• 대한한의학방제학회지
• /
• 제28권2호
• /
• pp.157-167
• /
• 2020

Objectives : The purpose of this clinical study was to investigate the efficacy and safety of Hwangryunhaedok-tang on the gastritis treatment. Methods : A total of 20 subjects who visited Pusan National University Hospital from April 2nd, 2019 to September 2nd, 2019 were included. In this study, we evaluated the individual symptoms through questionnaires, laboratory test, BIA (Bioelectrical Impedance Analysis), and adverse reaction according to medication. Statistical analysis was performed with paired t-test and Wilcoxon Signed Rank test. Statistical significance was achieved if the probability was less than 5% (p < 0.05). Results : After medications, the total score of individual symptoms, primary outcome, was significantly decreased. In particular, individual symptoms such as upper abdominal pain, bloating, heartburn and trim showed significant improvement. However, no statistically significant differences were found in nausea/vomiting and anorexia. In additions, the laboratory test showed a statistically significant decrease in total cholesterol, but no statistically significant differences in results of BIA. In the safety evaluation, adverse reactions were not reported. Conclusions : Considering this results, we have confirmed the possibility of Hwangryunhaedok-tang to the gastritis treatment.

• Journal of Yeungnam Medical Science
• /
• 제2권1호
• /
• pp.87-93
• /
• 1985

1983년 5월부터 1985년 11월까지 영남대학교 의과대학 부속병원에서 복부농양을 의심하여 초음파검사를 시행후 확진된 48명의 환자에서 초음파소견을 분석하여 다음과 같은 결과를 얻었다. 1) 농양의 위치는 복강내 농양이 30예, 내장 농양이 13예, 후북막강농양이 5예였다. 2) 원인별로는 복강내 농양의 25예는 충수돌기염에 의하였고. 5예는 수술후 합병증으로 생겼다. 후복막강농양 5예는 전부 요근농양으로, 결핵성 및 화농성이 각각 2예, 후복막강에 위치한 충수돌기 염증이 1예였다. 내장농양은 12예가 간농양으로 이 중 9예는 화농성, 3예는 아메바성이었고 췌장염에 의한 췌장미부농양이 l예였다. 3) 형태는 총 48예중 26예(54%)에서 구형 또는 난원형이었으며, 특히 내장농양이 복강내 농양에 비해 구형 또는 난원형이 많았다. 4) 병변의 크기는 26예(54%)에서 5~10cm사이였으며, 내부echo는 33예(69%)에서 낭포성이었다.

• Journal of Yeungnam Medical Science
• /
• 제2권1호
• /
• pp.229-235
• /
• 1985

1983년 5월 28일 개원 이래 1985년 9월 30일까지 2년 4개월 동안 본 영남대학교 의과대학 부속영원 산부인과에 입원 가료한 바 있는 자궁외임신 88예를 대상으로 하여 임상적으로 조사, 관찰, 분석한 결과 다음과 같은 결론을 얻었다 1. 자궁외임신의 분만수에 대한 반도는 1 : 22.2였다. 2. 빈발연령은 30~34세가 38.6%로 가장 많았으며, 25~34세는 67%였다 3. 분만횟수와 임신중절 횟수가 증가할수록 자궁외임신의 빈도는 감소하는 경향을 보였다. 4. 기왕력은 골반염이 25%, 복강경 불임술이 13.7%였으며 반복 자궁외임신은 6.8%였다. 5. 주요증상은 하복부 동통이 85.2%, 질출혈이 56.8%였으여 Shock증상은 3.4%였다. 6. 입원 당시 혈색소치는 8gm% 이하인 경우가 6.8%, 10gm% 이하가 37.5%였으며 복강내 출혈은 1,000ml 이하가 53.4%였으며 2,000ml 이상이 22.8%였다. 7. 뇨 임신반응검사의 양성율은 파열군 (78%) 및 유산군 (63.3%)이 무상군 (54.5%)에 비해 높았으나 통계적인 의의는 없었다. 8. 더글라스씨와 천자의 양성율은 75.9%였다. 9. 임신주수별로는 6~9 주 사이가 48.9%로 가장 많았고 12주 이상이 15.9%였다. 10. 착상부위별로는 난관이 96.6%로서 그 중 팽대부가 60.2%, 협부 23.9%, 난관채부 9.1%, 간질부 3.4%였다. 11. 조사기간 동안 내원한 자궁외임신 88예중 사망한 예는 없었다.

• 한방안이비인후피부과학회지
• /
• 제11권1호
• /
• pp.23-39
• /
• 1998

The clinical data and thermographic imaging were analyzed on the 100 cases of Bell's palsy who were treated in the Kwang-Ju Oriental Medical Hospita! of Wonkwang University from February to October 1997. All the cases were taken Digital Infrared Thermograph Imaging(DITI) before treatment and 30 cases of them were taken follow up imaging again after recovery. And the following results were obtained. 1. Of 100 cases, under teenager occupied $1\%,\;teenager\;8\%,\;2nd\;decade\;14\%,\;3rd\;decade\;11\%,\;4th\;decade\;16\%,\;5th\;decade\;26\%,\;6th\;decade\;16\%,\;7th\;decade\;7\%\;and\;over\;80\;occupied\;1\%$. 2. Male occupied $48\%$ and female occupied $52\%$. 3. $42\%\;of\;male\;and\;23\%$ of female had the affected side at left side. And right facial nerve palsy occured at $29\%\;of\;male\;and\;29\%$ of female. 4. The most common cause of Bell's palsy was cold wind $18\%$, and the next were excessive labor $15\%,\;stress\;12\%,drinking\;2\%\;and\;cold\;food\;1\%$. 5. Thermal pattern were present as hyperthermal pattern in $44\%$ and hypothermal pattern in $22\%$. 6. The DITI showed hyperthermal pattern as close as to the onset day and changes to hypothermal pattern as times passed. 7. The DITI pattern and post-auricular pain, the most common prodomal syndrome, showed no significant relationship. 8. The relationship between the grade of paralysis and thermal patttern of DITI showed no significance. 9. Mean temperature of loci in affected side indicrtted $30.27^{\circ}C\;at\;Yang\;baek,\;30.02^{\circ}C\;at\;Taeyang,\;29.25^{\circ}C\;at\;Geoyo,\;29.62^{\circ}C\;at\;Jichang,\;29.78^{\circ}C\;at\;Hakwan,\;29.61^{\circ}C\;at\;Hyupgeo,\;and\;30.59^{\circ}C$at Yeopoong. 10. Mean temperature of loci in unaffected side showed $30.16^{\circ}C\;at\;Yang\;baek,\;30.02^{\circ}C\;at\;Taeyang,\;29.61^{\circ}C\;at\;Geoyo,\;29.68^{\circ}C\;at\;Jichang,\;29.70^{\circ}C\;at\;Hakwan,\;29.57^{\circ}C\;at\;Hyupgeo,\;and\;29.89^{\circ}C$at Yeopoong. 11. Of 30 cases who were taken follow up imaging again after recovery, the relationship between delta T at loci and symptoms showed no significance. It should be needed further investigation in order to apply them for clinical evaluation.

• 정신신체의학
• /
• 제3권2호
• /
• pp.115-125
• /
• 1995

Reports about the prevalence of premenstrual symptoms state that occurs in 20 to 100% of most reproductive-age women. There is a close association between premenstrual syndrome and affective disorders as well as same some other psychiatric disorders. Late luteal phase dysphoric disorder (LLPDD) is a premenstrual condition defined in DSM-III-R by severe mood changes and other symptoms that repeatedly occur only in the luteal phase of the menstrual cycle. However, DSM-III-R does not specify how to compute the change from the follicular to the luteal phase or how to determine when the amount of change is great enough to warrant the diagnosis nor how to determine occupational or social functional impairment. This study was conducted to evaluate the nature, severity and magnitude of premenstrual syndrome in women with current psychiatric disorders by using prospective Daily Rating Form(DRF), and to measure symptom changes according to three scoring methods for diagnosing LLPDD. Our study obtains the data about premenstrual changes estimated by DRF from 22 women with psychiatric disorders who had met criteria for major depressive syndrome on the Premenstrual Assessment Form (PAF). The data was scored by each three methods and was determined to meet criteria A for LLPDD. The results are as follows: 1) the subjects, when scored according to the percent change method, effect size method and absolute severity method, met the DSM-III-R criteria A for LLPDD in 36.4% (8 subjects), 14% (3 subjects) and 4.5% (1 subject) of the cases respectively. 2) The items of irritability, anger and impatience were occurred most frequently on the DRF, when it was scored according to the three scoring methods. And the item of breast pain was next frequent according to the effect size method and the percent change method but according to the absolute severity method. 3) The PAF item of impaired social functioning was reported by 16 (73%) of the subjects. 4) 4 (18%) of the subjects met criteria A for LLPDD and reported impaired social functioning. The prevalency of LLPDD according to each method varied. The percent change method yielded the greatest (36.4%), and the absolute seventy method yielded the laest (4.5%), The effect size method yielded an intermediate frequency (14%). Therefore, for maximizing the diagnostic accuracy of LLPDD, a diagnostic procedure including a measure of change (e.q., effect size method, percent change method) as well as confirmed diagnosis by DRF, will be needed. Also, an accurate tool to evaluate impaired social functioning will be required.

• Clinics in Shoulder and Elbow
• /
• 제12권2호
• /
• pp.109-114
• /
• 2009

목적: 광범위 회전근 개 파열에 대해 개방적 완전 봉합이 가능하였던 환자들을 대상으로 수술 전, 후의 방사선학적 소견의 변화와 진행 정도를 회전근 개 재파열 정도 및 임상적 결과와 함께 비교 분석하고자 하였다. 대상 및 방법: 광범위 회전근 개 파열에 대해 개방적 완전 봉합술을 시행 받고 24개월 이상 추시가 가능하였던 33예를 대상으로 하였다. 임상적 평가는 American Shoulder and Elbow Surgeons(ASES)의 견관절 기능 평가법을 기준으로 하였으며, 광범위 회전근 개 파열과 관련한 관절염의 정도는 Hamada의 분류법을 기준으로 하였다. 결과: ASES 점수는 수술 전 평균 37.6점에서 85.6점으로 호전되었다. 수술 전 acromiohumeral interval (AHI)은 평균 6.5 mm였으며, 수술 직후 평균 9.3 mm로 증가하였으나, 최종 추시에서 평균 6.5 mm로 다시 감소되는 소견을 보였다. Hamada 분류법에 따른 관절염의 방사선학적 단계는 수술 전과 수술 후 모두 그 단계가 낮을수록 보다 좋은 임상적 결과를 보였다. 결론: 광범위 회전근 개 파열에 대한 수술적 치료로서 개방적 완전 봉합술은 비록 수술 후 재파열이 발생하더라도 임상적으로는 통증 경감과 견관절 기능 향상 면에서 상당히 만족할만한 결과를 보였다.

• Clinics in Shoulder and Elbow
• /
• 제10권2호
• /
• pp.220-226
• /
• 2007

목적: 원위 쇄골 골절은 근위부나 중간부 쇄골 골절과는 다른 생역학적 구조를 가져서 지연유합과 불유합이 많이 발생한다. 원위 쇄골 불유합 치료에 대한 연구보고는 거의 없는 상태이다. 저자들은 원위 쇄골 골절 불유합에 대한 관혈적 정복 및 골이식의 수술적 치료 후 좋은 결과를 얻었기에 문헌 고찰과 함께 보고하는 바이다. 대상 및 방법: 2003년 8월부터 2006년 5월까지 원위 쇄골 불유합으로 수술 치료받은 8예를 대상으로 하였으며, 평균 연령은 38.9($21{\sim}62$세)세였고, 지배 수지 6예였다. 수상 초기 수술적 치료 후 발생한 불유합이 4예, 보존적 치료 후 발생한 불유합이 4예였고, 불유합 기간은 수상 후 평균 1년 5개월이었다. 전 예에서 자가장골 이식술 및 내고정술을 시행하였고, 내고정물은 금속판이 7예, 긴장대 강선 고정술이 1예였다. 결과: 평균 추시 기간은 14개월이었고, 방사선학적 골유합은 전 예에서 평균 8주에 관찰할 수 있었다. 최종 추시상 견관절의 운동범위는 모두 정상 소견이었고, Kona 등의 평가표에 의한 기능적 평가에서 7예에서 우수한 결과를, 1예에서 양호한 결과를 얻었다. 결론: 원위 쇄골 골절 불유합에 대한 수술적 치료는 조기 재활이 가능하고 견고한 골유합을 얻을 수 있어 추천할 만한 치료 방법으로 사료된다.

• Clinics in Shoulder and Elbow
• /
• 제20권3호
• /
• pp.117-125
• /
• 2017

Background: To compare the clinical outcomes of arthroscopic capsular release in patients with and without inferior capsular release for shoulder stiffness. Methods: Between January 2010 and December 2015, 39 patients who underwent arthroscopic capsular release for shoulder stiffness were enrolled and randomized into two groups. In group I, 19 patients underwent arthroscopic capsular release of the rotator interval and anterior capsule. In group II, 20 patients underwent arthroscopic capsular release of the anterior to inferior capsule, including the rotator interval. The American Shoulder and Elbow Surgeons score, Constant scoring system, Simple Shoulder Test, visual analogue scale for pain, and range of motion (ROM) were used for evaluation before surgery, at 3, 6, and 12 months after surgery and on the last follow-up. Results: Preoperative demographic data revealed no significant differences (p>0.05). The average follow-up was 16.07 months. Both groups showed significantly increased ROM at the last follow-up compared with preoperative (p<0.05). At the last follow-up, no statistical differences were found (p>0.05) between groups I and II in functional scores and ROM (forward flexion, p=0.91; side external rotation, p=0.17; abduction external rotation, p=0.72; internal rotation, p=0.61). But we found that group II gained more flexion compared to group I at 3 months and 6 months (p<0.05) after the surgery. Conclusions: Both techniques of capsular release are effective for stiffness shoulder. However, the extended inferior capsular release shows superiority in forward flexion over anterior capsular release alone during 6 months of follows-up (level of evidence: Level I, therapeutic randomized controlled trial).

• 한국치위생학회지
• /
• 제11권4호
• /
• pp.441-451
• /
• 2011

Objectives : The purpose of this study was to examine the eating behavior of patients in a bid to facilitate the improvement of their eating behavior, as eating behavior seemed to affect oral health and dietary habits. Methods : The subjects in this study were 235 patients who visited the dental hygiene practice lab at C college in South Jeonla Province. After a survey was conducted, the collected data were analyzed with the statistical package SPSS 12.0. Results : 1. When their self-awareness of dietary habits and oral health was checked in consideration of eating behavior, those who thought they had very good dietary habits and were in good oral health had meals three times a day. Their eating time was very irregular, and they took 15 to 20 minutes to eat. Their overeating frequency was three or four times a week, and their frequency of eating between meals was once or twice a week. 2. On the contrary, the daily eating frequency of the patients who found themselves to have very bad dietary habits and to be in bad oral health was not fixed, and their eating time was neither regular nor irregular. They spent less than 10 minutes having a meal, and their overeating frequency was once or twice a week. Their frequency of having a snack was three or four times a week, and as for food preference, they had a liking for meat. 3. The patients considered themselves to be in better health when they had balanced meals and good eating behavior, namely good dietary habits. And they rated their own dietary habits higher when they were in a good oral state, had no experiences to feel pain in the mouth and didn't receive any dental treatment, namely when they were in good oral health. Conclusions : This study attempted to investigate the influence of eating behavior on oral health awareness. Another limitation of this study is that the geographic scope was just confined to an urban community in South Jeonla Province without checking any possible regional gaps. However, it's quite evident that eating behavior exerts an influence on oral health awareness, and it seems worth doing to examine a larger number of subjects by utilizing objective oral health guidelines.

• Journal of Chest Surgery
• /
• 제29권11호
• /
• pp.1241-1247
• /
• 1996

1989년 1월부터 1996년 3월까지 연세대학교 원주의과대학 흉부외과학 교실에서 비소세포폐암으로 수술을 시행 받은 환자 102명을 대상으로 연령 및 성별 분포, 임상 증상, 진단 방법, 병리 조직 소견, 수술방법, 수술전·후의 병기, 수술후 합병증 및 사망률과 장기 생존율을 조사한 결과 다음과 같은 결론을 얻었다. 폐암 환자의 연령은 50대이후에서 가장 많은 분포를 보였으며(83.3%), 남녀 성비는 2.52:1로서 남자 환자가 많았으며, 수술전 진단은 기관지경 검사가 59.8%, 객담 세포 검사가 17.6%, 경피적 조직 검사가 11.8% 그리고 진단을 얻지 못한 경우가 10.8%이었다. 조직학적 분류는 편평상피세포암이 57례, 선암이 31례, 기관지폐포세포암이 1례, 미분화 거대세포암이 5례, 편평 상피 세포와 선암의 혼합암이 7례 였으며, 세 가지 세포형이 같이 있는 혼합암 1례가 관찰되었다. 그리고 수술 방법은 전폐 절제술이 48례로 가장 많았으며 폐엽절제술 39례, 우폐 양엽절제술이 6례, 폐설상절제술이 2례, 개흉술만 시행한 것이 7례이었다. 수술 전후의 Stage에서는 수술전 Stage I이 12.7%, II 31.4%, IIIa 47.1%, IIIb 8.8%이였으며, 수술 후에는 Stage I이 13.7%, II 31.4%, IIIa 38.3%, IIIb 14.7% 및 IV 1.9%를 차지하였으며 또한 술전·후의 병기가 달랐던 경우가 26% 였다. 그리고 수술후 합병증은 10례이었으며, 사망은 2례에서 발생하였다. 장기생존율은 추적 관찰이 가능하였던 90례를 대상으로 전체 생존율은 1년이 81.7%, 3년이 49.7%, 5년이 21.8%로 나타났으며, 병기별 5년 생존율은 병기 I 38.9%, 병기 II 24.3%, 병기 IIIa 23.9% 였다.