한방병원에 산후병으로 내원한 산모의 특성 및 증상에 대한 분석
Analysis on Outpatients with Postpartum Disease at the Korean Gynecologic Clinic of Traditional Korean Medicine Hospital
1
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Objectives : The purpose of this study was to analyze the current characteristics of outpatients with postpartum disease and provide a treatment instruction in the clinical field. Methods : To analyze characteristics of outpatients with postpartum disease, We searched medical records from January 1, 2015 to December 31, 2017 using Z34(Supervision of normal pregnancy), O94(Sequelae of complication of pregnancy), U327(産後風) and 388 postpartum patients were analyzed. Result : 1. The general characteristics of the subjects are as follows. The average age was 33.73±3.62 years old, 356(91.75%) are full term pregnancy, 201(51.81%) are first delivery, 79(20.36%) had past history of abortion and 63(16.24%) had past history of gynecologic disease. 2. The most subjects visited in April(10.31%). The mean duration from delivery date to visiting date was 131.5±214.6 days. The mean number of visits after the initial visit was 1.91±1.7. 3. The characteristics related with pregnancy and delivery are as follows. The number of subjects taken assisted reproductive technology was 19(4.9%) and suffering from gestational disease was 28(7.22%). The mean body weight difference between full term pregnancy and visiting date was -8.24±3.57 kg. The number of subjects discharging lochia on visiting date was 167(43.04%) and breastfeeding was 262(67.53%). 4. The most chief complaint was arthralgia in 217(55.93%) followed by general weakness, cold sensation, edema, sweating disorder, dizziness, lower abdominal pain, digestion disorder, heat sensation, defecation disorder and urination disorder. 5. The most accompanying symptom was arthralgia in 322(82.99%), followed by sleep disorder, cold sensation, general weakness, sweating disorder, defecation disorder, edema, dizziness, digestion disorder, urination disorder, lower abdominal pain and heat sensation. 6. A total of 356 subjects were taken herbal medicine. The most prescribed herbal medicine to subjects was Gungguijohyeol-eum-gamibang(29.59%). Conclusion : These results could be helpful to diagnose and treat postpartum patients in korean gynecologic clinical fields.
Abstract
Objectives : The purpose of this study was to analyze the current characteristics of outpatients with postpartum disease and provide a treatment instruction in the clinical field. Methods : To analyze characteristics of outpatients with postpartum disease, We searched medical records from January 1, 2015 to December 31, 2017 using Z34(Supervision of normal pregnancy), O94(Sequelae of complication of pregnancy), U327(産後風) and 388 postpartum patients were analyzed. Result : 1. The general characteristics of the subjects are as follows. The average age was 33.73±3.62 years old, 356(91.75%) are full term pregnancy, 201(51.81%) are first delivery, 79(20.36%) had past history of abortion and 63(16.24%) had past history of gynecologic disease. 2. The most subjects visited in April(10.31%). The mean duration from delivery date to visiting date was 131.5±214.6 days. The mean number of visits after the initial visit was 1.91±1.7. 3. The characteristics related with pregnancy and delivery are as follows. The number of subjects taken assisted reproductive technology was 19(4.9%) and suffering from gestational disease was 28(7.22%). The mean body weight difference between full term pregnancy and visiting date was -8.24±3.57 kg. The number of subjects discharging lochia on visiting date was 167(43.04%) and breastfeeding was 262(67.53%). 4. The most chief complaint was arthralgia in 217(55.93%) followed by general weakness, cold sensation, edema, sweating disorder, dizziness, lower abdominal pain, digestion disorder, heat sensation, defecation disorder and urination disorder. 5. The most accompanying symptom was arthralgia in 322(82.99%), followed by sleep disorder, cold sensation, general weakness, sweating disorder, defecation disorder, edema, dizziness, digestion disorder, urination disorder, lower abdominal pain and heat sensation. 6. A total of 356 subjects were taken herbal medicine. The most prescribed herbal medicine to subjects was Gungguijohyeol-eum-gamibang(29.59%). Conclusion : These results could be helpful to diagnose and treat postpartum patients in korean gynecologic clinical fields.
참고문헌 (31)
- The Society of Korean Medicine Obsterics and Gynecology, "Oriental Obsterics & Gynecology 2", pp.715~ (2016), Eui Seong Dang Publishing Co.
- 안숙희, "산후조리 수행과 산후 건강상태간 정준상관관계", Journal of Korean Academy of Nursing, 35(1), pp.37~46 (2005), 한국간호과학회
- Yu EK, "Development of WISE HHSanhujori guideline", pp.297~ (2013), Korean Health Promotion Institute
- 정윤선, "출산 여성의 산후관리서비스 이용에 영향을 미치는 요인", 보건의료산업학회지, 11(1), pp.143~158 (2017), 보건의료산업학회
- 우혜린, "서울시 강동구 소재 한방병원 한방부인과 외래 환자의 주소증 분석", 대한한방부인과학회지, 30(1), pp.29~41 (2017), 대한한방부인과학회[DOI]
- 구진숙, "산후질환에 관한 임상보고", 대한한의학회지, 38(1), pp.112~124 (2017), 대한한의학회[DOI]
- 김평화, "한의치료를 받은 산모의 산후 6주간 증상에 대한 전향적 관찰 연구", 대한한방부인과학회지, 30(4), pp.114~134 (2017), 대한한방부인과학회[DOI]
- 장세란, "산후다한과 손가락 관절통을 주소로 하는 산후풍 치험 1례", 대한한방부인과학회지, 28(3), pp.128~136 (2015), 대한한방부인과학회[DOI]
- 최경희, "추나 수기 치료를 병행하여 호전된 산후 골반통 환자 치험 1례", 대한한방부인과학회지, 26(4), pp.204~212 (2013), 대한한방부인과학회
- 김세화, "유산 후 산후풍 환자 1례에 대한 임상보고", 대한한방부인과학회지, 27(4), pp.97~108 (2014), 대한한방부인과학회[DOI]
- 장세란, "일개 한의대 부속 한방병원에 산후풍으로 내원한 환자 104례에 대한 실태 분석", 대한한방부인과학회지, 23(3), pp.192~204 (2010), 대한한방부인과학회
- "Population Consensus(2012-2016)"[URL]
- "Population Consensus(2012-2016)"[URL]
- "Survey on National Fertility and Family health welfare"[URL]
- Lee SY, "Prenatal and Postnatal Care and Its Policy Implications", Health and welfare policy forum, 236, pp.37~50 (2016)
- 박정경, "일부 산모에서 산후 BMI 변화에 영향을 미치는 요인 분석", 대한한방부인과학회지, 21(4), pp.139~149 (2008), 대한한방부인과학회
- "Survey on national fertility and family health welfare"[URL]
- The Society of Obsterics and Gynecology, "Obsterics", pp.191~ (2015), Gunja
- Choi EJ, "Breastfeeding-related Social Environmental Factors and Their Policy Implications", Health and welfare policy forum, 249, pp.72~81 (2017)
- "Multi Frequency Disease Statistics"[URL]
- 김미은, "산후 6개월 이내 산모의 수면의 질, 산후 피로도 및 산후 우울", 여성건강간호학회지, 20(4), pp.266~276 (2014), 한국여성건강간호학회
- 최정식, "근치자궁절제술이나 분만 후 발생한 만성 기능성 변비 환자의 임상 특징", 대한소화기학회지, 44(5), pp.267~274 (2004), 대한소화기학회
- Um ES, "Clinical Investigation for Various Postpartum Symptoms", J Korean Obstet Gynecol, 14(1), pp.365~379 (2001)
- Heo J, "Donguibogam", pp.1798~ (2006), Dongeuibogamchulpansa
- 최석영, "궁귀조혈음가미방(芎歸調血飮加味方)을 복용한 여성의 산욕 초기 증상과 어혈 변화에 대한 연구", 대한한방부인과학회지, 31(1), pp.1~19 (2018), 대한한방부인과학회[DOI]
- Cho DI, "The Bibliographical Study of Prescription for Eliminating Blood statsis", Journal of Haehwa Medicine, 5(2), pp.265~279 (1997)
- Ha JY, "Women's diseases recognized by the Dam-eum", Journal of oriental medical thermology, 8(1), pp.33~38 (2010)
- Park JS, "Preliminary Study on Pattern Questionnaire for Damum Patterns", Journal of korean Institute of Oriental Medical Diagnostics, 10(1), pp.54~63 (2006)
- Hong WS, "Jenggyohwangjenaegyeongyeongchu (精校黃帝內經靈樞)", pp.298~ (1985), Institute of Oriental Medicine
- Lee C, "Shingyopyeonjoouihagimmun-Ha(新校編註醫學入門-下)", pp.265~ (1994), Daesungmunhwasa
- Dang JH, "Xuezhenglun(血證論)", pp.88~ (1997), Shanghaiyinminchulpanbu