• 제목/요약/키워드: brain injury

검색결과 949건 처리시간 0.023초

Glutamate로 유도된 C6 glial 세포 자멸사에 대한 청심연자음(淸心蓮子飮)의 보호효과 (Protective Effects of Chungsimyeonja-eum on Glutamate-induced Apoptosis in C6 Glial Cells)

  • 고석재;신용진;장원석;하예진;이선아;안민섭;권오상;신선호
    • 대한한방내과학회지
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    • 제31권1호
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    • pp.54-65
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    • 2010
  • Objective : The water extract of Chungsimyeonja-eum (CSYJE) has traditionally been used in treatments of heart diseases and brain diseases in Oriental medicine. However, little is known about the mechanism by which CSYJE protects neuronal cells from injury damages. Therefore, in this study we attempted to elucidate the mechanism of the cytoprotective effect of the CSYJE extract on glutamate-induced C6 glial cell death. Methods : Cultured cells were pretreated with CSYJE and exposed to glutamate, cell damage was assessed by using MTT assay and propidium iodide (PI), probe 2',7'-dichlorofluorescein diacetate (DCF-DA) staining. Western blotting was performed using anti-procaspase-3 and anti-PARP, respectively. Result : We determined the elevated cell viability by CSYJE extract on glutamate-induced C6 glial cell death. Glutamate induced DNA fragmentation on C6 glial cells but pre-treatment with CSYJE inhibited DNA fragmentation. One of the main mediators of glutamate-induced cytotoxicity was known to generation of reactive oxygen species (ROS). Pre-treatment with CSYJE inhibited this ROS generation from glutamate-stimulated C6 glial cells. Also, we identified that the ROS-induced DCF-DA green fluorescence was reduced by CSYJE pre-treatment. The critical markers of apoptotic cell death are the cleavages of procaspase-3 protease and PARP proteins, so we checked the expression level and cleavages of procaspase-3 protease and PARP proteins. Glutamate-treated C6 glial cells showed the cleavages of procaspase-3 protease and PARP proteins and followed the reduction of expression of these proteins. Conclusion : These findings indicate that CSYJE may prevent cell death from glutamate-induced C6 glial cell death by inhibiting the ROS generation and procaspase-3 and PARP expression.

각병연수장합증손백출산(却病延壽場合增損白朮散) 열수추출물, 초미세분말제형이 Alzheimer's Disease 병태(病態) 모델에 미치는 영향 (The Effects of Gagbungyunsoo-tanghap Zeungsonbakchul-san (GYZB) Hot Water Extract & Ultra-fine Powder on the Alzheimer's Disease Model)

  • 최보윤;이상룡;정인철
    • 대한한의학회지
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    • 제28권2호통권70호
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    • pp.137-154
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    • 2007
  • Objective : This experiment was designed to investigate the effect of the GYZB hot water extract & ultra-fine powder on the Alzheimer's disease model induced by amyloid ${\beta}$ protein (${\beta}A$). Method : We measured the effects of the GYZB hot water extract on expression of $IL-1{\beta}$, IL-6 mRNA and production of IL-6, $TNF-{\alpha}$ in the BV2 microglial cell line treated with lipopolysaccharide (LPS). The effects of the GYZB hot water extract & ultra-fine powder on (1) the behavior, (2) expression of $IL-1{\beta}$ and $TNF-{\alpha}$, (3) glucose in serum, (4) the infarction area of the hippocampus, and brain tissue injury in mice induced with Alzheimer's diseased by ${\beta}A$ were investigated. Results : The GYZB hot water extract suppressed the expression of $IL-1{\beta}$ and IL-6 mRNA and significantly suppressed the production of IL-6 and $TNF-{\alpha}$ in the BV2 microglial cell line treated with LPS. The GYZB hot water extract & ultra-fine powder showed a significant inhibitory effect on the memory deficit of the mice with Alzheimer's disease induced by ${\beta}A$ in the Morris water maze experiment, which measured stop-through latency and distance movement-through latency. The GYZB ultra-fine powder significantly suppressed the expression of $IL-1{\beta}$ and $TNF-{\alpha}$ protein, and the GYZB hot water extract significantly suppressed the expression of $TNF-{\alpha}$ protein in the microglial cell of mice with Alzheimer's disease induced by ${\beta}A$. The GYZB hot water extract & ultra-fine powder reduced the infarction area of hippocampus in the mice with Alzheimer's disease induced by ${\beta}A$. Conclusions : These results suggest that GYZB hot water extract & ultra-fine powder may be effective for the prevention and treatment of Alzheimer's disease. Investigation into the clinical use of GYZB for Alzheimer's disease is suggested for future research.

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뇌손상 후 운동신경기능 회복에 대한 대칭형 상지 운동기구의 효과: 기능적 뇌 자기공명영상 연구 (Effects of the Symmetric Upper Extremity Motion Trainer on the Motor Function Recovery after Brain Injury: An fMRI Study)

  • 태기식;최희석;송성재;김영호
    • 한국의학물리학회지:의학물리
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    • 제16권1호
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    • pp.1-9
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    • 2005
  • 본 연구에서는 건측 손의 운동에 따라 환측 손이 대칭적으로 운동하며 두 가지 운동이 가능한 대칭형 상지 운동기구를 개발하고 개발된 대칭형 상지운동 기구를 이용한 6주간의 훈련 후 상지운동 기능 평가인 Fugl-Meyer 검사를 실시하고 기능적 자기공명영상(fMRI)을 통한 뇌 활성화의 변화를 관찰하였다. 편마비 환자를 위하여 건측 손의 운동을 환측 손으로 전달하여 손목의 굴곡과 신전, 전완의 회내와 회외 운동을 유도하는 대칭형 상지 운동기구를 제작하고 제작한 기구의 운동효과를 검증하기 위하여 대뇌병변이나 정신분열증 경험이 없는 오른손잡이인 성인 3명을 대조군으로 선정하고 편마비 발생 후 2년 이상 경과하여 손상된 상지의 자발적 회복과정이 끝났고 제시된 과제 수행이 가능한 만성 편마비 환자 남성 3명을 환자군으로 선정하였다. 제작된 대칭형 상지 운동기구를 이용한 총 6주간의 훈련 후 측정된 Fugl-Meyer 검사에서 훈련에 참가한 모든 편마비 환자들의 상지 운동기능이 현저하게 향상되었다. 또한 만성 편마비 환자를 대상으로 하여 제작된 기구를 적용하여 뇌 활성화를 관찰하기 위해 영상 촬영을 진행하는 동안 모든 피검자들에게 대조군에게는 우세 손을 환자군에게는 건측 손만 손잡이를 잡고 손목의 굴곡/신전 운동(과제 1)을 하고, 양손 모두 손잡이를 잡은 채로 건측 손만을 움직여서 환측 손이 수동적으로 대칭 운동(과제 2)을 하는 두 가지 과제를 수행하게 하였다. 과제 1에서는 운동 전에 비해 대측 SMC의 활성 강도가 증가되고 동측 SMC는 감소하였다. 과제 2에서는 환자에 따라 운동 전에 다양한 영역에서 활성화되다가 운동 후 양측 SMC 및 SMA, PMA 영역 등의 이차 운동영역의 재조직화가 관찰하여 각 과제에 대한 운동 전후의 대뇌 피질의 재조직화가 손의 운동성 회복과 관련이 있음을 확인하였다. 본 연구를 통해 만성편마비 환자에게 본 기구를 적용시켰을 때 물리 치료적 중재로 인한 운동기능 회복 향상과 손 운동에 대한 기능적 자기공명 영상을 비교함으로써 대뇌 피질의 재조직화를 관찰할 수 있었다.

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소아 두부 전산화단층촬영 선량지표 분석을 통한 피폭선량 모니터링: 일개병원 사례 중심으로 (Analyzed the Computed Tomography Dose Index (CTDI) to the Pediatric Brain CT by Reason of the Observation for the Exposure Dose: Base on a Hospital)

  • 이재승;김현진;임인철
    • 한국콘텐츠학회논문지
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    • 제15권6호
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    • pp.290-296
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    • 2015
  • 본 연구는 일개병원에서 시행된 년간 소아 두부 CT 검사에 대한 CT 선량지표(CTDI)를 국내 진단참고 준위와 비교하여 분석함으로써 제안점을 도출하고 피폭 방사선량 저감화 방안을 제시하고자 하였다. 이를 위하여 2014년 1월부터 12월까지 두부 손상으로 소아 두부 CT 검사를 의뢰 받은 10세 미만의 소아 231명을 후향적으로 조사하였다. 조사 방법은 선량 보고서와 의료전자차트를 참조하여 일반적 특성, 관전압(kVp), 관전류(mA), 검사 범위, $CTDI_{vol}$, DLP를 조사하여 분석하였다. 결과적으로 $CTDI_{vol}$은 전체 연구대상자의 7.4%(17명)가 국내 진단참고준위를 초과한 것으로 나타났으며 DLP의 경우 41.6%(96명)가 초과 되어 $CTDI_{vol}$ 보다 비교적 높게 나타났다. DLP는 한국식품의약품안전처에서 제시한 CT 선량 지표보다 대부분 약 60% 이상 초과되었으며 건강보험심사평가원에서 제시한 기준 검사 범위보다 약 30%이상 증가된 검사 범위가 DLP가 높게 나타난 원인으로 분석되었다. 결론적으로 임상에서 CT 검사 시 건강보험심사 평가원에서 제시하는 소아 두부 CT 검사의 기준 검사 범위를 준수하여 검사하고 프로토콜을 적절히 조절한다면 피폭선량을 상당히 낮출 수 있을 것으로 판단된다.

응급실에 내원한 두부외상환자의 2차 평가로써 초음파를 이용한 시각신경집 지름 측정은 유용한가? (Availability of the Optic Nerve Sheath Diameter Measured by Using Ultrasonography as a Secondary Survey for Patient with Head Injuries in the Emergency Department)

  • 이동욱;이정원;박세훈;박일성;이현정;유병대;문형준
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.104-110
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    • 2013
  • Purpose: Bedside ultrasonography is available in most emergency departments, and detecting the intracranial pressure is elevated is critical. Our objective is to evaluate the availability of bedside optic nerve ultrasound (ONUS) as a secondary survey for patients with head injuries in the emergency department (ED). Methods: From September, 2012, to March, 2013, we performed a prospective study of patients presenting to the ED after an accident. Patients with head injuries but without obvious ocular trauma or ocular disease were included. The ONUS was performed using a 3 to 12 MHz linear probe on closed eyelids after a primary survey. We analyzed the correlation between the brain computed tomography (CT) findings that suggested elevated intracranial pressure (ICP) and the Optic nerve sheath diameter (ONSD) measured by using ONUS. Results: A total of 81 patients were enrolled. Forty-seven had CT results consistent with elevated ICP, and their mean ONSD was $5.98{\pm}0.59$ mm; the mean ONSD of patients who showed no signs of elevated ICP on CT was $4.63{\pm}0.21$ mm. The sensitivity and the specificity for the ONSD, compared with elevated ICP, were 98.87% and 100%, respectively, when the cut-off value was set to 4.96 mm. The area under curve (AUC) was 0.997 in the receiver operating characteristic curve (ROC curve). Conclusion: An evaluation using ONUS is a simple noninvasive procedure and is a potentially useful tool as a secondary survey to identify an elevated ICP.

성심지황탕(醒心地黃湯) 열수추출물과 초미세분말제형이 Alzheimer's Disease 병태 모델에 미치는 영향 (Effects of Sungsimjihwang-tang Hot Water Extract & Ultra-fine Powder on the Alzheimer's Disease Model)

  • 민경직;이상룡;정인철
    • 동의생리병리학회지
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    • 제22권5호
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    • pp.1178-1191
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    • 2008
  • This experiment was designed to investigate the effect of the SSJHT hot water extract & ultra-fine Powder on Alzheimer's Disease Model Induced by ${\beta}A$. The effects of the SSJHT hot water extract on expression of IL-1RA, $IL-1{\beta}$$, IL-6, IL-10, $TNF-{\alpha}$, NOS-II, COX-2 mRNA and production of $IL-1{\beta}$, IL-6, $TNF-{\alpha}$ in BV2 microglial cell line treated by lipopolysacchaide(LPS). The effects of the SSJHT hot water extract & ultra-fine powder on (1) the behavior (2) expression of $IL-1{\beta}$, $TNF-{\alpha}$, MDA, CD68, CD11b and AChE (3) and the infarction area of the hippocampus in Alzheimer's diseased mice induced with ${\beta}A$ were investigated. The SSJHT hot water extract suppressed the expression of $IL-1{\beta}$, IL-6 and $TNF-{\alpha}$, NOS-II, COX-2 mRNA and increased IL-1RA, IL-10 in BV2 microglia cell line treated with LPS. The SSJHT hot water extract suppressed the production of $IL-1{\beta}$, IL-6, $TNF-{\alpha}$ significantly in BV2 microglial cell line treated with LPS. The SSJHT hot water extract & ultra-fine powder a significant inhibitory effect on the memory deficit was shown for the mice with Alzheimer's disease induced by ${\beta}A$ in the Morris water maze experiment, which measured step-through latency. The SSJHT hot water extract & ultra-fine powder suppressed the expression of $TNF-{\alpha}$$, $L-1{\beta}$ protein significantly in the microglial cell of mice with Alzheimer's disease induced by ${\beta}A$. The SSJHT hot water extract & ultra-fine powder reduced the MDA and suppressed the over-expression of CD68, CD11b in the mice with Alzheimer's disease induced by ${\beta}A$. The SSJHT hot water extract & ultra-fine powder significantly decreased AChE activity in the serum of the mice with Alzheimer's disease induced by ${\beta}A$. The SSJHT hot water extract & ultra-fine powder reduced infarction area of hippocampus. and controlled the injury of brain tissue in the mice with Alzheimer's disease induced by ${\beta}A$. The results suggest that the SSJHT hot water extract & ultra-fine powder may be effective for treatment of Alzheimer's disease. Investigation into the clinical use of the SSJHT hot water extract & ultra-fine powder for Alzheimer's disease is suggested for future research.

심정격(心正格) 혈위(穴位)(소충(少衝)${\cdot}$대돈(大敦), 소해(少海)${\cdot}$음곡(陰谷))에 대한 영수(迎隨) 및 염전(捻轉) 보사(補瀉) 침자(鍼刺)가 국소 뇌허혈 유발 흰쥐의 항뇌세포고사와 신경보호 효과에 미치는 영향 (Anti-apoptotic and neuroprotective effects of acupuncture techniques of tonification or sedation at HT9${\cdot}$LR1, HT3${\cdot}$KI10 on focal brain ischemic injury induced by intraluminal filament insertion in rats)

  • 변정윤;윤대환;나창수
    • Korean Journal of Acupuncture
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    • 제25권1호
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    • pp.229-246
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    • 2008
  • Objectives : Acupoints of LR1(Dadun)${\cdot}$HT9(Shaochong), KI10(Yingu)${\cdot}$HT3(Shaohai) are used as controlling the diseases from heart problems. Especially, when they are used, tonification or sedation techniques method is taken as a controlling the medication for an early stroke in the Korean medicine. So the aim of this study is to investigate the anti-apoptotic and neuroprotective effects of Acupuncture techniques of tonification or sedation at LR1${\cdot}$HT9, KI10${\cdot}$HT3 on the focal ischemia induced by intraluminal filament insertion in rats. Materials and Methods : The focal ischemia was induced by intraluminal filament insertion into middle cerebral artery. The animals were divided into five groups (n=7 in each group) : Control group, no therapy group after ischemia induced; AT-1; acupuncture therapy group at LR1${\cdot}$HT9, KI10${\cdot}$HT3 after ischemia-induced. AT-2; acupuncture therapy at right LR1, HT9(forward direction), KI10${\cdot}$HT3(opposite direction) inserting to the direction of route of the each meridian. AT3; acupuncture therapy at right LR1, HT9(twirling forward with the thumb of right hand 9 times), KI10${\cdot}$HT3(twirling forward with the forefinger of right hand 6 times) AT-4; acupuncture therapy at right LR1, HT9(forward direction, twirling forward with the thumb of right hand 9 times), KI10${\cdot}$HT3(opposite direction, twirling forward with the forefinger of right hand 6 times) inserting to the direction of route of the each meridian. The anti-apoptotic and neuroprotective effects of Acupuncture techniques of tonification or sedation at LR1, HT9, KI10${\cdot}$HT3 were observed by Bax, Bcl-2, mGluR5, Cytochrome c, Cresyl violet and ChAT-stain. Results : The intensity of Bax and Bax/Bcl-2 ratio were increased in ACU-2 and ACU-4 group but decreased in ACU-3 group. The intensity of mGluR5 was increased in ACU-1, ACU-2, ACU-3 and ACU-4 group. The intensity of cytochrome c was decreased in ACU-3 and ACU-4 group. The density of neurons stained by Cresyl violet and ChAT were increased in ACU-1, ACU-3 and ACU-4 group. Conclusions : Our study suggests that acupuncture therapy of tonification at LR1, HT9 by twirling forward with the thumb of right hand 9times, sedation at KI10${\cdot}$HT3 by twirling forward with the forefinger of right hand 6 times after perpendicularly inserting needle shows anti-apoptotic and neuroprotective effects on cholinergic neuron in focal cerebral ischemia of the stroke in rats.

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스트레스-유도 열충격단백질 27(Heat Shock Protein 27)의 활성과 물리치료의 상관성 (The Activation of Stress-induced Heat Shock Protein 27 and the Relationship of Physical Therapy)

  • 김미선;이성호;김일현;황병용;김중환
    • The Journal of Korean Physical Therapy
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    • 제20권1호
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    • pp.57-65
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    • 2008
  • Purpose: Heat shock proteins (HSPs) are a group of proteins that are activated when cells are exposed to a variety of environmental stresses, such as infection, inflammation, exposure to toxins, starvation, hypoxia, brain injury, or water deprivation. The activation of HSPs by environmental stress plays a key role in signal transduction, including cytoprotection, molecular chaperone, anti-apoptotic effect, and anti-aging effects. However, the precise mechanism for the action of small HSPs, such as HSP27 and mitogen-activated protein kinases (MAPKs: extracellular-regulated protein kinase 1/2 (ERK1/2), p38MAPK, stress-activated protein kinase/c-Jun N-terminal kinase (SAPK/JNK), is not completely understood, particularly in application of cell stimulators including platelet-derived growth factor (PDGF), angiotensin II (AngII), tumor necrosis factor $\alpha$ (TNF$\alpha$), and $H_2O_2$. This study examined the relationship between stimulators-induced enzymatic activity of HSP27 and MAPKs from rat smooth and skeletal muscles. Methods: 2-dimensional electrophoresis (2DE) and matrix assisted laser desorption ionizationtime-of-flight/time-of-flight (MALDI-TOF/TOF) analysis were used to identify HSP27 from the intact vascular smooth and skeletal muscles. Three isoforms of HSP27 were detected on silver-stained gels of the whole protein extracts from the rat aortic smooth and skeletal muscle strips. Results: The expression of PDGF, AngII, TNF$\alpha$, and $H_2O_2$-induced activation of HSP27, p38MAPK, ERK1/2, and SAPK/JNK was higher in the smooth muscle cells than the control. SB203580 (30${\mu}$M), a p38MAPK inhibitor, increased the level of HSP27 phosphorylation induced by stimulators in smooth muscle cells. Furthermore, the age-related and starvation-induced activation of HSP27 was higher in skeletal muscle cells (L6 myoblast cell lines) and muscle strips than the control. Conclusion: These results suggest, in part, that the activity of HSP27 and MAPKs affect stressors, such as PDGF, AngII, TNF$\alpha$, $H_2O_2$, and starvation in rat smooth and skeletal muscles. However, more systemic research will be needed into physical therapy, including thermotherapy, electrotherapy, radiotherapy and others.

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가상현실재활시스템 적용에 따른 뇌졸중 환자의 일상생활활동, 인지기능, 자아존중감의 개선효과 (The Effect of The Virtual Reality Rehabilitation System on Activities of daily living, cognitive function, self-esteem in Stroke)

  • 김영근
    • 한국산학기술학회논문지
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    • 제16권8호
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    • pp.5476-5484
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    • 2015
  • 본 연구의 목적은 산학연 공동기술개발사업으로 개발한 가상현실재활시스템이 뇌졸중 환자에게 긍정적인 영향을 주는지 임상 실험으로 알아보고 이를 통해 개발제품의 임상적 사용 가능성을 검증하기 위함이다. 임상실험을 통해 검증하고자 가상현실재활시스템을 재활병원에 입원하고 있는 뇌졸중 24명(뇌출혈 13명, 뇌경색 11명)에게 제공하였다. 실험군(13명)에는 가상현실재활시스템 위주의 훈련을 실시하였고, 대조군(11명)에는 재활치료의 유형인 보편적 기능훈련으로 일상생활활동 훈련, 지필물과 테이블 탑 위주의 인지재활 훈련, 운동조절 훈련을 실시하였다. 실험군과 대조군 모두 주 3회 하루 2회씩 총 8주간 실시하였다. 두 집단 모두 사전사후 기능적 독립 측정(Functional Independent Measure; FIM), 한국형 간이정신상태 검사(Mini-Mental State Examination for Korean; MMSE-K), 자아존중감척도 평가를 실시하였다. 실험결과 가상현실재활시스템을 제공한 집단과 보편적 재활치료를 받은 집단이 일상생활활동, 기초인지, 자아존중감척도에서 유사한 결과를 보였다. 중재 전후를 비교해 본 결과 가상현실재활시스템을 제공한 집단이 중재 전보다 중재 후에 일상생활활동, 기초인지, 자아존중감에서 모두 의미 있는 향상이 있었다(P<.05). 산학공동으로 개발한 가상현실재활시스템이 뇌졸중 환자의 일상생활 기능과 기초 인지능력을 회복시키고, 삶의 만족과 인간행동의 원인이 되는 자아존중감에 긍정적인 영향을 보여 주었기 때문에 가상현실재활시스템의 임상 적용 가능성을 긍정적으로 확인하였다. 추후 연구에서는 가상현실재활시스템을 뇌손상 환자와 치매 환자의 다양한 기능 회복에 대한 임상적 유용성을 검증할 필요가 있다.

족삼리(足三里)에 시술(施術)된 죽력(竹歷) 약침(藥鍼)이 Intraluminal Filament 삽입술(揷入術)에 의하여 유발(誘發)된 백서(白鼠)의 허혈성(虛血性) 국소(局所) 뇌손상(腦損傷)에 미치는 영향(影響) (Effects of BCL herbal acupuncture into Choksamni(ST36) on focal brain ischemic injury induced by intraluminal filament insertion in the rats)

  • 윤대환;이봄비;심인섭;나창수
    • Korean Journal of Acupuncture
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    • 제22권2호
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    • pp.25-41
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    • 2005
  • Objectives : Bambusae Caulis in Liquamen(BCL) has been used to medication for early stroke in the Oriental Medicine. So this study was planned to investigate the effects of BCL on the focal ischemia-induced by intraluminal filament insertion in the rats. Materials and methods: The focal ischemia was induced by Intraluminal Filament insertion into middle cerebral artery. BCL herbal acupuncture at ST36 was carried out during 3 weeks after focal ischemia-induced. Eight-arm radial maze was used for the behavioral task and neuroprotective effect of BCL acupuncture was observed by Cresyl violet, AchE, ChAT-stain Results : The error rate in the eight-arm radial maze task was significantly decreased in BCL1(0.89mg/kg) herbal acupuncture group compared to control group on 3,4,5days, compared to saline acupuncture group on 3,5days. The rate of correct choice was significantly increased in saline acupuncture, BCL1 herbal acupuncture group, BCL2(0.089mg/kg) herbal acupuncture groups compared to control group. The density of neurons in the hippocampal CA1 was the most increased in BCL1 herbal acupuncture group compared to the others. The density of AchE in the hippocampal CA1 was significantly increased in BCL1 herbal acupuncture, BCL2 herbal acupuncture groups compared to control group, and in BCL2 herbal acupuncture groups increased compared to saline acupuncture, control groups. The density of ChAT in the hippocampal CA1 was significantly increased in BCLl herbal acupuncture group compared to saline acupuncture, control groups. Conclusions : These results suggest that BCL herbal acupuncture could be used as a medication for controlling the early stroke.

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