• 제목/요약/키워드: Chronic insomnia

검색결과 97건 처리시간 0.025초

기능성소화불량과 만성 위축성 위염이 병발된 여성 환자에 대해 한방치료 경험 1례 (A Case Report of the Traditional Korean Treatment of Female Patients with Both Functional Dyspepsia and Chronic Atrophic Gastritis)

  • 윤상협
    • 대한한방내과학회지
    • /
    • 제40권4호
    • /
    • pp.697-708
    • /
    • 2019
  • Objective: The aim of this study was to introduce gastric dysmotility as a common cause in patients with concurrent functional dyspepsia and chronic atrophic gastritis. Method: Dyspeptic symptoms, the Rydoraku score, gastric motility (electrogastrography, bowel sound analysis), gastric mucosa (gastroendoscopy), and blood and blood chemistry were all evaluated. For the treatment method, Pyengwi-san (solution) and Banwhasashim-tang (extract) were used as herbal drugs. Both ST36 electrical stimulation and simple immersion stimulation of CV11, 12, and 13 in the abdomen were applied. Results: Dyspeptic symptoms including indigestion, headache, and insomnia were all relieved. Gastric myoelectrical activity and gastric pyloric function were additionally improved. The condition of the gastric mucosa was changed from atrophic to erosive. Other side-effects of the treatment were not noted. Conclusion: The traditional Korean treatment showed effectiveness in the relief of dyspeptic symptoms and mucosal improvement of chronic atrophic gastritis. Gastric dysmotility is a common cause of the condition being concurrent with both functional dyspepsia and chronic atrophic gastritis without Helicobacter pylori infection.

REM 수면 의존성 폐쇄성 수면무호흡증후군 1례 (A Case of REM-Dependent Obstructive Sleep Apnea Syndrome)

  • 이주영;정도언
    • 수면정신생리
    • /
    • 제12권1호
    • /
    • pp.68-71
    • /
    • 2005
  • 저자들은 렘수면에서만 주로 발생한 폐쇄성 수면무호흡증 1례를 경험하고 이를 보고하면서 그 의미를 고찰하고자 하였다. 증례는 55세 여자 환자였으며 수면클리닉에 와서 만성불면증을 호소하였다. 야간수면다원검사에서 호흡장애지수는 13.8, 혈중산소포화도가 90% 미만인 시간은 5.0%로 전반적으로는 경한 정도의 폐쇄성 수면무호흡증 소견을 보였다. 그러나 흥미롭게도 무호흡과 산소포화도저하가 주로 렘수면에서만 나타났고 렘수면단계에서만 산출한 호흡장애지수는 38.1, 그리고 혈중산소포화도의 저하소견도 더 심해져 90% 미만에 해당하는 시간의 비율이 13.9%로 중증의 수면무호흡증에 해당되었다. 이 증례에서 얻는 교훈은 다음과 같다. 첫째, 만성불면증의 일부에서는 폐쇄성 수면무호흡증을 앓고 있으며 야간수면 다원검사 없이는 단순한 불면증으로 오진할 가능성이 있다는 것이다. 둘째, 치료적 측면에서 렘수면 의존성인 폐쇄성수면무호흡증의 치료는 여러 수면단계에 걸쳐 나타나는 무호흡증의 치료와 달리 약물학적 치료, 특히 렘수면에 관여하는 약물을 이용한 치료법 개발의 좋은 모델이 될 가능성이 있다.

  • PDF

이압요법이 암환자의 불면증에 미치는 효능 : 무작위배정, 단일맹검, 위약대조군 연구 (Effect of Auricular Acupress Therapy on Insomnia of Cancer Patients : Randomized, Single Blinded, Placebo Controlled Trial)

  • 정인숙;김정선;유화승
    • 대한약침학회지
    • /
    • 제13권2호
    • /
    • pp.93-100
    • /
    • 2010
  • Background: Auricular acupressure is one of the traditional health care treatments in oriental medicine. Approximately, 30~40% of the cancer patients have said to be suffering from insomnia and half of them having chronic and severe insomnia at the same time. Insomnia caused cancer patients feel more pain, fatigue, depression and anxiety and it sometimes let the power to have the best of cancer pull down. Objective: To investigate how effective the auricular acupressure treatment to cancer patients suffering from insomnia. Methods: We recruited participants from East-West Cancer Center of Daejeon University. Finally, of the people whose age range from 20 to 75, 12 patients who got less than 40 points from the score of Oh's sleeping score (OSS) were recruited. Single-blind, randomized pilot study was performed. The treatment group received auricular acupressure treatment (AAT) on active points and the control group had received sham acupressure treatment (SAT) for five times. Sleep parameters were checked by using OSS and numeric rating scale (NRS). We checked the scale everytime, both before and after treatment. We analyzed the data statistically by using independent T-test, paired T-test and analysis of variance (ANOVA) test. (p<0.05) Results: Twelve cancer patients participated in this pilot study and there was no significant difference between control and treatment group. Only 7 of them had completed the whole treatment process, 4 patients of AAT group and 3 participants of SAT. The OSS of AAT group had increased from $34.0{\pm}4.3$ to $39.5{\pm}3.1$ and that of SAT group had increased from $38.3{\pm}3.5$ to $40.0{\pm}0.0$. There was no significant difference between them. The NRS of AAT group had increased from $6.3{\pm}2.9$, $04.8{\pm}2.1$ and that of SAT group had increased from $7.0{\pm}1.0$ to $5.0{\pm}2.6$. No significant difference was observed between them. Conclusion: Although both groups did not show significant differences, most of the experimental participants showed increasing OSS and NRS after treatments. Significant participants' number will be needed in the next study.

세포교정영양요법(OCNT)을 이용한 주부 습진 환자 사례 연구 (A Case Study of Ortho-Cellular Nutrition Therapy (OCNT) in a Patient with Hand Eczema)

  • 조종빈
    • 셀메드
    • /
    • 제13권1호
    • /
    • pp.6.1-6.3
    • /
    • 2023
  • Objective: A case resport on the improvement of hand eczema through Ortho-Cellular Nutrition Therapy Methods: Two years of repeated improvement and worsening of hand eczema in a 68-year-old Korean woman resulted in pain and decreased quality of life. Results: After nutritional therapy, hand eczema improved. Conclusion: Nutritional therapy can help patients with chronic hand eczema improve inflammation, itching, depression, and insomnia.

Does risk of obstructive sleep apnea have interaction with chronic facial pain?

  • Kang, Jeong-Hyun;Lee, Jeong Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제48권5호
    • /
    • pp.277-283
    • /
    • 2022
  • Objectives: The main purpose of the present study was to investigate the associations between the risk of obstructive sleep apnea (OSA) and chronic orofacial pain in a nationally representative sample of the Korean population. Materials and Methods: Data from the 8th wave Korean national health and nutrition examination survey, which was conducted from 2019 to 2020 were analyzed. This study included 5,780 Koreans (2,503 males, 3,277 females) over 40 years of age. The presence of subjective chronic facial pain lasting more than 3 months was evaluated based on a self-reported questionnaire. The risk of OSA was determined using the STOP-BANG questionnaire. Data related to anthropometric and sociodemographic factors; diagnostic history of hypertension, depression, and OSA; level of health-related quality of life and stress awareness; health-related behaviors, including smoking and alcohol drinking; and sleep duration were collected. The participants were classified into two groups according to the presence of chronic facial pain. Results: The level of health-related quality of life and stress awareness showed significant differences between the two groups. The sleep duration on weekends also presented significant differences. No significant differences were observed in the presence of snoring and observed apnea, while participants with chronic facial pain showed significantly higher levels of tiredness between the groups. The risk of OSA evaluated by STOP-BANG questionnaire showed significant differences between groups; however, the risk of OSA seemed to be higher in participants without chronic facial pain. Conclusion: The participants with chronic facial pain demonstrated decreased sleep duration, lower health-related quality of life, and increased stress and tiredness. Even though, the role of OSA in the development of chronic facial pain was inconclusive from the study, it is possible that ethnicity play a role in relationship between OSA and chronic facial pain.

세포교정영양요법(OCNT)를 이용한 하지불안증후군 사례 연구 (A Case Study on the Improvement in Restless Leg Syndrome Using Ortho-Cellular Nutrition Therapy (OCNT))

  • 이정민
    • 셀메드
    • /
    • 제13권15호
    • /
    • pp.56.1-56.7
    • /
    • 2023
  • Objective: Improvement of the symptoms of restless leg syndrome patient by using OCNT. Methods: OCNT was implemented on a 50-year-old Korean female patient with symptoms of chronic fatigue and chronic gynecologic disease as well as sufferance from insomnia due to numbness in the legs following hysterectomy in the past. Results: Following the implementation of OCNT, the symptom of numbness in the legs improved along with other symptoms that caused inconveniences to the patient such as sleep disorder, fatigue and gynecology disease. Conclusion: Application of OCNT to patient suffering restless leg syndrome can be helpful in alleviation of the symptoms.

형방지황탕(荊防地黃湯)의 임상적 활용 (The Clinical Utilization of Hyungbangjihwang-tang)

  • 황지호;장은수;유종향;김호석;이시우
    • 사상체질의학회지
    • /
    • 제20권3호
    • /
    • pp.142-150
    • /
    • 2008
  • 1. Objective The purpose of this study is to examine the characteristics and the improvement in the symptoms of the patients who administrated Hyungbangjihwang-tang. 2. Methods We examined 793 case report forms(CRFs) from six oriental medical hospitals and three regional oriental medicine clinics. These CRFs are recorded from november 2007 to july 2008. All constitutions of cases were diagnosed not only by Sasang constitution experts but also through clinical experiences. The traits of the patients and the effects of their treatment were examined. 3. Results and Conclusion 1. The chief complaints in which the patients showed improvement were Headache, fatigue, lumbago, dyspepsia. 2. The ordinary symptoms in which the patients showed improvement were insomnia, fatigue, constipation, dyspepsia, headache. 3. The average food intake of the patients was normal(65.2%) and their feces had intermediate hardness (semi-soft). The color of their urine was either clear or yellow. 4. The amount of the patients' sweat was appropriate (39.1%) Their water intake was approximately normal, and they preferred drinking the cold water. 5. Among the diseases that the patients previously had chronic gastritis(19.6%) had the highest frequencies. 4. Conclusion: The above results show that Hyungbangjihwang-tang can be considered beneficial to headache, fatigue, lumbargo, insomnia, constipation, dyspepsia patients whose food intake is normal, whose sweat level is either appropriate, who prefer to drink cold water, and who are suffering from chronic gastritis.

  • PDF

오령산에 대한 임상연구 분석 (An analysis of Clinical Studies on Oryeong-San)

  • 석은주;전수연;김원배;김도현;이숭인
    • 대한한의학방제학회지
    • /
    • 제26권4호
    • /
    • pp.341-362
    • /
    • 2018
  • Objective : This study's purpose was to review the clinical studies of Oryeong-San. Method : We searched papers about Oryeong-San using KISS, KTKP, PUBMED, Embase, Science Direct, and the key words "Goreisan", "Goreito", "Wu Ling San", "Oryeongsan", "Poria Five Powder" were used. Papers not matched with inclusion criteria were excluded. Results : Until today, there have been 133 studies on the effects of head diseases, urinary system diseases, edema, and other various effects of Oryeong-San. Of these, 23 studies were classified as clinical research papers. There were 8 cases of head diseases, 5 cases of urinary system diseases, 3 cases of edema, 2 cases of adjuvant, 1 case of Dysmenorrhea, 1 case of Primary Hypertension, 1 case of Primary Insomnia, 1 case of hydrocele, 1 case of side effects causing TINU syndrome. Conclusion : It can be seen that Oryeong-San has established the basis for application to the purpose of head disease(chronic subdural hematoma, hydrocephalus, hearing loss), urinary system disease(stone, urinary tract infection), edema, adjuvant, other hypertension and insomnia. On the other hand, considering one case that causes side effect of TINU syndrome, caution should be exercised when observing the progress of the patient taking the Oryeong-San.

Clinical Characteristics of Disability in Patients with Indoor Aire-Related Environmental Intolerance

  • Vuokko, Aki;Karvala, Kirsi;Suojalehto, Hille;Lindholm, Harri;Selinheimo, Sanna;Heinonen-Guzejev, Marja;Leppamaki, Sami;Cederstrom, Sebastian;Hublin, Christer;Tuisku, Katinka;Sainio, Markku
    • Safety and Health at Work
    • /
    • 제10권3호
    • /
    • pp.362-369
    • /
    • 2019
  • Background: Chronic nonspecific symptoms attributed to indoor nonindustrial work environments are common and may cause disability, but the medical nature of this disability is unclear. The aim was to medically characterize the disability manifested by chronic, recurrent symptoms and restrictions to work participation attributed to low-level indoor pollutants at workplace and whether the condition shares features with idiopathic environmental intolerance. Methods: We investigated 12 patients with indoor aire-related work disability. The examinations included somatic, psychological, and psychiatric evaluations as well as investigations of the autonomic nervous system, cortisol measurements, lung function, and allergy tests. We evaluated well-being, health, disability, insomnia, pain, anxiety, depression, and burnout via questionnaires. Results: The mean symptom history was 10.5 years; for disabling symptoms, 2.7 years. Eleven patients reported reactions triggered mainly by indoor molds, one by fragrances only. Ten reported sensitivity to odorous chemicals, and three, electric devices. Nearly all had co-occurrent somatic and psychiatric diagnoses and signs of pain, insomnia, burnout, and/or elevated sympathetic responses. Avoiding certain environments had led to restrictions in several life areas. On self-assessment scales, disability showed higher severity and anxiety showed lower severity than in physician assessments. Conclusion: No medical cause was found to explain the disability. Findings support that the condition is a form of idiopathic environmental intolerance and belongs to functional somatic syndromes. Instead of endless avoidance, rehabilitation approaches of functional somatic syndromes are applicable.

The effect of stabilization exercise on pain-related disability, sleep disturbance, and psychological status of patients with non-specific chronic low back pain

  • Akodu, Ashiyat Kehinde;Akindutire, Oluwagbemisola Marian
    • The Korean Journal of Pain
    • /
    • 제31권3호
    • /
    • pp.199-205
    • /
    • 2018
  • Background: Sleep disturbance and depression are becoming more recognized as important symptoms among individuals with chronic low back pain. This study evaluated the effect of stabilization exercise on pain-related disability, sleep disturbance and the psychological status of patients with non-specific chronic low back pain (NSCLBP). Methods: A total of 26 patients (M/F = 17/9) with NSCLBP with a mean age of $50.0{\pm}15.5$ took part in this study. Participants were recruited from selected hospitals in Lagos state. Ethical approval was sought and obtained from the health research and ethics committee of Lagos University Teaching Hospital Idi-araba, Lagos, Nigeria. Participants performed stabilization exercise for eight weeks consecutively and were assessed for pain-related disability, anxiety, depression, and sleep disturbance using the pain-disability index, hospital anxiety and depression scale, and the insomnia severity index at baseline, the 4th week, and the 8th week, postintervention. Results: The participants studied recorded significant reduction in pain-related disability (P = 0.001). There was also improvement in the sleep quality (P = 0.001), depression level (P = 0.001), and anxiety level (P = 0.001), post intervention. Conclusions: This study revealed that stabilization exercise is very useful in the management of sleep disturbance, pain-related disability, depression, and anxiety in NSCLBP patients.