• Title/Summary/Keyword: 좌골 신경

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베트남의 약침 제조법

  • Hanh, Pham Thuc
    • Journal of Pharmacopuncture
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    • v.6 no.1
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    • pp.37-37
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    • 2003
  • 약침은 경혈에 약물을 주입하는 방법이다. 이 방법은 아래의 인자 (즉 약물의 효과와 침의 효과, 주입하는 용액이 침자리에 미치는 효과들) 덕택에 효과를 증강시키는 방법이다. 1970년대와 1980년대 초기에 베트남 전통의들에 의해 적용되어 좋은 효과를 얻었다. 적응증으로는 만성 관절염, 신경성 감각 이상증, 위통, 고혈압, 천식, 좌골신경통, 요통 들이다. 주로 쓰인 침자리는 배수혈과 복모혈, 원혈과 아시혈이다. 약물은 vitamin B1, B6, B12, novocain 2%, 염화나트륨 용액 0.9%에 한 침자리에 0.2 to 2.0ml씩을 주입한다. 때때로 진통제인 voltarene 이나 pervincamine, cerebrolysin을 쓰기도 한다. 치료 기간은 하루에 한 번씩 2주 이하로 하고 적어도 5일은 휴식을 한다. 약침의 위십이지장증의 진통효과에 미치는 영향을 검증하기 위한 예비실험 결과를 요약하면 아래와 같다. 베트남에서 약 전체 인구의 5.63%가 위산과다에 따른 궤양성 통증을 가지고 있는데, 이 예비 연구는 이들에 약침의 진통효과를 검증하고자 한다. 관찰 대상이 된 남자 41명, 여자 15명(나이 20-69세 사이) 이 모두 경증에서 중증도의 위통을 3-15년 동안 앓았는데 이들 모두 엑스 선 촬영과 위내시경으로 확증을 받았다. 관찰기간 동안 부작용은 없었는데 약침군은 26 환자로 Vit B1, B2, B6, novocain 2%, 하루에 한 번씩, 15일 동안 개별적 진단에 따른 침자리에 치료받았고, 대조군은 30 명으로 atropin 농도 0.25 mg/injection 도 근육주사를 하루에 한 번씩 같은 기간동안 받았다. 결과는 약침군에서 Good: 7.7%, Rather good: 88.5%, no response: 3.8%. (편역자 주: 발표 초록에서 대조군에 대한 결과가 빠져 있음). 결론적으로 약침과 아트로핀 주사가 모두 궤양성 통증을 완화시키는데 그 진통정도는 동등하다고 판단하였다. 약침의 진통효과가 오래 지속되었고 환자들은 부작용을 호소하지 않았다.

Postoperative Pain Control by Ultrasound-Guided Sciatic Nerve Catheterization - A Technical Note - (초음파 유도 좌골 신경 도관 삽입에 의한 수술 후 통증 조절 - 술기 보고 -)

  • Kang, Chan;Hwang, Deuk-Soo;Kim, Young-Mo;Hwang, Jung-Mo;Lee, Seung-Hyun
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.2
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    • pp.97-101
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    • 2011
  • Intravenous Patient Controlled Analgesia (IV PCA0 after general or spinal anesthesia may be a method of postoperative pain control, but side effects such as nausea, vomiting, and sedation occurs in most patients. The following research is based on the ultrasound guided femorosciatic nerve block held on parts below the knee joint operation. Because this anesthesia is held locally on the sciatic nerve with continuous anesthesia performed through perineural catheterization, the complications of nausea, vomiting, and sedation may be reduced while postoperative pain caused by the sciatic nerve is controlled. The following report is held on this experience.

Stimulatory Effect of Ga-As Infrared Laser on the Regeneration of Injured Sciatic Nerves (손상된 좌골신경의 재생에 미치는 Ga-As 적외선 레이저의 효과)

  • 배춘식;임성철;박석천
    • Journal of Veterinary Clinics
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    • v.19 no.3
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    • pp.316-321
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    • 2002
  • The purpose of this study was to examine the effect of Ga-As(Gallium-Arsenide, wave length; 904 nm) infrared laser irradiation on healing of the experimentally crush injured rat sciatic nerves. The bilateral sciatic nerves of 43 adult male Sprague-Dawley rats were compressed surgically with a straight hemostat (1 mm width). The right legs of all the rats were irradiated using a 27 mW Ga-As infrared laser (laser irradiated group). The radiation procedure was administered for 3 minutes every day for 1, 3, 5, and 7 weeks in each group. Left legs were not irradiated and served as the control group. The numbers of total myelinated axon and degenerated myelin in the sciatic nerves of bilateral legs were measured and analyzed with mage analysis system in order to make a morphological analysis of the effect of the Ga-As infrared laser on injured nerves. Total number of myelinated axons was increased with time interval, especially in the 1, 3. and 5 week of irradiated group. Conversely, the number of degenerated myelin was decreased with time interval, especially in the irradiated group. The effects in the irradiated group were more pronounced than those of the control group. In conclusion, the Ga-As infrared laser irradiation is a useful adjuvant therapy to the regeneration of the peripheral nerve injury.

Effect of Red Ginseng Total Saponin on Sciatic Nerve Regeneration (홍삼사포닌이 좌골신경 재생에 미치는 영향)

  • Han, Hye-Jeong;Lee, Hae-June;Kang, Seong-Soo;Lee, Soo-Han;Cho, Ick-Hyun;Lee, Jong-Hwan;Nah, Seung-Yeol;Park, Chang-Hyun;Uhm, Chang-Sub;Bae, Chun-Sik
    • Journal of Ginseng Research
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    • v.27 no.3
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    • pp.103-109
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    • 2003
  • We investigated the effect of ginseng total saponin (GTS) on the regeneration process of experimentally crush injured rat sciatic nerves. The bilateral sciatic nerves of fifty adult male Sprague-Dawley rats were compressed surgically with a straight hemostat for 30 seconds with 1 mm width. Twenty rats were divided into four groups to test the dose-dependent effect of GTS (0, 50, 100, or 150 mg/kg, i.p.). Saline for vehicle control group or GTS dissolved in saline was administerd for three weeks. After that period of time, the numbers of total myelinated axon and degenerated myelin in the sciatic nerves of bilateral legs were examined and analyzed using image analysis system to confirm a morphological effect of GTS. We found that the most effective concentration of GTS for the regeneration of damaged sciatic nerve was 150 mg/kg. In another set of experiment, thirty rats were divided into two groups as saline-treated vehicle group and GTS-treated group (150 mg/kg, i.p.) for three weeks. Every week we examined the numbers of total myelinated axon and degenerated myelin in the sciatic nerves of bilateral legs using image analysis system to evaluate the effect of GTS on injured nerves. We found that the regeneration of damaged sciatic nerves was facilitated in GTS-treated group compared to saline-treated group until two weeks. However, after that period of time we could not observe the significant difference between saline-treated group and GTS-treated group. These results suggest that GTS is a useful adjuvant therapy for the regeneration of the peripheral nerve injury in short period of treatment.

Functional and Histopathological Changes Following Injection of Neurolytic Agents on Rat's Sciatic Nerve (흰쥐 좌골신경에 신경파괴제 주입 후 초래되는 하지 운동과 신경조직학적 변화)

  • Cheun, Jae-Kyu;Song, Sun-Ok;Jung, Sung-Won
    • The Korean Journal of Pain
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    • v.14 no.1
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    • pp.83-92
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    • 2001
  • Background: This study was undertaken to observe the functional changes of the hind limb and histopathological changes in the sciatic nerve after an injection of alcohol or phenol, which are commonly used neurolytic agents, highlighting the time of recovery. Methods: Forty-eight Sprague-Dawley rats weighing 200-300 g were used for the experiment. Histopathological changes under the electron microscope, were observed in the distal part of the sciatic nerve, into which 0.1 ml of alcohol or phenol was injected. This was severed in 3 rats of each group at 10 minutes, 1 hour, 24 hours, 3 days, 1, 2, 4 and 6 weeks later. The functional changes in the hind limbs were observed for 6 weeks by noting their walking pattern. Results: Following the injection of alcohol or phenol into the right sciatic nerve, the right hind limb showed a severe pronounced motor weakness and obvious gait changes. About 2 weeks later, gradual improvement of gait changes began, and after 6 weeks, the motor weakness and gait changes were no longer perceptible in both groups. The findings of any histopathological change were similar in both alcohol or phenol groups. At 10 minutes after injection, destructive lesions were confined to the unmyelinated fibers and the myelin sheath of small the myelinated fibers. On the 3rd day and at 1 week, pathologic changes in axonal fibers and Schwann cells were in being phagocytized in spite of myelin restitution. From 2 to 4 weeks, axonal regeneration and remyelination appeared at the same time a myelin disintegration and axonolysis. At 6 weeks, neural regeneration was similar to that of the contralateral control group. Conclusions: These results suggest that functional and histopathological changes, after injection of neurolytics into the peripheral nerves, are quite similar in both alcohol and phenol groups. The progression of functional and histopathological changes become more obvious according to the time interval following the injection. Consequently, side effects that develop following the use of alcohol or phenol may begin to improve around the time that nerve regeneration occurs, i.e., two to four weeks later.

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Effect of the Changes in Arterial Carbon Dioxide Pressure on the Neuronal Activities of Rostral Ventrolateral Medulla in the Cat (고양이에서 동맥혈 탄산가스 분압의 변동이 연수의 통각정보 처리과정에 미치는 영향)

  • Lee, Young-Tak;Kim, Chong-Whan;Kim, Jun
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.477-486
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    • 1996
  • Endogenous analgesic systems are known to be activated by peripheral noxious stimulation as well as arterial carbon dioxide elevation. In the present study, neuronal Activities in the rostral ventrolateral med- ulla were identified and classified in according to their rhythmic activities, and their responses to noxious peripheral nerve stimulations before and after elevating the arterial carbon dioxide partial pressure were investigated Using extracellular recording technic, a total of 53 spontaneously active neurons were recorded from the rostral ventrolateral medulla in u-chloralose anesthetized cats. These were classified as cardiovascular (28), respiratory (16), both cardiovascular and respiratory (2) and noncardiovascular - nonrespiratory (7). - Among the 28 cardiovascular neurons eleven showed increased activities during arterial hypercapnia, thirteen showed decreased responses, and four showed no change. Nine respiratory neurons showed increased responses to arterial hypercapnia, six showed decreased responses and one showed no change. neither of the cardiovascular and respiratory neurons showed significant change in its activity during ar- terial hypercapnia, however, four of the noncardiovascular - nonrespiratory neurons exhibited decreased their activities in response to arterial hypercapnia while two exhibited increased activities. Arterial hypercapnia increased the responses of cardiovascular neurons to peripheral nerve stimulation with C-inteniity, while not changing the responses to Ak_stimulation significantly . From the above results it was conclllded that during arterial hypercapnia, some cardiovascular neurons and respiratory neurons have increased activities as well as increased reponses to C-Hber stimulation.

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Effects of Electrical Stimulation on Normal Soleus Muscle in Rat (전기자극이 흰쥐의 정상 가자미근 형태에 미치는 영향)

  • Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.6 no.1
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    • pp.61-74
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    • 1994
  • This study was carried out to determine effects of electrical stimulation on the soleus, target muscle of the sciatic newt, of white rat normal muscles. The biometric, histochemical, ultrastructural observations were made. The following results were obtained. A daily electrical stimulation of the skeletal muscle of the normally-functioning rat caused an increase of girth and weight of the muscle fibers for 2 weeks. No noticeable change was observed afterwards. More specifically, the density of volume of the red muscle fiber increased. whereas the density of the white muscle fiber decreased. The electrical stimulation group(experimental group) showed hypertrophy of the muscle fibers and narrowing of the space between perimysium and endomysium. Normally, glycogen granules are accumulated regardless of classification of muscle fibers. In addition, the NADH-TR reaction results were in agreement with the biometric findings, in that the red muscle fibers significantly increased. The ultrastructural observations revealed that mitochondria was formed in the red muscle fiber parallel to the muscle fibers of normal muscle, while mitochondria was observed in the sarcomere region of the white muscle fiber. However, activation of mitochondria took place in the sarcolemma region of the muscle fiber, and generation of mitochondria was observed in the sarcomere region of the white muscle fiber.

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The description of the Flat fish (Pleuronectiformes) Fossils from the Miocene Duho Formation, Pohang Yeonam-dong in Korea and its Implication (포항시 여남동 마이오세 두호층에서 산출된 가자미목 화석의 기재와 의의)

  • Ko, Ju Yeong
    • Journal of the Korean earth science society
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    • v.37 no.1
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    • pp.1-10
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    • 2016
  • Four entities of the Cenozoic fish fossils were discovered in the Miocene Duho Formation, Pohang, Korea. these fossils were identified as the first Pleuronectiformes in Korea based on the following-the presence of postcleithrum, the elongation of the first proximal pterygiophore of the anal fin ray, almost consistent presence of two proximal pterygiophore of the anal fin rays between the two adjacent hemal spines, the fusion of the first and second hypurals, the fusion of the third and fourth hypurals and the first preural centrum, the presence of well-developed anteriormost plate-like neural spine, the presence of the urohyal like fish-hook and its elongated sciatic part, and the division of the parahypural from the first preural centrum. On the other hand, geological studies about the Duho Formation consistently claimed that shallow-sea creatures were washed away by meteorological events such as a great flood and deposited at the bottom of deep-sea by the turbidity current. However, in Duho Formation, only shallow-sea ones have been discovered thus far. This study reported that Flat fish, deep-sea creature, was discovered in Duho Formation for the first time in Korea.

AN EXPERIMENTAL STUDY ON TISSUE REACTIONS OF ALLOGENEIC SCIATIC NERVE GRAFT IN RAT (백서 좌골신경의 동종이식후 조직반응에 관한 실험적 연구)

  • Chung, Hyung-Bai;Yim, Chang-Joon;Lee, Dong-Keun;Se, Jae-Deok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.2
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    • pp.203-216
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    • 1991
  • Nerve allografts as a bridge of regeneration is useful in the repair of peripheral nerve defect resulting from trauma, and leprosy. But immunological rejection and complicated scar formation is an unavoidable problem in the application of allogeneic nerves. This article is intended to study of the regeneration of allogeneic nerve grafts in rats with histopathologically, scanning electron microscopically. 24 adult male Sprague-Dawley rats were used as the experimental animals. A 2cm skin incision was made on the lateral aspects of limb, parallel to femur. Segments of sciatic nerve trunk taken from rats, 10mm was resected at the middle of the thigh, nerve graft was inserted between the ends of gaps with perineural and epineural suture method with 10-0 prolene. Obsrevation was made simultaneously at 3 day, 1, 2, 3, 4, 5, 6, 8 weeks after surgery. The results were as follows. 1. In light and electronic microscopic studies, marked degenerative change of the graft nerves were observed at 2 weeks after surgery. 2. After surgery, blood clot fromation was observed at 3 day, granualtion tissue formation was observed at 2 week, and fibrous tissue proliferation was observed at 3 week. 3. In change of nerve fiber, there were Wallerian degeneration at early stage, decrease in degeneration at 4 week but degeneration of myeline was continuded at 8 week. 4. At 4 week, schwann cells proliferate at its cut ends to join with the distal and proximal stump of the damaged nerve. 5. Fibrous scar tissues are formed at 2 weeks and increased progressively in 8 weeks, which was interrupted the regeneration of grafted nerve.

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Ultrasound-guided Femorosciatic Nerve Block by Orthopaedist for Ankle Fracture Operation (족관절 골절 수술을 위한 정형외과 의사의 초음파 유도 대퇴좌골 신경 차단)

  • Kang, Chan;Hwang, Deuk-Soo;Kim, Young-Mo;Kim, Pil-Sung;Jun, You-Sun;Hwang, Jung-Mo;Han, Sun-Cheol
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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    • pp.90-96
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    • 2010
  • Purpose: The purpose of this study is to investigate the usefulness of ultrasound-guided femorosciatic nerve block by orthopaedist to operate the fracture around ankle. Materials and Methods: Twenty-two patients, who had an operation for fracture around the ankle under a ultrasound-guided femorosciatic nerve block from January to April 2010, were the targets of this study. We measured the time spent for the ultrasound-guided femorosciatic nerve block, the time taken to start the operation after the nerve block, the time taken to deflate the tourniquet because of a tourniquet pain, the time passed until feeling a postoperative pain after the operation, etc. We also studied the complications and satisfaction of the anesthesia. Results: It took 6.2 (3 to 12) minutes for the nerve block, 46.1 (28 to 75) minutes to start the operation, 52.5 (22 to 78) minutes until feeling a tourniquet pain and 11.5 (7.5 to 19) hours until starting to feeing a postoperative pain. There was no complication by anesthesia and 21 people (95.5%) were satisfied with anesthesia by ultrasound-guided femorosciatic nerve block. Conclusion: Ultrasound-guided femorosciatic nerve block by orthopaedist in the fracture around ankle reduces anesthetic and nerve injury complication, and leads to high anesthetic success rate. Also it is considered as an effective method to alleviate postoperative pain.