the Blood Pressure, Blood Biochemical Profile and Sodium Intake of Hypertensive Adults)

  • 정은진;손숙미;권종숙
    • 대한지역사회영양학회지
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    • 제17권6호
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    • pp.752-771
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    • 2012
  • This study was conducted to investigate the effect of sodium reduction education program of a public health center on the blood pressure, blood biochemical profile and sodium intake of hypertensive adults. The program continued for 16 weeks with an 8-week nutrition education and an 8-week follow-up to forty two subjects, 6 males and 36 females aged 46 to 80 years. Subjects received nutrition education including lectures, activities, cooking classes and nutrition counseling. Physical fitness, management of stress, and nutrition counseling were provided during the follow-up. The program was evaluated three times, before and after the nutrition education, and after the follow-up. Systolic blood pressure (p < 0.0001) and diastolic blood pressure (p < 0.001) were decreased after completion of the program. Body weight (p < 0.005), percent body fat (p < 0.005) and body mass index (p < 0.001) were decreased, too. There were no significant differences in blood glucose, HDL-cholesterol and triglycerides, while elevated levels of total cholesterol (p < 0.001) and LDL-cholesterol (p < 0.001) appeared after the program completion. Decreased intakes of vitamin A (p < 0.05), ${\beta}$-carotene (p < 0.001) and sodium (p < 0.001) were observed. Consumption frequency of noodles, soups, stews, kimchi, fishes/shellfish, seasoned vegetables, and salted seafoods/pickles (p < 0.05~p < 0.001) were decreased, while that of all food groups were not changed during the follow-up. Total score of nutrition knowledge related to sodium intake and hypertension (p < 0.001), and that of dietary behavior associated with high sodium intakes were changed positively (p < 0.001) only during the nutrition education. This sodium reduction education program, including the follow-up study showed positive effects on the blood pressure, sodium intake, nutrition knowledge and dietary behavior of hypertensive adults.

마사지 요법이 고혈압 환자의 혈압에 미치는 영향 (The effects that massage has on a hypertensive's blood pressure)

  • 김종우;서현규;박윤기
    • 대한정형도수물리치료학회지
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    • 제9권2호
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    • pp.47-58
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    • 2003
  • To closely examine the effects of the massage treatment as one method of curing hypertension by exploring the effects that one-time circulation-centered massage has on a hypertensive's blood pressure, this study selected as the subject ten among fifty-year-old essential hypertensives visiting N clinic, and measured and compared their blood pressures before and after I gave them massage. After stabilizing them, I measured their blood pressures. In their prone and supine postures, I gave them rubbing massage for twenty minutes from positions proximal to their hearts to ones distal from their hearts to help their artery circulation and circulation-centered stroking massage for ten minutes from positions distal from their hearts to ones proximal to their hearts to help their vein circulation. After the massage, I had them rest for five minutes and measured their blood pressures. Regarding each item analyzed, I calculated the mean and standard deviation before and after the massage. The difference before and after the massage was tested by corresponding t-test and the level of significance was made p<0.05. The findings are as follows. First, systolic pressure was $157.70{\pm}7.48$ before the massage and $143.00{\pm}9.39$, which is less than before the massage, after the massage, showing statistically significant difference (p<.05). Secondly, diastolic pressure was $97.80{\pm}6.56$before the massage and $95.20{\pm}5.18$, which is less than before the massage, after the massage, not showing statistically significant difference (p<.05).

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고혈압 환자에서 곡운침법의 혈압강하 효과 (Gogoon acupuncture for hypertension)

  • 한창현;송태원;신미숙;신선화;최선미
    • Korean Journal of Acupuncture
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    • 제24권1호
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    • pp.27-41
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    • 2007
  • Objectives : The aim of this study was to investigate the antihypertensive effect of Korean Gogoon Acupuncture in hypertensive patients. Methods : We measured the blood pressure of 17 patients who were admitted in the Oriental Medical Clinic of Gogoon Institute from 14th April 2006 to 29th August 2006. Eligible participants had systolic blood pressure ${\geq}120$ mmHg or diastolic blood $pressure{\geq}80$ mmHg. Blood pressure and pulse rate measurements were after the patient had been in bed rest for at least 30 min. Six sessions of Gogoon Acupuncture treatment over three weeks were performed in the patients. Blood pressure and pulse rate were measured twice before and after each acupuncture treatment. Results : After 3 weeks, there were significant decreases in systolic blood pressure(p=0.0028), diastolic blood pressure (p=0.0111) and pulse rate (p=0.0150). The effects of Gogoon Acupuncture by measuring time on blood pressure were as follows : In a systolic blood pressure (p<.0001) and diastolic blood pressure (p=0.0028) was gradually deceased significantly from 1st to 6th but pulse rate was not significantly decreased. Conclusions : Controlled trials investigating the efficacy of Gogoon acupuncture for lowering blood pressure are warranted.

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애구(艾灸)가 고혈압(高血壓) 환자(患者)의 혈압강하(血壓降下)에 미치는 영향(影響) (The Effects of Decreasement of Blood Pressure on Hypertension Patients by Moxibustion)

  • 이병훈;김철홍;서정철;윤현민;장경전;송춘호;안창범
    • Journal of Acupuncture Research
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    • 제18권5호
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    • pp.70-76
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    • 2001
  • Objective : In order to study effects of decreasement of blood pressure on hypertension patients by moxibustion a clinical study was performed. Methods : Moxibustion at Quchi(LI11), Guanyan(CV4) 10 times on 25 hyper tension patients who were treated via opd on Dong-Eui Oriental Medical Hospital. Results : 1. After 10 times moxibustion at Quchi(LI11), Guanyan(CV4),the systolic blood pressure were decreased 16.5% degree. 2. After 10 times moxibustion at Quchi(LI11), Guanyan(CV4),the diastolic blood pressure were decresed 26.6% degree. 3. Subjective symptoms(i.e. headache, dizziness, heat in the upper part of the body, dyspnea etc) were decresed after 10 times moxibustion at Quchi(LI11), Guanyan(CV4). Conclusion : Continous Moxibustion at Quchi(LI11), Guanyan(CV4) implies decreasement of blood pressure and improvement of subjective symptoms.

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황구침법(黃丘鍼法)을 이용한 고혈압 환자의 혈압강하 효과에 대한 증례보고 (Effectiveness of Hwang-gu acupuncture treatment in hypertension patients; case report)

  • 한창현;황치원;신미숙;신선화;최선미
    • Korean Journal of Acupuncture
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    • 제23권3호
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    • pp.37-50
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    • 2006
  • Objectives : The aim of the study was to investigate the antihypertensive effect of Hwang-gu Acupuncture in hypertensive patients. Methods : We measured the blood pressure of the patients who were admitted in the Oriental Medical Clinic of Brother from 25th November 2005 to 27th March 2006. We included the patients only in case of the systolic blood pressure was over 140mmHg or diastolic blood pressure was over 90mmHg, Twenty two patients were treated by Hwang-gu Acupuncture. In order to evaluate the effect of the Hwang-gu Acupuncture, the blood pressure was measured before and after Acupuncture procedure total 4 times, 10times. Results : There were a significant decrease in the systolic blood pressure and significant decrease in the diastolic blood pressure by Hwang-gu Acupuncture 4 times. The effect of Hwang-gu Acupuncture by measurement time on blood pressure were follows: In a systolic blood pressure was gradually deceased significantly from 1st to 4th but diastolic blood pressure was significantly decreased after 2nd and 4th only. Conclusions : These results suggest that Hwang-gu Acupuncture is effective in decreasing the systolic and diastolic blood pressure.

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