한방치료로 호전된 섬망을 동반한 좌측 중대뇌동맥경색 환자의 치험 1례
A Case Report of a Patient with a Left Middle Cerebral Artery Infarction and Delirium Treated with Korean Medicine
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초록
Objectives: The purpose of this case study is to describe the effect of Korean medicine on a patient with delirium caused by a left middle cerebral artery infarct. Methods: The patient was treated with Sopungbosimdodam-tang, acupuncture, and moxibustion. The Korean version of the Delirium Rating Scale (K-DRS), Neelon and Champagne (NEECHAM) Confusion Scale, and Korean Version of the Mini-Mental State Examination (MMSE-K) were used to evaluate the effect of the treatment. Results: After 50 days of treatment with Sopungbosimdodam-tang, the patient’s K-DRS score decreased from 16 to 8. The NEECHAM Confusion Scale also improved from 17 to 23, and the MMSE-K score improved from 1 to 7. Conclusion: This clinical study suggested that Korean medicine could contribute greatly to the treatment of delirium caused by a left middle cerebral artery infarct.
Abstract
Objectives: The purpose of this case study is to describe the effect of Korean medicine on a patient with delirium caused by a left middle cerebral artery infarct. Methods: The patient was treated with Sopungbosimdodam-tang, acupuncture, and moxibustion. The Korean version of the Delirium Rating Scale (K-DRS), Neelon and Champagne (NEECHAM) Confusion Scale, and Korean Version of the Mini-Mental State Examination (MMSE-K) were used to evaluate the effect of the treatment. Results: After 50 days of treatment with Sopungbosimdodam-tang, the patient’s K-DRS score decreased from 16 to 8. The NEECHAM Confusion Scale also improved from 17 to 23, and the MMSE-K score improved from 1 to 7. Conclusion: This clinical study suggested that Korean medicine could contribute greatly to the treatment of delirium caused by a left middle cerebral artery infarct.
참고문헌 (20)
- Brown TM, "Delirium", British Medical J, 325(7365), pp.644~647 (2002)
- 황성욱, "노인 환자에서 섬망을 일으키는 위험인자", Korean Journal of Family Medicine, 23(1), pp.112~121 (2002), 대한가정의학회
- Gustafson Y, "Acute confusional states (delirium) in stroke patients", Cerebrovascular Diseases, 1, pp.257~264 (1991)
- Langhorne P, "Medical complications after stroke a multicenter study", Stroke, 31(6), pp.1223~1229 (2000)
- McManus J, "The course of delirium in acute stroke", Age Ageing, 38(4), pp.385~389 (2009)
- Hwang EW, "Psychiatry in Oriental medicine", pp.118~ (1987), Hyundai medical book publishing company
- Kim KW, "The Evaluation and Management of Dementia - Delirium Complex", Korean J Psychopathol, 9(2), pp.131~141 (2000)
- WHO, "The ICD-10 classification of mental and behavioral disorder; clinical descriotions and diagnostic guidelines" (1992), WHO;
- American psychiatric association, "Diagnostic and statistical manual of mental disorder" (2013), APA
- McManus J, "Delirium post-stroke", Age Ageing, 36(6), pp.613~618 (2007)
- Caeiro L, "Delirium in the first days of acute stroke", Journal of neurology, 251(2), pp.171~178 (2004)
- Oldenbeuving A, "Delirium in acute stroke: a review", International Journal of Stroke, 2(4), pp.270~275 (2007)
- Kim SM, "A Case Report of Central Post-Stroke Pain Improved by Sokyungwhalhyul-tang", The Journal of the Society of Stroke on Korean medicine, 16(1), pp.73~80 (2015)
- Kim YS, "Clinical Stroke", pp.503~ (1997), Seowondang
- Jung MK, "A Case of Patient with Delirium Caused by Hospitalizing of Cerebral Infarction", J Int Korean Med, pp.325~330 (2010)
- Lee HB, "The Clinical Study on One Case of Delirium after Cerebral Infarction", J Int Korean Med, pp.203~208 (2002)
- 유종호, "외상성 경막하 출혈 환자의 섬망에 대한 化瘀煎 치험 1例", 동의신경정신과학회지, 16(2), pp.189~199 (2005), 대한한방신경정신과학회
- 김주호, "두부손상 이후 발생한 섬망 환자 1례에 대한 증례보고", 동의신경정신과학회지, 15(2), pp.229~238 (2004), 대한한방신경정신과학회
- Jung JA, "Two Cases Report of Delirium Induced by Subdural Hematoma after Head Traumatic Injury", J Int Korean Med, pp.1~8 (2006)
- Kim SR, "A Case Report of Delirium with Traumatic Intracerebral Hemorrhage", J Int Korean Med, pp.368~374 (2011)