• 제목/요약/키워드: visual analog scale(VAS)

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Korean Medicine Treatment for Dyspepsia and Constipation in a Patient with HIV: A Case Report

  • Ji-Su Ha;Han-Song Park;Hyun-Seo Park;Ka-Hyun Kim;Hae-Won Hong;In-Ae Youn
    • Journal of Acupuncture Research
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    • 제40권2호
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    • pp.143-149
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    • 2023
  • Functional dyspepsia (FD) is a chronic and recurrent upper gastrointestinal symptom that has no organic cause. A 49-year-old male patient positive for human immunodeficiency virus (HIV) visited the clinic because of FD and constipation. He received complex Korean medicine treatment, including acupuncture and herbal medicines, from April 14 to July 18, 2022 (27 times) in the outpatient department. Gastrointestinal Symptom Rating Scale (GSRS), Nepean Dyspepsia Index (NDI), FD-related quality of life (FD-QoL), Euro QoL visual analog scale (EQ-VAS), and Numerical Rating Scale (NRS) were used as evaluation tools in this study. Symptoms were relieved after 3 months of treatment, and his QoL improved (GSRS, 15-3; NDI, 110-21; FD-QoL, 52-20 [eating status, 10-3; liveliness status, 12-8; psychological, 1-0; role-functioning status, 18-9]; EQ-VAS, 40-65; NRS, 8-4). The results revealed that complex Korean medicine treatment could alleviate FD and constipation in patients with HIV.

일부 월경통(月經痛) 환자의 심박변이도(Heart Rate Variability) 고찰 (Analysis on the Heart Rate Variability of Dysmenorrhoea Patients)

  • 이진무;이창훈;조정훈;장준복;이경섭;이지영
    • 대한한방부인과학회지
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    • 제20권3호
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    • pp.164-177
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    • 2007
  • Purpose: The purpose of this study is to analysis on the Heart Rate Variability(HRV) of some dysmenorrhoea patients. Methods : We studied 30 patients visiting Kyung Hee University East-West Neo Medical Center from 7th Febrary 2007 to 22th Febrary 2007. Women with organic disease were excluded from this study. The severity of dysmenorrhoea were measured by Multidimensional Verbal Rating scale(MVRS), Verbal Rating scale (VRS) and Visual Analog Scale(VAS). And HRV was recorded. Results : According to comparison of Means of HRV values among the groups of None, Mild and Moderate, the points of almost all values were kept by order of Moderate group-Mild group-None group. Among these, the statistically significant things are PR, SDNN, Ln (TP), Ln (VLF), Ln (LF). According to correlation analysis between dysmenorrhoea and HRV, specially, there were many correlations in VRS2. Among these, the statistically significant things are LF norm, HF norm, LF/HF ratio(p<0.05L). Conclusion : The results suggest that HRV is related to dysmenorrhoea. We may analyze that dysmenorrhoea is related to, specially, increased activities of sympathetic nerve. We need more study for settling this.

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마미 증후군 FBSS 증례보고 (The Clinical Report on 1 Case of Failed Back Surgery Syndrome Who were Diagnosed as the Cauda Equina Syndrome)

  • 황희상;전재천;차정호;정기훈;이태호;노정두;이은용
    • Journal of Acupuncture Research
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    • 제26권1호
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    • pp.187-196
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    • 2009
  • Objectives : The purpose of this study was to evaluate the oriental conservative treatment for FBSS patient who were diagnosed as the Cauda equina syndrome. Methods : The patient were treated by the oriental medical conservative treatment including herbal medication, dry needle acupuncture, direct moxibustion and indirect moxibustion, cupping therapy and, physical therapy. We estimated by Visual Analog Scale and Oswestry disability index for evaluate the effect of Oriental conservative treatment. Results : After treatment, patient's visual analogue scale score and Oswestry disability index score were generally decreased. Conclusions : The oriental medical conservative treatment might be an effective method to treat the FBSS patient who were diagnosed as the Cauda equina syndrome.

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요추추간판탈출증의 한방치료와 한.양방치료 병행에 대한 비교 연구 (Comparative Clinical Study between Oriental Medical Treatment and Oriental-Western Combination Treatment on Herniated Lumbar Disc)

  • 이세민;전현정;김성환;김지현;이윤규;이봉효;정태영;김재수;임성철;이경민
    • Journal of Acupuncture Research
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    • 제27권3호
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    • pp.25-33
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    • 2010
  • Objectives : The purpose of this study is to investigate the difference of treatment effect between Oriental Medical Treatment and Oriental-Western Combination Treatment on Herniated Lumbar Disc. Methods : From 1st November, 2008 to 31th August, 2009, 18 Herniated Lumbar Disc patients who admitted the Department of Acupuncture & Moxibustion, college of Oriental medicine, Dae-gu Hanny University were divided into two groups. Group A was treated with oriental medical theraphy (Acupuncture, Moxibustion, Herb, Cupping, Physical theraphy) and Group B with both oriental medical theraphy and western medical theraphy(Acupuncture, Moxibustion, Herb, Cupping, Physical theraphy, Intramuscular injection of Dexamethasone and Dicknol 2ml). We evaluated the treatment effect of each group with the Visual Analog Scale(VAS) and Pain Rating Scale(PRS), deviding two period(From first day to fourth day after Admission and From first day to ninth day after Admission). Results : Improvement Degree of Group A and Group B was significantly improvement (p<0.05) according to the VAS & PRS. Group B showed better performance compared with Group A. Conclusions : These results proved that combination treatment of oriental and western medicine was more effective than just oriental medical treatment of Herniated Lumbar Disc. And the difference between the two groups were significant according to PRS.

The Long-Term Safety and Efficacy of Intrathecal Therapy Using Sufentanil in Chronic Intractable Non-Malignant Pain

  • Monsivais, Jose Jesus;Monsivais, Diane Burn
    • The Korean Journal of Pain
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    • 제27권3호
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    • pp.297-300
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    • 2014
  • This report describes the long term safety and efficacy of intrathecal therapy using Sufentanil for the management of chronic intractable neuropathic pain in 12 chronic pain patients. Standardized psychological screening was used to determine treatment suitability. Evaluation data included the Visual Analog Scale (VAS), Wong-Baker Faces Scale, Brief Pain Inventory (BPI), Disability of Arm, Shoulder, and Hand (DASH), McGill Quality of Life Questionnaire, and complications (granulomas, toxicity, withdrawal, or deaths). SPSS version 18 was used for data analysis. Pre- and post- treatment BPI measures and pain scale scores showed a statistically significant difference. There were no complications directly related to drug toxicity, nor drug withdrawals, granulomas, or deaths. Intrathecal therapy with Sufentanil therapy offers a good treatment alternative for those cases that have failed both surgery and standard pain treatment. Strict patient selection based on psychological screening, control of co-morbidities, a proper pain management may contribute to successful outcome.

뇌졸중후 중추성 통증에 대한 동서협진의 임상적 효율성 평가 (The Clinical Evaluation of East-West Medical Management for Central Poststroke Pain)

  • 정병식;김건식;이두익;최도영
    • 대한약침학회지
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    • 제4권2호
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    • pp.95-103
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    • 2001
  • Background : Central poststroke pain(CPSP) can occur as a result of lesion or dysfunction of the brain from stroke and may cause many difficulty in the social activities and daily life. In this study, we evaluate the clinical effectiveness of east-west medical management for CPSP through VAS(visual analogue scale), infrared themography, MBI(Moderfied Barthel Index) and Rankin scale. Methods : We treated thirty patients with oriental medical treatment method and western & oriental medical treatment method. Each group has fifteen patients of the CPSP. We evaluated their pain(characterizes tingling and burning sensation, aching, hyperalgesia, and allodynia) through VAS(visual analog scale) pain score, the skin temperature of pain site by infrared thermography and assessed their mobility & rehabilitation ability through MBI(Moderfied Barthel Index), Rankin scale before and after pain treatment. Results : The skin temperature of pain site was lower than non-pain site. The difference of skin temperature improved from $0.65{\pm}0.45^{\circ}C$ to $0.39{\pm}0.25^{\circ}C$ after oriental medical treatment and $0.68{\pm}0.54^{\circ}C$ to $0.27{\pm}0.24^{\circ}C$ after western & oriental medical treatment VAS scores improved from $7.9{\pm}1.4$ to $4.7{\pm}1.6$ after oriental medical treatment and $8.1{\pm}1.3$ to $4.6{\pm}1.2$ after western & oriental medical treatment. MBI scores improved from $61.40{\pm}13.58$ to $85.00{\pm}13.85$ after oriental medical treatment and $52.26{\pm}13.52$ to $77.13{\pm}12.04$ after western & oriental medical treatment. And Rankin scale scores improved from $3.33{\pm}0.72$ to $2.46{\pm}0.74$ after oriental medical treatment and $3.60{\pm}0.82$ to $2.66{\pm}0.81$ after western & oriental medical treatment Conclusion : The difference of skin temperature and Rankin scale scores more significantly improved after western & oriental medical treatment than oriental medical treatment. According to the results, we thought east-west medical management is very useful treatment for CPSP and rehabilitation of the patients with stroke.

안면홍조에 대한 임상시험 참가자의 증상 발현 양상에 관한 연구 (A Cross Section Study : Hot Flush of Postmenopausal Women Who Participated in a Clinical Trial)

  • 노진주;정수경;성준호;이승덕;안홍엽;오달석;최선미;김동일
    • 대한한방부인과학회지
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    • 제19권4호
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    • pp.205-215
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    • 2006
  • Purpose : To identify factors related to the severity and frequency of hot flush of postmenopausal women who participated in a clinical trial. Methods : A cross-section study of 34 postmenopausal women between 40 and 60 years of age was done. VAS(visual analog scale) was used to evaluate the hot flush degree. Statistical analysis was performed with multiple linear regression analysis. Results : Hot flush VAS was proportional to the percent body fat with 1.467 regression coefficient (p-value= 0.010). It implies that the symptom of hot flush becomes worse as the percent body fat increases. Some hormones also have effects on hot flush. We found that LH might cause increment of hot flush VAS(i.e., the corresponding regression coefficient is 0.912). Sasang constitution was not relevant to the hot flush degree. Hot flush VAS seemed to increase as the vascular aging degree by SA-2000 getting worse, but it was not statistically significant (p-value= 0.594). Conclusion : This study is a part of a prospective clinical trial. For more accurate result, larger-scale cross-section study or clinical trial are necessary.

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젊은 만성허리통증자의 허리부위 불안정성 검사 양성반응 수와 호흡패턴변화율, 통증 간의 상관관계분석 (Correlation Analysis between Lumbar Instability Test Positive Response Number and Breathing Pattern Change Rate and Pain in Young Peoples with Chronic Low Back Pain)

  • 기철;남기원
    • 대한물리의학회지
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    • 제14권3호
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    • pp.73-80
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    • 2019
  • PURPOSE: This study examined the correlation between the visual analog scale (VAS) and the rate of change in the respiration patterns according to the result of Lumbar Instability Tests (LITs) in young people with chronic low back pain (CLBP) METHODS: Thirty-six adults, aged 20-40 years with CLBP, participated in this study. The general characteristics and VAS of the participants were recorded by the subjects themselves and seven structure and functional LITs were conducted. According to the positive response number, the positive group was divided into four groups (group 1: n=8, group 2: n=9, group 3: n=10, group 4: n=9). The breathing pattern change tests were performed in three states: during forced breathing exercise and motor control tests. A total of 13 positive lists were set, each of which was scored by 1 or 2 points according to the severity. After the positive lists were scored, the breathing pattern changing rate (BPCR) and VAS were compared according to the positive response number of LITs, and the correlation between them was analyzed. RESULTS: A strong correlation was observed between the number of positive of LITs and BPCR (r= .863, p= .000) and a moderate correlation between the positive number of LITs and VAS (r= .508, p= .002). In addition, there was a poor correlation between the BPCR and VAS (r= .434, p= .008). CONCLUSION: In young CLBP people, when the structural and functional instability are both present, the changes in the respiratory pattern of the whole body can be varied and broader, and the pain scale also increases.

${\ll}$황제내경${\gg}$ 6가지 기본 보사수법의 정량적 분석연구 (A Study of Quantitative Analysis of Six Basic Reinforcing-reducing Acupunctural Manipulations in Huang di nei jing(黃帝內經))

  • 김유종;김은정;신경민;이은솔;김경호;김갑성;이승덕
    • Journal of Acupuncture Research
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    • 제29권5호
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    • pp.151-158
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    • 2012
  • Objectives : We hypothesized that reinforcing-reducing manipulations produce different effects by quantity of stimulation, and examined whether the difference is statistically significant or not. Methods : The study was conducted to the students of College of Oriental Medicine, Dongguk University. We needled into $ST_{36}$ and applied 6 kinds of basic reinforcing-reducing manipulations in Huang di nei jing by randomized sequence. And we had the students to fill up the questionnaire in form of visual analog scale(VAS). We examined whether significant differences in VAS existed between reinforcing-reducing manipulations(by t-test). And we examined whether significant differences in VDRRT(VAS difference between reinforcing-reducing technique) values existed along the gender, body mass index(BMI), age(by t-test), and psychological sensitivity(by ANOVA). Results : 1. The total stimulation quantity from reducing technique was significantly higher than that from reinforcing technique. Individually VAS values of reducing techniques were significantly higher in rotation, slow-rapid, lift-thrust, respiration and open-close manipulation. 2. The highest stimulation quantity was from rotation manipulation. And the highest VDRRT value was from slow-rapid manipulation. 3. When VDRRT values were analyzed by gender, age, BMI, and psychological sensitivity, VDRRT was significantly different by BMI in rotation manipulation, and by psychological sensitivity in rotation, lift-thrust, and slow-rapid manipulation. Conclusions : We could verify that reinforcing-reducing techniques induce different therapeutic effects by different quantities of stimulations. It suggests that reinforcing-reducing techniques could be applied universally, regardless of gender or age. Further studies are needed to consider control group, or patient groups in characteristic conditions.

만성 불응성 외 상과염에서 시행한 관절경적 단 요 수근 신건 유리술 (Arthroscopic Release of the Extensor Carpi Radialis Brevis Tendon for Chronic Recalcitrant Lateral Epicondylitis)

  • 구정회;황태혁;이정수;조형래;김정우
    • 대한관절경학회지
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    • 제16권2호
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    • pp.140-146
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    • 2012
  • 목적: 보존적 치료에 반응하지 않는 만성 불응성 주관절 외 상과염에 대한 관절경적 단 요 수근 신건 유리술의 임상적 결과를 알아보고 예후에 영향을 주는 인자를 분석하고자 한다. 대상 및 방법: 주관절 외 상과염으로 관절경적 단 요 수근 신건 유리술을 시행 받은 환자 24명을 후향적으로 분석하여 술 후 환자 자신의 평가, visual analog scale (VAS) 점수, Quick-disabilities of the arm, shoulder and hand (DASH) 점수와 결과에 영향을 줄 수 있는 술 전 인자를 평가하였다. 결과: 21예(88%)에서 술 후 결과에 만족 하였고 평균 VAS 점수와 Quick-DASH 점수는 최종 추시 상 의미 있는 호전을 보였다. 나이, 성별, 우세수 여부, 증상 이환 기간, 관절낭 파열이나 석회 침착유무는 임상적 결과와 상당한 인과 관계가 없었다. 술 전 자기 공명 영상 T2강조 영상 상 단 요 수근 신건 기시부에 고강도 신호부가 없는 4예 중 3예에서 보다 높은 Quick-DASH 점수를 보였다. 결론: 보존적 치료에 반응하지 않는 만성 불응성 주관절 외 상과염에 대한 관절경적 단 요 수근 신건 유리술은 유용한 치료법 중 하나이며 술 전 자기공명영상 T2강조 영상에서 고강도 신호부가 없는 경우는 술 후 불량한 결과를 유발할 수 있으므로 수술 적응 시 고려해야 할 요소로 사료된다.

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