안면신경마비 환자의 예후 평가 도구로서의 적외선 체열촬영(DITI – Digital Infrared Thermographic Imaging) 가능성에 대한 연구배효빈
Study on the possibility of Digital Infrared Thermographic Imaging as a prognosis evaluation tool for patients with facial palsy
1
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objectives : The aim of this study is to evaluate possibility of DITI as prognosis evaluation tool of facial palsy. Methods : We investigate prognosis of facial palsy through EMR(Electronic Medical Record) of inpatient from December 2016 to June 2017. We evaluated the sex, age distribution, length of hospital stay, paralysis site, number of treatment after discharge, change of H-B Grade at entrance and exit, temperature difference of both sides of DITI, and Nerve Conduction Study(NCS) with reference to EMR recorded symptom change. Results : 1. Significant correlations were not found between DITI and House-Brackmann Grade change, NCS(%), the date of admission. 2. There was a negative correlation between NCS(%) and hospitalization period in patients with facial palsy. The higher the NCS, the faster the recovery rate of facial palsy. 3. In patients with facial palsy, the temperature difference between the two sides after the DITI image shows that the affected side tends to be lower than the normal side. Conclusions : In this study, only DITI temperature difference between both sides of face is not significant in determining the prognosis of facial palsy. Further research is needed to conduct DITI at the same time and to improve accuracy through a sufficient assessment of the degree of facial palsy.
Abstract
Objectives : The aim of this study is to evaluate possibility of DITI as prognosis evaluation tool of facial palsy. Methods : We investigate prognosis of facial palsy through EMR(Electronic Medical Record) of inpatient from December 2016 to June 2017. We evaluated the sex, age distribution, length of hospital stay, paralysis site, number of treatment after discharge, change of H-B Grade at entrance and exit, temperature difference of both sides of DITI, and Nerve Conduction Study(NCS) with reference to EMR recorded symptom change. Results : 1. Significant correlations were not found between DITI and House-Brackmann Grade change, NCS(%), the date of admission. 2. There was a negative correlation between NCS(%) and hospitalization period in patients with facial palsy. The higher the NCS, the faster the recovery rate of facial palsy. 3. In patients with facial palsy, the temperature difference between the two sides after the DITI image shows that the affected side tends to be lower than the normal side. Conclusions : In this study, only DITI temperature difference between both sides of face is not significant in determining the prognosis of facial palsy. Further research is needed to conduct DITI at the same time and to improve accuracy through a sufficient assessment of the degree of facial palsy.
참고문헌 (13)
- Ko WS, "Korean Medicine Otorhinolaryngology", pp.141~149 (2016), Sunwo
- Choi IS, "Steps to Internal Medicine", pp.99~103 (2014), Jeongdam
- 장선희, "적외선 체열촬영을 이용한 Bell’s Palsy 환자의 임상적 활용 연구", Journal of Acupuncture Research, 26(6), pp.141~149 (2009), 대한침구의학회
- Kim SH, "Effect of Acupuncture Treatment for Bell's Palsy with Digital Infrared Thermographic Imaging", The Journal of Korean Medicine, 16(2), pp.36~43 (1995)
- 한승혜, "적외선 체열진단을 이용한 안면마비와 안면과 상지에 분포한 경혈위와의 관계에 대한 임상고찰", 대한한방내과학회지, 25(4), pp.140~146 (2004), 대한한방내과학회
- 남동현, "Bell's Palsy 환자의 건측-환측 안면부 피부온도차이에 관한 연구", 대한한의학회지, 28(1), pp.126~136 (2007), 대한한의학회
- 손영진, "Bell's palsy의 중증도와 얼굴 체열진단의 상관성에 대한 연구", 동의생리병리학회지, 28(1), pp.89~93 (2014), 한의병리학회
- 김호봉, "근전도와 신경전도 검사의 임상적 응용", 대한물리치료학회지, 10(1), pp.199~212 (1998), 대한물리치료학회
- Yang NJ, "Correlation between the Facial Muscle Activity on Surface Electromyography(EMG) and Conventional EMG in patients with Facial Palsy", The excerpt collection of Korean Physiology, (1), pp.43~63 (2013)
- Larry E, Davis, "Fundamentals of Neurologic Disease" (2009), Koonja Pubulishing Inc
- RS Dhillon, "Ear, Nose and Throat and Head and Neck Surgery-An Illustrated Colour Text" (2010), Koonja Pubulishing Inc
- 석경환, "안면마비 후유증 평가법에 대한 고찰 및 제언", Journal of Acupuncture Research, 31(4), pp.99~108 (2014), 대한침구의학회
- Seo DW, "Practical Neurologic Examination" (2012), Koonja Pubulishing Inc