• 제목/요약/키워드: Hospitalization period

검색결과 388건 처리시간 0.026초

사상처방과 단식요법을 활용한 건선(乾癬) 치험 2례 (Two Cases of Psoriasis treated with Sasang Constitutional Therapy and Fasting Therapy)

  • 한수진;송정모
    • 사상체질의학회지
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    • 제22권4호
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    • pp.130-139
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    • 2010
  • 1. Objectives The purpose of this study was to give an account of the effects of Sasang constitutional medicine and fasting therapy for the patient who has suffered from various signs or symptoms caused by psoriasis. 2. Methods The cases were one 50-year old man diagnosed as Taeeumin and one 29-year old man diagnosed as Soyangin. They all have the symptoms caused by psoriasis, such as rash, erythema, scaly skin, itching, etc. So we've recorded the progress of their symptoms as a score at the tables to check their conditions throughout the hospitalized period. We've diagnosed them as Soyangin, Taeeumin have prescribed Yangdokbaecho-tang and Galgeunhaegi-tang and have carried out fasting therapy. 3. Results and Conclusions The general condition of the patient have improved incredibly, where the each scores at the tables dropped from 4 to 0,1 and their symptoms like rash, erythema, scaly skin, itching, edema have almost disappeared at the end of the hospitalization period. This indicates that Yangdokbaecho-tang and Galgeunhaegi-tang can be used to treat main symptoms of psoriasis and fasting therapy can be used as a subsidiary therapy for the psoriasis.

중증 뇌 손상환자를 위한 바비튜레이트 혼수요법의 표준임상지침(Critical Pathway) 개발 (Development of a Critical Pathway of Barbiturate Coma Therapy in the Management for Severe Brain Damage)

  • 김정숙
    • 간호행정학회지
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    • 제16권1호
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    • pp.59-72
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    • 2010
  • Purpose: This study is a descriptive research to analyze prognostic factors of barbiturate coma therapy (BCT) for severe brain damage patients, to develop a critical pathway (CP) based on the results of analysis and to examine the effect of its clinical application. Method: We analyzed medical records of 76 patients who received BCT for more than three days between January 1999 to July 2005. Based on the results of the analysis, we developed a CP and applied it to 12 people during August-December of 2005. Result: By application of BCT CP, the mortality rate decreased from 31.6% to 16.7%. It was found that the period of staying at ICU and total period of hospitalization were shortened by 2.78 (13.9%) days and 16.43 (29.4%) days, respectively. The Glasgow coma scale of the recovery group by CP application was 9.03 (4.64) at 72 hours post of BCT and 14.28 (1.82) at discharge from hospital, and DRS was 6.62 (6.38) points. Conclusion: By verifying clinical validity of the suggested CP, we believe that we have obtained visible effects standardizing the treatment pathway of BCT for brain damage patients.

식적으로 변증하고 투약한 환자군에 대한 임상연구 (A Clinical study on patients who were treated with Sik-jeok)

  • 조민군;김준철;강한주;안훈모
    • 대한의료기공학회지
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    • 제16권1호
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    • pp.59-77
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    • 2016
  • Objectives : The purpose of this study was to investigate the clinical characteristics of symptom improvement in patients who were treated with Sik-jeok. Methods : We investigated 31 patients who were treated with the prescription of Sik-jeok had hospitalized to hospital in M Korean medicine hospital in Gimpo city, Gyeonggi Province from January 4th, 2016 to September 10th, 2016. We evaluated the change of them by using Martins AN. Results : Prescription of Sik-jeok tend to be administered in a shorter period of time than the total length of hospitalization. We can make a hypothesis that the longer the prescription of Sik-jeok period, the more likely it would be better results, but it could not be used statistically. Pyeongwisan gagam and Jungritang is possible to expect a better score compared to other prescriptions of Sik-jeok, but it was not statistically effective. Conclusions : These outcomes suggest the need of In-depth consideration about prescription of Sik-jeok and development of medication scale associated with prescription of Sik-jeok.

요추 추간판탈출증 환자의 보존적 치료에 대한 통계적 연구 (Statistical Study of Conservative Treated Herniated Intervertebral Lumbar Disc)

  • 김수장;김용;김성용;이정훈
    • 대한추나의학회지
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    • 제3권1호
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    • pp.43-53
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    • 2002
  • Objectives : The object is to study a clinical effect regarding the conservative treatment of the patient who was diagnosed as the herniated Intervertebral lumbar disc(HIVD) and hospitalized in the oriental medical hospital and clinical study about the type of the HIVD. Methods. The clinical studies were done on 65 cases (hospitalized in Dept. of Oriental Rehabilitation Medicine, jaseng on oriental medical hospital from June 2001 to May 2002) who complained of low back pain or sciatica and diagnosed as HIVD on CT(computerized tomography) or MRI(magnetic resonance imaging). They were given both oriental conservative treatment and exercise during the hospitalization period. We investigated and observed 20 items about sex, age, weight, height, occupation, smoking. obesity, duration of disease, clinical symptom and treatment duration in basis of medical recording which was drawn up at patient hospitalization. We classified HIVD with 4 types(Bulging. Protruded. Extruded, Sequestered) and decided the case which simultaneously had 2 overs with Mixed type. The treatment evaluation standard was classified with 4 branches; Excellent. Good, Fair and Poor. Results & Conclusions : The treatment result of over 'fair' is bulging type 85%, protruded type 92.7%, extruded type 100% and the mixed type was 85.1 %. The effect was good in order of bulging, mixed, protruded and extruded type. It appeared most plentifully with 30 people in L4-5 and L5-S 1 disc herniation type.

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최소 절개 봉합술을 이용한 아킬레스건 파열의 치료 - 수술 방법 및 초기 결과 - (Limited Open Repair Technique of Achilles Tendon Ruptures - Operative Technique and Early Results -)

  • 이근배;박유복;김병수;최진;정성택
    • 대한족부족관절학회지
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    • 제10권1호
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    • pp.37-41
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    • 2006
  • Purpose: To investigate the early results of limited open repair technique of Achilles tendon ruptures, and to describe the surgical technique. Materials and Methods: From October 2004 to February 2005, a total of 10 patients with Achilles tendon rupture underwent limited open repair. The average age of the patients was 39.3 years, and the average follow-up period was 9 months. The causes of injury were sports injuries in 8 cases, and slip down in 2. The mean interval between the injury and the operation was 9 days. The clinical results were assessed by patient's satisfaction, incision length, hospitalization, the ankle-hindfoot scale of American Foot and Ankle Society (AOFAS), and complications. Results: Of 10 patients, 8 were very satisfied, and the remaining 2 were satisfied. The mean incision length was 2.0 cm, and the mean hospitalization was 2 days. The mean AOFAS score was 97 points, and there was no complications such as infection, rerupture, or nerve injury. All patients returned to work at approximately 2 months, and resumed light exercise such as jogging at approximately 3 months. Conclusion: Limited open repair technique of Achilles tendon ruptures is provided for better cosmetic results, high patient's satisfaction, and functionally successful results without postoperative complications.

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4기 위암환자의 증치에 관한 보고 1례 (One Case on Diagnosis and Treatment Based on an Overall Analysis of Signs and Symtoms of Stomach Cancer Stage IV)

  • 하장;백태현;공경환
    • 대한한방내과학회지
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    • 제21권5호
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    • pp.897-902
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    • 2000
  • Objective : The study was to investigate Diagnosis and Treatment Based on an Overall Analysis of Signs and Symtoms(證治) of a patient on stomach cancer stage IV by means of the clinical symptoms. Methods : The observation of the clinical progress was carried out by conducting Diagnosis and Treatment Based on an Overall Analysis of Signs and Symtoms(證治) with the patient diagnosed stomach cancer stage IV. Results : Treatments such as the invigoration of qi(補氣), the flow of qi(行氣), and the relieving pain(止痛) was given because the patient showed the qi deficiency of the spleen and stomach(脾胃氣虛). There were moderate effects for anorexia, indigestion, nausea, and general weakness, but there was not any clear effect for alleviation of abdominal pain except the first period. Specially, compared with two hospitalization treatments in 1998, the third hospitalization treatment did not show any apparent improvement. It was believed that this caused by the patients bodily weakness because of deterioration of anemia from bleeding in the progress of cancer. Conclusion : Diagnosis and treatment based on an overall analysis of signs and symtoms(證治) of a patient on stomach cancer stage IV had moderate effects on the improvement of the patients condition, but in this case we had difficulty in long-term observation because of short hospitalizations or insufficient examination by an oriental-western combined medicine group.

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형방지황탕(荊防地黃湯)으로 경계(驚悸), 정충(怔忡)을 치료한 양성 부정맥 소양인(少陽人)환자 1례(例) (A Case Study Reporting Successful Treatment using Hyeongbangjihwang-tang of a Soyangin Patient diagnosed with Benign Arrhythmia and Experiencing Palpitation Symptoms)

  • 신현상;박병주;강미정;이지원;장현수;이준희;이의주;고병희
    • 사상체질의학회지
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    • 제22권2호
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    • pp.115-122
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    • 2010
  • 1. Objectives: This case study reports clinical improvement of a Soyangin benign arrhythmia patient who showed improvement of palpitation symptoms after treatment with Hyeongbangjihwang-tang. 2. Methods: The patient's subjective and objective symptoms were observed daily, and the VAS scores and duration times of palpitation were recorded daily throughout the hospitalization period. 3. Results: The general condition of the patient improved by the end of hospitalization. The VAS score dropped from 4-10 to 0-1, and the duration of palpitation dropped from 50-160 min to 0-5 min. Other symptoms such as diarrhea and lower back pain also showed improvement. 4. Conclusion: This case study shows the effectiveness of Hyeongbangjihwang-tang in the treatment of palpitation. Although the literature on Hyeongbangjihwang-tang does not report its usage on palpitation, the prescription was shown to be effective in the case where the palpitation symptom is concomitant to the general symptomatology of the Mangeum disease, a pathology indicative of Hyeongbangjihwang-tang.

반복 발작성 긴장성 두통을 호소하는 소양인(少陽人) 태음인(太陰人) 치험 2례 (Two Cases of Repetitive Episodic Tension-type Headache Patients who were Constitutionally Typed as Soyangin and Taeeumin)

  • 박병주;신현상;강미정;이지원;장현수;이준희;이의주;고병희
    • 사상체질의학회지
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    • 제22권2호
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    • pp.123-134
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    • 2010
  • 1. Objectives: This study reports two cases of repetitive episodic tension-type headache patients who were each constitutionally typed as the Taeeum type and the Soyang type and respectively treated with Yanggyeoksanhwa-tang and Galgeunhaegi-tang. 2. Methods: The patients' subjective and objective symptoms were observed daily, and the VAS scores for the main symptoms were recorded daily throughout hospitalization period. When deemed necessary, other assessment tools were engaged (Migraine-Specific Quality of Life questionnaire, Migraine Disablity Assessment questionnaire, Headache Impact Test-6, etc.). 3. Results: The Soyang Type patient's headache improved by the end of hospitalization, with a dramatic drop in the VAS score from VAS 10 to VAS 2. The Taeeum Type patient's headache also showed improvement, with an equally dramatic decrease in the VAS score from VAS 10 to VAS 2. 4. Conclusion: Although the two patients were experiencing the same symptoms of repetitive episodic tension-type headache, they were each given different medicinal interventions in accordance to their respective constitutional types. This series of cases is notable in that the two widely different medications (Yanggyeoksanhwa-tang and Galgeunhaegi-tang) were applied to specifically conforming pathologies (the Sogal symptomatology and the Ganyeol symptomatology, respectively) to produce equally dramatic improvements.

한방병원에 입원한 중풍 환자에 대한 임상적 관찰 (Clinical Observation of Stroke Patients Admitted to Hospital of Oriental Medicine)

  • 김동민;김회권;하선윤;김용석;남상수
    • Journal of Acupuncture Research
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    • 제24권5호
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    • pp.43-52
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    • 2007
  • Objective : The purpose of this study is to present the epidemiological data on stroke patients admitted to Department of Acupuncture & Moxibustion, Kang-Nam Korean Medicine Hospital Kyunghee University and comparison to past stroke patient studies. Methods : Research was conducted by surveys and charting of patients with a stroke admitted to Department of Acupuncture & Moxibustion Gang-Nam Korean Medicine Hospital Kyunghee University from Jan. 1. 2005 to Dec. 31. 2006. Results : There was 2.3 times more cerebral infarction than cerebral hemorrhage and 1.5 times more female patients. Older patients showed more infarction than hemorrhage. Patient range was mostly in the 70year old range. Preceding diseases were hypertension>diabetes>hyperlipidemia. Gait condition improved during hospitalization. Most patients were admitted after 61 days of stroke onset and hospitalization period exceeded 71days. 76% of patients received treatment from other medical facilities before admittance. Most patients came from western medicine hospitals. Triglyceride levels were high at 32.3% at the time of admittance. The most common symptom in admission time was headache. Conclusion : Acute stroke patients decreased, long term patients increased, and patients who came from other medical facilities increased.

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중추 신경계 혈관질환(C. V. A)환자 중 퇴원환자의 신체기능장애정도와 그 특성에 관한 고찰 (Selected Characteristics and Degree of Physical Disability of Stroke Survivors at Discharge from Five General Hospitals in Seoul, 1975)

  • 이선옥
    • 대한간호학회지
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    • 제6권1호
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    • pp.23-28
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    • 1976
  • This study was undertaken to obtain information about selected characteristics and the degree of physical disability of patients with a diagnosis of cerebrovascular accident upon their discharge from a general hospital. It was hoped that this information would contribute to the assessment of their needs for follow-up nursing care. Nurse's and Physician's Progress Notes of all stroke patients discharged from five general hospitals in Seoul from January to December 1975 were analysed using a prepared check list. Patients with other complicating diagnosis such as diabetes, tuberculosis or heart disease were excluded from the sample. According to six factors used to grade the total sample of 334 stroke victims degree of physical ability at discharge, 144 (43%) of the Survivors had good functional ability, 72 (22%) fair, 62 (18%) poor, and 57(17%) very Poor. Certain clinical diagnosis correlated with the degree of physical ability. Intra cranial Hemorrhage and Subarachnoid Hemorrhage tended to be related to poor and very poor outcome categories. There was no significant correlation between nae and ability outcome, women had revealed a significantly positive correlation with poor and very poor ability outcomes. The hospitalization period was less than three days for 37.5% of the total group, and more than one month for 4.7%. Those patients with less than three days hospitalization accounted for the highest relationship with poor and very poor ability outcomes. Of the total groups 175(50.99%), were discharged with a diagnosis of condition improved (though not necessarily with good physical ability). The results suggest serious need for comprehensive follow- up nursing care for stroke survivors discharged a from general hospitals in Seoul.

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