• Title/Summary/Keyword: 부인과(婦人科)

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A Study on the Application of Standard Korean Medicine Clinical Pathway for Dysmenorrhea (월경통 한의표준임상경로 적용 가능성 및 유효성 평가 연구 프로토콜)

  • Choi, Su-Ji;Kim, Dong-Il;Noh, Eun-Ji
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.1
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    • pp.75-90
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    • 2022
  • Objectives: The purpose of this study protocol is firstly to investigate the status of Korean medical treatment of dysmenorrhea, and secondly to investigate effectiveness of the Clinical Pathway (CP) of dysmenorrhea and review the applicability. Methods: This is a multi-center observational study. The data will be prospectively collected from 14 Korean medicine clinics. 45 patients for each of the CP-applied and non-applied groups will be recruited to compare the degree of improvement in menstrual pain. All the diagnosis records, treatment methods, treatment results, adverse events, and medical expenses of patients with dysmenorrhea will be collected. We will investigate the proportion of patients who could be applied with CP, and the actual number of CP applications, and CP completion rate to evaluate the applicability. Additionally, the satisfaction survey will be used to collect feedback from medical staff members and patients. Results: The results of this study will be disseminated through peer-reviewed publications and scientific presentations. Conclusions: This study is expected to provide valuable data for application of standard Korean medicine clinical pathway for dysmenorrhea.

Clinical Study of Korean Medicine with Boheo-tang-gagambang for Recovery after Gynecological Surgery for Myoma of the Uterus: 5 Cases Report (자궁평활근종의 수술적 치료 후유증에 대한 보허탕가감방 한방 치험 5례)

  • Ye-Seul Yun;Seung-Jeong Yang;Seong-Hee Cho
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.2
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    • pp.101-113
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    • 2023
  • Objectives: The purpose of this case study is to report clinical effectiveness of the Boheo-tang-gagambang with acupuncture, moxa and physiotherapy treatments on the after-effects of myomectomy or hysterectomy. Methods: The subjects of this study were five women who were diagnosed with uterine myoma and underwent myomectomy or hysterectomy. They mainly complained of lower abdominal pain, back pain, and pelvic pain. They received combination treatment of Korean medicine and physiotherapy. The Korean medicine included Boheo-tang-gagambang, acupuncture and moxa. The effects were evaluated through Numeric Rating Scale (NRS). Results: In this study, patient's clinical symptoms, including lower abdominal pain, low back pain, and pelvic pain, improved after hospitalization treatment. Conclusions: This case report shows that the combination treatment of Korean medicine with Boheo-tang-gagambang, acupuncture and moxa may be effective for treating after-effects of myomectomy or hysterectomy.

Clinical Study of Korean Medicine with Yikwiseungyang-tang for Abnormal Uterine Bleeding: 2 Case Report (비정상 자궁 출혈에 대한 익위승양탕 한방 치험 2례)

  • Ye-Seul Yun;Seung-Jeong Yang;Seong-Hee Cho
    • The Journal of Korean Obstetrics and Gynecology
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    • v.37 no.3
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    • pp.107-120
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    • 2024
  • Objectives: The purpose of this case study is to report clinical effectiveness of the Yikwiseungyang-tang with acupuncture and moxa treatments on abnormal uterine bleeding. Methods: The subjects of this study were two women who mainly complained of abnormal uterine bleeding. They received combination treatment of Korean medicine and physiotherapy. The Korean medicine included Yikwiseungyang-tang, acupuncture and moxa. The effect was evaluated compared to before hospitalization. Results: In this study, patient's clinical symptoms, including bleeding volume, menstrual pain, and weakness improved after hospitalization treatment. Conclusions: This case report shows that the combination treatment of Korean medicine with Yikwiseungyang-tang, acupuncture and moxa may be effective for treating abnormal uterine bleeding.

Review of the Studies on Acustimulation for Gynecological Surgery induced Nausea and Vomiting (부인과적 수술 후 오심 및 구토에 대한 경혈자극 임상 연구 고찰)

  • Park, Jang-Kyung;Jeong, Jae-Cheol;Choi, Min-Sun;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.3
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    • pp.185-196
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    • 2009
  • Purpose: This study aims to estimate the effects of on acustimulation for Gynecological surgery induced nausea and vomiting through reviewing the tendency of the studies. Methods: Literature searches were made through Pubmed, Koreanstudies Information Service System(KISS) and Korean Oriental medical Society database. Data were extracted according to pre-defined criteria. The methodological quality was assessed using Modified Jadad scale. Results: 8 studies were met the condition among the 43 searched studies. They were designed as double blind or observer blind and randomized controlled trial, and were analyzed statistically. 6 studies out of the 8 reported that acupuncture could prevent PONV effectively. Conclusion: The hypothesis that acustimulation may be effective for the prevention of Gynecological surgery induced PONV is supported by the data in recent literatures.

Case Series of Low Back Pain and Pelvic Pain Caused by Traffic Accident during Pregnancy (임신 중 교통사고로 인한 요통 및 골반통으로 입원한 환자 증례 보고)

  • O, Kwang-Woo;Ryu, Ik-Han;Kim, Ji-Ryang;Kim, Hae-Jung;Kang, Jung-Ah;Lee, Su-Jeong;Choi, Chang-Min
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.4
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    • pp.194-204
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    • 2009
  • Purpose: When pregnant women get symptom like pain, because of fear of using analgesic drugs and X-ray test during pregnancy, pain is nevertheless often left. This study was to report the clinical application and safety of oriental treatment to low back pain and pelvic pain caused by traffic accident during pregnancy. Methods: We experienced seven patients who suffered from low back pain and pelvic pain caused by traffic accident during pregnancy. During their admission, we treated with acupuncture, cupping therapy and herbal medicine. We checked the symptoms during admission at progress note, and follow up by phone call. Results: The degree of low back pain and pelvic pain were decreased or resolved. After treatment, no serious adverse effects were found on the patients, and there were no adverse effects at all on the infants. Conclusion: The results indicate that oriental treatment can be effective for the management of low back pain and pelvic pain caused by traffic accident during pregnancy. And these treatments are safe to both patients and infants.

The Difference of Weight Loss as Age and Exercise in Women after Oriental Obesity Treatment in Short Term (비만 여성에서 단기간 한방프로그램의 체중감량 효과와 운동관리 및 연령과의 연관성 연구)

  • Lee, Yoon-Jae;Hwang, Deok-Sang;Cho, Jung-Hoon;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.3
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    • pp.197-204
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    • 2009
  • Purpose: Obesity is the major risk factor of the heart disease and the metabolic disease. And many obese women have dysfunction of the endocrine system. There are many reports about oriental obesity treatment program. In clinics, the electroacupuncture with exercise is believed more effective. But the difference of weight loss as exercise and women was not studied. Methods: The subjects were 75 young women who visited Kangnam Kyunghee hospital for obesity management from March 2006 to July 2008. Six treatments had performed, the weight loss checked at every treatment. 52 women treated by oriental obesity treatment with exercise, 23 women treated therapy without exercise. As the exercise and the age, the weight loss was compared. Results: The weight loss of electroacupuncture with exercise was higher than that of electroacupuncture without exercise, but was not significant. The weight loss of perimenopausal women was significantly low. Conclusion: The comparison of electroacupuncture with exercise and electroacupuncture without exercise was not significantly different. The weight loss of the older women would be less than the weight loss of the younger.

A Clinical Study on the Effect of Red Ginseng for Postmenopausal Hot Flushes (홍삼 투여가 갱년기 여성의 안면 홍조에 미치는 영향)

  • Kim, Heung-Soo;Yoon, Young-Jin;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub;Cho, Jung-Hoon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.2
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    • pp.132-139
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    • 2009
  • Purpose: The purpose of this study is to identify the clinical effect of Red Ginseng in the treatment of postmenopausal hot flushes. Methods: We studied 49 women from 45 to 55 years old who complained hot flushes. We randomly divided women into two groups, We treated one group with red ginseng capsule, and treated another group with placebo for 2 months. patients recorded the frequency of the hot flush on an everyday basis. And we measured temperature of patient's face by DITI. Results: Red ginseng and Placebo treated group significantly decreased the frequency of the hot flush. After treatment, the temperature on the cheekbones who treated by red ginseng get lower than before treatment. But there is no statistically difference between red ginseng and placebo. Conclusion: This study shows that both red ginseng and placebo have remarkable effects on patients, but red ginseng is not better than placebo.

Comparative Study of Primary Dysmenorrhea and Anger Expression by STAXI-K (STAXI-K를 이용한 원발성 월경통 양상과 분노 감정 표현 정도와의 상관성 고찰)

  • Moon, Seung-Joon;Kim, Heung-Soo;Lee, Chang-Hoon;Lee, Jin-Moo;Cho, Jung-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.1
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    • pp.140-147
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    • 2009
  • Purpose: This study was conducted to investigate the relationship between primary dysmenorrhea. Methods: Intensity of dysmenorrhea was evaluated by scoring system of Andersch and Milsom. Anger state, trait, expression of the patients suffering from dysmenorrhea was measured by STAXI-K. And each value was analyzed by ANOVA testm as to intensity of dysmenorrhea, student t test as to existence of dysmenorrhea. Results: The numerical value of anger expression in the primary dysmenorrhea existent group was significantly higher than that in the primary dysmenorrhea non-existent group. There were significant differences among the numerical value of anger expression in the groups classified as intensity of primary dysmenorrhea, the value of three positive group() was significantly higher than that of negative group(-). Conclusion: This study showed the relationship between anger expression and primary dysmenorrhea. But there was no clue to find out their causal relationship, because this study was cross-sectional. So further study will be needed to prove the causality between them. And more precise scale has to been developed to evaluate various type of anger accurately.

Comparative Analysis of the Heart Rate Variability, Body Composition, Digital Infrared Thermal Imaging and Electro Pulse Graph Between Primary Dysmenorrhea Patients and Secondary Dysmenorrhea Patients (원발성 월경통 환자와 속발성 월경통 환자의 심박변이도, 체성분, 적외선 체열 촬영, 맥전도 검사 상 특징 비교 고찰)

  • Lee, Su-Jeong;Ji, Hae-Ri;Hwang, Deok-Sang;Lee, Chang-Hoon;Jang, Jun-Bock;Lee, Jin-Moo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.4
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    • pp.25-38
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    • 2019
  • Objectives: The purpose of this study is to analysis differences of heart rate variability (HRV), body composition, digital infrared thermal imaging (DITI), and electro pulse graph by whether there are some causes of dysmenorrhea or not. Methods: We studied 89 patients who took at least one test among HRV, Body composition, DITI, and electro pulse graph visiting Kyung Hee University Hospital at Gangdong from March 1, 2014 to May 7, 2019. Results: There were statistically significant differences in Low frequency (LF), LF norm and High frequency norm (HF norm) of HRV between primary dysmenorrhea patients and secondary dysmenorrhea patients. There were statistically significant differences in Body Mass Index (BMI) and body fat percentage of Body composition between two groups. But both BMI were included in normal range. There were no statistically significant difference in DITI results. And there was significant difference of Estimated circulation resistance (ECR) between two groups. Conclusions: The results suggest that hormone imbalance of secondary dysmenorrhea patients can affect HRV results. And because of high ECR, phlegm pathology can be more considered in secondary dysmenorrhea patients. Further study should be conducted to confirm the results of body composition and DITI differences.

A Case Study of Malignant Germ Cell Tumor Patient Experiencing Chemotherapy Side Effects Managed by Traditional Korean Medicine (악성 난소 생식세포 종양 환자의 항암 치료 후 발생한 부작용 증상에 대한 한방치료 증례 보고 1례)

  • Jeong, So-Mi;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.4
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    • pp.144-158
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    • 2019
  • Objectives: The purpose of this study is to report the effect of Korean medical treatment in case of germ cell tumor patient treated by chemotherapy. Methods: The patient was treated with Korean medical treatment (herbal medicine, acupuncture) for 11 months. By taking computed tomography and laboratory testing, we could compare before and after. Results: The patient treated with combination of Korean medical treatment and Chemotherapy recovered after taking Korean medicine for 11 months. Panax ginseng, C.A. Meyer, Astragalus membranaceus, Rhus Verniciflua Stokes were main ingredient of the korean medical treatment. Conclusions: This report shows the Korean medical treatment is effective on Germ cell tumor patient. Korean medical treatment alleviates the side-effect of Chemotherapy such as nausea, vomiting, hot flush and anorexia. Also Blood test results prove long-term use of Korean medicine is safe for lung and kidney function.