급성기 중풍환자의 위험요인, 경고증상, 전조증상 및 설진, 맥상, 변증과 NIHSS의 관련성 연구
The Relationship between Risk Factors, Warning Signs, Tongue Diagnosis, Pulse Pattern, Pattern Identification and National Institute of Health Stroke Scale in Acute Stroke Patients
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives : The aim of this study was to assess the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. Methods : We studied hospitalized patients within 4 wks after their ictus who were admitted at the Internal Medical Department at Kyunghee oriental medical center, Kyunghee university East-West Neo medical center, Kyungwon university Songpa oriental medical center, Kyungwon university Incheon oriental medical center, Dongguk university Ilsan oriental medical center from April 2007 to August 2009. We analyzed the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. Results : 1506 subjects were included into the final analysis. 1. In the risk factors, the NIHSS mean score of Atrial fibrillation is significantly higher than Non-Atrial fibrillation. 2. In the warning signs, the NIHSS mean score of Weakness, Loss of eyesight, Dysarthria, Sensory loss are significantly higher than Non-warning signs. 3. There was no significant difference of Lifestyle, Tongue fur color, Pattern identification between groups. 4. In the Tongue color, the NIHSS mean score of red is significantly higher than pale and pale red. 5. There were significant results statistically between forceful/weak, fine/not fine, slippery/not slippery pulse and NIHSS score. Conclusion : The above results showed that the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. These results can be utilized in the future as a basis material.
Abstract
Objectives : The aim of this study was to assess the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. Methods : We studied hospitalized patients within 4 wks after their ictus who were admitted at the Internal Medical Department at Kyunghee oriental medical center, Kyunghee university East-West Neo medical center, Kyungwon university Songpa oriental medical center, Kyungwon university Incheon oriental medical center, Dongguk university Ilsan oriental medical center from April 2007 to August 2009. We analyzed the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. Results : 1506 subjects were included into the final analysis. 1. In the risk factors, the NIHSS mean score of Atrial fibrillation is significantly higher than Non-Atrial fibrillation. 2. In the warning signs, the NIHSS mean score of Weakness, Loss of eyesight, Dysarthria, Sensory loss are significantly higher than Non-warning signs. 3. There was no significant difference of Lifestyle, Tongue fur color, Pattern identification between groups. 4. In the Tongue color, the NIHSS mean score of red is significantly higher than pale and pale red. 5. There were significant results statistically between forceful/weak, fine/not fine, slippery/not slippery pulse and NIHSS score. Conclusion : The above results showed that the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. These results can be utilized in the future as a basis material.
참고문헌 (24)
- 김영석, "임상중풍학", pp.1~2 (2007), 정담
- "2008년 사망원인통계 결과"[URL]
- 이상호, "한글판 NIH Stroke Scale의 신뢰도 평가", 한방재활의학과학회지, 11(3), pp.1~2 (2001)
- Williams LS, "Retrospective Assessment of Initial Stroke Severity with the NIH Stroke Scale", Stroke, 31(4), pp.858~862 (2000)
- 고성규, "뇌혈관질환의 한양방적인 위험요인 규명 및 진단 표준화 연구를 위한 CRF 및 SOP 개발", 대한한의학회지, 27(1), pp.204~219 (2006), 대한한의학회
- Adams HP Jr, "Design of the Trial of Org 10172 in Acute Stroke Treatment(TOAST)", Controlled Clinical Trials, 18, pp.358~377 (1997)
- Chobanian AV, "Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure", Hypertension, 42(6), pp.1206~1252 (2003)
- American Diabetes Association, "Report of the expert committee on the Diagnosis and classification of Diabetes Mellitus", Diabetes Care, 20, pp.1183~1197 (1997)
- Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, "Executive Summary of the Third Report of the National Cholesterol Education Program (NECP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)", JAMA, 285, pp.2486~2497 (2001)
- 고성규, "뇌졸중 환자의 기능평가방법에 대한 연구", 대한한의학회지, 17(1), pp.48~83 (1996)
- Goldstein LB, "Interrater reliability of the NIH Stroke Scale", Arch Neurol, 46(6), pp.660~662 (1989)
- Adams HP, "Baseline NIH Stroke Scale Score Strongly Predicts Outcome After Stroke: A Report of the Trial of Org 10172 in Acute Stroke Treatment (TOAST)", Neurology, 53(1), pp.126~131 (1999)
- Bushnell CD, "Retrospective Assessment of Initial Stroke Severity: Comparison of the NIH Stroke Scale and the Canadian Neurological Scale", Stroke, 32(3), pp.656~660 (2001)
- Goldstein LB, "Reliability of the National Institutes of Health Stroke Scale: Extension to Non-Neurologists in the Context of a Clinical Trial", Stroke, 28(2), pp.307~310 (1997)
- Kasner SE, "Reliability and Validity of Estimating the NIH Stroke Scale Score from Medical Reords", 30(8), pp.1534~1537 (1999)
- Schürks M, "Migraine and cardiovascular disease: systematic review and meta-analysis", BMJ, 339, pp.b3914~ (2009)
- 이광우, "임상신경학 3판", pp.282~283 (2002), 고려의학
- 지남규, "중풍 발생전 제증상에 대한 임상 연구", 한한방내과학회지, 18(2), pp.229~235 (1997)
- 정재한, "急性期 中風患者에 대한 中風前兆症 調査 硏究", 대한한방내과학회지, 28(1), pp.47~67 (2007), 대한한방내과학회
- 최인영, "급성기 중풍환자의 사상체질과 중풍 경고증상, 전조증상과의 상관성 연구", 대한한방내과학회지, 28(4), pp.733~740 (2007), 대한한방내과학회
- 최동준, "중풍환자의 舌象 변화와 운동기능향상의 관련성 연구", 대한한의학회지, 21(3), pp.113~118 (2000)
- 허준, "국역동의보감", pp.512~ (1966), 남산당
- 조은희, "중풍 환자의 기능 회복에 관한 임상적 고찰", 대한한방내과학회지, 22(4), pp.647~657 (2001)
- 마미진, "초기 중풍 환자에 있어서 脈象과 NIHSS과의 상관성 연구 - 다기관 임상연구", 대한한방내과학회지, 28(4), pp.727~732 (2007), 대한한방내과학회
