급성기 뇌중풍 환자의 實證 및 虛證군 특성비교연구
The Comparison on the General Characteristics of Acute Stroke Patients between Excess Syndrome and Deficiency Syndrome
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Objectives : This study aimed to evaluate the characteristics of acute stroke patients between excess syndrome and deficiency syndrome groups. Method : We recruited stroke patients from the patients admitted to the Department of Internal Medicine of Kyunghee University Oriental Medical Center, Dongguk University Ilsan Oriental Medical Center, Kyungwon University Songpa Oriental Medical Center and Kyungwon University Incheon Oriental Medical Center from April 2007 to August 2008. We diagnosed acute stroke patients as either excess syndrome or deficiency syndrome and analyzed their characteristics for type of stroke, blood test result, Sasang constitution and lifestyle. Result : We found height, weight, BMI, W/H ratio, hypertension, diabetes, migraine, silent infarction, TG, total lipid, HDL-chol, RBC, Hb, hematocrit, alcohol, smoking and Sasang constitution(Tae-eum, So-yang) were more associated with the excess syndrome group. And we found sea food and Sasang constitution(So-eum) was more associated with the deficiency syndrome group. Conclusion : According to the analysis, we found that the excess syndrome group had more risk factors than the deficiency syndrome group. These results could be utilized in the future as a basis material for Oriental medicine therapy. Further studies will be needed to better understand the differences between excess syndrome and deficiency syndrome groups among acute stroke patients.
Abstract
Objectives : This study aimed to evaluate the characteristics of acute stroke patients between excess syndrome and deficiency syndrome groups. Method : We recruited stroke patients from the patients admitted to the Department of Internal Medicine of Kyunghee University Oriental Medical Center, Dongguk University Ilsan Oriental Medical Center, Kyungwon University Songpa Oriental Medical Center and Kyungwon University Incheon Oriental Medical Center from April 2007 to August 2008. We diagnosed acute stroke patients as either excess syndrome or deficiency syndrome and analyzed their characteristics for type of stroke, blood test result, Sasang constitution and lifestyle. Result : We found height, weight, BMI, W/H ratio, hypertension, diabetes, migraine, silent infarction, TG, total lipid, HDL-chol, RBC, Hb, hematocrit, alcohol, smoking and Sasang constitution(Tae-eum, So-yang) were more associated with the excess syndrome group. And we found sea food and Sasang constitution(So-eum) was more associated with the deficiency syndrome group. Conclusion : According to the analysis, we found that the excess syndrome group had more risk factors than the deficiency syndrome group. These results could be utilized in the future as a basis material for Oriental medicine therapy. Further studies will be needed to better understand the differences between excess syndrome and deficiency syndrome groups among acute stroke patients.
참고문헌 (26)
- 이광우, "신경과학", pp.195~200 (2007), E-Public
- 민인규, "급성기 뇌경색 환자의 사상체질별 혈중 Homocysteine 농도에 대한 단면적 연구", 대한한방내과학회지, 28(4), pp.763~768 (2007), 대한한방내과학회
- Louis R Caplan, "inical diagnosis of stroke subtypes", Uptodateonline, 16(2) (2008)
- Adams HP Jr., "Guidelines for the early management of adults with ischemic stroke", Circulation, 115(20), pp.478~534 (2007)
- 박종구, "뇌혈관 질환 환자의 진료결과연구를 중심으로 한 동서의학간 임상적 교류", 한국의료 QA학회 가을학술대회, pp.437~466 (1999)
- 김영석, "중풍의 병인병리, 변증 및 치료", 대한한방성인병학회지, 1(1), pp.113~140 (1995)
- 박세욱, "다기관 임상연구를 통해 도출된 중풍변증표준안의 진단프로그램 개발에 관한 연구 - I", 대한한의학회지, 28(3), pp.126~137 (2007)
- 고성규, "뇌혈관질환의 한양방적인 위험요인 규명 및 진단 표준화 연구를 위한 CRF 및 SOP 개발", 대한한의학회지, 27(1), pp.204~219 (2006), 대한한의학회
- Harold P. Adams, "Design of the Trial of Org 10172 in Acute Stroke Treatment(TOAST)", Control Clin Trials, 18, pp.358~377 (1997)
- 문상관, "임상중풍학", pp.145~159 (2007), 도서출판 정담
- 조현경, 강병갑, 설인찬, 백경민, 이 인, 최선미, 김중길, 유병찬, "한국형 중풍 변증 표준시안의 습담 변증 지표에 대한 연구", 대한한방내과학회지, 27(1), pp.237~252 (2006), 대한한방내과학회
- 테라사와 카츠토시, "증례로 배우는 동서의학", pp.141~150 (2005), 군자출판사
- Hu G, "Body mass index, waist circumference, and waist-hip ratio on the risk of total and type specific stroke", Arch Intern Med, 167(13), pp.1420~1427 (2007)
- 권도익, "중풍환자의 비만도에 대한 BMI 및 혈중 Leptin 치의 상관관계 연구", 대한한의학회지, 20(1), pp.66~75 (1999), 대한한의학회
- Etminana M, "Risk of ischaemic stroke in people with migrane : systematic review and meta-analysis of observational studies", BMJ, 330(7482), pp.63~ (2005)
- 이근동, "편두통에 아시혈요법을 응용한 치험 2례", 대한한방내과학회지, 22(3), pp.443~452 (2001)
- 오소저, "두통과 편두통에 대한 동서의학적 문헌고찰", 대한한방내과학회지, 14(1), pp.129~138 (1993), 대한한방내과학회
- 보건복지부 질병관리본부, "국민건강영양조사 제3기 (2005) 검진조사. 2006", ~ (2006)
- Vermeer SE, "Rotterdam Scan Study. Incidence and risk factors of silent brain infarcts in the population -based Rotterdam Scan Study", Stroke, 34(2), pp.392~396 (2003)
- Kwon HM, "Metabolic syndrome as an independent risk factor of silent brain infarction in healthy people", Stroke, 37(2), pp.466~470 (2006)
- Hoshi T, "Relations of serum high-sensitivity C-reactive protein and interleukin-6 levels with silent brain infarction", Stroke, 36(4), pp.768~772 (2005)
- 전양윤, "뇌졸중 환자에 있어 고지혈증의 분포 및 혈중지질의 경시적 변화", 대한 한방내과학회지, 19(2), pp.60~80 (1998)
- Wilhelmsen, L., "Fibrinogen as a risk factor for stroke and myocardial infarction", New England Journal of Medicine, 311(8), pp.501~505 (1984)
- Shinton R, "Meta-analysis of relation between cigarette smoking and stroke", BMJ, 298, pp.789~794 (1989)
- Hiroyasu H, "Regular light to moderate intake of alcohol and the risk of ischemic stroke", Stroke, 24, pp.1828~1832 (1993)
- 김용형, "급성기 중풍환자의 사상체질별 분포와 식생활 습관과의 상관성에 대한 연구", 대한한방내과학회지, 28(4), pp.741~750 (2008)