뇌졸중에 병발된 폐렴환자의 임상적 고찰

Clinical Study of Pneumonic Patients combined with Stroke

  • 정희재 (경희대학교 한의과대학 폐계내과학교실) ;
  • 정승기 (경희대학교 한의과대학 폐계내과학교실) ;
  • 이형구 (경희대학교 한의과대학 폐계내과학교실) ;
  • 한동하 (경희대학교 한의과대학 폐계내과학교실)
  • Jung, Hee-Jae (Division of Repiratory System, Dept. of Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Jung, Sung-Ki (Division of Repiratory System, Dept. of Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Rhee, Hyung-Koo (Division of Repiratory System, Dept. of Internal Medicine, College of Oriental Medicine, Kyung Hee University) ;
  • Han, Dong-Ha (Division of Repiratory System, Dept. of Internal Medicine, College of Oriental Medicine, Kyung Hee University)
  • 발행 : 2000.12.30

초록

Objective : Pneumonia is a frequent complication in stroke and is very important as a prognostic factor. So We had a clinical study about pneumonic patients combined with stroke in which we administered both antibiotics and oriental herbal medicine to them. Methods : The 14 cases were patients that admitted visited 31CU at neurologic department in Kyunghee medical center from the 1st of October to the 31st of November, 1998. because of stroke. We selected cases complicated pneumonia. We diagnosed stroke as brain CT or MRI and pneumonia as chest simple X-ray, fever, sputurn culture et al. We divided the group into several categories(衛分證, 氣分證, 營分證, 血分證, 正虛邪退證) and medicined them both Paerum-bang(肺炎方) and antibotics. We evaluated the results as increased signs and some tests including chest simple X-ray, GOT, GPT, BUN and Creatinine. Results : Among total 14 cases, cases of perfect cure including improvement were 10, aggravation were 2 and discontinued cases were 2. We observed 17.4 days on the average. Their functions of liver and kidney weren't aggravated as medicining both antibiotics and oriental herbal treatment. Conclusion : We suggest that eastern treatment need to improve resistance of pneumonic patients and may reduce the side effect of western antibiotics therapy.

키워드

참고문헌

  1. 東醫肺系內科學 李珩九;鄭昇杞
  2. 溫病學 南京中醫學院
  3. 가정의학 의학교육연구원
  4. JAMA v.224 no.11 Mortality Factor in Patients With Acute Stroke Meyer, B.;Myron, G.
  5. 결핵 및 호흡기 질환 v.44 no.1 폐렴의 치료 김성규;양동규
  6. 결핵 및 호흡기질환 v.43 no.3 폐렴의 정의 및 분류 정태훈;김창호
  7. 臨床肺系內科學 鄭熙才;鄭昇杞;李珩九
  8. 東醫寶鑑 許浚
  9. 中醫內科學 張伯與(외 7인)
  10. 大韓韓醫學會誌 v.24 腦卒中에 倂發된 肺炎患者 47例에 關한 臨床的 考察 정희재;김현;최영철;오태환;정승기;이형구
  11. 慶熙醫學 v.7 龍膽瀉肝湯加魚腥草에 의한 腦卒中에 倂發된 肺炎의 治療 3例 윤상협;나영설;민병일
  12. 임상중풍학 김영석
  13. 中醫內科學 上海中醫學院(編)
  14. JAMA v.234 Treatment of aspiration pneumonia and lung abscess, penicilin G vs clindamycin Bartlett, J.G.;Gorbach, S.L.
  15. Arch Intern Med v.135 Bacterologic flora of aspiration induced pulmonary infection Gonzalez, C.C.L.;Calia, F.M.
  16. Neurology v.38 Aspiration following stroke, clinical correlates and outcome Horner, J.;Massey, E.;Riski, J.;Lanthrop, M.;Chase, K.
  17. Arch Phys Med Rehabil v.74 Aspiration Pneumonia in Stroke Johnson, E.R.;McKenzie, S.W.;Sievers, A.
  18. 溫病學 최삼섭;박찬국
  19. 實用中西醫結合診斷治療學 陳貴廷;楊思澍
  20. 實用中醫內科學 黃文東(외 7인)