편마비를 주소증으로 입원한 뇌경색 환자의 한방 치료 시기에 따른 치료 효과 분석 : 후향적 의무기록 분석
Analysis of Treatment Effect According to the Period of Herbal Treatment in Cerebral Infarction Patients Admitted with Hemiplegia: Retrospective Medical Chart Review
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: This study was aimed at evaluating the effect and clarifying the treatment period of Korean medicine treatment for cerebral infarction. Method: This study was carried out on patients with hemiplegia who were hospitalized in the Department of Korean Internal Medicine of Jecheon Korean Medicine Hospital of Semyung University from June 2014 to May 2019. A retrospective study was performed on 253 patients who were diagnosed with cerebral infarction by brain CT or nuclear magnetic resonance imaging. Results and Conclusion: 1. Korean medicine treatment has a significant effect on improving the movement disorder and daily life independence of cerebral infarction. 2. In the group that started Korean medical treatment within one month after the onset of cerebral infarction, with the exception of MMSE-K, the indicators related to the movement disorder and daily life independence showed significant effect. 3. MMSE-K showed no statistically significant change in any of the patient groups. 4. Within three months after the onset date, the longer the period of treatment with Korean medicine, the better the symptom improvement of upper extremity movement disorder. 5. The longer the hospital stays, the better the symptom improvement of the lower extremity movement disorder. 6. The combination of Korean and Western medicine did not affect liver or kidney function.
Abstract
Objective: This study was aimed at evaluating the effect and clarifying the treatment period of Korean medicine treatment for cerebral infarction. Method: This study was carried out on patients with hemiplegia who were hospitalized in the Department of Korean Internal Medicine of Jecheon Korean Medicine Hospital of Semyung University from June 2014 to May 2019. A retrospective study was performed on 253 patients who were diagnosed with cerebral infarction by brain CT or nuclear magnetic resonance imaging. Results and Conclusion: 1. Korean medicine treatment has a significant effect on improving the movement disorder and daily life independence of cerebral infarction. 2. In the group that started Korean medical treatment within one month after the onset of cerebral infarction, with the exception of MMSE-K, the indicators related to the movement disorder and daily life independence showed significant effect. 3. MMSE-K showed no statistically significant change in any of the patient groups. 4. Within three months after the onset date, the longer the period of treatment with Korean medicine, the better the symptom improvement of upper extremity movement disorder. 5. The longer the hospital stays, the better the symptom improvement of the lower extremity movement disorder. 6. The combination of Korean and Western medicine did not affect liver or kidney function.
참고문헌 (14)
- Crichton SL, "Patient outcomesup to 15 years after stroke: survival, disability, quality of life, cognition and mental health", J Neurol Neurosurg Psychiatry, 87(10), pp.1091~1098 (2016)
- Shin AS, "Clinical Observation on East-West Integration Treatmentin Stroke and Brain Disease", Korean J Joongpoong, 11(1), pp.9~17 (2010)
- 허광호, "뇌질환 재활 통합 등록체계 자료(Brain Rehabilitation Registry)를 통한 한양방 협진병원과 양방병원의 뇌졸중 환자 치료효과 분석", 한방재활의학과학회지, 23(3), pp.117~124 (2013), 한방재활의학과학회
- 김민수, "뇌졸중 환자의 재활에서 포괄적인 한방치료의 효과: 후향적 연구", 동의생리병리학회지, 30(5), pp.355~359 (2016), 한의병리학회[DOI]
- Stroke Statisticsin Korea 2018, "The Epidemiology Research Council of the Korean Stroke Society", Korean Stroke Society, 15~69 (2018)
- Association of Korean Medicine Professorsfor Cardiovascular and Neurological Medicine, "Cardiovascular and Neurological Medicine in Korean MedicineⅠ", pp.249~260 (2016), WOORI Medical Books
- Park JH, "Validity on the Activity Index in the Functional Assessment of Stroke Patients", J of Korean Acad of Rehab Med, 22(39), pp.483~490 (1998)
- 김재민, "치매 선별을 위한 MMSE-K와 K-MMSE의 진단 타당도 비교", 신경정신의학, 42(1), pp.124~130 (2003), 대한신경정신의학회
- 윤성준, "뇌졸중 환자 평가를 위한 Stroke Rehabilitation Assessment of Movement의 측정자간 신뢰도", 한국전문물리치료학회지, 17(3), pp.48~58 (2010), 한국전문물리치료학회
- 김성렬, "만성 편마비 환자의 modified Emory Functional Ambulation Profile의 임상 적용", 대한물리의학회지, 5(4), pp.655~666 (2010), 대한물리의학회
- 이영은, "급성기 뇌경색 환자에서 Scandinavian Stroke Scale과 Motricity Index 간의 상관관계에 대한 연구", 대한한방내과학회지, 36(2), pp.93~104 (2015), 대한한방내과학회
- Korean Stroke Society, "Textbook of Stroke", pp.51~55 (2015), PanMun education
- 김종열, "뇌졸중과 운동 장애", 대한뇌졸중영문학회지, 1(2), pp.103~107 (1999), 대한뇌졸중학회
- Park CS, "The Protective Effects of Woowhangcheongshim-won(WCW) on Middle Cerebral Artery Occlusion", J Korean Orient Med, 21(1), pp.11~19 (2000)
