The Clinical Analysis on 32 Cases of Dementia

치매환자(患者) 32례(例)에 대(對)한 임상적(臨床的) 고찰(考察)

  • Lee, Y.W. (Oriental Medicine Hospital, Dong-Shin Univ.) ;
  • Kang, H.J. (Oriental Medicine Hospital, Dong-Shin Univ.) ;
  • Cho, M.R. (Oriental Medicine Hospital, Dong-Shin Univ.) ;
  • Jin, C.S. (Oriental Medicine Hospital, Dong-Shin Univ.) ;
  • Hong, S. (Oriental Medicine Hospital, Dong-Shin Univ.) ;
  • Kim, J.S. (Oriental Medicine Hospital, Dong-Shin Univ.)
  • 이영욱 (동신대학교 부속한방병원 내과학교실) ;
  • 강화정 (동신대학교 부속한방병원 내과학교실) ;
  • 조명래 (동신대학교 부속한방병원 내과학교실) ;
  • 진천식 (동신대학교 부속한방병원 내과학교실) ;
  • 홍석 (동신대학교 부속한방병원 내과학교실) ;
  • 김종석 (동신대학교 부속한방병원 내과학교실)
  • Published : 1998.08.30

Abstract

A clinical analysis was carried out for 32 patients who were treated in Dept. of Dong-shin Oriental Medicine Hospital from 10st January to 16st May in 1998 and ruled out as dememtia. The results were summarized as follows. 1. In the distribution of sex, female was more than male. And the age of seventies(17 cases, 53.125%) was highest in the frequency of age. 2. In the distribution of having history of drinking and smoking were each 4 cases(12.5%) and 7 cases(21.875%). 3. In the distribution of seasons, the ratio of spring and winter were each 16 cases(50.0%), 15 cases(46.875%), that of summer and fall were comparatively low. 4. In the period from onset to admission, the period within a week had 20 cases(62.5%) as top, and the most period of treatment was 2 and 3 weeks(28.125%). 5. The number of cases that had preceding disease was 35 cases(71.875%), a major portion of preceding diseases were hypertension, diabetes mellitus, stroke. 6. The most common symptom was disorientation(78.125%), and the next common symptom was motor desability(71.875%), and memory disturbance, verbal disturbance was each 59.375 and 47.1%. 7. In the distribution of the CT scan films, 15 cases(46.875%) showed cerebral infarction and that of another 5cases (15.625%) showed cerebral hemorrhage, that of another 2 cases(6.25%) showed brain atrophy. 8. In the lipid density of blood, T-Cholesterol, TG, HDL-Cholesterol, LDL- Cholesterol was within normal limit. 9. In the MMSE-K, the most score was from 16 point to 20 point, and second only was from 11 point to 15 point, and the next was from 6 point to 10 point. 10. In the Ischemic score, 20 cases(62.5%) was diagnosed as brain vascular type dementia, and mixed type dementia was 9 cases(28.125%), Alzheimer type dementia was 3 cases(9.375%). 11. The most used recipes were a sort of recipes to activate of flow the vital energy and the blood, to remove the phlegm(41 cases 33.9%), especially DODAMHOALHEL TANG (12 cases, 9.9%), ANSINCHUNGNOITANG (8 case, 6.6%) was the most used recipe. 12. In the judgement of efficacy, 17 cases(53.125%) showed excellent efficacy, 10 cases(31.25%) showed good efficacy, 5 cases(15.625%) showed no change and that according to MMSE-K, 4 case(18.18%) showed excellent efficacy, 15 cases(68.18%) showed good efficacy, 15 cases(68.18%) showed no change.

Keywords

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