• 제목/요약/키워드: amount of bilirubin

검색결과 29건 처리시간 0.018초

알코올성 간염 환자의 불면과 피로 개선에 대한 한양방 병용치료 치험 1례 (A Case Report of Insomnia and Fatigue in Alcoholic Hepatitis Patients Treated with Korean Medicine and Western Medicine)

  • 남현서;한승희;정인채;선승호;김미경;한인식;백태현;정의민
    • 대한한방내과학회지
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    • 제41권2호
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    • pp.186-193
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    • 2020
  • Objectives: This study aimed to report a case that showed improvements in the symptoms of patients with alcoholic hepatitis without any indication of deterioration of the disease. Methods: Western medicine with Urusa tablets and Godex capsules and Korean medicine therapeutic approaches, including Shihogayonggolmoryo-tang, acupuncture, and moxibustion, were administered to a patient during the period of treatment. Blood tests were used to determine levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), AST/ALT ratio, alkaline phosphatase (ALP), gamma glutamyltransferase (GGT), total bilirubin, direct bilirubin, and total cholesterol. Fatigue was measured using the numeric rating scale (NRS), and the patient's total sleeping time was checked, daily. Results: After the combined treatment, the AST/ALT ratio and the AST, ALT, ALP, GGT, total cholesterol, and direct bilirubin levels were decreased. Through Oriental medicine for the purpose of improving symptoms, NRS of fatigue decreased from 10 to 5, and the amount of sleeping time increased from 2 to 5 hours. Conclusions: The herbal medicine had no effect on the hepatoprotective drugs such as Urusa tablets and Godex capsules used to treat alcoholic hepatitis, and no adverse reaction from the combined administration was observed. To reduce fatigue and insomnia in patients with alcoholic hepatitis, it might be helpful to combine Western medications with Korean medicine treatments, including acupuncture, moxibustion, and Shihogayonggolmoryo-tang.

당뇨병 환자의 혈당 및 임상에 미치는 알로에의 효과 (Effects of Aloe vera Treatment on Blood Glucose Level and Clinical Chemistry in Diabetic Patients)

  • 박웅양;윤여표
    • 한국식품위생안전성학회지
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    • 제10권1호
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    • pp.13-17
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    • 1995
  • In order to study the effects of Aloe vera treatment on blood glucose level and clinical chemistry in diabetic patients, eight diabetic patients were administered orally with 800 mg of Aloe vera three time a day for three months. The high levels of blood and urine glucose in diabetic patients were significantly reduced by administration of Aloe vera. The increased plasma triglyceride concentration was also significantly reduced by Aloe vera treatment. A little amount of urine bilirubin, hematuria, nitrite, urobilinogen, protein and ketone bodies were detected before treatment, but not detected after Aloe vera treatment. But other blood parameters of clinical chemistry values were not affected by Aloe vera treatment. These data suggest that Aloe vera can be effective in the treatment of the diabetic patients.

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선천성 담도폐쇄증에서 $^{99m}Tc$ DISIDA 신티그라피의 진단정확성 (Diagnostic Accuracy of $^{99m}Tc$-DISIDA Scintigraphy in Biliary Atresia)

  • 현인영;이동수;이경한;김종호;정준기;서정기;이명철;고창순
    • 대한핵의학회지
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    • 제28권3호
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    • pp.357-363
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    • 1994
  • 1990년 1월부터 1992년 12월까지 서울대학교병원 소아과 및 소아외과에 황달을 주소로 입원하여 원인이 규명되었던 70명의 환아들에서 $^{99m}Tc$-DISIDA 신티그라피와 초음파검사를 실시하여 다음과 같은 성적을 얻었다. 1) 선천성 담도폐쇄증 30명 전예에서 소장방사능이 관찰되지 않았고 신생아간염 40명 중 31예에서 소장 방사능이 관찰되어 소장방사능의 유무에 따른 선천성 담도폐쇄증의 진단은 예민도 100% 특이도 78%, 정확도는 87%이었다. 2) 소장방사능이 관찰되지 않았던 환아에서 간정체 지표는 선천성 담토폐쇄증 16예가 $1.5{\pm}0.6$으로 신생아간염 7예의 $1.2{\pm}0.2$보다 높았고(p<0.05), 신생아간염의 간정체지표의 2표준편차 상한값인 1.5보다 높은 간정체지표를 보인 경우는 7예로 모두 선천성 담도폐쇄증이었다. 그러나 간정체지표가 1.5 이하인 16명중 9예는 선천성 담도폐쇄증, 7예는 신생아간염으로 이들에서는 간정체지표로 구별되지 않았다. 3) 간기능장애를 나타내는 요소를 분석하였을 때 간섭취도는 선천성 담도폐쇄증과 신생아간염에서 유의한 차이가 없었다. 연령과 간섭취지표는 일정한 상관관계가 없었고 총 빌리루빈치와 간섭취지표는 간섭취도가 정상인 환아의 총빌리루빈치가 상대적으로 낮다는 소견 이외에는 일정한 상관관계가 없었다. 신생아간염에서 소장방사능이 보이는 31예의 연령이 $2.1{\pm}0.7$ 개월로 보이지 않는 9예의 연령평균 $1.7{\pm}0.5$개월 보다 많았다(P<0.01). 4) 간섭취지표와 간정체지표와의 관계는, 간섭취지표가 높을 때 즉 간기능 저하가 심할 때 간정체지표가 높으면 즉 간섭취에이은 간정체가 일정이상 수준이면 신생아간염보다 선천성 담도폐쇄증일 가능성이 높았다. 이상의 결과로 연령이 증가하면 선천성 담도폐쇄증환아의 간기능이상은 진행하지만 신생아간염환아의 간기능장애의 정도는 연령과 무관하여, 간섭취지표로 기능을 평가하고 간정체지표로 판독하면 선천성 담도폐쇄증을 감별할 수 있다고 생각하였다. 그러나 간기능저하가 가볍고 간정체지표가 좋지 않을 때에는 역시 구별되지 않아 다른 검사결과를 참조한 임상판단에 의존하여야 할 것이며 수술적 간담도 조영술의 대상 예로 삼아야 한다고 생각하였다. 이 연구의 결과를 통하여 신생아에서 발생하는 황달의 원인을 규명하는데, $^{99m}Tc$-DISIDA 신티그라피가 유용한 검사법이며, 소장방사능이 관찰되지 않는 경우에는 간정체지표와 간섭취지표와의 관계를 고려하여 간섭취지표보다 간정체지표가 상대적으로 좋을 경우 선천성 담도폐쇄증의 가능성이 높아 감별에 도움되는 소견으로 사용할 수 있을 것으로 생각하였다.

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마황(麻黃)과 석고(石膏) 혼합물이 지방전구세포 분화와 흰쥐의 비만에 미치는 영향 (Effect of Mixed Extract of Ephedrae Sinica and Fibrosum Gypsum on Differentiation of Preadipocytes and Obesity of Rats)

  • 기영범;김대훈;양미성;강대희;김선종;최진봉
    • 한방재활의학과학회지
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    • 제24권3호
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    • pp.11-27
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    • 2014
  • Objectives This study was designed to evaluate the effects of Ephedra Sinica and Fibrosum Gypsum extract on obesity by using 3T3-L1 cells and high fat diet rats. Methods In vitro, Ephedra Sinica and Fibrosum Gypsum extract (50, 100, 200, $500{\mu}g/ml$) were added in 3T3-L1 cells. Cytotoxicity was measured by MTT assasy. Adipocyte differentiation was measured by Oil Red O staining, GPDH activity and $C/EBP{\alpha}$ protein expression. In vivo, Sprague-Dawley rats were divided into 5 groups : Normal diet group (Normal group), taken high fat diet and no treatment group (Control group), taken high fat diet and orally administered Ephedra Sinica and Fibrosum Gypsum extract daily (Group I: 50 mg/kg, Group II: 100 mg/kg, Group III : 200 mg/kg, oral). For 6 weeks of administration, body weight and the amount of food intake were measured once a week. After administration, blood analysis (AST, ALT, T-Bilirubin, BUN, RBC, Hb, HCT), serum lipid level (triglyceride, Total cholesterol, HDL, LDL), serum leptin level, epididymal adipose tissue weight and histological finding of liver were estimated. Results In vitro, The cytotoxicity was not significant. 3T3-L1 cell's differentiation was significantly decreased in Oil Red O staining, GPDH activity and $C/EBP{\alpha}$ protein expression. In vivo, Body weight and the amount of food intake, AST, ALT, Total cholesterol, TG, LDL, serum leptin, epididymal adipose tissue weight showed significant decrease in group I, group II and group III. There were no significant difference in T-bilirubin, BUN, RBC, Hb and HCT between all groups. HDL showed significant increase in group I, group II and group III. In histological finding of liver tissue, there were decreased adiposity and cytopathic effect in group I, group II and group III. Conclusions It is suggested that Ephedra Sinica and Fibrosum Gypsum extract can be used in the treatment of obesity.

담낭 점액낭종에 의한 담낭 파열의 만성 경과 증례 (Delayed Clinical Symptoms of Gallbladder Rupture by Gallbladder Mucocele in a Dog)

  • 노다지;권영삼;최호정;이영원;이기자
    • 한국임상수의학회지
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    • 제33권1호
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    • pp.58-61
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    • 2016
  • An 11-year-old, intact male Cocker Spaniel dog was presented with history of abdominal distension, dyspnea for 10 days and lethargy for 1 day. Abdominal radiographs showed decreased serosal detail with abdominal distension. Abdominal ultrasounds revealed gallbladder mucocele with generalized peritonitis showing stellate-like sludge in the gallbladder with echogenic fat degeneration of cranial abdomen and abdominal free fluid containing echogenic materials. Loss of gallbladder wall integrity was shown clearly on computed tomography but ambiguously on ultrasound. Ultrasound-guided abdominocentesis was performed and showed amount of yellowish-bloody peritoneal fluid with vegetable matter and mucoid substance. On peritoneal fluid analysis, bilirubin level was elevated over three times than those of the serum. On exploratory laparotomy, gallbladder rupture and generalized bile peritonitis with intestinal adhesions were confirmed and cholecystectomy with peritoneal lavage was performed. One day after operation, patient died. This report describes delayed clinical symptoms of gallbladder rupture by gallbladder mucocele. In addition, this is the first case report using computed tomography made a diagnosis gallbladder rupture in a dog. Computed tomography might be helpful to diagnose gallbladder rupture.

적하수오(赤何首烏) 약침(藥針)의 AAPH처리된 흰쥐에 대한 항산화작용 (Antioxidant activity of aqua-acupuncture of Polygoni Radix rubra in rats treated with AAPH)

  • 임낙철
    • 혜화의학회지
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    • 제8권2호
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    • pp.361-374
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    • 2000
  • This study was done to elucidate the antioxidant activities of Polygoni Radix rubra(赤何首烏) by way of aqua-acupuncture methods. After 10% & 20% concentrations of liquid extract of Polygoni Radix rubra(PRR) were acupunctured on Joksamri(足三里) of rats with acute and chronic experimental oxidation by AAPH(2, 2' -azobis (aminoidinopropane), hydrochloride), various kinds of experiments were performed. The results were obtained as follows: 1. In acute oxidant experiment, the amount of TBARS was significantly increased from 0.5 hr to 1.5 hr after AAPH treatment 2. In acute oxidant experiment by AAPH, uric acid as significantly increased while the others didn't show any difference such as total protein, albumin, bilirubin. 3. In chronic oxidant experiment by AAPH, PRR significantly increased the body weight in comparison with control group, whereas liver and spleen tended to increase, lung and kidneys tended to decrease. 4. In chronic oxidant experiment by AAPH, PRR significantly decreased the GPT, hemolysis of erythrocytes, TBA and BUN, where GOT was significantly reduced in 20% PRR treated group, and TG was significantly in 10% PRR treated group. These results suggest that PRR has potent antioxidant activity and needs more studies on microsomal fraction of liver and kidney.

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흰쥐에 양파즙 투여가 혈액 지질량에 미치는 영향 (The Effects of Onion Juice on Serum Lipid Levels in Rats)

  • 서화중;정두례
    • 한국식품영양과학회지
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    • 제26권6호
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    • pp.1164-1172
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    • 1997
  • In this study we investigated the effects of dietary fat sources and onion on serum lipid levels in rats. One hundred twenty female Wistar rats two weeks old were randomly divided into five groups of 24 animals assigned to one of the ive modalities : Control group was fed only basal diet containing 6.3% of corn oil, T and L group were administered 6.3% beef tallow and lard substituted for corn oil in basal diet, LOv and LOx group were given same amount of lard as L group together with 4.2ml of onion juice/kg body weight, and 8.2ml of onion juice/kg body weight respectively. Six randomly selected rats from each group were evaluated for hematologic and serum biochemical parameters weekly. Over 4 week experiments it was found that the triglyceride and cholesterol levels were significantly elevated in T and L group compared with the control group. Triglyceride contents were significantly increased in L group compared with T group. But there was no difference in cholesterol levels between L and T group. LOv diet did not decrease significantly the triglyceride and cholesterol levels, but LOx group significantly did compared with L diet. LOx group had nearly normal values of bilirubin, creatinine, uric acid level and hemoglobin contents cut slightly increased levels in the glutamic oxaloacetic transaminase and alkaline phosphatase activities.

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구기자(枸杞子) 추출물(抽出物)이 가토(家兎)의 실험적(實驗的) 간장장애(肝臟障碍) 및 alloxan당뇨병(糖尿病)에 미치는 영향(影響) (Effects of Lycii fructus extract on Experimentally Induced Liver Damage and Alloxan Diabetes in Rabbits)

  • 서화중;전성주;이명열
    • 한국식품영양과학회지
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    • 제15권2호
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    • pp.136-143
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    • 1986
  • 구기자추출물(枸杞子抽出物)을 시료(試料)로 mouse의 독성실험(毒性實驗), 실험적(實驗的)으로 유발(誘發)시킨 가토(家兎)의 간장기능장애(肝臟機能障碍) 및 alloxan부하당뇨병(負荷糖尿病)에 미치는 영향(影響)을 실험(實驗)하여 다음과 같은 결과(結果)를 얻었다. 1. Mouse의 급성독성실험(急性毒性實驗)에서 복강투여(腹腔投與)의 경우 평균치사량(平均致死量)은 12.17g/kg이었다. 2. $CC1_4$로 간장기능장애(肝臟機能障碍)가 유발(誘發)된 가토(家兎)에 구기자추출물투여(枸杞子抽出物投與)는 대조군(對照群)에 비하여 유의성(有意性)있는 회복도(回復度)를 보였는데 특(特)히 대량투여군(大量投與群)에서 더욱 빨랐다. 1) GPT활성도(活性度) 및 total bilirubin은 시료투여군(試料投與群)에서 아주 우수(優秀)한 저하효과(低下效果)를 나타냈다. 특(特)히 GPT활성도(活性度)에서 200mg/kg은 제(第)8일(日)째부터, 800mg/kg은 제(第)6일(日)째부터 유의성(有意性)이 있었다. 2) Alkaline phosphatase치는(値) 대조군(對照群)에 비하여 커다란 차이를 보이지 않았다. 3) Alloxan으로 유발(誘發)한 가토(家兎)의 고혈당(高血糖)에 대하여 800mg/kg는 아주 탁월한 혈당강하효과(血糖降下效果)를 나타냈다. 즉(卽) 제(第)4일(日)째부터 대조군(對照群)에 비하여 유의성(有意性)이 있었으며 제(第)12일(日)째는 정상치(正常値)에 거의 접근(接近)하였다. 또한 GPT활성도(活性度)는 차츰 저하(低下)되어 제(第)6일(日)째부터 저하효과(低下效果)가 뚜렷하였다.

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어린 백서에서 패혈증으로 유발된 다발성 장기 부전증의 특성 (Characteristics of Multiple Organ Failure in Baby Rats)

  • 유수영;노광수;정진형;김일호;고용택
    • Advances in pediatric surgery
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    • 제6권1호
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    • pp.10-18
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    • 2000
  • Multisystem organ failure resulting from gram negative bacterial sepsis is associated with high morbidity and mortality in surgical neonates. There are differences in the clinical characteristics of organ failure in neonates and adults. The purpose of this study is to identify the differences and determine the order of organ failure between baby rats and adult rats after induction of gram negative sepsis. Fifty baby rats less than 30-day-old and another 50 adult rats more than 2-month-old were divided into control group (G1) and experimental group (G2). The G1 consisted of 10 baby- and 10 adult-rats, and the G2 consisted of 40 babies and 40 adults. E. coli ($10^8/mL$ per 100g of body weight) were injected into the peritoneal cavity in G2 and same amount of saline was injected in G 1. Blood samples were obtained before injection, 24 hour, 48 hour, 72 hour and after death. WEC, platelet, $PaO_2$, $PaCO_2$, total bilirubin, BUN, creatinine, albumin and abdominal wall thickness were measured to evaluate the sequence of organ failure. The mortality was 55.0 % in G2-babies and 32.5 % in G2-adults. In baby rats, microvascular, hematologic and renal failure appeared within 24 hours after injection and pulmonary failure followed. Pulmonary, renal and liver failure developed within 24-48 hours in adult rats; however, microvascular failure did not appear until they were moribund. Thrombocytopenia, hypoalbuminemia, increased BUN and generalized edema was the earlist sign of sepsis in baby rats.

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Dichlorvos 증기(蒸氣)의 지속적(持續的) 흡입(吸入)이 인체(人體) 및 가계(家鷄)에 미치는 영향 (Studies on the potential hazard of dichlorvos-resin vaporizing insecticide in human and domestic fowl)

  • 오정섭;홍사악;임정규;김명석;신상구;윤효인
    • 대한약리학회지
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    • 제11권2호
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    • pp.55-59
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    • 1975
  • Safety study of the continuous releasing dichlorvos-resin insecticide $(Mopari^{\circledR})$ was conducted in human volunteers and domestic fowls. For the purpose, the potential hazards in using the insecticide were observed in terms of the inhibition of plasma cholinesterase activity and the changes in the liver function (GOT, GPT, Alkaline phosphatase, Bilirubin, Thymol turbidity), the blood picture (RBC, WBC with differential count, Hemoglobin, Hematocrit and ESR) and the urine picture (sugar, albumin, pH and microscopic findings) in 40 healthy adult volunteers and 60 leghorn domestic fowls. In case of the human study the observation was continued for 2 months during the application of the insectiside ($1{\sim}3$ solid formulations/$30m^3$) in the living rooms of ordinary Korean dwelling houses or in the office. In the animal test, however, 1 to 5 solid formulations of the insecticide were applied in the fowl cage of $9.2m^3$ for 5 weeks. Any significant inhibition of the plasma cholinesterase activity was not observed in both the human volunteer and the fowl throughout the experimental period. And the liver function as well as the blood and urine pictures were also not changed after exposure to the vaporizing insecticide. It is considered from the result that the amount of dichlorvos released into the air by the continuous vaporizing dichlorvos-resin insecticide presents no significant hazardous effect on humans or animals in the present experimental condition.

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