• 제목/요약/키워드: VAS score

검색결과 983건 처리시간 0.024초

협심증으로 발생한 호흡곤란, 흉통 및 피로 환자에 대한 생맥산 합 보중익기탕 가미 1례 증례보고 (A Patient with Dyspnea, Chest Pain and Fatigue due to Angina Pectoris Treated with Saengmaeg-san-hap-Bojungikgi-tang-gami: A Case Report)

  • 박도연;문향란;노희정
    • 대한한방내과학회지
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    • 제45권3호
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    • pp.478-487
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    • 2024
  • Objectives: This case report describes good clinical progress in a patient with symptoms related to angina pectoris treated with a herbal medication. Methods: The 66-year-old male patient hospitalized in Chonnam National University Hospital (CNUH) in May 2020 for symptoms of dyspnea and chest pain was diagnosed with angina pectoris, medicated, underwent PCI in August 2020, and continued to take the medicine prescribed at CNUH during hospitalization. Korean medical treatments, including herbal medicines (Saengmaeg-san-hap-Bojungikgi-tang-gami, Yeonggyechulgam-tang), acupuncture, and cupping therapy were administered for 22 days. Symptom severity was assessed with a daily visual analog scale (VAS) for dyspnea and chest pain and standard deviation of NN (SDNN) score of heart rate variability. Results: Post-treatment, severity of dyspnea, chest pain, and fatigue reduced from VAS 7 to VAS 2, VAS 6 to VAS 1, and VAS 7 to VAS 1, respectively. The SDNN score improved from 16.474 ms to 23.270 ms. There were no side effects from Korean medicine treatment. Conclusion: Traditional Korean treatment could effectively treat symptoms related to angina pectoris.

자궁근종, 자궁선근증, 자궁내막증 환자 55명의 스트레스 정도와 어혈증(瘀血證) 연구 (A Study on Stress and Blood Stasis Pattern for 55 Uterine Myoma, Adenomyosis, Endometriosis Patients)

  • 조준영;이창훈;조정훈;장준복;이경섭;이진무
    • 대한한방부인과학회지
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    • 제23권4호
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    • pp.130-145
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    • 2010
  • Purpose: The purpose of this study is to know stress and blood stasis pattern for the patients who had hysterectomy related with uterine myoma, adenomyosis, endometriosis. Methods: We got questionnaires from 55 patients among 243 patients who had hysterectomy related with uterine myoma, adenomyosis, endometriosis in the department of obstetrics and gynecology, OO medical center from April 11th 2010 to October 14th 2010, and analyzed them. We conducted correlation analysis between age, pain(VAS), duration of pain and blood stasis score, and between duration of pain, blood stasis score and the sum of Stress Response Index. We compared the sum of Stress Response Index, blood stasis score, VAS according to the result of pathology. For statistics, we used Pearson's correlation coefficient, Mann-Whitney test, oneway analysis of variances(ANOVA) and SPSS version 17.0 for windows. Results: The correlation between duration of pain and blood stasis score showed statistical significance. The correlation between sum of the Stress Response Index and blood stasis score showed statistical significance. There is no statistically correlation between age, VAS, duration of the pain and blood stasis score. There is no statistically significant difference in sum of Stress Response Index, blood stasis score, VAS according to the result of pathology. Conclusion: The result showed that Stress is related with static blood, and the longer patients suffer from pain, the easier patients' blood to be static. Further study will be needed.

Visual Analog Scale을 사용하여 분석한 특발성 동결견 환자의 견부 통증 감소에 대한 전침의 효과 연구 (The Effect of Electroacupuncture Therapy with the Shoulder Pain of Frozen Shoulder Patients Analyzed by Visual Analogue Scale)

  • 손지형;임호제;이원희;정병주;한승혜;성수민;문성일
    • Journal of Acupuncture Research
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    • 제22권4호
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    • pp.27-34
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    • 2005
  • Objectives : To evaluate the pain improvement of the frozen shoulder patients taken the electro-acupuncture therapy using Visual Analogue Scale. Methods : The 38 frozen shoulder patients visited department of Acupuncture & Moxibustion in National Medical Center from 1st September 2004 to 28th February 2005 had taken the electroacupuncture therapy or body-acupuncture therapy more than 3 times.(Electroacupuncture group was 24 persons and body-acupuncture group was 14 persons.) We evaluated their improvement of shoulder pain using Visual Analog Scale(VAS) at each visit. Then we analyzed the pain improvement comparing with two groups. Results : Both VAS scores of electroacupuncture group and body-acupuncture group have significantly improved. VAS score at third visit of electroacupuncture group and body-acupuncture group have significantly improved. VAS score at third visit of electroacupuncture group was significantly lower than that of body-acupuncture group (p=0.0057). The decreased VAS score after first visit of electroacupuncture group was also significantly higher than that of body-acupuncture group(p=0.0225). Conclusion : The pain of electroacupuncture group decreased more than body-acupuncture group at early visit. But the total decreased VAS scores of two groups was not significantly different.

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경막외 페놀 신경 차단시 우연히 발생한 경막하 카테터 거치예 (Accidental Subdural Catheterization for Epidural Neurolysis with Phenol -A case report-)

  • 임경임;김석홍
    • The Korean Journal of Pain
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    • 제11권1호
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    • pp.155-159
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    • 1998
  • Epidural neurolysis with phenol has appeared in literature since 1960. Complications due to accidental subdural block is a rare and unexpected sensory and/or motor disturbance, but it does occur. A 74 years old woman had postherpectic neuralgia for 3 weeks and VAS score of 10. She was treated with intercostal nerve block and intravenous infusion of lidocaine for 7 days and VAS score decreased to 6. To proceed further, we decided to perform epidural neurolysis with 4% phenol 1.5 ml. During thoracic epidural catherization, we encountered unexpected subdural catheterization in subdurographic finding, but we could not precisely rule out subdural catheterization. We had to check CT for exact location of catheter tip. We then performed subdural neurolysis with phenol. This procedure reduced VAS score to between 3 and 4, and we removed the catheter. She had no complication.

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시호청간탕가감방(柴胡淸肝湯加減方)으로 치료한 지루성피부염 치험 7례 (Seven Cases of Seborrheic Dermatitis Patients Treated with Sihochunggan-tang gagambang)

  • 이인혜;이형탁;권오용
    • 한방안이비인후피부과학회지
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    • 제28권2호
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    • pp.130-142
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    • 2015
  • Objective : The purpose of this case study is to report the effectiveness of Sihochunggan-tang gagambang in respect of liver meridian wind-heat or liver-heat on 7 seborrheic dermatitis patients who were in high stress and had unhealthy dietary habit. Methods : VAS (Visual Analogue Scale) score was used to check the prognosis of 7 seborrheic dermatitis patients, who have been treated with Sihochunggan-tang gagambang and acupuncture. Results : VAS score decreased as a result of Sihochunggan-tang gagambang treatment in 7 patients. Conclusion : Sihochunggan-tang gagambang can be effective treatment for the high stress and unhealthy diet related seborrheic dermatitis when diagnosed as liver meridian wind-heat or liver-heat

감각이상을 주소로 내원한 당뇨병 환자 8례에 대한 임상보고 (Clinical Study of 8 Diabetic Patients with Paresthesia)

  • 김진미;조충식;김철중
    • 대한한방내과학회지
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    • 제31권2호
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    • pp.372-379
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    • 2010
  • Objective : The purpose of this study was to report the effect of Bogijetong-tang on diabetic peripheral neuropathy. Methods : Nine patients who were diagnosed or suspected with diabetic peripheral neuropathy enrolled in this study. They took Bogijetong-tang 2 or 3 times a day and were given acupuncture therapy. To evaluate the therapeutic effect, Visual Analog Scale (VAS) or Total Symptom Score (TSS) were examined at intervals of about 7 days. Result : TSS score decreased an average of 2.74 points and VAS scores decreased an average of 3.67 points. As the pain decreased, accompanied gait disturbance also improved in some patients. Conclusion : Bogijetong-tang is effective in treating diabetic peripheral neuropathy, but study of the concrete mechanism and efficacy is needed.

거골 골연골 병변의 자가 골연골 이식술의 임상 결과 (The Clinical Results of Autologous Osteochondral Grafts in Osteochondral Lesion of the Talus)

  • 최홍준;문정석;이우천;고한석
    • 대한족부족관절학회지
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    • 제11권2호
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    • pp.209-215
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    • 2007
  • Purpose: To evaluate clinical results of autologous osteochondral graft in osteochondral lesions of the talus. Materials and Methods: Twenty feet in twenty patients underwent osteochondral autologous transfer in the osteochondral lesions of the talus. Sixteen were men and four were women. The mean age was 40.8 years old. The mean follow up was 2 years 9 months. Eighteen cases were medial, one case was lateral and one case was both, respectively. The average duration of symptom was 4 years 3 months. AOFAS ankle/hindfoot score (AOFAS score), visual analogue scale (VAS), Lysholm knee score were evaluated preoperatively and at the final follow up. Results: Postoperative AOFAS score was 87.3 (range, 69-100), which was significantly improved from preoperative AOFAS score of 62.0 (p=0.000). Postoperative VAS was 2.9 (range, 0-7), which was significantly improved from preoperative VAS of 7.5 (p=0.000). Postoperative Lysholm knee score was 92.4 (range, 80-100). All osteotomy of medial malleolus was united by the 4th month after surgery. Postoperative VAS was conversely correlated with the follow up period (p=0.024). There was no complications associated with surgery. Conclusion: Autologous osteochondral grafts in osteochondral lesion of the talus demonstrated excellent results with a short-term follow up.

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족저근막염에 대한 임상증례보고 (Clinical Case Report of Plantar Fasciitis by Korean Medicine Treatment)

  • 우창훈;오민석
    • 혜화의학회지
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    • 제22권1호
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    • pp.217-224
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    • 2013
  • Objectives : The object of this study is to report the effectiveness of Korean medicine treatment and to urge in-depth research on plantar fasciitis. Methods : Four patients, diagnosed as plantar fasciitis, were treated by Korean medicine interventions; acupuncture at K13, BL60, BL40, indirect moxibustion at local region, oral intake herbal medicine and Korean physical therapy on plantar fascia. Visual analog scale(VAS) was adpoted as a method of measuring the effect of treatment on plantar pain. Results : As a result, the plantar pain decreased and VAS score was declined at three cases. However, at one case, the symptom was not changed and VAS score was same. Conclusions : Korean rehabilitative complex therapy can be effectively used for plantar fasciitis. Further studies are needed to set up a rehabilitation protocol with Korean medicine interventions on this disease.

시호청간탕가감방(柴胡淸肝湯加減方)으로 호전된 다형홍반 2례 (Two Cases of Erythema Multiforme(EM) Treated with Sihochunggan-tang gagambang)

  • 손상현;한수련
    • 한방안이비인후피부과학회지
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    • 제29권3호
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    • pp.240-248
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    • 2016
  • Objectives: The purpose of this study is to report the effectiveness of Sihochunggan-tang gagambang in two patients with erythema multiforme which ocurred repeatedly in stress condition.Methods: This case study was conducted in two erythema multiforme(EM) patients who have visited Korean Medicine Clinic. All two patients were treated with Sihochunggan-tang gagambang and acupuncture. VAS(Visual Analogue Scale) score was used to check the subjective change of skin symptoms and itching sense.Results & Conclusions: The VAS score were decreased compared to the initial visit in all two patients in our study. And most skin symptoms and itching sense of two patients were improved. As a result of examining VAS scores and photographs, Sihochunggan-tang gagambang can be effective on EM in two cases in our study.

전열침(傳熱鍼)과 일반 침의 병행치료가 발목 염좌로 인한 외측인대 2도 손상에 미치는 임상적 효과 (The Clinical Effects of Heating-conduction Acupuncture Therapy with General Acupuncture Therapy for Lateral Ligament Injury Induced by Ankle Sprain Grade II)

  • 장선정;장효길;허동석
    • 한방재활의학과학회지
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    • 제21권4호
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    • pp.191-203
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    • 2011
  • Objectives: The purpose of this study is to investigate the clinical effects of heating-conduction therapy on lateral ligament injury induced by ankle sprain grade II. Methods: The 67 outpatients who were diagnosed as ankle sprain grade II were performed heating-conduction acupuncture therapy on lateral ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with pressure algometer and visual analogue scale(VAS) were applied pretreatment and after 1st, 2nd treatment. Results: 1. The pain threshold and VAS score after 1st and 2nd treatment with an isolated injury of the anterior talofibular ligament showed statistically significant improvement compared with pretreatment. 2. The VAS score after 1st and 2nd treatment with an combined injury to the anterior talofibular and the calcaneofibular ligament showed statistically significant improvement compared with pretreatment. 3. The VAS score after 1st and 2nd treatment with an combined injury to the anterior talofibular, calcaneofibular and posterior talofibular ligament showed statistically significant improvement compared with pretreatment. 4. After 1st and 2nd treatment on the posterior talofibular ligament and after 2nd treatment on the anterior taofibular and calcaneofibular ligament with an combined injury to the anterior talofibular, calcaneofibular and posterior talofibular ligament the pain threshold showed statistically significant improvement compared with pretreatment. 5. Between isolated injury and combined injury of lateral ligament, the difference in pain threshold and VAS score was not statistically significant. Conclusions: Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with an isolated injury and combined injury of lateral ligament induced by ankle sprain grade II.