• 제목/요약/키워드: HIP treatment

검색결과 369건 처리시간 0.034초

고관절 골절 수술 후 한의 입원치료 효과 및 다빈도 처방 약재 네트워크 분석 (The Effect of Traditional Korean Medicine Treatment and Herbal Network Analysis in Postoperative Hip Fracture Inpatients)

  • 오지홍;이명종;김호준
    • 한방재활의학과학회지
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    • 제32권3호
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    • pp.119-129
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    • 2022
  • Objectives This study aimed to evaluate the effects of Integrative treatment of traditional Korean medicine (TKM) on 7 hospitalized patients after hip fracture surgery, and to identify significant herbs and co-prescribed herbs by using network analysis and association rule mining. Methods A retrospective chart review of the 7 hospitalized patients treated for postoperative hip fractures between January and December 2021 was performed. All TKM treatments for the patients were identified and Wilcoxon signed-rank test was performed to compare hip pain and mobility on admission and discharge. We visualized the network of herbal medicines and complications. By using network analysis, we also identified the significant herbs (high centrality of degree, eigenvector, and sub-graph). Co-prescription patterns for the hip fracture patients were further analyzed by association rule mining. Results We found that TKM treatment significantly relieved hip pain and improved mobility. Accompanying symptoms reported by the patients were general weakness, anorexia, dizziness, delirium, edema, sputum, sore throat, cough, rhinorrhea, and chills. Herbs composed of Sagunja-tang and Samul-tang showed high centralities and high associations with other herbs. In addition, Gupan, Nokyong, Yukjongyong, Useul, and Hyunhosaek were identified as important herbs for postoperative hip fracture patients. Conclusions This study provides evidence for clinical TKM use as an effective postoperative treatment for pain relief and improvement of mobility in patients with hip fractures. In addition, herbs that can be considered in the treatment of patients after hip fracture surgery were identified through network analysis and association rule mining.

고관절 치환술에 침구치료를 적용한 국내외 연구에 대한 동향 분석 (A Review on the trends of acupuncture and moxibustion treatment for Hip arthroplasty)

  • 오은미;이은정
    • 척추신경추나의학회지
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    • 제14권1호
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    • pp.77-91
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    • 2019
  • Objectives : The purpose of this study was to investigate the effects of using acupuncture and moxibustion for the treatment of hip arthroplasty. Methods : We searched a total of six Korean and international databases (OASIS, KISS, RISS, Pubmed, Cochrane library, and CNKI) up to March 2019, and included randomized controlled trials which investigated the treatment effects of acupuncture and moxibustion in patients with hip arthroplasty. Results : In total, 29 studies were selected and included in the analysis. These studies conducted interventions, with the most frequently conducted methods being electroacupuncture (24.1%) and auricular acupuncture (20.7%). The most frequently used acupoints were the Ashi-, Lower four-, and Lower five points. VAS (48.9%) and Harris scores (22.2%) were commonly used to evaluate treatment effects. In total, 27 studies (93.1%) reported favorable treatment effects following acupuncture and moxibustion treatment, compared to the control group. Conclusions : These results may suggest that acupuncture and moxibustion have favorable effect on Hip arthroplasty.

고관절 원형인대 파열 환자에 대한 한의학적 치료: 증례보고 (A Clinical Case of the Korean Medical Treatment for the Patient with Ligamentum Teres Tear of the Hip)

  • 이동현;오민석
    • 한방재활의학과학회지
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    • 제32권2호
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    • pp.155-162
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    • 2022
  • The purpose of this clinical case is to evaluate the efficacy of the Korean medical treatment on a ligamentum teres tear of the hip. One patient, admitted to Daejeon Jaseng Hospital of Korean Medicine was diagnosed with a ligamentum teres tear of the hip by hip magnetic resonance imaging. We treated the patient using the Korean medical treatments, including acupunture, pharmacopuncture, herbal medication, and cupping. We measured the numerical rating scale (NRS), passive range of motion (PROM) and the changes of symptoms. After 13 days, NRS decreased from 8 to 1 respectively, PROM of hip joint has recovered, and the symptoms of the patient improved. In conclusion, this study shows that Korean medical treatment might be effective in treating the patient with a ligamentum teres tear of the hip.

적층공정법으로 제작된 CoCrMo 합금의 복합열처리 효과 (Complex heat-treatment effects on as-built CoCrMo alloy)

  • 이정일;김형균;정경환;김강민;손용;류정호
    • 한국결정성장학회지
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    • 제28권6호
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    • pp.250-255
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    • 2018
  • 본 연구에서는 3D-프린팅 적층 공정으로 제조한 인공관절용 CoCrMo 합금 소재의 HIP 처리를 포함한 복합열처리 후 소재의 인장특성, 내마모 특성 등의 기계적 특성과 결정구조 및 미세조직 등의 재료특성 변화를 고찰하였다. 내부마이크로 기공을 제거하기 위한 HIP 열처리와 금속탄화물 생성을 위한 상압열처리 및 금속탄화물의 균질화를 위한 용체화 열처리를 거치는 복합열처리 공정을 실시하여 인공관절 소재로서의 특성을 부여하고자 하였다. 3D-프린팅 적층 공정으로 제조한 인공관절용 CoCrMo 합금 소재의 복합열처리 효과는 HIP 공정중의 치밀화 과정, 상압열처리 중의 금속탄화물 생성 및 용체화 열처리 과정중의 금속탄화물의 균질화 효과임을 XRD, FE-SEM, EDS 분석으로 확인하였다.

강직성 척추염으로 인한 천장관절염 및 고관절 윤활막염 환자를 대상으로 시행한 고관절 MST 및 한방 보존적 치료 치험 1례 (A Clinical Report on the Case of Bilateral Sacroilitis with Synovitis in Rt. Hip Joint Caused by Ankylosing Spondylitis, treated by Conservative Korean Medical Treatment Including Hip Joint MST(Motion Style Treatment))

  • 김희정;배상은;이승열;정유화
    • 척추신경추나의학회지
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    • 제9권2호
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    • pp.125-132
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    • 2014
  • Objectives : The Purpose of this study is to investigate the clinical application of conservative Korean treatment including hip joint MST for Bilateral Sacroillitis with Synovitis in Rt. Hip Joint Caused by Ankylosing Spondylitis. Methods : Patient is hospitalized at Dept. of Korean Internal Medicine, Jaseng Korean Medicine Hospital, diagnosed as Bilateral Sacroilitis with Synovitis in Rt. Hip Joint Caused by Ankylosing Spondylitis, and treated by herbal medicine, acupuncture, moxibustion, and hip joint MST. This study was measured by NRS(Numeric Rating Scale), SLRT(Straight leg raising test), Patrick test, and Blood test(ESR, CRP). Result : After conservative treatment, the patient's pain was controlled and NRS score was decreased. SLRT score also improved. Patrick test unchanged. ESR, CRP score was decreased. Conclusion : As seen in this one case, conservative Korean treatment including hip joint MST has a positive effect to control pain with Bilateral Sacroillitis with Synovitis in Rt. Hip Joint Caused by Ankylosing Spondylitis.

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성인의 발달성 고관절 이형성증에 대한 한방치료: 증례보고 (Korean Medicine Treatment for Developmental Dysplasia of the Hip in Adults: A Case Report)

  • 김의별;강기완;김민우;조동찬;고연석
    • 한방재활의학과학회지
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    • 제30권2호
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    • pp.165-171
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    • 2020
  • The purpose of this study is to report the effect of korean medicine treatment for developmental dysplasia of the hip (DDH) in adults. A patient diagnosed with DDH had been treated with acupuncture, electroacupuncture, cupping therapy and chuna manual therapy for 8 weeks. The patient was evaluated by using range of motion (ROM) of hip joint, muscle strength of lower extremity, leg length, numeric rating scale (NRS) and Korean version of hip disability and osteoarthritis outcome score (K-HOOS). After the treatment, the patient had an improvement in the symptoms, pain, and activities of daily living of K-HOOS, especially the quality of life. In addition, NRS decreased from 7 to 4 points, and ROM and muscle strength also improved. The results of this study show that korean medicine treatment is effective and meaningful as one of the conservative treatment for DDH in adults.

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.

고관절(股關節) 질환(疾患)의 동서양의학적(東西洋醫學的) 고찰(考察) (Study of east & west medical science documentary records of Hip joint pain)

  • 김현수;강준혁;홍서영;윤일지;오민석
    • 혜화의학회지
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    • 제15권1호
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    • pp.125-140
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    • 2006
  • Study of east & west medical science documentary records of Hip joint pain lead to following conclusions. 1. Easten medicine classify hip joint pain with terms "Bi-chu-tong", "Bi chu in tong" "Bi-chu-choong-tong". 2. Easten medicine asorts cause of hip joint pain with external factor, such as exogenous energy, six yin evil energy and intrinsic factor, which are weakness caused by prolonged deasease, warm-heat evil. 3. In western medicine, causes that trigger hip joint pain are trauma, fracture, dislocation,and bacterial infection. 4. Treatment of hip joint disorder in western medicine, physiotherapy concerning conservative treatment, and pain control with drug treatment, kinesitherapy are used, and concernig fracture, operation is used. 5. In Eastern medicine, principle of treating hip joint pain, sung-juk-sa-ji(盛則寫之), hu-juk-bo-ji(虛則補之), yul-juk-jil-ji(熱則疾之), han-juk-yu-ji(寒則留之), ham-ha-juk-chim-ji(陷下則沈之), bul-sung-bul-hu(不盛不虛), yi-kyong-chui-ji(以經取之) is presented. This priciple of treatment was descended through ages and is now applied to treatments such as Acupuncture, Herbal, physical treatment based on so-san-eo-hyul(消散瘀血), seo-kun-tong-rak(舒筋通絡), so-ri-kwan-jul(疏利關節) principle. 6. In Eastern medicine, meridians used to treat hip joint pain are The Chok yangmyung wi Kyong(足陽明胃經), Chok taeum bi Kyong(足太陰脾經), Chock soyang dam Kyong(足少陽膽經), Chock guelum gan Kyong(足厥陰肝經). In conclusion, hip joint pain should be considered in relationship with internal organs and whole body system. Western & Eastern point of view should be carefully inspected and connected and intensive study of nervous system and meridian is required, in order to adopt best treatment for the patients.

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HIP과 열처리공정을 이용한 Ni기 초합금 소재의 미세조직 및 기계적 특성 분석 (Evaluation of the Microstructure and Mechanical Properties for Ni Superalloy Materials Using HIP and Post Heat Treatment)

  • 김영대;현중섭;장성용
    • KEPCO Journal on Electric Power and Energy
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    • 제6권2호
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    • pp.137-143
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    • 2020
  • 가스터빈 고온부품 소재로 사용되는 Ni기 초합금 CM247LC 소재에 대한 최적 후처리 조건을 도출하기 위해 일방향 응고 주조법을 통한 봉상시험편을 제작하였다. 제작된 시험편은 HIP (Hot Isostatic Pressing) 처리 및 후열처리를 통해 기계적 특성과 미세 구조를 분석하여 최적의 HIP처리 조건을 도출하고자 하였다. CM247LC 소재의 경우 가스터빈 블레이드의 대체 소재로써 시제품 제작을 위한 다양한 연구가 진행되고 있다. 특히 블레이드의 경우 고속의 회전체로 고온 및 고압의 운전 환경에 노출되어 손상 시 후단의 블레이드와 베인에 대해 추가적인 설비 파손을 야기하여 막대한 경제적 손실을 초래할 수 있다. 따라서, CM247LC 소재가 블레이드 시제품 제작에 사용되기 위해서는 미세구조와 기계적 특성에 대한 신뢰성이 확보되어야 한다. 따라서 본 연구에서는 CM247LC 소재에 대한 기계적 특성 향상을 위해 전력연구원에서 설계한 기준에 따라 HIP처리 및 열처리를 수행하고 미세조직 특성 및 기계적 특성 분석을 통해 기존 1,300℃급 가스터빈 블레이드에 소재로 활용되고 있는 GTD111DS 소재와 기계적 특성을 비교 평가하였다.