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시경반하탕가미를 포함한 한방치료를 항생제 치료와 병용하여 호전된 뇌경색 환자의 반복되는 흡인성 폐렴 치험 1례

Case Study of a Cerebral Infarction Patient with Recurring Aspiration Pneumonia Treated with Korean Medicine, Including Shigyungbanha-tang-gami Combined with Antibiotics

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Objective: This study addressed the case of a cerebral infarction patient with recurring aspiration pneumonia. Methods: A patient diagnosed with cerebral infarction with recurring aspiration pneumonia was treated with Korean medicine therapies, including herbal medication (Shigyungbanha-tang-gami), acupuncture, electro-acupuncture, and moxibustion combined with antibiotics for 31 days. To evaluate the therapeutic effect, we checked chest X-rays, lab evaluations, the number of night suctions, and body temperature. Results: After treatment, chest X-rays and inflammation markers improved. In addition, the number of night suctions decreased, and the body temperature was normalized. Aspiration pneumonia recurred. However, the intensity of the symptoms gradually weakened, and the recovery speed increased. Conclusion: These results suggest that Korean medicine therapies, including Shigyungbanha-tang-gami combined with antibiotics, have a beneficial effect on recurring aspiration pneumonia, an additional disease related to cerebral infarction.

Abstract

Objective: This study addressed the case of a cerebral infarction patient with recurring aspiration pneumonia. Methods: A patient diagnosed with cerebral infarction with recurring aspiration pneumonia was treated with Korean medicine therapies, including herbal medication (Shigyungbanha-tang-gami), acupuncture, electro-acupuncture, and moxibustion combined with antibiotics for 31 days. To evaluate the therapeutic effect, we checked chest X-rays, lab evaluations, the number of night suctions, and body temperature. Results: After treatment, chest X-rays and inflammation markers improved. In addition, the number of night suctions decreased, and the body temperature was normalized. Aspiration pneumonia recurred. However, the intensity of the symptoms gradually weakened, and the recovery speed increased. Conclusion: These results suggest that Korean medicine therapies, including Shigyungbanha-tang-gami combined with antibiotics, have a beneficial effect on recurring aspiration pneumonia, an additional disease related to cerebral infarction.

참고문헌 (20)

  1. Lim CM, "Aspiration and Aspiration pneumonia", 47th The Korean Bronchoesophagological Society Conference, pp.32~36 (2007)
  2. Seo WH, "Clinical Study of Aspiration Pneumonia in Stroke Patients", Journal of Korean Academy of Rehabilitation Medicine, 18(1), pp.52~58 (1994)
  3. Yoo WK, "The Effect of Nasogastric Tube on Swallowing Function in Stroke Patients with Dysphagia", Journal of Korean Academy of Rehabilitation Medicine, 25(5), pp.758~764 (2001)
  4. Kim JS, "Clinical Characteristics of Ischemic Brain Stroke with Dysphagia", Inje Medical Journal, 14(4), pp.561~566 (1993)
  5. Im YJ, "Incidence of Aspiration Pneumonia in Patients with Nasogastric Tubal Feeding", Global Health Nursing, 5(1), pp.1~2 (2015)
  6. Teramoto SJ, "The current definition, epidemiology, animal models and a novel therapeutic strategy for aspiration pneumonia", Respiratory Investigation, 60(1), pp.45~55 (2022)
  7. Niederman M, "Aspiration pneumonia", Official journal of the Spanish Society of Chemotherapy, 35(1), pp.73~77 (2022)
  8. Park JH, "肺炎의 洋⋅韓方的考察", The Journal of Jeahan Oriental Medical Academy, 4(1), pp.759~772 (1999)
  9. Shin WY, "A Clinical Report of One old aged patient with Pneumonia", The Journal of Internal Korean Medicine, 26(1), pp.229~235 (2005)
  10. 김기태, "柴梗半夏湯이 LPS로 유발된 급성 폐손상에 대한 영향", 동의생리병리학회지, 23(6), pp.1349~1357 (2009), 한의병리학회
  11. 이승언, "LPS로 유도한 복강대식세포에서 IκB-α 분해억제에 의한 柴梗半夏湯의 항염증효과", 대한한방내과학회지, 28(3), pp.442~452 (2007), 대한한방내과학회
  12. 조현국, "피부화상으로 유도된 급성 부종성 폐손상에 대한 상백피의 효능", 대한본초학회지, 18(3), pp.22~202 (2003), 대한본초학회
  13. Park SH, "Antiinflammatory Action of Extract of Mori Cortex against Lipopolysaccharide-induced BV2 Microglia", Korean Journal Oriental Physiology & Pathology, 24(3), pp.463~469 (2010)
  14. 이응석, "맥문동이 LPS로 유도된 폐손상에 미치는 영향", 동의생리병리학회지, 25(4), pp.641~649 (2011), 한의병리학회
  15. 임보라, "폐렴 양방 치료 종료 후 지속되는 가래 및 연하장애를 주소로 하는 노인 환자의 柴朴湯 치험례", 대한한방내과학회지, 38(5), pp.753~762 (2017), 대한한방내과학회
  16. 김수빈, "다발성 뇌경색으로 인한 거짓연수마비 환자의 연하장애 및 어삽에 유효하였던 한방 치료 1례 - 반하후박탕을 중심으로", 대한한방내과학회지, 39(2), pp.139~146 (2018), 대한한방내과학회
  17. 박성운, "육군자탕 투여 후 호전된 흡인성 폐렴 환자 치험 1례", 대한한방내과학회지, 37(2), pp.176~181 (2016), 대한한방내과학회
  18. Shinji T, "Aspiration Pneumonia :The Current Clinical Giant for Respiratory Physicians", pp.161~ (2020), Springer Singapore Pte. Limited
  19. Kwon H, "Experimental Studies on the Effects of Sikyungchungpaetang and Sikyungbanhatang on Xylene Induced Pulmonary Edema in Rats", K H M, 5(3), pp.337~345 (1989)
  20. 김형원, "Elastase 매개성 폐조직 손상에 대한 麥門冬湯의 보호효과", 대한한의학회지, 32(2), pp.63~78 (2011), 대한한의학회

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