• 대한한방내과학회지
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• 제28권2호
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• pp.250-261
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• 2007

Objectives : The purpose of this study was to evaluate the blood flow using doppler ultrasound of the MCA, ACA, PCA, BA, ICA in the patients with risk factor for stroke. Methods : 110 patients with risk factor for stroke were selected who had hypertension, diabetes mellitus, hyperlipidemia, or heart disease, as well as 89 healthy adults who did not have any symptoms of those diseases. To evaluate the blood flow, the Vs and Vm of the MCA, ACA, PCA, BA, and ICA in the two groups were measured. Result : In normal healthy adults, subjects showed a decrease in the Vs and Vm: with advancing in age, there was a significant difference in the Vs of MCA, PCA, BA, and ICA. There was a significant difference in the Vm of MCA, PCA, BA, and ICA. In normal healthy adults, females showed high velocities in all examined vessels. There was a significant difference in the Vs of BA. There was a significant difference in the Vm of BA, and ICA. There was a decrease in the Vs, and Vm of all examined vessels of patients with risk factors for stroke in comparison with normal healthy adults. There was no significant difference in the Vs. There was a significant difference in the Vm of MCA, ACA, and PCA. Results were the same between patients aged under 50 and total patients in the Vs and Vm of examined vessels. There were differences between patients aged over 50 and total patients in the Vs of MCA, PCA, BA and for patients aged over 50; patients with risk factor for stroke who had hypertension, diabetes mellitus, hyperlipidemia, or heat disease has higher Vs than healthy adults. Conclusions : There was a significant difference in the blood flow velocity between patients with risk factors for stroke and healthy adults. However, this result was different from results of comparison of TCD findings between patients and healthy individuals by age. Therefore, more detailed studies about aged patients are needed.

• 동의생리병리학회지
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• 제28권1호
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• pp.76-81
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• 2014

The aim of this study was to build the diagnosis criteria of Qi deficiency using distribution of sum of 11 items for Qi deficiency in stroke patients. Between September 2006 and December 2010, 2,994 patients from 11 Korean medical hospitals were asked to complete the Korean Standard Pattern Identification for Stroke (K-SPI-Stroke) questionnaire as a part of project 'Fundamental study for the standardization and objectification of pattern identification in traditional Korean medicine for stroke (SOPI-Stroke). Each patient was independently diagnosed by two experts (traditional Korean medicine physicians) from the same site according to one of five patterns. 2,994 patients were divided modeling and testing in 70:30 ratio by stratification of pattern identification. We calculated the sensitivity, specificity, accuracy and odds ratio (OR) using distribution of sum of 11 items (signs and symptoms) for Qi deficiency. More than four from 11 items of Qi deficiency in modeling dataset, sensitivity, specificity, accuracy and OR was 70.07%, 74.94%, 73.92% and 7.00, respectively. In testing dataset, 78.31%, 73.45%, 74.47% and 9.98, respectively. Although this values are not high, after values of sensitivity, specificity, accuracy and OR should be more than current value, and then we should be able to suggest as objective diagnosing criteria.

• 한국의학물리학회지:의학물리
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• 제18권3호
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• pp.149-160
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• 2007

초급성 허혈성 뇌졸중 환자를 대상으로 관류 전산화단층촬영(CT)의 임상적 적용을 평가하였다. 뇌졸중 증상 발현 62명의 환자를 대상으로 하였고, 관류 CT는 소뇌 기저부위에서 8 cm 상방으로 스캔하여 후처리 과정을 거쳐 뇌혈용적(cerebral blood volume, CBV), 뇌혈류량(cerebral blood flow, CBF), 평균 조영제 통과시간(mean transit time, MTT) 및 조영제 최고 도달시간(time to peak, TTP) 등의 네 가지 지도의 영상을 얻었다. 관류 CT의 CBV, CBF, MTT, TTP 지도에서 병변을 평가하였으며, 병변 부위와 정상측 대칭부위에서 MTT와 TTP를 측정하여 차이를 비교하였다. 관류 CT의 네 가지 지도 모두에서 관류결손을 인지할 수 있었고, 관류 결손이 인지되는 부위에서 MTT와 TTP의 현저한 지연이 있었다. 관류 CT의 MTT와 TTP영상이 초급성 허혈성 경계부위의 페넘브라를 반영하였다. 관류 CT의 네 가지 지도를 이용하면 뇌졸중의 조기 진단, 허혈 중심부, 허혈 페넘브라를 알 수 있게 되어 관류결손 부위의 혈류역동학적 평가가 가능함으로써, 허혈성 뇌졸중 환자의 진단 및 효과적인 치료를 위해 관류 CT가 유용하여 임상적 적용이 가능하다.

• 한국콘텐츠학회논문지
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• 제15권5호
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• pp.426-435
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• 2015

1대 1 낙상 예방 교육이 뇌졸중 성인의 낙상과 낙상 요인에 미치는 영향을 알아보고자 하였다. 뇌졸중 성인 17명을 대상으로 낙상에 대한 4개의 다른 주제(낙상의 소개, 낙상 예방 운동, 낙상 예방 보조도구, 낙상예방 환경 수정)에 대하여 주 1회, 총 4회기에 걸쳐서 하는 뇌졸중 성인의 인지 능력을 고려한 1대 1 낙상예방 교육 프로그램을 개발하여 시행하였다. 종속변인으로 최근 한 달간의 낙상횟수 및 낙상위험횟수, 버그균형척도, 낙상공포, 낙상 효능감, Beck 우울증 척도를 측정하였다. 4회의 1대 1 낙상예방교육에 참여한 결과, 대상자들은 버그균형척도를 제외한 모든 종속변인에서 통계학적으로 유의미한 수준의 긍정적 변화가 있었다(p<.05). 본 연구의 결과로 뇌졸중 성인에게 1대1 낙상예방교육을 적용하였을 때, 낙상횟수 및 낙상위험횟수, 낙상공포, 우울증세가 감소하고 낙상 효능감의 긍정적인 변화를 일으킨다는 것을 알 수 있었다. 뇌졸중을 가진 성인들이 지역사회 및 병원에서 낙상의 위험에서 보다 더 안전하기 위해서는 그들의 인지수준을 고려해서 개발된 1대 1 낙상예방교육이 필요하다.

• 재활치료과학
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• 제3권2호
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• pp.71-81
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• 2014

목적: 본 연구의 목적은 CPM (Continuous Passive Motion)을 뇌졸중 환자의 손 기능 및 수부 근력 재활에 사용하고 그 영향을 살펴보는데 있다. 연구방법 : 본 연구의 대상자는 뇌졸중으로 인한 편마비 증상을 가진, Brunnstrom 4-6단계에 해당하는 치료후 18개월 이내의 급성기 환자 3명이다 연구방법은 3명의 대상자에 대하여 단일사례 (A-B) 실험설계를 사용하였으며 CPM의 영향을 검사하기 위해 젭슨수지기능, 퍼듀페그보드, 수부근력 세 가지를 측정하였다. CPM 적용기간은 3주였으며, 적용회수는 하루 2회, 매회 20분씩, 총 30회기였다. 연구결과: 수부근력 측정 중 손끝잡기에서 대상자 2명의 값이 변화가 없었다. 그 외의 젭슨수지기능, 퍼듀페그보드, 수부근력 검사에서는 CPM 적용 후의 검사 결과가 향상되었다. 결과의 유효성 검증을 위하여 비모수적 통계방법인 Wilcoxon signed ranks test를 실시한 결과 모든 항목에 대한 P-Value가 0. 05 보다 큰 값이 나와 처치 전 후 값의 차이가 통계적으로는 유의미하지 않다는 결과를 얻었다. 결론: 참여 대상자 수가 적고 프로그램 적용 기간이 짧은 제한점이 있으나, 수부 재활을 위해 실시한 CPM이 연구대상자 전원의 손 기능 및 근력 향상에 영향을 주었다는 것을 확인하였다. 이는 주로 하지 기능과 근력 향상을 위해 사용되는 CPM이 급성기 뇌졸중 환자의 수부 치료에도 유용하게 사용될 수 있음을 보여준다.

• 사상체질의학회지
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• 제21권3호
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• pp.168-177
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• 2009

1. Objectives: The purpose of this case is to report the effects of Onbaek-won which is based on Sasang Constitutional Medicine for constipation in Soeumin. 2. Methods: We treated two Soeumin patients with Constipation. We prescribed Onbaek-won for their physical symptoms. The improvement of their diseases were checked from their stool and other physical symptoms. 3. Results: After the Sasang constitutional medication of Onbaek-won were given, constipation and their physical symptoms were improved. 4. Conclusions: This case study show an efficient result of using Onbaek-won in constipation of Soeumin. Onbaek-won was used instead of Semen Tiglii(巴豆).

• 대한한방내과학회지
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• 제38권5호
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• pp.576-582
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• 2017

Objectives: Hormone replacement therapy may relieve many symptoms of menopause; however, hormone replacement therapy may increase the risk of breast cancer, stroke, and dementia. This case study describes the effect of Hoechunboeum-tang on the menopausal disorder of hot flashes, which has been well documented as a cause of distress to patients undergoing menopause. Methods and Results: Two female patients suffering from severe hot flashes related to menopausal disorders were administered the herbal medicine, Hoechunboeum-tang. Measurements included hot flash frequency over a 24 hour period, hot flash severity (visual analogue scale), and hot flash-related daily interference and were recorded during the last week before herbal medicine and again after 7 and 15 days of herbal treatment. The patients were asked about their hot flash symptoms 6 months later and both reported that the symptoms had been successfully reduced after herbal treatment and were still reduced after 6 months. Conclusions: Hoechunboeum-tang could have a beneficial effect on menopausal disorder with hot flashes.

• 대한한방내과학회지
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• 제40권6호
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• pp.1051-1062
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• 2019

Objectives: Chest pain presents diagnostic and therapeutic challenges because of its various etiologies. Many patients have chest pain from unknown causes and persistent chest pain in spite of standard treatment. The purpose of this study was to investigate the effectiveness of a Korean herbal medicine called Pyungjinsujeom-san (PSS) in relieving chest pain. Methods: We reviewed the electronic medical records of patients who visited the Korean Medical Clinic of Cardiology at Kyunghee University Hospital at Gangdong from January 2009 to July 2019, with the chief complaint of chest pain and who were treated with PSS. The mean severity of chest pain measured on the Numerical Rating Scale was compared before and after the administration of PSS. Results: The mean severity of chest pain of 20 patients decreased significantly from 6.80±1.61 to 1.35±0.9 after taking PSS (p<0.001). Most patients had symptoms of phlegm and food retention, including indigestion, postprandial fullness, and epigastric pain.Conclusions: These results suggest that PSS may be effective in relieving chest pain from various causes, particularly in patients with symptoms of phlegm and food retention.

• 대한중풍순환신경학회지
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• 제17권1호
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• pp.9-14
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• 2016

■ Objectives This clinical study is to report the effect of Korean medicine on two patients with glossodynia. ■ Methods Two patients who suffered from glossodynia were treated with herbal medicine 'Gami Cheongsim-tang', acupuncture, and pharmaco-acupuncture. The intensity of symptoms were measured using Visual Analog Scale(VAS). ■ Results After treatment, the patients' symptoms including pain, burning, tingling, and numbness of tongue were improved. ■ Conclusion These case reports suggest that Korean medicine could be effective in the treatment of Glossodynia.

• 대한중풍순환신경학회지
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• 제16권1호
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• pp.1-10
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• 2015

■ Objectives The purpose of this case study is to report that a tremor patient after Acute Cerebral infarction was treated with 'Dodamhwalhul-tang' and then the symptoms were improved. ■ Methods This patient was 81 years old woman whowas diagnosed with acute cerebral infarction. This patient had hypertension and symptoms of tremor on left lower limb, both side weakness, both lower limb numbness, dizziness and low back pain. She was treated with herb medicines, acupuncture, moxibustion during 22 days of hospitalization. Her tremor was evaluated by the tremor frequency and period and other general conditions were measured. ■ Results After taking Dodamhwalhul-tang, symtoms of tremor and patient's general conditions were improved. ■ Conclusion The result shows that Dodamhwalhul-tang is effective for tremor with acute cerebral infarction.