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일산화탄소중독 이후 발생한 지연성 신경정신과학적 후유증에 대한 한방치료 증례보고 1례

A Case Report on Korean Medical Treatment for Delayed Neuropsychiatric Sequelae of Carbon Monoxide Poisoning

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Objective: This clinical study describes the effect of Korean medicine on a patient with Delayed Neuropsychiatric Sequelae after Carbon Monoxide Poisoning. Case presentation: A patient with the delayed neuropsychiatric effects of carbon monoxide exposure was treated with herbal medicine, acupuncture, moxibustion, and cupping. Clinical symptoms were measured with the Korean Mini Mental State Examination (K-MMSE), Functional Independence Measure (FIM), and the Modified Barthel Index (MBI). After 32 days of treatment, the patient’s K-MMSE score increased from 11 to 21 points, the FIM score from 52 to 94 points, and the MBI score from 46 to 84 points. There were no side effects. Conclusion: According to this case study, Korean medicine may be considered an effective treatment for delayed neuropsychiatric sequelae, although more studies are needed to confirm its validity.

Abstract

Objective: This clinical study describes the effect of Korean medicine on a patient with Delayed Neuropsychiatric Sequelae after Carbon Monoxide Poisoning. Case presentation: A patient with the delayed neuropsychiatric effects of carbon monoxide exposure was treated with herbal medicine, acupuncture, moxibustion, and cupping. Clinical symptoms were measured with the Korean Mini Mental State Examination (K-MMSE), Functional Independence Measure (FIM), and the Modified Barthel Index (MBI). After 32 days of treatment, the patient’s K-MMSE score increased from 11 to 21 points, the FIM score from 52 to 94 points, and the MBI score from 46 to 84 points. There were no side effects. Conclusion: According to this case study, Korean medicine may be considered an effective treatment for delayed neuropsychiatric sequelae, although more studies are needed to confirm its validity.

참고문헌 (18)

  1. Choi SA, "Clinical manifestations and complications in carbon monoxide intoxication", J Korean Neurol Assoc, 16(4), pp.500~505 (1998)
  2. 이순형, "응급실 일산화탄소 중독 환자 추이 분석: 국가응급의료정보체계", 대한응급의학회지, 32(1), pp.27~35 (2021), 대한응급의학회
  3. Prockop LD, "Carbon monoxide intoxication : an updated review", J Neurol Sci, 262(1-2), pp.122~130 (2007)
  4. Thom SR, "Delayed neuropathology after carbon monoxide poisoning is immune-mediated", Proc Natl Acad Sci U S A, 101(37), pp.13660~13665 (2004)
  5. Rose JJ, "Carbon monoxide poisoning : pathogenesis, management, and future directions of therapy", American journal of respiratory and critical care medicine, 195(5), pp.596~606 (2017)
  6. 유호성, "일산화탄소중독 이후 발생한 지연무산소뇌병증: 확산텐서영상 및 신경인지기능검사를 이용한 치료효과의 평가", 대한신경과학회지, 36(4), pp.358~362 (2018), 대한신경과학회[DOI]
  7. 배영롱, "일산화탄소 중독에 의한 Delayed Neuropsychiatric Sequalae 환자 치험 1례", 대한한방내과학회지, 40(5), pp.957~966 (2019), 대한한방내과학회[DOI]
  8. 유주영, "일산화탄소에 기인한 Delayed Neuropsychiatric Sequalae 환자에서 발생한 사지 불완전마비 증례보고 1례", 대한한의학회지, 39(3), pp.73~80 (2018), 대한한의학회[DOI]
  9. Roh SH, "A Clinical Case Study of a Delayed Neuropsychic logical Sequelae Patient with Abnormal Brain Waves due to CO Intoxication", J Int Korean Med, pp.233~239 (2014)
  10. 김윤용, "調胃升淸湯등 한방치료로 호전된 급성 일산화탄소 중독의 지연성 후유증 환자", 동의신경정신과학회지, 19(3), pp.205~218 (2008), 대한한방신경정신과학회
  11. Park JY, "A Case of Delayed Postanoxic Encephalopathy after Carbon Monoxide Intoxication", J Internal Korean Medicine, pp.97~102 (2002)
  12. Kim DE, "A Case of Delayed encephalopathy after Acute Carbon Monoxied Intoxication", Journal of Korean Oriental Medicine, 22(3), pp.169~178 (2001)
  13. 정한영, "한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구", Annals of Rehabilitation Medicine, 31(3), pp.283~297 (2007), 대한재활의학회
  14. Stineman MG, "The Functional Independence Measure : tests of scaling assumptions, structure, and reliability across 20 diverse impairment categories", Arch Phys Med Rehabil, 77(11), pp.1101~1108 (1996)
  15. Kang YW, "A validity study on the Korean Mini-Mental State Examination(K-MMSE)in dementia patients", Journal of the Korean neurological association, 15(2), pp.300~308 (1997)
  16. Choi IS, "Delayed neurologic sequelae in carbon monoxide intoxication", Arch Neurol, 40(7), pp.433~435 (1983)
  17. 김정원, "Scopolamine으로 유발된 치매 白鼠모델에서 歸脾湯의 인지기능 및 기억력 향상에 미치는 효과", 한방재활의학과학회지, 22(3), pp.1~14 (2012), 한방재활의학과학회
  18. Watari H, "Kihito, a traditional Japanese kampo medicine, improves cognitive function in Alzheimer’s disease patients", Evidence-Based Complementary and Alternative Medicine, 2019, pp.4086749~ (2019)

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