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뇌졸중 후 섬망의 두부 침전기자극술을 포함한 한의복합치료에 대한 증례 보고 1례

A Case Report of Post-Stroke Delirium Patient Using Complex Korean Medicine Treatment Including Scalp Electroacupuncture

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초록

Objectives: This case study aimed to provide evidence of the combined use of Korean Medicine treatments, including electroacupuncture (EA) on scalp acupoints, as a useful intervention for post-stroke delirium. Methods: The patient in this study was diagnosed with Cerebral Infarction in Right Corpus Callosum and post-stroke delirium. The patient received eight sessions of EA on scalp acupoints, rehabilitation medicine treatment, and other Korean Medicine treatments such as acupuncture and herbal medicine. Evaluation of treatment effectiveness was done mainly through the Memorial Delirium Assessment Scale Korean (MDAS-K) and Mini-Mental State Examination Korean (MMSE-K). Results: MDAS-K score dropped from 20 to 9 and MMSE-K score increased from 15 to 21 during hospitalization, showing improvement in symptoms. Conclusions: Combined use of Korean medicine treatments including EA on scalp acupoints may be an effective treatment for post-stroke delirium.

Abstract

Objectives: This case study aimed to provide evidence of the combined use of Korean Medicine treatments, including electroacupuncture (EA) on scalp acupoints, as a useful intervention for post-stroke delirium. Methods: The patient in this study was diagnosed with Cerebral Infarction in Right Corpus Callosum and post-stroke delirium. The patient received eight sessions of EA on scalp acupoints, rehabilitation medicine treatment, and other Korean Medicine treatments such as acupuncture and herbal medicine. Evaluation of treatment effectiveness was done mainly through the Memorial Delirium Assessment Scale Korean (MDAS-K) and Mini-Mental State Examination Korean (MMSE-K). Results: MDAS-K score dropped from 20 to 9 and MMSE-K score increased from 15 to 21 during hospitalization, showing improvement in symptoms. Conclusions: Combined use of Korean medicine treatments including EA on scalp acupoints may be an effective treatment for post-stroke delirium.

참고문헌 (36)

  1. Association AP, "DSM 5" (2013), American Psychiatric Association
  2. Inouye SK, "Delirium in elderly people", Lancet, 383(9920), pp.911~922 (2014)
  3. Bilek AJ, "Post-stroke delirium and challenges for the rehabilitation setting : A narrative review", J Stroke Cerebrovasc Dis, 32(8), pp.107149~ (2023)
  4. Fleischmann R, "Predictors of post-stroke delirium incidence and duration : Results of a prospective observational study using high-frequency delirium screening", Int J Stroke, 18(3), pp.278~284 (2023)
  5. Shi Q, "Delirium in acute stroke : a systematic review and meta-analysis", Stroke, 43(3), pp.645~649 (2012)
  6. Rollo E, "Impact of delirium on the outcome of stroke : a prospective, observational, cohort study", J Neurol, 269(12), pp.6467~6475 (2022)
  7. Boettger S, "Haloperidol, risperidone, olanzapine and aripiprazole in the management of delirium : A comparison of efficacy, safety, and side effects", Palliat Support Care, 13(4), pp.1079~1085 (2015)
  8. Basciotta M, "Antipsychotics and the Risk of Mortality or Cardiopulmonary Arrest in Hospitalized Adults", J Am Geriatr Soc, 68(3), pp.544~550 (2020)
  9. Bilek AJ, "Post-stroke delirium and challenges for the rehabilitation setting : A narrative review", J Stroke Cerebrovasc Dis, 32(8), pp.107149~ (2023)
  10. Levy I, "Complementary medicine for treatment of agitation and delirium in older persons : a systematic review and narrative synthesis", Int J Geriatr Psychiatry, 32(5), pp.492~508 (2017)
  11. 민성순, "?妄을 동반한 煩躁 환자의 치험 1례", 동의생리병리학회지, 19(6), pp.1715~1719 (2005), 한의병리학회
  12. Liu AJ, "Electroacupuncture for Acute Ischemic Stroke : A Meta-Analysis of Randomized Controlled Trials", American Journal of Chinese Medicine, 43(8), pp.1541~1566 (2015)
  13. Cai YY, "Electroacupuncture for Poststroke Spasticity : A Systematic Review and Meta-Analysis", Archives of Physical Medicine and Rehabilitation, 98(12), pp.2578~2589 (2017)
  14. Zhong LD, "The Effectiveness of Acupuncture for Dysphagia after Stroke : A Systematic Review and Meta-Analysis", Evidence-Based Complementary and Alternative Medicine, 2021, pp.8837625~ (2021)
  15. Cai W, "Efficacy and safety of electroacupuncture for post-stroke depression : a randomized controlled trial", Acupuncture in Medicine, 40(5), pp.434~442 (2022)
  16. Liu R, "Electroacupuncture for poststroke anxiety disorder on the base of the heart-brain theory : A randomized controlled trial", World Journal of Acupuncture-Moxibustion, 30(1), pp.23~28 (2020)
  17. Shi S, "Scalp Electroacupuncture Promotes Angiogenesis after Stroke in Rats by Activation of Wnt", beta-Catenin Signal Pathway, 2022, pp.2022, 1649605~
  18. Riley DS, "CARE guidelines for case reports : explanation and elaboration document", J Clin Epidemiol, 89, pp.218~235 (2017)
  19. Breitbart W, "The Memorial Delirium Assessment Scale", Journal of Pain and Symptom Management, 13(3), pp.128~137 (1997)
  20. El Husseini N, "Cognitive Impairment After Ischemic and Hemorrhagic Stroke : A Scientific Statement From the American Heart Association", American Stroke Association, 2023, pp.54(6), e272~e291
  21. Zhang Z, "Clinical Features, Etiology, and 6-Month Prognosis of Isolated Corpus Callosum Infarction", Biomed Res Int, 2019, pp.9458039~ (2019)
  22. Xiaoqin Huang XD, "Cognitive impairments associated with corpus callosum infarction: a ten cases study", Int J Clin Exp Med, pp.21991~21998 (2015)
  23. Folstein MF, "“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatric Research, 12(3), pp.189~198 (1975)
  24. Stollings JL, "Delirium in critical illness : clinical manifestations, outcomes, and management", Intensive Care Med, 47(10), pp.1089~1103 (2021)
  25. 유종호, "외상성 경막하 출혈 환자의 섬망에 대한 化瘀煎 치험 1例", 동의신경정신과학회지, 16(2), pp.189~199 (2005), 대한한방신경정신과학회
  26. 노현석, "한방치료로 호전된 섬망을 동반한 좌측 중대뇌동맥경색 환자의 치험 1례", 대한한방내과학회지, 38(2), pp.138~145 (2017), 대한한방내과학회
  27. Lim SM, "The Effect of Dodamtang(DDT)on Brain damage and Hypertension", The Society of Internal Korean Medicine, 22(4), pp.503~512 (2001)
  28. Mizoguchi K, "Multiple Psychopharmacological Effects of the Traditional Japanese Kampo Medicine Yokukansan, and the Brain Regions it Affects", Front Pharmacol, 8, pp.149~ (2017)
  29. Kim SH, "Two cases of Ukgansan-gami on Sleep-related Behavior Disorder after Stroke", The Journal of the Society of Stroke on Korean Medicine, 20(1), pp.9~16 (2019)
  30. Lee, Byung, "Study on Seunggitangryu (承氣湯類) of Sanghannon(傷寒論)", Research Institute of Korean Medicine, 8(1), pp.205~221 (1999)
  31. Jin GY, "Neural control of cerebral blood flow : scientific basis of scalp acupuncture in treating brain diseases", Front Neurosci, 17, pp.1210537~ (2023)
  32. Chavez LM, "Mechanisms of Acupuncture Therapy in Ischemic Stroke Rehabilitation : A Literature Review of Basic Studies", Int J Mol Sci, 18(11) (2017)
  33. Cai YY, "Electroacupuncture for Poststroke Spasticity : A Systematic Review and Meta-Analysis", Archives of Physical Medicine and Rehabilitation, 98(12), pp.2578~2589 (2017)
  34. Ma C, "Electroacupuncture of the Baihui and Shenting acupoints for vascular dementia in rats through the miR-81", IL-16, Ann Transl Med, pp.2022, 10(10)[DOI]
  35. Su K, "Electroacupuncture of Baihui and Shenting ameliorates cognitive deficits via Pten", Akt pathway in a rat cerebral ischemia injury model, 2022, pp.13, 855362~
  36. Tang SC, "Clinical observation on effect of electric acupuncture at Sishencong in treating insomnia", Zhongguo Zhong Xi Yi Jie He Za Zhi, 27(11), pp.1030~1032 (2007)

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