• Title/Summary/Keyword: 통증 태도

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The Analgesic Effect and its Merchanism of Bee Venom Acupuncture in the Collagen-induced Arthritis Rats (봉독약침이 collagen 유발 관절염에 미치는 진통효과 및 그 기전 연구)

  • Jung, In-tae;Baek, Yong-hyeon;Park, Dong-suk;Choi, Do-young
    • Journal of Acupuncture Research
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    • v.22 no.1
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    • pp.99-108
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    • 2005
  • Objective : The aim of this study is to investigate the analgesic effect and its mechanism of bee venom acupuncture on collagen-induced arthritis(CIA) rats. Methods : Bee venom (1 mg/kg) was subcutaneously punctured into Choksamni (ST36) of CIA Analgesic effect was evaluated by using the tail flick latency (TFL). Opioid and ${\alpha}2$-adrenergic neurotransmitter system were examined by naloxone as an opioid receptor antagonist and yohimbine as ${\alpha}2$-adrenoceptor antagonist prior to bee venom cupuncture. Results : The results were as follows; 1. The TFL for the CIA rat was decreased as time went by. 2. The TFL in CIA rat was increased in bee venom acupuncture group compared with control group (no treatment). 3. Analgesic effect of bee venom acupuncture was not abolished by naloxone pre-treatment in the CIA rat. 4. Analgesic effect of bee venom aqua-acupuncture was abolished by yohimbine pre-treatment in the CIA rat. 5. Two weeks bee venom acupuncture had the continous analgesic effect for 4 weeks. Conclusions : Bee venom acupuncture has an analgesic effect on the CIA rat and has an antinociception mediated by ${\alpha}2$-adrenergic system.

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Acute Abdominal Aortic Occlusion after Open Heart Surgery - A case report - (개심술 후에 발생한 급성 복부 대동맥 차단 -1예 보고-)

  • Han, Won-Kyung;Cho, Joon-Yong;Lee, Jong-Tae
    • Journal of Chest Surgery
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    • v.38 no.10 s.255
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    • pp.710-713
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    • 2005
  • Acute abdominal Aortic occlusion is rare but it is a vascular emergency with high mortality and morbidity. There­fore, delay in diagnosis can have severe impact on the prognosis. A 60-year-old women complained of paresthesia, paralysis, and severe pain in bilateral lower extremities on 13th day after open heart surgery for mitral stenosis, atrial fibrillation, coronary arterial stenosis, tricuspid regurgitation, and atrial septal defect. Her skin was mottled and cool from the umbilicus to the feet, and there were no palpable pulses in the lower exteremities. We diagnosed an acute abdominal aortic occlusion using the Multi-Detector Row Spiral Computed Tomography and successfully treated the problem with emergent thrombo-embolectomy and Aortobifemoral bypass.

Pain Relieving Effects of Nonnutritive Sucking and Facilitated Tucking on High Risk Infnats during Heelsticks Procedure (고위험 신생아의 발뒤꿈치 천자 시 비영양성 흡철과 감싸주기가 통증완화에 미치는 효과)

  • Ahn, Won-Hee
    • Korean Parent-Child Health Journal
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    • v.8 no.2
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    • pp.157-167
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    • 2005
  • The purpose for this study is to identify the effects of nonnutritive sucking and facilitated tucking as a pain management during painful heelstick procedure. This study was a repeated measurement design. Data were collected from Sep. 15, to Oct. 20, 2005. According to the criteria twenty seven high risk infants were selected from the NICU of university hospital. The behavioral state were evaluated with the PIPP(Prematures Infants Pain Profile. PIPP, heart rate, saturation were observed without versus with nonnutritive sucking and tucking care. Statistic analysis was conducted with a wilcoxon nonparametric test. The results of this study were as follows. Pina behavior responses in nonnutritive sucking and tucking cases were lower than without treatment(Z=-4.430, p=.000), Heart rate and heart rate recovery time in nonnutritive sucking and tucking cases were attenuate decrease in heart rate(Z=-2.694, p=.005) and statistical significant differences in periods (Z=-4.229, p=.000). But, Saturation was no significant differences(Z=-3.230, p=.000). In conclusion, the application of nonnutritive sucking and tucking as an pain relieg for high risk infants is nursing intervention in pain management ar heelsticks.

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The Effects of Taping Therapy on the ROM and VAS in Adhesive Capsulitis (유착성 관절낭염 환자에 대한 테이프 적용이 관절가동범위와 통증감소에 미치는 영향)

  • Lee Mun-hwan;O Seong Tae;Park Rae-joon
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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    • pp.223-238
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    • 2003
  • The purpose of this study was to assess the effectiveness of taping therapy for adhesive capsulitis patients. The subjects were consisted of 40, male 18, female 22, average age was 59 years old. To find out the effectiveness of taping therapy, we sampled 20 patients treated with H/P, electrical therapy and scapular pattern & hold-relax technique of PNF(control group), and 20 patients treated same as control group with taping therapy(experimental group). The results were as follow : 1. There was a statistical significance of shoulder flexion, abduction, external rotation and VAS in both group(P<0.05). 2. There was not statistical significance of shoulder flexion and external rotation(P>0.05), but abduction had a statistical significance between taping group and non-taping group(P<0.05). 3. VAS was observed a statistical significance between 3rd and 4th post treatment(P<0.05). These results are imply that taping therapy has a effectiveness of shoulder motion and VAS for adhesive capsulitis.

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An Estimation of Age Bases on the Changes in the Human Dental Cavity Caused by Increase in Age (By Surface Index of Pulp Cavity) (치수강의 가령적 변화에 의한 연령추정 - 면적시수에 의하여 -)

  • 정의태;김종열
    • Journal of Oral Medicine and Pain
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    • v.6 no.1
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    • pp.101-110
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    • 1981
  • For the purpose of an estimation of age based on the changes in the human dental cavity caused by increase in age, 1,208 extracted teeth in the parts from central incisors and lateral incisors and lateral incisors to second premolars of upper and lower, right and left side were evaluated and analized all of surface index of pulp cavity. The results are as follows : 1. The surface index of pulp caxities of upper and lower, central and lateral incisors, and tend to decrease regularly as the age increase. So above teeth are more applicable to age estimation than canine and premolars. 2 For the purpose of age estimation by surface index of pulp cavity of central and lateral incisor, linear equations are as follows. Upper central incisor: X=(16.301-Y)/0.12 Upper lateral incisor: X=(16.620-Y)/0.11 Lower central incisor: X=(20.963-Y)/0.16 X=Age Y=Surface index of pulp cavity Correlation coefficient between chronologic age and estimated age is 0.699 3.The least error(3.3 yrs of age)reveals in 41-45 age group, which shows the highest possibility of estimation of age. The highest error(4.1 yrs of age)reveals in 61-65 age group and 56-60 age group.

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Effects of Pain Release and Power Grip after Apply Needle TENS, Ultrasound, Taping to Carpal Tunnel Syndrom Patients (수근관 증후군의 Needle TENS, 초음파, 테이핑이 통증감소와 악력에 미치는 효과)

  • Han, Jong-Man;Gong, Won-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.1 no.1
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    • pp.49-57
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    • 2006
  • Purpose : The Purpose of this study was to pain release and power grip in wrist affect of needle TENS(utilized of TENS in electrotherapy with oriental needle) and ultrasound therapy and taping with carpal tunnel syndrome patients. Methods : To study divided of each groups. each groups were apply to ultrasound therapy for 5 mintus, Taping was attached from wrist joint to elbow joint medial epicondly after maximum extension. needle TENS application was following of median nerve in wrist. Result : 1. The pain was released on needle TENS, ultrasound and taping groups of all(p<.05). 2. Power grip was enhanced in needle TENS and taping groups(p<.05) but ultrasound was no difference compared with before therapy. 3. Compared with needle TENS and taping therapy about pain release was needle TENS groups better than ultrasound groups(p<.05) Conclusion : Needle TENS, taping therapy are more effectable than ultrasound therapy for grip power and pain release. Needle TENS therapy is more effectable than taping therapy for pain release. Therefor, neddle TENS therapy is most effectable for pain release with carpal tunnel syndrome patients.

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The Effects of Elastic Resistance Exercise of Limbo-Pelvic region and upper Limbs Muscle on Equilibrium Ability and Shoulder Pain of the Elderly (요골반부와 상지근육에 대한 탄성저항 운동이 노인들의 균형능력 및 어깨통증에 미치는 영향)

  • Kim, Sang-Su;Gong, Won-Tae
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.14 no.1
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    • pp.15-23
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    • 2008
  • Purpose : To evaluate the effects of elastic resistance exercise of lumbo-pelvic region and upper limbs muscle on equilibrium ability and shoulder pain of the elderly. Methods : The subject consisted of sixteen healthy elderly people(14 females. 2 males). They were from 61 to 83 years old and the mean age was 68.06. All subjects were assigned only the elastic resistance exercise group. The subject group received elastic resistance exercise for about 60 minutes per day, two times per weeks, during 8 weeks period. A Stop watch was used to measure static equilibrium ability and dynamic equilibrium ability and then pressure algometer was used to measure shoulder press pain threshold. All measurements of each subjects were measured at pre-experiment and post-experiment stage. SPSS 12.0 program was used to compile results. A Paired samples t-test was conducted to examine changes of static equilibrium, dynamic equilibrium and shoulder press pain threshold between pre-experiment and post-experiment. Results : The static equilibrium ability, dynamic equilibrium ability and shoulder press pain threshold were significantly differences between pre-experiment and post-experiment(p<.05). Conclusion : This data suggests that an eight week elastic resistance exercise improved static equilibrium ability and dynamic equilibrium ability and then reduced shoulder pain.

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Analgesic Effect of Electroacupuncture after Femoral Head Osteotomy in Dogs (개에서 대퇴골두 제거술 후 전침 자극이 통증완화에 미치는 영향)

  • Choi In-young;Cheong Jongtae;Shin Taekyun;Lee Joo-myoung
    • Journal of Veterinary Clinics
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    • v.21 no.4
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    • pp.374-397
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    • 2004
  • This experiment was designed to investigate the analgesic effect of non-invasive electroacupuncture treatment on femoral head osteotomy in dogs. Twelve dogs were divided into 3 groups in this experiment. Electroacupuncture group was non-invasively electrostimulated in Huan Tiao (GB-30) acupoint for 10 minutes by 4.5V, 5Hz for 10 days. Medication group was treated with carprofen (4mg/kg, P.O.) for 10 days. Control group was not treated. Each group was pre-operatively and post-operatively scored by using VAS (Visual Analogue Scale), SDS (Simple Descriptive Scale), NRS (Numerical Rating Scale), and measured serum cortisol levels. The results of VAS, SDS and NRS in electroacupuncture and medication groups were better than those of control group. And, the results of electroacupuncture group were better than those of medication group since 6th day after osteotomy in pain management(p<0.05). But, there were no significances in serum cortisol level among 3 groups. In conclusion, non-invasive electroacupuncture treatment showed sufficient analgesic effect on postoperative pain management after femoral head osteotomy, and VAS, SDS, and NRS scoring system would be adapted in evaluation of pain management.

Foot and ankle pain in soccer players (축구 선수에서의 발목 및 발의 통증)

  • Lee Kyung-Tai;Young Ki-Won;Kim Jae-Young;Cha Seung-Do;Kim Eung-Soo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.3 no.1
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    • pp.36-41
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    • 2004
  • The purpose of this study is to describe the common injuries in soccer players in terms of the orthopaedic operative treatment. We classified foot pain to in forefoot , midfoot, plantar aspect and mentioned the cause, incidence and treatment methods. Ankle pain was classified to anterior, lateral, medial and posterir aspect of the ankle. In all injuries in soccer players, conservative treatment is primary treatment method and we treated operatively in no respond case inspite of the physical therapy and rehabilitation program for sufficient period. The anatomical repair was preferred and minimal invasive surgery was recommended if possible and then focus of treatment is to early return to previous full activities through the rehabilitation program for sufficient period. As a conclusion, it is necessory to understand the mechanism and cause of the common injuries in soccer players and to select the proper treatment method to the degree of the injuries.

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A case of echinostomiasis with ulcerative lesions in the duodenum (십이지장 궤양을 동반한 호르텐스극구흡충 감염증례)

  • 채종일;홍성태
    • Parasites, Hosts and Diseases
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    • v.32 no.3
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    • pp.201-204
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    • 1994
  • Echinostomiasis is an endemic intestinal trematodiasis of humans in Korea We observed a human case of Echinostomn honense infection who had ulcerations on the duodenal mucosa. A 55-year old man living in Hamyang-gun, Kyongnam, complained of epigastric pain with hematemesis In April 1994. Endoscopy revealed lesions of early gastric cancer and duodenal ulcerations. A penetrating parasite into the duodenal mucosa was picked out, and identified as E. honense. As the patient was treated 10 praziquantel 10 mg/kg single dose,3 more E. hofene and 7 Metogonimw worms were recovered. This case demonstrates that echinostomiasis causes gross ulcerations in the duodenum.

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