• 제목/요약/키워드: Voiding

검색결과 262건 처리시간 0.023초

홍의약침의 단독사용으로 호전된 여성의 배뇨장애 환자 5례에 대한 보고 (Clinical Study for Five Cases of Women with Urinary Disturbance by HongYi Pharmacopuncture as a Single Therapy)

  • 한상겸;장세란;김동철
    • 대한한방부인과학회지
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    • 제29권4호
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    • pp.13-23
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    • 2016
  • Objectives: This study reports the effects of HongYi (Formica yessensis) pharmacopuncture on the women voiding dysfunction patients. Methods: The women patients who complain of voiding dysfunction were treated with HongYi pharmacopuncture for ten times. We measured the international prostate symptom score (IPSS) for five times and analyzed. Results: After treatment with HongYi pharmacopuncture for ten times, the IPSS was improved in all of the patients. Complaints of voiding dysfunction was reduced and other symptoms also improved. Conclusions: HongYi pharmacopuncture is effective on women patients complaining of urinary disturbance.

만성 신부전환자의 뇌출혈 후 배뇨곤란에 대한 열다한소탕가미방 치험례 (A Case Report of Voiding Dysfunction after Intracerebral Hemorrhage in CKD Patient Improved with Yeoldahanso-tanggamibang)

  • 문원경;박상우;유현지;이의주
    • 사상체질의학회지
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    • 제36권2호
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    • pp.65-75
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    • 2024
  • Objectives This case study was aimed to report improvement of taeum-in patient with chronic kidney disesase who had voiding dysfunction after intracerebral hemorrhage using Yeoldahanso-tanggamibang. Methods A patient who complained of voiding dysfunction after intracerebral hemorrhage was administered with Yeoldahanso-tanggamibang through sasang consitutional medicine approach. To evaluate the improvement of voiding dysfunction, the number of nelaton catheterizations after removal of foley catheter and the amount of post void residual volume were compared, and laboratory follow-up was performed to determine whether renal function deteriorated. Results After treatment with Yeoldahanso-tanggamibang for 8 weeks, the number of nelaton catheterizations after removal of foley catheter decreased, the amount of post void residual volume decreased, and the renal function did not change. Conclusions This case study suggests the significance of Yeoldahanso-tanggamibang treatment for taeum-in patient who had voiding dysfunction after intracerebral hemorrhage.

개두술 여성환자에게 시행한 방광훈련이 유치도뇨관제거후 자가배뇨에 미치는 효과 (The Effectiveness of Bladder Training on Self Voiding after Removal of Catheter in Female Patients with Craniotomy)

  • 이정림;김금순
    • 재활간호학회지
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    • 제2권1호
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    • pp.72-84
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    • 1999
  • The purpose of this study was to identify the effectiveness of bladder training on self voiding after removal of catheter in female patients with craniotomy, finally to develop a bladder rehabilitation program for cognitive impaired patients. Nonequivalent control group posttest design was used. The population of this study consisted of 34 hospitalized neurosurgical patients, all patients have been received craniotomy. 17 patients were assigned to the experimental group and another 17 patients to the control group. The homogeneity of general characteristics of the subjects was no significant difference. Bladder training program consisted of pre-training education, the bladder training, positive verbal reinforcement. The experimental group has been received bladder training and the control group has been received gravity drainage. The dependent variable, the frequency of voiding trial untill self voiding achieves, the frequency of urinary retention, the amount of residual urine, the occurrence, of urinary incontinence, were measured during 3 days after catheter removed. The data analyzed with SPSSWIN ; frequency, percentage, t-test and $X^2$-test were used to analyze homogeneity of general characteristics of subjects between the experimental and the control group. T-test, Mann-Whitney U test, and $X^2$-test were used to determine the effect of bladder training. The result of the study were as follows : There was significant difference in the frequency of voiding trial untill self voiding achieves between the experimental group and the control group. There was no significant difference in the frequency of urinary retention between the experimental group and the control group. There was no significant difference in the amount of residual urine between the experimental group and the control group. However, there was significant difference in the amount of residual urine in urinary retention patients. There was significant difference in the occurrence of urinary incontinence between the experimental group and the control group. In conclusion, bladder training program as a nursing intervention was effective in conclusion, bladder self voiding ability after removal of catheter for craniotomy patients. Therefore, it is recommended to use the bladder training program clinically for the bladder management of cognitive impaired patients.

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질문지법과 초음파 방광용적진단기를 이용한 여성노인의 배뇨장애연구 -빈뇨, 잔뇨를 중심으로 (Study on Bladder Dysfunction in Elderly Women by the BFLUT Questionnaire and Bladder Scanner: Frequency and Residual Urine)

  • 김증임
    • 여성건강간호학회지
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    • 제17권3호
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    • pp.294-303
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    • 2011
  • Purpose: This study aimed to describe bladder dysfunction in elderly women such as frequency, nocturia, and residual urine. Methods: One hundred elderly women aged 60 and over. The Bristol Female Lower Urinary Symptoms (BFLUT) was used to evaluate the bladder function and to measure the residual urine amount by using a bladder scanner. Data was analyzed with the differences between voiding dysfunction by age group and life habits by t-test, ANOVA and correlation by Pearson correlation coefficient. Results: the mean daytime frequency was 6.8 times and night-time frequency 2.7 times. Sixty three percent of subjects had urgency and 41% had urgent incontinence. Over half of subjects had problem in voiding function. There were significant differences in frequency by age groups and constipation, but not in daytime frequency and residual urine. Lastly, there were significant positive relations between daytime frequency and night-time frequency. Also results indicate that more frequency in daytime equaled to a less residual urine amount. Conclusion: We know many elderly women have lower urinary tract symptoms. Specially women over 75 years have more daytime frequency and night-time frequency. This suggests further research needed in order to understand the relation of voiding patterns and life habits and its influence on quality of life.

구(뜸)요법이 뇌졸중환자의 요실금에 미치는 효과 - 예비조사 - (Effect of Moxibustion on Urinary Incontinence in Stroke Patients - pilot study -)

  • 김병은;이향련
    • 동서간호학연구지
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    • 제7권1호
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    • pp.82-93
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    • 2002
  • The purpose of this study was to investigate the effect of Moxibustion on urinary incontinence, voiding performance, muscle strength of the hip and ADL in stroke patients. The subjects of this study were 20 stroke patients hospitalized at the division of oriental medicine in K university Hospital in the period from December 26, 2001 to March 15, 2002. The research design was one group pretest-posttest design. The pretest and posttest included measuring frequency of incontinence, voiding performance score, healthy and paralytic muscle strength of the hip, and the performance level for ADL after Moxibustion for one week. Data was analyzed using the SPSS package program with Wilcoxon Signed Ranks test. The result of this study were as follows : 1) The frequency of incontinence was decreased from 3.80(SD=3.41) to 2.10(SD=2.10) after Moxibustion, and that was statistically significant(z=-3.803, p=.000). 2) The score of voiding performance was increased from 22.15(SD=12.04) to 30.65(SD=14.73) after Moxibustion, and that was statistically significant(z=-3.828, p=.000). 3) The healthy muscle strength of the hip was increased from 25.97(SD=26.87) to 46.00 (SD=40.75) after Moxibustion, and that was statistically significant(z=-3.183, p=.001). 4) The paralytic muscle strength was increased from 17.42(SD=27.04) to 33.58(SD=37.28) after Moxibustion, and that was statistically significant(z=-2.315, p=.021). 5) The performance level for ADL was increased from 17.15(SD=9.52) to 24.60(SD=13.38) after Moxibustion, and that was statistically significant(z=-3.416, p=.001). According to the results of this study, Moxibustion is effective for decreasing urinary incontinence, and improving voiding performance, muscle strength of the hip and ADL. Consequently, these findings showed that Moxibustion is effective in improvement of urinary incontinence in stroke patients.

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가뭄뇨로 인한 급성 신우신염 1례 (Infrequent Voiding Induced Acute Pyelonephritis in a Thirteen-Year Old Girl)

  • 안혜영;배기수;이진용;김병길;이재승
    • Childhood Kidney Diseases
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    • 제5권1호
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    • pp.69-72
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    • 2001
  • 대부분의 정상 소아는 하루에 수7회 정도씩 배뇨를 한다. 일부 소아에서는 하루에 2회 이하로 배뇨를 하는데, 이 경우를 infrequent voiding이라 지칭한다. 이들의 경우 대개 장기간 수의적으로 소변을 참아오는 경우가 대부분이다. 이러한 비정상적인 배뇨습관으로 인하여 종종 방광 용적이 증가되며, 잔뇨량이 늘어나고 배뇨의 욕구가 감소됨으로써 만성적인 방광확장과 함께 재발성 요로감염 및 신손상까지 초래될 수 있다. 본 보고자들은 13세의 여아에서 하루 2차례 이하로 매우 드물게 배뇨를 하는(가뭄뇨) 습관으로 인하여 요로감염과 신손상이 초래된 증례를 경험하였기에 문헌고찰과 함께 보고하고자 한다.

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방사성핵종 요류역학검사를 이용한 하부요로폐색의 평가 (Radionuclide Urodynamic Studies in Patients with Bladder Outlet Obstruction)

  • 이재태;김광원;손상균;정진홍;이규보;황기석;윤여득;손형규;정성광
    • 대한핵의학회지
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    • 제24권1호
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    • pp.24-28
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    • 1990
  • Various urodynamic studies have been used in patients with bladder outlet obstruction in order to evaluate the degree of obstruction, the results of therapy and postprostatectomy conditions. Radionuclide urodynamic study was performed in 27 patients with bladder outlet obstruction and 30 normal controls. The parameters evaluated were voiding time, 50% voiding time, average flow rate, peak flow rate, corrected peak flow rate, ejection fraction of the bladder and residual urine. Voiding time, 50% voiding time and residual urine of patients were significantly larger than controls and average flow rate, Peak flow rate, peak corrected flow rate and ejection fraction were significantly lower in patients. This method was noninvasive procedure for determining of voiding parameters and it avoids the extraexamination needs to determine the residual urine.

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한방병원에 입원한 배뇨장애를 동반한 추간판탈출증 환자에 대한 한방 치료 1례 (Case Report of Voiding Dysfunction Treated with Korean Medicine in a Hospitalized Patient with a Herniated Intervertebral Disc)

  • 공건식;송진영;김소원;박진훈;왕연민;김상윤;박성환;강만호;엄국현;이형철
    • 대한한방내과학회지
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    • 제42권2호
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    • pp.86-94
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    • 2021
  • Objectives: The purpose of this study is to report on the efficacy of Korean medical treatment for voiding dysfunction. Methods: We treated a patient with voiding dysfunction using Korean medical treatments (herbal medicines, acupuncture, and herbal acupuncture therapy). To evaluate the results of this treatment, we measured the international prostate symptom score (IPSS) and the visual analog scale (VAS) for residual urination, dysuria, and miction pain. The general health status was evaluated with the European quality of life-5 dimensions (EQ-5d) scale. Results: We observed improvements in the IPSS and the EQ-5d scale after the treatments. Changes in the VAS reflected relief of residual urination and dysuria but not miction pain. Conclusions: This study suggests that Korean medicine may be effective to treat voiding dysfunction.

뇌졸중 후 요저류 환자 치험 1례 (A case study of a Patient with Poststroke Urinary retention treated with Traditional Korean Medicine)

  • 김세원;김경묵;정민호;조기호;문상관;권승원;진철;정우상
    • 대한중풍순환신경학회지
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    • 제19권1호
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    • pp.1-8
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    • 2018
  • ■ Objectives The purpose of this case report is to show the effect of Traditional Korean Medicine(TKM) on a patient with poststroke urinary retention ■ Methods A stroke patient with urinary retention was treated with herbal medication(Paljungsan), acupuncture, electro-acupuncture and moxibustion. To evaluate the effect of TKM on post-stroke urinary retention, we observed voiding pattern and residual urine after voiding. ■ Results Maintenance of regular self voiding and decrease of residual urine after voiding were observed after the TKM treatment. ■ Conclusion This study showed the effect of TKM treatment on Urinary retention of stroke patient.

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만성 신부전을 초래한 Hinman 증후군 1례 (A Case of Hinman Syndrome Complicated by Chronic Renal Failure)

  • 이경훈;이은실;박용훈
    • Childhood Kidney Diseases
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    • 제2권1호
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    • pp.90-94
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    • 1998
  • Hinman syndrome is a condition representing urinary voiding dysfunction in the neurologically intact child. The syndrome is probably caused by acquired behavioral and psychosocial disorders manifested by bladder and/or bowel dysfunction mimicking neurologic disease. Clinically, the symptom complex may include day and night time enuresis, encopresis, constipation, and recurrent urinary tract infections. Cystoscopy frequently demonstrates normal vesicourethral anatomy. Voiding films usually demonstarate a carrot-shaped proximal urethra with a persistent narrowing at the external sphincter. The bladder is large and often appears trabeculated with a thickened wall and significant postvoid residual. A 13-year-old male child was admitted due to fever, urinary tract infection, enuresis and flank pain. His neurologic examination was normal. Renal sonograms showed moderate hydronephrosis. Voiding cystourethrograms showed a huge, trabeculated bladder without vesicourethral reflux and urethral valves. No abnormal findings was found in spinal MRI.

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