• 제목/요약/키워드: abdominal

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초음파 결합형 압통계를 활용한 압통시 소화불량 환자와 건강인의 복강내 조직 변화 비교: 비무작위 대조군 예비 임상시험 (Investigation of changes in abdominal cavity between dyspepsia patients and healthy participants when pressure pain occurs using an algometer combined with an ultrasound device: a non-randomized, controlled, pilot trial)

  • 임진웅;정태성;정호석;강선이;최창민;김동웅
    • 대한예방한의학회지
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    • 제27권1호
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    • pp.43-52
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    • 2023
  • Objectives : The aim of this study was to evaluate the differences in the abdominal cavity between functional dyspepsia patients and healthy people using an algometer combined with an ultrasound device. Methods : A non-randomized, controlled, pilot trial was conducted. Thirty patients in the experimental group and fifteen participants in the control group were recruited. We collected demographical data, and measured abdominal circumference, height of the body cavity, subcutaneous fat thickness, visual analogue scale of dyspepsia symptoms in the experimental group, depth of algometer and pressure of algometer when pressure pain occurred, and the whole ultrasonic image from the beginning of pressurization to the time when pressure pain occurred. The measurements were carried out twice with the duration of 1 week. Generalized linear regression was conducted to adjust baseline characteristics. Results : A total of 45 participants (30 in experimental group, 15 in control group) were recruited and finished the trial. Females were recruited more in the experimental group than in the control group and it was statistically significant. The difference in thickness of abdominal cavity between a second before the pressure pain and at the time when pressure pain occurred was statistically significant on 1st visit, and other measurements were not statistically significant. From the results of the regression analysis, the difference between two groups was statistically significant in the differences in the thickness of stomach and up to abdominal aorta on 1st visit, and the thickness of stomach on 2nd visit, and other measurements were not statistically different. Conclusions : According to the results, there were not statistically significant differences in abdominal examination when pressure pain occurred between dyspepsia patients and healthy people. Further studies are warranted to assess the abdominal examination using devices including algometer and ultrasound devices, regarding the results of the present study.

근전도, 초음파와 DITI를 이용한 전기자극의 성인여성 복부비만 개선 효과 관찰 (The Effects of Functional Electrical Stimulation on Abdominal Obesity Improvement of Adult Women by EMG, Ultrasound and DITI)

  • 이현주;태기식
    • 한국정밀공학회지
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    • 제31권11호
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    • pp.1051-1058
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    • 2014
  • In this study, we investigated the improvement effect of obesity by treatment with a developed low frequency electrical stimulation system. Thirty female in their 20's as an experiment subjects divided 3 groups(control, commercialized device, developed device) were treated with electrical stimulation on abdomen for 4 weeks. The body weight, body mass index(BMI), waist-hip ratio(WHR), muscle strength, muscle(transverse abdominis(TrA), internal obliquus abdominis(IO), external obliquus abdominis(EO)), fat thickness and abdominal surface temperature were measured by electromyogram(EMG), ultrasound and digital infrared thermal image(DITI). In the result, the body weight and BMI were decreased. Subcutaneous abdominal fat were significantly reduced after 4 weeks. The muscle strength and TrA muscle thickness was increased 13.2%(p<0.05), and 35.5%, respectively. The fat thickness showed decrease in abdomen (p<0.05). Infrared measurement on abdominal surface temperature as a parameter of improvement in blood circulation was significantly increased(p<0.05). Therefore, the low frequency stimulation showed positive effects on parameters of the obesity improvement.

복부둔상 환자의 혈복강 진단에 있어 FAST의 유용성에 대한 고찰 (Usefulness of FAST for Evaluation of Blunt Abdominal Trauma Patients)

  • 추용식;김옥준;최성욱;이정한
    • Journal of Trauma and Injury
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    • 제19권2호
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    • pp.135-142
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    • 2006
  • Purpose: We planned to determine the diagnostic capability of focused assessment with sonography for trauma (FAST) in cases of blunt abdominal injury (BAI). Methods: A retrospective analysis of FAST sheets was performed from April 2002 to December 2004. During the study period, 135 BAI patients were evaluated with FAST at the Emergency Department of Bundang CHA Hospital. Of this group, twenty-eight patients were excluded, leaving 107 patients for analysis. Abdomen CT (computerized tomography) or exploratory laparotomy confirmed the presence of hemoperitoneum. At the secondary survey, patients underwent a three-view FAST examination (LogicQ; General Electric, Waukesha, USA) by an emergency physician, followed within 2 hours by an abdomen CT or exploratory laparotomy. The FAST examination was considered positive if it demonstrated evidence of free intra-abdominal fluid. Results: There were 45 true-positive FAST examination, 57 true-negatives, 1 false-positive, and 4 false negatives (sensitivity 91.8%, specificity 98.3%, positive predictive value 97.8%, negative predictive value 93.4%). The area under the ROC curve was 0.951 for the FAST examination. Conclusion: FAST is a highly reliable method for screening patients suspected of having BAI for the presence or absence of hemoperitoneum.

추락과 동반된 강관파이프에 의한 흉-복강 관통상 1례 (A Case of Thoraco-abdominal Penetrating Injury with an Scaffolding Pipe following a Falling)

  • 양봉준;유재명;김진승;이광찬;고진철
    • Journal of Trauma and Injury
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    • 제19권2호
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    • pp.183-187
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    • 2006
  • An increase has been see in fall injuries at construction sites and in penetrating injuries by iron bars or pipes associated with the fall. In particular, a thoraco-abdominal penetrating injury had the worse prognosis, and multiple organ injury occurred because of blunt trauma associated with fall. Iron bars were the most common penetrating materials, and pipe penetrating injuries were uncommon. However, because the diameter of the pipes were large than those of the bars, penetrating injuries associated with pipes were more often fatal. A secondary thoraco-abdominal injury worsened the prognosis. We reported a case of a 33-year-old man with a thoraco-abdominal trauma secondary to a penetrating injury with a scaffolding pipe following a fall.

Two Cases of Infantile Intra-abdominal Inflammatory Myofibroblastic Tumor

  • Kim, Soo-Hong;Cho, Yong Hoon;Kim, Hae Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제17권2호
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    • pp.116-120
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    • 2014
  • Inflammatory myofibroblastic tumor (IMT) is rare mesenchymal solid tumor that consists of proliferating myofibroblasts with an inflammatory infiltrate background. It has a very low prevalence in infants and occurs mainly in children and young adults. IMT are mainly located in the thoracic cavity, but intra-abdominal lesions are rare. IMT can exhibit locally aggressive neoplastic processes and metastases similar to malignancies, so, have clinical importance. Herein, we describe two infantile intra-abdominal IMT cases presenting with incidentally found palpable abdominal mass. A 4-month-old male infant had IMT at the ileal mesentery and a 5-month-old male infant had IMT at liver. Both cases were successfully treated by complete surgical resection without complication or recurrence. Considering the biological behavior of the intermediate type of neoplasm in IMT, we expect good survivals when achieving appropriate surgical resection without adjuvant therapy in infantile intra-abdominal IMT.

수지요법이 복강경하 자궁절제술 환자의 통증과 복부팽만감에 미치는 효과 (Effects of Korean Hand Acupressure on Pain and Abdominal Bloating of Patients Receiving Laparoscopic Hysterectomy)

  • 윤경희;김숙영
    • 재활간호학회지
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    • 제18권1호
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    • pp.20-28
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    • 2015
  • Purpose: This study aimed to investigate the effects of Korean hand acupressure on pain and abdominal bloating of patients receiving laparoscopic surgery. Methods: This study was a quasi-experimental design using a nonequivalent control group pre-post test. The experimental group and the control group were 39 patients each who were hospitalized at gynecology ward of a hospital located in Gyeonggi-do. The experimental group received Korean hand acupressure therapy on the meridian point: A5, A6, H3, H7, I38 for 48 hours immediately after the surgery. Pain and abdominal bloating were measured at 5 times. Data were analyzed using SPSS/Win 18.0. Results: The experimental group showed lower pain score than the control group (p<.001). While there was no significant difference in abdominal bloating (p=.528), the time effect was significantly different (p<.001). Conclusion: The findings indicate that Korean hand acupressure reduces pain and abdominal bloating of laparoscopic surgery patients.

간헐성 복통을 호소하는 아동에 대한 수지침의 효과 (The Effects of Hand-Acupuncture Therapy on Intermittent Abdominal Pain in Children)

  • 홍연란
    • 대한간호학회지
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    • 제35권3호
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    • pp.487-493
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    • 2005
  • Purpose: The purpose of this study was to identify the effects of hand acupuncture therapy on intermittent abdominal pain in children. Method: A quasi experimental pre-test and post (1,2)-test design was used. Data was collected from May, 2002 to February, 2003. Forty children were assigned to the experimental (20) or control group (20). The experimental group received Hand-Acupuncture therapy on the meridian point; A8, A9, A10, All, A12, E22, E45 for 20 minutes, while the control group rested on the bed. Data was analyzed using the SAS program with Fisher's Exact $x^2$ test, repeated measured ANOVA, and ANCOVA. Result: In the experimental group, pain intensity (f=63.26, p=0.00), A12(A)(F=60.40, p=0.00), and medication requirement ($x^2$=32.63, p=0.00) were significantly lower than that of the control group. Conclusion: These findings indicate that hand acupuncture therapy is effective for reduction of intermittent abdominal pain. Therefore, hand acupuncture therapy can be considered an independent nursing intervention for reducing intermittent abdominal pain.

서금요법이 복부비만 중년여성의 비만정도에 미치는 효과 (Effects of Seogeum Therapy on Obesity for Middle Aged Abdominal Obese Women)

  • 채은주;김춘길
    • 성인간호학회지
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    • 제20권3호
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    • pp.418-430
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    • 2008
  • Purpose: This study was to examine the effects of Seogeum therapy for middle-aged abdominal obese women. Methods: Seogeum therapy combined cupping, stepping on ion aluminum board, adhering to Seoam moxibustion and Seoam pellet. The subjects consisted of 30 middle-aged abdominal obese women between 40 and 59 years of age: fifteen were assigned to experimental group, fifteen to control group. The data collection and treatments were performed from June to October, 2007. The subjects of experimental group participated in Seogeum therapy for 5 times per week during 8 weeks. The data were analyzed with Chi-square test, Wilcoxon signed rank test and Wilcoxon rank-sum test with SPSS/Window 12.0 program. Results: Seogeum therapy experimental group showed significant difference in change of general obesity indexes(body weight, body fat amount, body fat ratio, BMI) than control group supporting hypothesis 1. Experimental group showed significant difference in change of abdominal obesity indexes(abdominal fat ratio, waist circumference, hip circumference) than control group supporting hypothesis 2. Conclusion: Obesity management of Seogeum therapy had a positive effect for middle-aged obese women. Therefore, it is concluded that the obesity management of Seogeum therapy can be applied as a nursing intervention to decrease the obesity for middle-aged women.

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복강내압 측정을 위한 초소형 카데터 시스템 (Micro-cathter System for Measurement of Intra-abdominal Pressure)

  • 서호영;나승대;김명남
    • 한국멀티미디어학회논문지
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    • 제20권8호
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    • pp.1430-1438
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    • 2017
  • Recently, interest that intra-abdominal pressure has been increased as change of pathophysiology to critical patients. The intra-abdominal pressure is measured by cystometry what can be available for non-inclusively. However, conventional methods have some problems such as low SNR, weakness of environment temperature, and unsuitable size of sensor. In this paper, a new subminiature pressure sensor module and sensing system are proposed using a sensor of semiconductor type and FPCB. The module is more stable, flexible, and smaller than the conventional catheter. The performance of the developed module is evaluated by various quantitative analysis indexes. The proposed sensor has the high sensitivity and suitable size for measurement of cystometry more than the conventional method. In order to prove efficiency between conventional and proposed method, proposed method compared for sensitivity, fixable, and size. The proposed method will be help measurement of intra-abdominal pressure of patients due to high accuracy and comfortableness.

Advanced Gastric Cancer Perforation Mimicking Abdominal Wall Abscess

  • Cho, Jinbeom;Park, Ilyoung;Lee, Dosang;Sung, Kiyoung;Baek, Jongmin;Lee, Junhyun
    • Journal of Gastric Cancer
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    • 제15권3호
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    • pp.214-217
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    • 2015
  • Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach. During surgery, we made an incision on the abdominal wall to drain the abscess, and performed curative total gastrectomy with partial excision of the involved abdominal wall. The patient received intensive treatment and wound management postoperatively with no surgery-related adverse events. However, the patient could not receive adjuvant chemotherapy and expired on the 82nd postoperative day.