• 대한의료기공학회지
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• 제22권1호
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• pp.72-82
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• 2023

Objective : The purpose of this study is to report about a 50's female patient after Hemorrhoidectomy, whose symptoms were relieved after Korean medicine treatment with Whidam's SuGi Therapy. Methods : The patient in this study received Korean medicine treatment such as herbal medication, acupuncture treatment, cupping therapy and specially Whidam's SuGi therapy. Results : After the treatment, the symptoms of pains were relieved. Vas fell from 9 to 2 and overall, the body condition has improved. Conclusions : This study showed that Whidam's SuGi therapy added with Korean Medicine treatment can be an effective choice for after Hemorrhoidectomy.

• The Korean Journal of Pain
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• 제25권2호
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• pp.89-93
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• 2012

Background: Hemorrhoid is one of the most common surgical diseases occurring in the anorectal region. In this study, we evaluated the effect of ischiorectal fossa block on alleviating post hemorrhoidectomy pain. Methods: In this study, 90 patients suffering from hemorrhoids were evaluated. They were randomly divided into 3 groups. The first group had no block, the second group an ischiorectal block with placebo (normal saline), and the third group a preemptive ischiorectal block with bupivacaine. Postoperative variables such as pain intensity, pethidine consumption, nausea, and vomiting were compared between the groups. Results: The postoperative pain score in group 1 was $8.5{\pm}1.3$ and $8.1{\pm}0.9$ (P=NS) in group 2. The post operative analgesic demand was $3.1{\pm}1.5$ and $3.3{\pm}1.8$ hours in groups 1 and 2, respectively (P=NS). The post operative pain score and analgesic demand were $4.2{\pm}2.1$ and $9.3{\pm}2.7$ hours, respectively, in group 3 (P < 0.0001). Conclusions: Preemptive ischiorectal block reduces the posthemorrhoidectomy pain and opioid demand.

• 성인간호학회지
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• 제16권1호
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• pp.146-155
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• 2004

Purpose: The Purpose of this study was to explain the effects of aromatherapy massage on the preoperative anxiety of hemorrhoidectomy patients, and to provide the effective and holistic nursing care to them. Method: The research design was a nonequivalent control group non-synchronized design. The data were collected during the period from November 1 to November 30, 2003 at K-Hospital in Seoul. The subjects were fifty patients who were to have a hemorrhoidectomy under general anesthesia. They were assigned to two groups, 25 subjects to the experimental group and 25 subjects to the control group. The State Anxiety Inventory tool was used to measure state-anxiety on all patients the day before surgery. Systolic and diastolic blood pressure, and pulse rate were measured on the day before surgery and the preoperative period. The experimental group received aromatherapy massage on the hand with lavender oil. Data were analyzed by $x^2$ test, independent t-test, paired t-test. Result: 1. Hypothesis 1, that the level of preoperative state-anxiety of the experimental group who received aromatherapy massage would be lower than that of the control group who did not received aromatherapy was supported(p=.047). 2. Hypothesis 2was that the Physiological index of the preoperative anxiety of the experimental group who received aromatherapy would be lower than that of the control group who did not received aromatherapy. The 1st subhypothesis that "the level of the preoperative systolic and diastolic blood pressure of the experimental group would be less than that of the control group" was not supported. Conclusion: Aromatherapy massage can be regarded as a partially effective nursing intervention that relives the preoperative anxiety of surgical patients and stabilizes vital signs.

• 한방안이비인후피부과학회지
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• 제16권3호
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• pp.252-259
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• 2003

Hemorrhoid generally refers to a prolapsed nodule in the anus, and major symptoms are swelling, bleeding, pain. itching, and rectal discharge. For severe conditions, that is stage Ⅲ & Ⅳ, hemorrhoidectomy is commonly performed by surgeons. Yet, many patients are afraid of postoperative recurrence, and complications such as pain, wound bleeding, urinary retention, and dyschezia are not avoidable. We treated two patients with Stage Ⅱ and Ⅲ. and both of the cases were diagnosed as the hemorrhoid due to "moist and heat of the large intestine". After a couple of times of treatment only with SaAhm acupuncture, the symptoms were improved to the degrees where no discomfort could be found in the daily living.

• The Korean Journal of Pain
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• 제1권1호
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• pp.98-102
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• 1988

In order to control the pain after hemorrhoidectomy and anal fistulectomy, 6 mg of 0.5% hyperbaric tetracaine without(control, group I) or wilt 0.3 mg(group II) or 0.5 mg (group III) of 0.1% morphine was injected with a 22 gauge spinal needle into the subarachnoid space through L 3-4 interspace of patients in lateral position. About 30 minutes in Fowler' sposition after injection, operation was performed in lithotomy position. All the patients who ha4 morphine showed remarkable relief of postoperative pain for an average of 27 hours. However, the dosage(0.3 or 0.5 mg) of morphine administered did not affect the duration of pain relief. Blood pressure, pulse rate and pupil size were unchanged in all patients. Dysuria after block developed for on average of 5,6, 13.2 and 14.6 hours in group I, II and III respectively. Most of these cases required urethral catheterization. Minor complications such as nausea, vomiting, itching, fever, burning sensation and paresthesia were observed 16.7, 20 and 20% of cases in group I, II and III respectively; however, no treatment was required.

• Journal of Yeungnam Medical Science
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• 제6권2호
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• pp.57-62
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• 1989

지연성 호흡저하의 위험성이 없으며 중추신경계에 작용하는 혈압강하제인 Clonidine을 경막외강으로 주입한 강우의 진통효과를 알아보고자 미추마취를 시행할 항문질환 환자 40명을 대상으로 I군(1.33% Lidocaine 15ml)과 II군(1.33% Lidocaine 15ml+Clonidine $75{\mu}g$.)으로 나누어 수술후 진통효과를 관찰해 보았던 바 다음과 같은 결론을 얻었다. 1. Lidocaine단독 주입한 I군에서는 평균 마취시간이 2.42시간이었다. 2. Clonidine $75{\mu}g$을 혼합 주입한 II군의 경우에는 평균 진통시간이 7.32시간이었다. 3. Clonidine을 혼합 주입한 미추마취경우에 진정제 정주로 환자가 수면상태로 된 후 심한 혈압강하 및 맥박감소가 있었으나 Clonidine의 효과인지 진정효과에 인한 변화인지는 알 수 없었으며 진정제를 투여하지 않은 경우에는 혈압강하 및 맥박 감소가 초래되지 않았다. 4. 수술후 Clonidine과 관련된 특별한 증상은 관찰되지 않았다. 이상의 결과로 보아 항문질환 수술후 특히 외래환자의 차원에서 술후 진통을 위한 방법으로는 지연성 호흡저하 및 뇨정체등의 부작용이 없는 Clonidine의 천골강내 투여방법이 바람직한 것으로 사료된다.

• The Korean Journal of Pain
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• 제12권1호
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• pp.59-63
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• 1999

Background: Contraction of anal sphincter muscle produces severe pain in perianal surgery postoperatively. Recent reports have indicated that effective and prolonged pain relief can be obtained by the injection of small doses of morphine into the subarachnoid space. We attempted to use this technique for perianal surgery and investigated postoperative pain control and its side effects. Methods: Forty five patients scheduled for hemorrhoidectomy and anal fistulectomy were studied to determine the minimal effective dose of intrathecal morphine for postoperative analgesia. In order to control the pain, 7 mg of 0.5% hyperbaric bupivacaine with 0.05 mg (group I), 0.1 mg (group II) and 0.15 mg (group III) of morphine hydrochloride was injected with a 25 gauge spinal needle into the subarachnoid space. We estimated the duration of analgesia until the pain score attained to above 3 in 10 cm VAS (visual analogue scale) and incidence of itching, nausea and vomiting by percentage, headache, backpain and respiratory depression by positive and negative. We also checked the time of self-voiding. Results: The mean time of analgesia was $10.3{\pm}1.54$, $19.7{\pm}2.22$ and $20.3{\pm}2.29$ hours in group I, II and III respectively. Urinary retention of group I, II and III after block persisted for an average of $20.3{\pm}2.31$, $21.2{\pm}2.51$ and $23.3{\pm}3.74$ hours. Nausea and vomiting were observed 33%, 53%, 67% and itching was observed 53%, 67%, 80% in group I, II and III respectively and respiratory depression did not occur in all groups. Conclusions: It is not necessary to use more than 0.1mg of intrathecal morphine in perianal surgery because analgesia is not prolonged and side effects are increased.