• 제목/요약/키워드: numerical rating scale (NRS)

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방사선 사진상 경추 후만을 보인 만성 경항통 환자의 만곡 이상 치험 2례 (Two Cases Report of Chronic Neck Pain Patients with Kyphotic Cervical Curvature Measured by Radiography)

  • 박재원;이종하;권정국;금동호
    • 한방재활의학과학회지
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    • 제25권4호
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    • pp.139-146
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    • 2015
  • We researched two patients complaining about chronic neck pain with kyphotic cervical curvature. We assumed that the patients' symptom was caused by weakened deep neck flexor and activated superficial muscles around neck. So, acupuncture therapy, SCENAR therapy and self exercise with wooden neck pillow were used to treat the patients. We measured their pain by numerical rating scale (NRS) and neck disability index (NDI) before and after treatment. And cervical curvature was evaluated by Cobb method (C1-C7) and Ishihara Index. As a result, NRS and NDI significantly reduced and cervical curvature was also improved. Therefore, we conclude that acupuncture therapy with SCENAR therapy and self exercise using wooden neck pillow is an effective treatment to reduce chronic neck pain with kyphotic cervical curvature. But there is a limit on this study due to insufficient number of cases and absence of control group. Further studies will be needed.

난소암 환자의 복부 수술 및 온열항암화학요법 후유증에 대한 한방 치험 1례 (Korean Medical Treatment of Sequela Following Abdominal Surgery with Hyperthermic Intraperitoneal Chemotherapy for Ovarian Cancer: a Case Report)

  • 조수연;김동철
    • 대한한방부인과학회지
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    • 제29권4호
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    • pp.57-68
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    • 2016
  • Objectives: This paper aims to report the effects of Korean medical treatment on a patient who underwent abdominal surgery with hyperthermic intraperitoneal chemotherapy for ovarian cancer. Methods: An ovarian cancer patient underwent abdominal surgery and got Korean medical treatment during 7-day hospitalization. About 2 years later, with metastasis to the lymph nodes detected, she had abdominal surgery with hyperthermic intraperitoneal chemotherapy and got Korean medical treatment during 10-day hospitalization. The treatment included herbal medicine and acupuncture. Numerical Rating Scale (NRS) of symptoms was measured every morning. Results: After the treatment, sequela following surgery decreased, and general conditions improved. During 1st and 2nd hospitalization, NRS of general weakness, heartburn and dorsal chill significantly decreased (10 to 5, 10 to 5 and 10 to 2, respectively) while edema in both legs remained the same. Conclusions: This case shows that Korean medical treatment is effective for a patient who underwent abdominal surgery with hyperthermic intraperitoneal chemotherapy for ovarian cancer.

중추성 어지러움을 호소하는 외측 연수경색 환자의 한방치험 증례보고 (Treatment of a Patient with Central Dizziness Diagnosed as a Lateral Medullary Infarction: A Case Report)

  • 박송원;김영지;김학겸;송주연;홍승철;안립;최동준
    • 대한한방내과학회지
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    • 제40권5호
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    • pp.912-919
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    • 2019
  • Objective: The aim of this case report was to describe the effects of traditional Korean medicine on a patient suffering from central dizziness caused by a lateral medullary infarction Methods: The patient was given a series of Korean medicine therapy treatments, including Jeseubsungi-tang, acupuncture, and cupping, for 37 days. We measured the progress of this case using a numerical rating scale (NRS). Results: After the treatment, the NRS score for dizziness decreased, and the headache almost completely subsided. Conclusions: This clinical case study indicated that Jeseubsungi-tang could be effective in relieving central dizziness and headache caused by lateral medullary infarction.

가미반하백출천마탕 및 한의치료로 호전된 어지럼 환자 4례 (Four Cases of Dizziness Alleviated by Korean Medicine Treatment with Gami-banhabakchulchunma-tang)

  • 한승희;남현서;김미경;한인식;선승호
    • 대한한방내과학회지
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    • 제40권5호
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    • pp.967-973
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    • 2019
  • Objectives: The purpose of this case report was to show the effects of Korean medicine treatment (KMT) with Gamibanhabakchulchunma-tang(GBBCT) on dizziness. Methods: This case report describes four patients with dizziness. The patients were treated with KMT, including GBBCT and acupuncture, while continuing to take the same medications they were already taking to treat underlying diseases. A numerical rating scale (NRS) was used to evaluate the effectiveness of treatment for dizziness. Results: After the treatment, the NRS score for dizziness decreased in all cases. Conclusions: These four cases showed that KMT with GBBCT may be effective for the treatment of dizziness. GBBCT can be used to treat dizziness, regardless of diagnosis.

모르타르로 인한 직업성 알레르기성 접촉성 피부염 치험 1례 (A Case of Occupational Allergic Contact Dermatitis Caused by Mortar)

  • 엄예진;홍철희
    • 한방안이비인후피부과학회지
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    • 제27권4호
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    • pp.209-220
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    • 2014
  • 홍반과 소양감을 주증으로 하는 모르타르로 인한 직업성 알레르기성 접촉성 피부염 환자 1례에서 한약치료, 침 치료, 약침치료 및 외치요법 등의 한방치료만으로 양호한 치료효과를 확인하여 이를 보고하는 바이다.

양심탕가미방(養心湯加味方)을 기본으로 한 한방치료로 호전된 심인성 어지럼증 치험 3례 (Psychogenic Dizziness Patients Treated with Korean Medicine Treatment Based on Yanshimtang-Gamibang: Three Case Reports)

  • 정성엽;홍두현;손채원;강진영;유진실
    • 동의신경정신과학회지
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    • 제32권3호
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    • pp.275-284
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    • 2021
  • Objectives: To propose Korean medicine treatments based on effects of Yanshimtang-Gamibang on three patients diagnosed with psychogenic dizziness. Methods: Korean medicine treatments based on Yanshimtang-Gamibang were applied to three patients diagnosed with psychogenic dizziness after experiencing a traffic accident. Effects of Korean medicine treatments based on Yanshimtang-Gamibang were evaluated using DHI (Dizziness Handicap Inventory), BAI (Beck Anxiety Inventory), NRS (Numerical rating scale), NDI (Neck Disability Index), ODI (Oswestry Disability Index), and EQ-5D (EuroQol-Five Dimensions). Quality of sleep was assessed with total sleep time and number of times waking up during sleep. Results: After the treatment, there were significant decreases in DHI and BAI scores as well as values of NRS, NDI, ODI, EQ-5D. The sleep quality of three patients also showed improvement. Conclusions: Korean medicine treatments based on Yanshimtang-Gamibang might be effective in people with psychogenic dizziness.

응급실 방문 당시 통증 정도와 computed tomography 기반 충수염 진행 정도와의 상관관계 (Correlation between degree of pain at the emergency room and progression of appendicitis based on computed tomography)

  • 류형선;신수정
    • 대한응급의학회지
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    • 제29권6호
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    • pp.656-662
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    • 2018
  • Objective: Acute appendicitis is one of the most urgent surgical problems. Several factors have been considered as predictors of perforation, but this study focused on the change in pain pattern. The degree of pain and progression of appendicitis were analyzed assuming that the pain intensity would increase until the perforation and the degree of pain would decrease immediately after the perforation occurred. Methods: In this study, 385 out of 467 patients, who were diagnosed with appendicitis in a single institution and aged between 15 and 65 years, were reviewed retrospectively. The patients' pain scores and the diameters of appendices were analyzed along with the accompanying complications. Correlation analysis and a Student's t-test were performed. Results: In patients with complicated appendicitis, the mean numerical rating scale (NRS) was slightly higher than that of simple appendicitis, but there was no significant difference in the absolute value. Only the size of the appendix showed meaningful differences according to the combined computed tomography findings. The NRS distribution or appendiceal size did not correlate with the time duration from symptom onset. Conclusion: The appendiceal size tended to increase with progressing appendicitis. No significant correlation was observed between the patient's pain level and complications. The time duration from symptom onset did not show a relationship with the progression of appendicitis.

계지가부자탕(桂枝加附子湯)을 이용하여 호전된 요실금 치험 1례 (A case report of urinary incontinence improved by Gyejigabuja-tang.)

  • 윤효중;이숭인
    • 대한한의학방제학회지
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    • 제26권4호
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    • pp.381-389
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    • 2018
  • Objective : The purpose of this case report is to offer an unprecedented target for Gyejigabuja-tang by analyzing a case in which the symptoms were improved by the herbal decoction therapy, and to accumulate a fundamental knowledge in herbal medicine therapy for urinary incontinence. Method : We studied a patient's chart with the patient's consent and displayed patient's timeline and adherence in a figure according to the CARE guideline. The progress of urination symptoms were assessed with the frequency of urination and how long the patient can stand urine. The accompanied lower limb pain was estimated with Numerical Rating Scale(NRS) Results : The patient's adherence was good during the medication period and symptoms related with urination and accompanied lower limb pain were improved with no specific side effects. NRS of the lower limb pain decreased from 7 to 2, the frequency of urination also improved from over 10 times to 6~8 times per day, and the patient can stand urine from less than 1 second to 2~3 minutes. Conclusions : Gyejigabuja-tang was effective for an urinary incontinence patient which corresponds to the provision No.20 in Shanghanlun.

관통피부신경 포착으로 발생한 꼬리뼈 통증 환자 약침치료 치험 2예 (Pharmacoacupuncture Treatment of Coccygodynia Caused by Perforating Cutaneous Nerve Entrapment Syndrome: Two Cases Report)

  • 문소리;안선주;최성환;박서현;금동호
    • 한방재활의학과학회지
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    • 제29권3호
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    • pp.149-156
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    • 2019
  • This study was performed to evaluate the effectiveness of pharmacoacupuncture treatment of coccygodynia caused by perforating cutaneous nerve entrapment syndrome. Two patients were diagnosed as coccygodynia caused by perforating cutaneous nerve entrapment syndrome which pain was within the anatomical field of the nerve, worsened by pressure-inducing posture, no objective sensory loss and in presence of pin-point tenderness. They were treated by pharmacoacupuncture at perforating cutaneous nerve region penertrating the sacrotuberous ligament and local tenderness point of coccyx. The evaluation of clinical outcome was done by pain intensity numerical rating scale (PI-NRS), pressure pain threshold (PPT) and EuroQol five dimensions questionnaire (EQ-5D) index. After treatment, their PI-NRS was decreased, PPT and EQ-5D index were increased. The pharmacoacupuncture therapy at entrapment point of perforating cutaneous nerve could be an effective way to treat coccygodynia caused by perforating cutaneous nerve entrapment syndrome.

급성 스트레스 장애에 대한 양심탕가미방(養心湯加味方) 치험 3례 (Acute Stress Disorder Patients Treated with Yanshimtang-Gamibang: Three Case Reports)

  • 임수연;문영주;이지연;전현아;고영탁
    • 동의신경정신과학회지
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    • 제30권3호
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    • pp.295-304
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    • 2019
  • Objectives: The purpose of this case report was to propose Yangshimtang-Gamibang on three patients diagnosed with acute stress disorder. Methods: Yangshimtang-Gamibang was treated on three patients diagnosed with acute stress disorder after experiencing a traffic accident. The effects of Yangshimtang-Gamibang were evaluated through BAI (Beck Anxiety Inventory), NRS (Numerical rating scale), NDI (Neck Disability Index), ODI (Oswestry Disability Index), respectively, and quality of sleep was assessed with total sleep time and number of times waking up during sleep. Results: After the treatment, there was significant decrease in the value of BAI score, a measurement of anxiety, as well as the value of NRS, NDI, ODI, a measure of pain. Also, the sleep quality of three patients improved. Conclusions: The results indicate that Yangshimtang-Gamibang may have an effect on people with acute stress disorder who recently experienced a traffic accident.