• 제목/요약/키워드: 임신중

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임신기간 중 모체의 식사 철 섭취상태와 생체이용률 및 철 영양상태의 변화 (A Study on the Changes of Maternal Dietary Iron Intakes, Its Bioavailability, and Iron Status during Pregnancy)

  • 이정아;이종임;임현숙
    • 대한지역사회영양학회지
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    • 제9권2호
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    • pp.142-150
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    • 2004
  • To increase both iron and enhancers for iron absorption through diets should be a basic strategy to sufficiently provide increased iron for pregnancy. Previous studies reported that iron intakes of Korean pregnant women were short and their iron status deteriorated as pregnancy progressed. However, there is little data about the bioavailability of dietary iron during pregnancy. Therefore, this study was conducted to determine the changes of dietary iron intakes, its bioavailability and iron status during pregnancy longitudinally in Korean women. A total of 151 pregnant women in their first trimester of pregnancy voluntarily participated. Among them, 72 women finished the research protocol during the second trimester and 55 did it during the third trimester. Dietary intakes of total iron, both non-heme and heme iron, as well as enhancers, both MPF (meat, poulty, and fish) and vitamin C, increased significantly as pregnancy progressed. As the results, bioavailability of dietary iron and iron absorbed increased significantly as pregnancy progressed. However, the amount of iron absorbed at each trimester did not meet considerably the iron needed during pregnancy. All five indices examined in the study, Hb level, Hct, serum concentrations of ferritin and sTfR (soluble transferrin receptor), and sTfR: ferritin ratio, showed that iron status of the subjects deteriorated as pregnancy progressed. The rate of anemia of the subjects increased as pregnancy progressed although more than 80% of the subjects took iron supplements after the 20th week of pregnancy. These results imply that it is needed to provide more iron especially, heme iron and dietary enhancers to prevent the deterioration of iron status during pregnancy. Future research on bioavailability of supplemental iron should be performed to determine the iron balance precisely.

임신 중 교통사고로 일개한방병원에 내원한 환자의 치료 분석 및 이상반응 보고 (Analysis of the Treatment and Adverse Events of Whiplash Associated Disorder Patients During Pregnancy in a Korean Medicine Hospital)

  • 김순아;김민영;김민경;백지원;이지원;정우진;김혜경;노제헌
    • 대한한방부인과학회지
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    • 제32권4호
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    • pp.39-54
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    • 2019
  • Objectives: The purpose of this study is to analyze both treatment and adverse events of Korean medicine treatment for whiplash associated disorder patients during pregnancy. Methods: We investigated the medical records of 44 pregnant patients who had got into car accidents from April 1, 2018 to May 31, 2019. Results: 100 percent of the inpatients and 88 precent of the outpatients were treated by acupuncture. 79 percent of the inpatients and 72 precent of the outpatients were treated by chuna, and 86 percent of the inpatients and 64 precent of the outpatients were treated by pharmacopuncture. Out of 32 patients with low back pain, 94 percent were treated by acupuncture, 47 percent by phramacopuncture and 38 precent by chuna. 90 percent of 31 patients with cervical pain were treated by acupuncture, 71 percent were treated by pharmacopuncture and 77 percent were treated by chuna. There were adverse events like cough, rhinorrhea, dilatation of cervix and worsen low back pain during or after the treatment. Conclusions: Korean medicine treatment including chuna and pharmacopuncture can be applied to pregnant women injured by traffic accident.

임신(姙娠)중 한약복용 환자에 관한 논문 23례 분석 (Analysis for 23 studies of patients that used Herbal Medicine during Pregnancy)

  • 김윤상;임은미;이현희
    • 대한한방부인과학회지
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    • 제20권3호
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    • pp.185-199
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    • 2007
  • Purpose: This study was designed to establish safety and efficacy of using herbal medicine during pregnancy. Methods : We searched through 23 sources, which had been previously published frome 1988 to 2007, concerned patients that used herbal medicine during pregnancy. We searched diseases for that used herbal medicine, kinds of herbal medicine taken, the period of herbal medicine taken, the duration of herbal medicine taken and results of herbal medicine taken. Results: 1. Whaltae(habitual abortion) was the most of diseases that used herbal medicine during pregnancy. Second disease was hyperemesis gravidum. Third disease was Taegibulan (fetal restlessness). 2. The most of Herb medicines of used for Whaltae was Kyoesamultang and Anjeonecheontang. The most of Herb medicines of used for hyperemesis gravidum was Bosaengtang. The most of Herb medicines of used for Taegibulan was Kyoesamultang. 3. The time of herbal medicine taken mostly was the first period of pregnancy. The rate was 78%. 4. The duration of herbal medicine taken mostly was $18.58{\pm}14.24day$ at mean. 5. The rate of normal delivery was 85% and herbal medication during pregnancy does not cause any deformity to the newborn and of patients used herbal medicine. 6. The patients of taken herbal medicines were recovered from their symptoms and prevented miscarriage. The rate of recovery was 87%. Conclusion: The results of this study show that herbal medication during pregnancy is effective to cure disease and maintain the pregnancy. It is thought that have to actively try to treat diseases and symptoms on pregnancy by using herbal medicine.

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임신 중 치료 목적으로 한약 복용한 환자의 실태조사 (A Clinical Analysis of Patients that Used Herbal Medicine during Pregnancy for Medical Treatment.)

  • 조현정;구희준;양승정;박경미;조성희;이형호;홍광해
    • 대한한방부인과학회지
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    • 제21권4호
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    • pp.150-158
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    • 2008
  • Purpose: The purpose of this analysis was to establish safety and efficacy of using herbal medicine during pregnancy. Methods: We investigated 18 patients of visiting Dongshin university Kwangju Oriental Hospital. from september 1, 2006 to December 31, 2007, who had taken herbal medicine in pregnancy for medical treatment. And we investigated birthhistory, newborn babies's condition, satisfaction of herbal treatment and so on. Results: 15 cases delivered normally, and they had no congenital malformation, 2 patients were pregnant yet, and 1 patient had an abortion. Most newborn babies had on the average height and weight, and were healthy condition. And patients's satisfaction score of herbal treatment was 3.4 point. Conclusion: The results of this study indicate that using herbal medicine in pregnancy is safe and effective.

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임신 중 교통사고의 한의학적 치료에 대한 연구동향 분석 (Research Trends of Korean Medicine Treatment for Traffic Accidents during Pregnancy)

  • 김남훈;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제32권3호
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    • pp.73-85
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    • 2019
  • Objectives: The purpose of this study was to analyze efficacy and safety of Korean Medicine treatment for traffic accidents during pregnancy. Methods: We investigated the studies on Korean Medicine treatment for traffic accidents during pregnancy via searching through PUBMED, the Cochrane Library, CNKI, and domestic search engines and a total of 6 studies were selected. Results: The major complaints of traffic accidents during pregnancy were low back pain, neck pain and gastrointestinal symptoms. And there were vaginal bleeding and pruritus vulvae in the complaints. All of the studies were given acupuncture treatment for symptom relief, and chuna, herbal acupuncture and cupping were administered. Herbal medicine was also performed, and the most prescribed herbal medicine was Antaeeum-gamibang. All cases reported as traffic accidents during pregnancy showed a reduction in symptoms, normal pregnancy maintenance and delivery, and no miscarriage were reported. Conclusions: Korean Medicine treatment is an effective and safe treatment option for traffic accidents during pregnancy. Further systematic studies are needed to establish the basis for Korean Medicine treatment for traffic accidents during pregnancy.

임신 중 교통사고로 한방 치료를 받은 입원 환자에 대한 후향적 분석 (A Retrospective Analysis of Inpatients who Received Traditional Korean Medicine Treatment after a Traffic Accident during Pregnancy)

  • 윤희재;유정은
    • 대한한방부인과학회지
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    • 제34권2호
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    • pp.31-47
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    • 2021
  • Objectives: This study aimed to report the effectiveness and outcome on the prognosis of pregnancy of traditional Korean medicine treatment for inpatients who had a traffic accident during pregnancy. Methods: The study is conducted by analyzing the medical records of hospitalized patients in a Korean medicine hospital. Seventy-six pregnant patients who got into car accidents from March 2015 to February 2020 were included. We performed statistical analysis by using Statistical Package for the Social Sciences(SPSS) ver. 25.0. To verify the effect of traditional Korean medicine treatment for traffic accidents during pregnancy, we analyzed improvement of symptoms. Also, we analyzed the prognosis of pregnancy and signs of premature birth or miscarriage during treatment to verify the applicability of traditional Korean medicine treatment for traffic accidents during pregnancy. Results: Among the symptoms of pain, there was a statistically significant decrease in lower back pain, post neck pain, headache, pelvic pain, knee pain, lower limb pain, wrist pain, and upper limb pain. Other systemic symptoms showed statistically significant improvement in nausea, abdominal pain, dizziness, and lower limb numbness. All confirmed cases reported normal pregnancy maintenance and delivery, and no miscarriage was reported. Two cases that showed signs of premature birth or miscarriage during treatment were unrelated or unclear with traditional Korean medicine treatment. Conclusions: Traditional Korean medicine treatment is effective and applicable for pregnant women injured by traffic accidents. Further studies are needed to identify the effectiveness and safety of traditional Korean medicine treatment for the sequelae of traffic accidents during pregnancy.

임신 중 일개 한방병원 한방부인과에 내원한 환자에 대한 후향적 분석 (A Retrospective Analysis on Pregnant Patients Visiting Korean Gynecology Clinic of Korean Medicine Hospital)

  • 조시윤;유정은
    • 대한한방부인과학회지
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    • 제34권4호
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    • pp.111-130
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    • 2021
  • Objectives: The purpose of this study was to identify the current status of Korean medicine clinical practice for pregnant patients. Methods: The study is conducted by searching medical records of 209 pregnant patients using Korean Standard Classification of Diseases related pregnancy at the Korean Gynecology Clinic of traditional Korean medicine hospital from March 1, 2016 to February 28, 2021. We retrospectively investigated characteristics, symptoms, pregnancy outcomes of the patients and treatments for the patients. Results: The most frequent symptoms of pregnant patients were musculoskeletal symptoms (60.63%) followed by neuropsychiatric symptoms (14.55%) and genital symptoms (10.82%). The most common contributory factor of the symptoms was the motor vehicle accident (74.64%). Acupuncture (94.94%) and moxibustion (90.91%) were performed to most pregnant patients. Cupping (86.60%), herbal medicine (52.63%), Chuna therapy (30.62%), and pharmacopuncture (21.05%) were performed to the patients. Normal pregnancy maintenance and delivery were reported by 147 patients (91.30%). Premature birth was reported by 11 patients (6.83%), and miscarriage was reported by 3 patients (1.86%). Conclusions: Most patients were the patients with musculoskeletal symptoms injured by motor vehicle accidents. Various Korean medicine treatments were performed during pregnancy with safety outcomes. This study could be used as basic data to provide instructions for the development of traditional Korean medicine in the obstetric clinical fields.

간호대학생의 간호전문직관, 생명의료윤리의식 및 자기성찰지능 간 상관관계연구 (The Relationship between Nursing Professionalism, Consciousness of Biomedical Ethics and Intrapersonal Intelligence in the Nursing Students)

  • 김진영;김주리
    • 디지털융복합연구
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    • 제19권4호
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    • pp.435-441
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    • 2021
  • 본 연구는 간호대학생의 간호전문직관, 생명의료윤리의식 및 자기성찰지능 간의 상관관계를 확인하여 간호전문직관의 긍정적인 정립을 위한 효과적인 교육전략의 기초자료를 얻기 위해 시도되었다. 대상자는 G시에 재학 중인 간호대학생 159명이며, 자료수집 기간은 2018년 12월 3일부터 12월 7일(5일간)이었다. 자료 분석은 SPSS 22.0 프로그램으로 분석하였다. 연구결과 간호대학생의 간호전문직관은 3.97로 사회적 인식이 낮았으며 생명의료윤리의식은 2.95로 신생아 생명권이 가장 높고 인공임신중절과 안락사가 낮았다. 자기성찰지능은 3.79로 자기반성과 자기이해는 높으나 자기설계가 낮았다. 간호전문직관은 생명의료윤리의식과 자기성찰지능과 정적 상관관계를 나타냈다. 결과적으로 간호대학생의 간호전문직관의 긍정적인 정립을 위한 간호교육 전략은 자기계발을 향상시킬 수 있는 자기성찰지능 증진 교육과 간호전문직관의 토대를 다루는 교육이 제공되어야 할 필요가 있겠다.

요추 후관절 약침 치료를 병행한 임신 중 요통 및 하지방사통이 악화된 요추 추간판 탈출증 환자 증례 보고 (A Case Report inculding Pharmacopuncture Therapy at Lumbar Facet joints for a Patient with Lumbar Disc Herniation with Lower Back Pain and Leg Radiating Pain that Worsen during Pregnancy)

  • 김수진;김순아;김민경;이시원;경다현;배지은;권용수;허효승
    • 대한한방부인과학회지
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    • 제34권1호
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    • pp.93-103
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    • 2021
  • Objectives: The purpose of this study was to report a case of a pregnant woman diagnosed with lumbar disc herniation that improved in lumbar pain and radiating leg pain through combined korean medical treatment including pharmacopuncture at lumbar facet joints in situations surgical and pharmacological treatment is limited due to pregnancy. Methods: A combination of treatment including pharmacopuncture at lumbar facet joints, acupuncture, cupping, and herbal medicine was provided for 1 month to a woman at 21 weeks pregnant who was diagnosed with lumbar disc herniation. Her progress was assessed with Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5Dimension (EQ-5D) before and after treatment. Results: After the treatment, the pain decreased and the quality of life was enhanced. No adverse events were observed. Conclusions: The findings indicate that combined korean medical treatment including pharmacopuncture at lumbar facet joints can be safe and effective alternative to treat lumbar disc herniation during pregnancy.

소아 고관절 질환(I): 발달성 고관절 이형성증의 진단 및 초기 치료 (Pediatric Hip Disease (I): Diagnosis and Treatment of Developmental Dysplasia of the Hip)

  • 김휘택;박용건
    • 대한정형외과학회지
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    • 제55권5호
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    • pp.359-365
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    • 2020
  • 소아 고관절 이형성증은 비구 또는 근위 대퇴골, 혹은 양쪽 모두를 포함하는 고관절의 부적절한 발달을 지칭하는 광범위한 개념이다. 초음파적 검사로 영아기의 고관절 탈구 진단이 간과되거나 수술적인 치료가 필요한 경우는 감소하고 있으나 모든 고관절 이형성증을 찾아내지는 못하고 있다. 아탈구가 없는 고관절 이형성증은 우연히 진단되며, 40대 이후 여자에서 퇴행성 관절염과 강한 연관성을 가진다. 아탈구를 동반한 고관절 이형성증은 아탈구의 정도에 따라 증상이 다양한 시기에 걸쳐 나타나며, 특히 여성에서 임신 중 발현되는 경우가 많다. 신생아에 대한 정확한 이학적 검사와 조기 치료는 이 질환의 양호한 결과를 위해 매우 중요하다. 진단의 간과를 막고 조기 치료의 기회를 제공하기 위해 저자는 고관절 이형성증이 의심스러운 2세 이하 영아 모두에게 고관절 검사를 추천한다. 본 연구에서는 고관절 이형성증의 진단 및 초기 치료에 대해 고찰해 보고자 한다.