• 제목/요약/키워드: 배뇨장애(排尿障碍)

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풍산 개에서 발생한 외상성 요도 절단과 요도 피부 누공의 수술적 교정 (Surgical Repair of the Traumatic Urethral Transection with Urethrocutaneous Fistula in a Pung-san Dog)

  • 이재훈;김성호;양우종;강은희;장화석;정다정;김휘율
    • 한국임상수의학회지
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    • 제27권3호
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    • pp.295-298
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    • 2010
  • 5살의 중성화된 수컷 풍산 개가 서혜부에 지속적인 출혈 증상으로 내원하였다. 내원 5일 전에 멧돼지에게 공격을 받은 병력을 가지고 있었으며, 양성 요도 조영술에서 막성 요도의 파열과 요도 피부 누공이 있음을 확인 하였다. 수술 중 요도 카테터를 장착하여서 요도와 요도 피부 누공을 확인 하였고, 오줌의 누출로 인해 발생한 괴사 조직과 손상된 조직을 제거 하였다. 요도 카테터를 장착하여 요도 문합술을 실시하였다. 술 후 한달 째 배뇨장애나 혈뇨 증상이 없이, 정상적인 배뇨를 유지하였으며, 수술 후 2 달째 실시한 역행성 양성 요도 조영술에서 요도 협착 소견을 보이지 않았다.

당뇨병성 방광병증으로 진단된 배뇨장애 환자 치험 1례 (A Case Study of a Patient Diagnosed as Diabetic Cystopathy with Dysuria)

  • 김미경;김보람;김용형;최동준;한창호;정승현;신길조;이원철
    • 대한한방내과학회지
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    • 제29권4호
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    • pp.1123-1129
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    • 2008
  • There's a case of a 74-year-old male patient who was recommended urethral catheterization because of voiding problem which is diagnosed as diabetic cystopathy. According to the Differentiation of Symptoms(辨證), we classified his situation as kidney yang deficiency (腎陽虛衰), prescribed Uchasingi-hwan(牛車腎氣丸). and treated with moxibustion and electroacupuncture. After nine days of such treatments, he started voiding himself without catheterization, and the volume of residual urine decreased. So we report this case.

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만성회음부 통증 치료를 위한 지주막하 페놀글리세린 차단 후 발생한 배변 및 배뇨장애 -증례 보고- (Failure of Urination and Defecation after Intrathecal Phenol-glycerin Block for Management of Chronic Perineal Pain -A case report-)

  • 안현정;김종일;이상곤;반종석;민병우
    • The Korean Journal of Pain
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    • 제12권2호
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    • pp.268-271
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    • 1999
  • Intrathecal phenol-glycerin block is a potent tool in stepwise approach to intractable perineal pain. At outpatient clinic, intrathecal phenol-glycerin block have been frequently used to control the cancer pain, as this procedure does not require special equipment. However, undesirable effects may occur with any given intrathecal injection. Although most side effects do not last long, they deserve well to prevent. Recently, we have been controlled the perineal and perianal cancer pain with intrathecal phenol-glycerin block without any specific complications. However, one patient we managed experienced that one patient, with this procedure for chronic non-malignant perineal pain control experience gait disturbance and one-week of voiding and defication difficulties. This research reports these practices, including the review of literature.

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중풍 환자의 배뇨장애에 대한 구료법의 효과 (Clinical Study on the Effects of Moxibustion for Post-stroke Voiding Dysfunction)

  • 강경숙;정은정;문상관;고창남;조기호;김영석;배형섭;이경섭
    • 대한한의학회지
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    • 제21권4호
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    • pp.236-241
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    • 2000
  • Background and Purpose : Cerebrovascular accident is a serious neurologic event. It can have temporary or permanent effects on survivors, including memory, cognition and volitional control of voiding. The purpose of this study is to evaluate the clinical effect of moxibustion in patients with voiding dysfunction after a cerebrovascular accident. Methods : Twenty patients with post-stroke voiding dysfunction were studied. All patients had computerized tomography(CT) and magnetic resonance imaging(MRI) to localize the lesion in the central nervous system. They were randomly divided into two groups : the control and moxibustion group. Ten of twenty patients underwent moxibustion treatment by randomization. The moxibustion group receieved moxibustion at three points : Chung-guk (Conception Vessel CV3), Kuanwon (CV4) Kihae (CV6). Residual urine volume evaluation was undertaken in all patients. Results : 1. IIn the balanced bladder time, the moxibustion group had the shorter time than non moxibustion group. But there was no significiant difference between the moxibustion group and non-moxibustion group. 2. In the residual urine volume, the moxibustion group and non-moxibustion group showed a tendency to decrease. But there was no significiant difference between the moxibustion group and non-moxibustion group. Conclusions : Though further study is needed, our findings suggested that the time of achieving balanced voiding was shorter with moxibustion than in the control group.

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한방치료로 호전된 반신부전마비, 배뇨장애를 동반한 좌측 앞대뇌동맥 출혈성 뇌경색 환자의 치험 1례 (A Case Report of Traditional Korean Medicine for Left Anterior Cerebral Artery (ACA) Infarction and Hemorrhagic Transformation with Hemiplegia and Urinary Disturbance)

  • 양지연;김민성;정택수;방찬혁;모민주;권도익;최민기
    • 대한한방내과학회지
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    • 제37권5호
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    • pp.786-795
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    • 2016
  • Objective: To evaluate the effectiveness of traditional Korean medicine treatment (TKM) on a patient with ACA infarction and hemorrhagic transformation with hemiplegia and urinary disturbance. Methods: A patient diagnosed with left anterior cerebral artery (ACA) infarction and hemorrhagic transformation was treated with electroacupuncture, moxibustion, and herbal medicine. Results: Improvements in the Manual Muscle Test (MMT), modified Barthel Index (MBI), National Institutes of Health Stroke Scale (NIHSS), modified Rankin scale (mRS), and K-MMSE were observed following the TKM treatment [MMT Gr. (3/0)→Gr. (4+/4+), MBI 20→89, NIHSS 8→2, mRS 5→1, MMSE-K 21→28]. Conclusion: TKM treatment could help improve the symptoms of patients with ACA infarction and hemorrhagic transformation.

하지 단마비와 통증 및 배뇨장애를 주소로 하는 척수경색환자의 한방치료 치험 1례 (A case report of patient who has spinal cord infarction with monoplegia and pain of lower extremity and dysuria)

  • 윤석훈;정우석;조송현
    • 척추신경추나의학회지
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    • 제6권2호
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    • pp.87-96
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    • 2011
  • Objective : The purpose of this study is to report the improvement after oriental medical treatment about a patient who has spinal cord infarction with monoplegia and pain of lower extremity and dysuria. Methods : We diagnosed that symptoms as Wejeung, and employed oriental medical treatment, acupuncture, herbal medicine and moxibustion. This study was measured by MMT(Manual Muscle Testing), VAS(Visual Analogue Scale) and the number of Nelaton Catherization. Results : After oriental medical treatment, power and pain of lower extremity and dysuria were improved. Conclusions : There is no specific treatment for spinal cord infarction in western medicine and the prognosis is not so good. But in the case of this patient, power and pain of lower extremity and dysuria were improved remarkably through oriental medical treatment. Further clinical studies are needed to verify the findings.

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구절초(九折草)가 LPS로 염증유도(炎症誘導)된 대식세포주(大食細胞柱)에 미치는 영향(影響) (Effect of Chrysanthemum zawadskii var. latilobum on the release of inflammatory mediators from LPS-stimulated mouse macrophages)

  • 이정호;김이화;이재혁
    • 동의신경정신과학회지
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    • 제19권2호
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    • pp.209-221
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    • 2008
  • 목적 : 구절초는 국화과에 속하는 다년생 초본으로 가을에 줄기와 잎을 가을에 채취한 것을 한약재로 사용하여 대한, 월경불순 등 각종 여성질환과 함께 위냉증, 소화불량, 감고, 폐렴, 기관지염, 배뇨장애 및 신경퇴행성 질환에 활용되고 있다. 본 연구에서는 LPS로 염증유도된 대식세 포주를 활용하여 구절초의 항염증효능을 확인하고자 하였다. 방법 : 구절초 추출물의 항염증효과를 관찰하기 위하여 RAW264.7 대식세포주에서 MTT cytotoxic assay, iNOS 및 COX-2 발현, NO와 PGE2 생성 및 $NF-{\kappa}B$ 활성실험을 수행하였다. 결과 : 세포독성실험을 통하여 구절초 추출물의 안전성이 확인되었으며 LPS로 염증유도된 RAW264.7 대식세포주에서 증가된 iNOS의 발현이 감소되었음을 확인하였다. 또한 NO 및 PGE2의 생성을 억제하였다. 이러한 결과는 구절초가 염증매개물질의 생성을 억제하는 효과가 있음을 확인할 수 있었으며, $NF-{\kappa}B$ 활성도를 감소시킴을 관찰하였다. 결론 : 이러한 결과는 구절초가 $NF-{\kappa}B$ pathway를 조절해 줌으로써 항염증효과를 나타내는 것으로 사료된다.

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요통예방 중재 프로그램이 경피적 관상동맥 중재술 후 환자의 요통완화에 미치는 효과 (The Effect of Back Pain Prevention Intervention Program on Back Pain Relief in Patients Following Percutaneous Coronary Intervention)

  • 이혜경;박연숙
    • 재활간호학회지
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    • 제16권2호
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    • pp.100-111
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    • 2013
  • Purpose: The purpose of this study was to identify the effectiveness of back pain prevention intervention program on reducing back pain of patients undergoing percutaneous coronary intervention (PCI). Methods: The patients were divided into two groups as the experimental group and control group. In the experimental group, the participants took bedrest for 4 hours after PCI and then received back pain prevention intervention program (BPPIP). Total of 5 times BPPIP with 1 hour interval for 5-10 minutes per each intervention was administered to the patients taking bedrest for 4 hours after PCI. In the control group, total of 5 times routine nursing care with 1 hour interval was administered to the patients taking bedrest for 4 hours after PCI. The data were collected on admission in the ICU and after the 5 exercise sessions. The collected data were analyzed using SPSS/WIN program. Results: No significant differences in the occurrence of hemorrhage after the BPPIP were observed between the experimental group and the control group. After the BPPIP, back pain outcomes were significantly low in the experimental group. However, urination disorder and cortisol level did not show a statistically significant differences between two groups. Conclusion: It is clear that BPPIP is a useful nursing intervention for reducing back pain of patients undergoing PCI.

소양인(少陽人) 상소증(上消證)으로 진단한 배뇨장애를 호소하는 신경인성 방광 남환 1례 (A Case Report on Neurogenic bladder by Frontotemporal dementia Treated with Yanggyuksanhwa-tang)

  • 오지원;강민수;양성필;이의주
    • 사상체질의학회지
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    • 제30권3호
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    • pp.95-103
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    • 2018
  • Objective The purpose of this study is to investigate the effect of Yanggyuksanhwa-tang on Neurogenic bladder by Frontotemporal dementia in a 65-year-old male patient. Method Patient was treated with Yanggyuksanhwa-tang. Patient's symptom was assessed Total Frequency of urination, Frequency of nocturia, single voided volume. The treatment was executed three times everyday from March, 21th to March 29th of 2018. Patient was observed from March, 20th to March, 30th. Results During 8 days of Yanggyuksanhwa-tang, patient's symptoms were evaluated by Total Frequency of urination, Frequency of nocturia, single voided volume. After the treatment, Total Frequency of urination, Frequency of nocturia decreased. Single voided volume increased. Conclusion The results suggest that Yanggyuksanhwa-tang can be a valuable option in treating Neurogenic bladder by Frontotemporal dementia.

경피적 관상동맥 중재술 후 운동요법이 요통, 배뇨장애와 출혈 및 혈종에 미치는 영향 (The Effect of Exercise Therapy on Low Back Pain, Self-Urination Disorder, Bleeding, and Hematoma in Percutaneous Coronary Intervention Patients)

  • 이혜경;강성례;이충옥
    • 임상간호연구
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    • 제17권1호
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    • pp.35-45
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    • 2011
  • Purpose: The purpose of this study was to identify the effect of exercise therapy on low back pain, self-urination disorder, bleeding, and hematoma in Percutaneous Coronary Intervention (PCI) patients. Methods: A total of 64 PCI patients were recruited from C hospital located in C city, from June until August of 2010. The patients were divided into two groups as the exercise and control group. Thirty-two participants in the exercise group took bedrest for two hours after PCI, and then received excise therapy. The other 32 participants in the control group took the usual 8-hour bedrest with intermittent back care by the unit nurses. Results: In the relieving effect of low back pain, exercise group reported pain reduced faster than the control group. On the other hand, there were no significant differences between the two groups in alleviant of self-urination disorder, bleeding, and hematoma. Conclusion: Exercise therapy for reducing patients' low back pain showed to be an effective nursing intervention. Since there was no bleeding or hematoma after PCI in the exercise group, this study provided the ground suggesting that it might be possible to reduce the bedrest time after PCI without increased risk of bleeding or hematoma.