• 제목/요약/키워드: Chronic Patient

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소화기 증상을 동반한 만성두통 환자에 대한 한방복합치료 치험 1례 (A Case Report on a Patient Treated with Combined Korean Medicine for Chronic Headache with Digestive Symptoms)

  • 최규철;배지은;박재원;김동진;홍정수
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.923-930
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    • 2021
  • Objectives: The purpose of this study was to examine the effect of combined Korean medical treatment on chronic headache with digestive symptoms. Methods: We collected data from October to December 2020 and evaluated the efficacy of combined Korean medical treatment using the Korean Headache Impact Test-g (KHIT-6), European Quality of Life Five Dimensions (EQ5D) Scale, and Numerical Rating Scale (NRS) at admission, after two weeks of hospitalization, and on discharge. Results: At the end of treatment, the patient had increased EQ5D and reduced KHIT-6 and NRS scores. Conclusions: After the combined Korean medical treatment, the patient showed improvement, suggesting the efficacy of treatment.

십전대보탕이 유효했던 신성 빈혈 환자 1례 (A Case of Anemia with Chronic Kidney Disease Using Shipjeondaebo-tang)

  • 김수현;김재학;이현규;조기호;문상관;정우상;권승원
    • 대한한방내과학회지
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    • 제40권2호
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    • pp.173-180
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    • 2019
  • Objective: In this case report, we address the case of a 47-year-old man with anemia due to chronic kidney disease. Methods: A patient was treated with Korean medicine including an herbal medication, Shipjeondaebo-tang. We evaluated the improvement of symptoms by biochemical examination of blood, complete blood cell count and total score of Fatigue Severity Scale (FSS). Results: After 15 days of Korean medicine treatment, there was an increase in hemoglobin states, even after intervention ended, for over 30 days with improvement of the patient's fatigue. Conclusions: This study suggested that Shipjeondaebo-tang might be effective in patient's renal anemia and fatigue recovery.

만성 재발성 방광염 환자의 한방 치험 1례 (A Case of Chronic Relapsing Cystitis)

  • 임규정;유동렬
    • 혜화의학회지
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    • 제21권1호
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    • pp.103-107
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    • 2012
  • Purpose : The purpose of this report is to record the effects of acupuncture and moxibustion treatment on Chronic Relapsing Cystitis. Methods : This is a case report of female patient suffering from urinary disturbance based on the bladder stimulated. 28 years old woman diagnosed with chronic relapsing cystitis was enrolled in this study. She was treated with acupunctures at CV6(Qihai, 氣海), CV4(Guanyuan, 關元) and CV2(Qugu, 曲骨) for two weeks, seven times. During the treatments, we checked changes of symptoms. Results : After acupuncture treatments, clinical symptoms of chronic relapsing cystitis and general conditions were improved. Conclusion : This clinical case shows that acupuncture is effective in treatment of the chronic relapsing cystitis. More clinical data and studies are required for the treatment of chronic relapsing cystitis.

만성동통에 대한 정신시체의학적 접근 -생물학적 접근- (The Biological Approach of Chronic Pain)

  • 오병훈
    • 정신신체의학
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    • 제3권1호
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    • pp.91-97
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    • 1995
  • Pain is a complex symptom consisting of a sensation underlying potenial disease and associated emotional state. Acute pain is a reflex biological response to injury, in contrast, chronic pain consists of pain of a mininum of 6 months duration and associates with physical, emotional past experience, economic resources of the patient, family and society. Moreover, chronic pain is characterized by physiological affective and behavioral responses that are quite different than those of acute pain. The different type of stimuli exciting pain receptor are mechanical, thermal and chemical stimli and chronic pain are concerned with three of all stimli. The major three components of pain central(Analgesia) system in the brain and spinal cord are 'periaqueductal gray area of the mesencephalon', 'the raphe magnus nucleus' and 'pain inhibitory complex located in the dorsal horns of the spinal cord'. But unfortunately, the central biochemical mechanisms of chronic pain are not clearly defined. To proper management of chronic pain, comprehensive urderstanding as a psychosomatic aspect and multidisciplinary therapeuti-team approach must be emphasized.

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자하거약침을 이용한 만성 전립선염 환자의 치험예 (The case clinical report for chronic proststis by hominis placenta herbal-acupunture)

  • 박기범;송계화;신경호
    • 대한한의정보학회지
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    • 제11권2호
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    • pp.40-48
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    • 2005
  • Objective It is difficult medicine pass by prostatic barrier. so prostatis is charaterized as relatively incurable illness. Neverthless in chronic prostatis, there is improvement of symptom and blood test numberical index by hominis placenta herbal-acupunture. The purpose of this report is evaluate of improvement of symptom and blood test numberical index by hominis placenta herbal-acupunture Method We observed 2 chronic proststis patient for 6 months. It is evaluate of treatment effect by NIH-chronic prostatis symptom index(CPSI) and expressed prostatic secretion(EPS) per 1month. Result The hominis placenta herbal-acupunture therapy is effective to treat chronic proststis. NIH-CPSI and EPS WBC were decreased considrably.

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만성 긴장성 두통환자에 있어서 두경부 자세의 평가 (Evaluation of Craniocervical Posture in the Patients with Chronic Tensional Headache)

  • Seon-Ju Koo;Jae-Kap Choi
    • Journal of Oral Medicine and Pain
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    • 제18권1호
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    • pp.9-19
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    • 1993
  • The purpose of this study was to evaluate the effect of craniocervical posture on craniomandibular disorders with chronic headache. The author measured craniocervical posture on frontal and sagittal plane with photographs for 26 headache patients, 23 TMD patients, and 27 nonpatients. Range of cervical spine motion was also measured. The bilateral electromyograms of masseter and anterior temporalis muscles were recorded at rest and during maximum clenching. The results were as follows : On the lateral view photos, eye-tragus-C7 line angle was larger and the tragus-C7-horizontal line angle was smaller in the patient groups than in the nonpatient group (p<0.05). On the frontal view photos, mouth corner line angle was larger in the headache patient group than in the nonpatient group and TMD patient group (p<0.05) Interclavicular angle was smaller in the headache patient group and TMD patient grop than in the nonpatient (p<0.01) The right and left differences of SAIC-plane distance and finger tip-plane distance were significantly larger in headache patient group than TMD patient group and nonpatient group (p<0.01, p<0.001). Cervical motion range was smaller in the TMD patient group and headache patient group than in the nonpatient group (p<-.001, p<0.05, p<0.05). The resting EMG activities of right masseter muscle were higher in the headache patient group than in the nonpatient group (p<0.05). However, the EMG activities of masseter and anterior temporalis muscles during maximal clenching were lower in the patient group than in the nonpatient grop (p<0.01). The asymmetry index of resting EMG of masseter muscles was higher in the headache patient group than nonpatient group (p<0.05).

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협응이동훈련이 만성 뇌졸중 환자의 걷기에 미치는 효과 -단일사례설계- (The Effect of Coordinative Locomotor Training on Walking in a Chronic Stroke Patient -A Single Subject Design-)

  • 김진철;이문규;이정아;고효은
    • PNF and Movement
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    • 제16권1호
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    • pp.7-17
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    • 2018
  • Purpose: The aim of this study was to investigate the effects of coordinative locomotor training in a chronic stroke patient. Methods: A left hemiplegic patient diagnosed with a right middle cerebral artery stroke participated in this research. The patient's functional conditions were assessed, and a coordinative locomotor training program was initiated to resolve the problems identified. A set of movements deemed difficult based on the brief International Classification of Functioning, Disability and Health core set for stroke and d4501 (long-distance walking) were agreed as improvement targets. The program comprised warm up, main, cool-down, and home exercises. Repeated measurements were obtained, as follows: five times at baseline (A), 10 times during the intervention (B), and five times after the intervention (A). The study period was 7 weeks, and the intervention period was 1 h per day, twice a week for 5 weeks. Various tools, including the community walking test (CWT), 10-m walking test (10 MWT), 6-min walking test (6 MWT), and timed up and go (TUG) test, were conducted to assess the patient's walking ability. Changes in functional domains before and after the ICF Qualifier were compared. The mean values of the descriptive statistics were calculated, and a visual analysis using graphs was used to compare the rates of change. Results: The results showed that the CWT, 10 MWT, 6 MWT, and TUG test scores during the intervention period improved and that this improvement remained, even during the baseline period. In addition, the ICF Qualifier before and after the comparison decreased from moderate to mild. Conclusion: Based on the results, we propose that coordinative locomotor training can have positive effects on community ambulation of chronic stroke patients.

전환장애의 치료와 관리 (Treatment and Management of Conversion Disorder)

  • 오덕원
    • 한국전문물리치료학회지
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    • 제4권2호
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    • pp.77-88
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    • 1997
  • Conversion disorder is a psychologically produced alteration or loss of physical functioning suggestive of a physical disorder. Conversion symptoms are often superimposed on organic disease and can be overlooked. Psychological techniques are central to the management include the following: avoiding confrontation with the patients; avoiding reinforcement or trivializing the symptoms; reviewing results of tests and exams and creating an expectation of recovery; educating the patient before a treatment is begun; evaluating the patient's emotional adjustment and considering it at a treatment; using caution in labeling the condition; considering referral for psychotherapy; establishing particularly a treatment plan and making a definite treatment program; adjusting patient' s environment; letting participate a family at appropriate time; developing a reinforcement program for a treatment of chronic symptoms; developing a home program for outpatients. Use behavior therapy reinforcement may be helpful with more chronic or resistant symptoms, especially when there is a history of vague or excessive somatic complaints or significant secondary gain.

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결핵성 만성 농흉벽에 원발한 T 세포형 악성 임피종;1례 보고 (T-cell Non-Hodgkin`s Lymphoma originating in the wall of Chronic Tuberculous Empyema - One Case Report -)

  • 송우철
    • Journal of Chest Surgery
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    • 제25권10호
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    • pp.1102-1106
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    • 1992
  • A 66-year-old male patient was admitted due to chest pain and dyspnea of 1 year duration, He had history of treatment for tuberculosis and pleurisy, about 40 years ago. At another hospital the patient underwnt closed thoracostomy drainage for six months, and thereafter the symptom gradually aggrevated. Under the diagnosis of chronic tuberculous empyema, decortication was performed. The peel attached to the posterolateral aspect of chest wall, there was an area of soft tissues with pale-brown discoloration, extending to intercostal muscles, but sparing overlying muscles. The biopsy specimen of the lesion was pathologically diagnosed as diffuse, large T-cell non-Hodgkin`s lymphoma. A review of the literature showed that malignant lymphoma of this type have been reported exclusively from Japan but never from other countries including Korea. After 1 year of followup period, the patient is well and stable.

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트립탄 계열 약물에 반응하지 않는 만성 편두통 환자 치험 1례 (A Case Report of a Chronic Migraine Patient Who Did Not Respond to Triptan)

  • 김철현;문연주;추홍민;양무학
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.154-158
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    • 2018
  • Introduction: This case report assessed the effects of Korean medicine treatments on a chronic migraine patient who did not respond to triptan. Case Presentation: The patient received Korean medicine treatments, such as acupuncture, moxibustion, cupping, and herbal medication, during a hospitalization period. The effects of treatments were assessed with the Numerical Rating Scale (NRS) and migraine attack frequency. The intensity and attack frequency of migraines were significantly reduced after the complete treatment. Conclusions: For migraines, Korean medicine such as acupuncture and herbal medication could be an alternative to conventional therapy.