제초제 음독 후 발생한 신경학적 후유증으로 사지마비, 인지저하를 호소한 환자의 한의치료 증례보고 1례
A Case Report on Korean Medical Treatment for a Patient with Quadriplegia and Impaired Cognition as Neurological Sequelae after Ingestion of Herbicides
6
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
This study is a case report of Korean medicine treatment for a patient with quadriplegia and impaired cognition as neurological sequelae after ingestion of herbicides. A 59-year-old man with toxic encephalopathy and hypoxic encephalopathy after the ingestion of herbicides was treated with acupuncture, Hyulbuchuko-tang mixed with Ondam-tang-gami (血府逐瘀湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After three months of treatment, clinical symptoms improved. The motor function improved (MMT on both sides, Gr. 3+F/4G→Gr. 4-G~4G/4+G), cognition improved (K-MMSE, 13→21), and ADL (Activities of Daily Living) scores also improved (FIM 41→74; MBI 20→63). Korean medical treatment could effectively treat neurological sequelae after ingestion of herbicides in this case.
Abstract
This study is a case report of Korean medicine treatment for a patient with quadriplegia and impaired cognition as neurological sequelae after ingestion of herbicides. A 59-year-old man with toxic encephalopathy and hypoxic encephalopathy after the ingestion of herbicides was treated with acupuncture, Hyulbuchuko-tang mixed with Ondam-tang-gami (血府逐瘀湯合溫膽湯加味), cupping, moxibustion, and rehabilitation. Clinical symptoms were measured with the Manual Muscle Test (MMT), Korean Mini Mental Status Exam (K-MMSE), Functional Independence Measure (FIM), and Modified Barthel Index (MBI). After three months of treatment, clinical symptoms improved. The motor function improved (MMT on both sides, Gr. 3+F/4G→Gr. 4-G~4G/4+G), cognition improved (K-MMSE, 13→21), and ADL (Activities of Daily Living) scores also improved (FIM 41→74; MBI 20→63). Korean medical treatment could effectively treat neurological sequelae after ingestion of herbicides in this case.
참고문헌 (25)
- "OECD 자살통계"[URL]
- Ministry of Health&Welfare, "White Paper on Suicide Prevention", pp.41~ (2021), Korea Foundation for Suicide Prevention
- 황인우, "Glufosinate Ammonium (Bastaⓡ)중독의 임상적 특성 고찰", 대한응급의학회지, 15(2), pp.75~79 (2004), 대한응급의학회
- Lee SW, "Epidemiology and clinical analysis of poisoning of glufosinate herbicide-multicenter study", J Korean Soc Clin Toxicol, 5(1), pp.36~42 (2007)
- Kim Y, "Toxic Encephalopathy", Saf Health Work, 3(4), pp.243~256 (2012)
- Vintila I, "Hypoxic-ischemic encephalopathy in adult", Acta Medica Transilvanica, 2(3), pp.189~192 (2010)
- 黃文陳, "實用中醫內科學", pp.74~81 (1986), 上海科學技術出版社
- Paik JH, "A Case of Acute Glufosinate Ammonium (BASTA)Intoxication Associated with Various Neurological Abnormalities", Journal of The Korean Society of Clinical Toxicology, 3(2), pp.103~106 (2005)
- Heo J, "Dongui Bogam", pp.1338~ (2005), DonguiBogam Publishing Company
- Heo KJ, "A Case of the patient who was admitted to hospital the 8th day of Paraquat Poisoning", The Journal of Internal Korean Medicine, 24(4), pp.1087~1092 (2003)
- Han MA, "One Case of Gamdutanggamibang -treated Acute Hepatitis Caused by Acute Paraquat Poisoning", The Journal of Internal Korean Medicine, 22(2), pp.245~250 (2001)
- Kim DW, "Clinical study of the 15 patients survived after acute paraquat intoxication", Korean journal of oriental preventive medical society, 3(1), pp.55~65 (1999)
- 김영지, "세정제 음독후 발생한 역류성 식도질환 및 연하곤란 환자 치험 1례", 대한한방내과학회지, 37(5), pp.855~862 (2016), 대한한방내과학회
- Han TR, "Rehabilitation Medicine", pp.13~ (2019), Kunja
- 주형선, "Glyphosate와 Glufosinate 제초제 중독 환자의 임상양상과 중증도 비교", 대한임상독성학회지, 16(2), pp.124~130 (2018), 대한임상독성학회[DOI]
- 김현아, "Diffuse Cerebellar Dysfunction as a Permanent Neurological Sequela of Organophosphate Poisoning: A Case Report", Research in Vestibular Science, 20(1), pp.24~27 (2021), 대한평형의학회[DOI]
- Michael RD, "Toxic Encephalopathy", Semin Neurol, 31(2), pp.184~193 (2011)
- Goldfrank LR, "Goldfrank’s Toxicologic Emergencies", pp.1393~1410 (2002), McGraw-Hill Medical Pub
- Watanabe T, "Neurological effects of glufosinate poisoning with a brief review", Human & Experimental Toxicology, 17(1), pp.35~39 (1998)
- Woo HJ, "Oriental Internal Medicine on Hepatobiliary System, Hematology and Toxicology", pp.846~ (2016), Nado
- Association of Korean Medicine College for Cardiology and Neurological Medicine, "Cardiovascular and Neurological Medicine in Korean Medicine", pp.404~415 (2013), Gunja publisher
- 한인식, "혈부축어탕의 본태성 고혈압에 대한 치료 효과 관한 메타 분석 및 체계적 고찰", 대한한방내과학회지, 39(6), pp.1150~1167 (2018), 대한한방내과학회
- Association of Korean Medicine College for Neuropsychiatry, "Neuropsychiatry in Korean Medicine", pp.286~294 (2016), Jipmoondang
- 吕存贤, "补阳还五汤对高龄髋部骨折术后谵妄的治疗作用", 中医正骨, 22(1), pp.15~17 (2010)
- Jung I, "The Antioxidant Effects of ONDAMTANG on the Brain Tissue of Mouse", J Orient Neuropsychiatry, 8(2), pp.51~62 (1997)