한방병원에 입원한 뇌경색 환자의 기능회복과 관련된 특성에 대한 연구
The Study about Characteristics Affecting Functional Recovery of Stroke Patients Treated in Oriental Medical Center
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Objectives : Stroke is the most common disabling neurological disease of adult life. The treatment and rehabilitation of stroke patients is an important and challenging area in the field of medicine. In Korea, a lot of stroke patients are treated using oriental medicine and there have been reports on the functional recovery. The aim of this study was to prove therapeutic effect of oriental medicine on ischemic stroke. And we tried to identify characteristics of patients whose functional recovery was prominent. We also studied whether the use of fluids, anticoagulants, antiplatelets and neuroprotective agents increased functional recovery of patients or not. Methods : We studied 794 patients within 2 weeks after first attack of ischemic stroke who were admitted to Kyung-Hee Oriental Medical center from 1999 to 2000. Their maximum admission period was 60 days. Results : Motor power grade, NIHSS and MBI scores of patients improved during hospitalization significantly. Affecting factors on functional recovery were admission period, motor power grade, NIHSS and MBI at admission. Age, waist hip ratio and HDL cholesterol also affected functional recovery of patients. It had nothing to do with functional recovery whether fluids, anticoagulants, antiplatelets and neuroprotective agents were administered or not. Conclusion : Oriental medicine is effective for treatment and rehabilitation of ischemic stroke patients. When we manage stroke, we have to consider some important factors.
Abstract
Objectives : Stroke is the most common disabling neurological disease of adult life. The treatment and rehabilitation of stroke patients is an important and challenging area in the field of medicine. In Korea, a lot of stroke patients are treated using oriental medicine and there have been reports on the functional recovery. The aim of this study was to prove therapeutic effect of oriental medicine on ischemic stroke. And we tried to identify characteristics of patients whose functional recovery was prominent. We also studied whether the use of fluids, anticoagulants, antiplatelets and neuroprotective agents increased functional recovery of patients or not. Methods : We studied 794 patients within 2 weeks after first attack of ischemic stroke who were admitted to Kyung-Hee Oriental Medical center from 1999 to 2000. Their maximum admission period was 60 days. Results : Motor power grade, NIHSS and MBI scores of patients improved during hospitalization significantly. Affecting factors on functional recovery were admission period, motor power grade, NIHSS and MBI at admission. Age, waist hip ratio and HDL cholesterol also affected functional recovery of patients. It had nothing to do with functional recovery whether fluids, anticoagulants, antiplatelets and neuroprotective agents were administered or not. Conclusion : Oriental medicine is effective for treatment and rehabilitation of ischemic stroke patients. When we manage stroke, we have to consider some important factors.
참고문헌 (39)
- 통계청, "사망원인통계연보" (2009)
- 박주영, "Modified Barthel Index, NIH Stroke Scales, Pulses Profile을 이용한 뇌졸중 환자의 평가", 한방재활의학회지, 7(1), pp.483~520 (1997)
- 한태륜, "뇌졸중 환자의 방사선학적 소견과 기능적 회복에 관한 연구", 대한재활의학회지, 14(2), pp.169~175 (1990)
- 김진숙, "급성뇌경색 환자의 기능회복에 관한 예지적 연구", 대한신경과학회지, 11, pp.281~292 (1991)
- Kim JS, "Perspectives of stroke in persons living in Seoul, South Korea: a survey of 1000 subjects", Stroke, 28, pp.1165~1169 (1997)
- Choi KS, "What stroke patients want to know and what medical professionals think they should know about stroke: Korean perspectives", Patient Educ Couns, 56(1), pp.85~92 (2005)
- 노진환, "한방병원에 입원한 중풍환자의 기능회복도 평가: MBI와 NIH Stroke Scale 이용", 한방성인병학회지, 5(1), pp.40~49 (1999)
- Wardlaw J, "The validity of a simple clinical classification of acute ischaemic stroke", J Neurol, 243, pp.274~279 (1996)
- Włodek A, "Agreement between the clinical Oxfordshire Community Stroke Project classification and CT findings in Poland", European Journal of Neurology, 11, pp.91~96 (2004)
- 고성규, "뇌졸중환자의 기능평가방법에 대한 연구", 대한한의학회지, 17(1), pp.48~83 (1996)
- 홍근식, "뇌졸중 임상시험에서 치료결과의 측정 및 효과 판정", 대한신경과학회지, 24(5), pp.411~420 (2006), 대한신경과학회
- 윤성상, "NIH Stroke Scale을 이용한 초기 뇌졸중 중증도에 대한 후향적 평가의 타당성", 대한신경과학회지, 24(1), pp.14~20 (2006), 대한신경과학회
- 고성규, "급성기 뇌졸중 환자의 기능회복도에 대한 임상적 고찰: MBI, MAS를 이용하여", 한방성인병학회지, 3(1), pp.206~230 (1997)
- 최동준, "급성기 중풍 환자에 대한 성향정기산의 임상적 효능", 대한한방내과학회지, 23(3), pp.440~446 (2002), 대한한방내과학회
- Ko CN, "Clinical research on the rehabilitation of stroke patients' motor ability", Korean Journal of Oriental Medicine, 3(1), pp.107~119 (2002)
- 조태성, "董氏鍼을 加味한 治療가 中風患者의 NIH Stroke Scale과 MBI상의 기능 회복에 미치는 영향", 대한침구학회지, 19(5), pp.35~45 (2002), 대한침구학회
- 조태성, "頭鍼이 中風患者의 단기간 NIHSS와 MBI에 미치는 영향", 대한한의학회지, 24(1), pp.65~73 (2003), 대한한의학회
- Wade DT, "Functional abilities after stroke: measurement, natural history and prognosis", J Neurol Neurosurg Psychiatry, 50, pp.177~182 (1987)
- Jonbleod, "Prediction of function after stroke: a critical review", Stroke, 7, pp.765~776 (1986)
- Feibel JH, "Depression and failure to resume social activities after stroke", Arch Phys Med Rehabil, 63, pp.276~277 (1982)
- Denti L, "Outcome predictors of rehabilitation for first stroke in the elderly", Eur J Phys Rehabil Med, 44, pp.3~11 (2008)
- Nakayama H, "The influence of age on stroke outcome: The Copenhagen Stroke Study", Stroke, 25(4), pp.808~813 (1994)
- Falconer JA, "Stroke inpatient rehabilitation: a comparison across age groups", J Am Geriatr Soc, 42(1), pp.39~44 (1994)
- Tilling K, "A new method for predicting recovery after stroke", Stroke, 32, pp.2867~2873 (2001)
- Bagg S, "Effect of age on functional outcomes after stroke rehabilitation", Stroke, 33, pp.179~185 (2002)
- Larsson B, "Abdominal adipose tissue distribution, obesity and risk of cardiovascular disease and death: a 13 year follow up of participants in the study of men born in 1913", Br Med J, 288, pp.1401~1404 (1984)
- Choi SH, "Cut-off value of waist circumference for metabolic syndrome patients in Korea adult population", Journal of Korean Society for the Study of Obesity, 13(1), pp.53~60 (2004)
- Jia WP, "Epidemiology study on obesity and its comorbidities in urban Chinese older than 20years of age in Shanghai, China", Obesity Review, 3, pp.157~165 (2002)
- Woo-Sang Jung, "Correlation Among Obesity Factors in Stroke in Korea", 대한한의학회지, 24(4), pp.6~10 (2003), 대한한의학회
- Bu SA, "The case -control study on the risk factors of stroke in Korean adults", Korean Journal of Oriental Int Med, 22(3), pp.423~430 (2001)
- Hankey GJ, "Potential new risk factor for ischemic stroke: What is their potential?", Stroke, 37, pp.2181~2188 (2006)
- 유병찬, "뇌졸중의 위험지표로서 의미가 있는 비만 지수는 무엇인가?: 환자-대조군 연구", 대한한방내과학회지, pp.71~92 (2008)
- Lewington S, "Blood cholesterol and vascular mortality by age, sex, and blood pressure: a meta analysis of individual data from 61 prospective studies with 55,000 vascular deaths", The Lancet, 370(9602), pp.1829~1839 (2007)
- Barter P, "HDL cholesterol, very low levels of LDL cholesterol, and cardiovascular events", The New England Journal of Medicine, 357(13), pp.1301~1310 (2007)
- Clarke R, "Cholesterol fractions and apolipoproteins as risk factors for heart disease mortality in older", Archives of Internal Medicine, 167(13), pp.1373~1378 (2007)
- Koren-Morag N, "Low- and high-density lipoprotein cholesterol and ischemic cerebrovascular disease: the bezafibrate infarction prevention registry", Arch Intern M, 162, pp.993~999 (2002)
- Tirschwell DL, "Association of cholesterol with stroke risk varies in stroke subtypes and patient subgroups", Neurology, 63, pp.1868~1875 (2004)
- Wannamethee SG, "HDL -Cholesterol, total cholesterol, and the risk of stroke in middle-aged British men", Stroke, 31, pp.1882~1888 (2000)
- 김종환, "급성기 뇌졸중 환자의 한양방 협진치료에 대한 임상적 고찰", 대한한방내과학회지, 25(4), pp.65~74 (2004), 대한한방내과학회