대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
권호 표지

시상증후군(Thalamic Pain Syndrome) 환자의 한방 병합치료에 관한 임상적 고찰

Clinical Study of Combination Treatment of Oriental Medicine on Thalamic Pain Syndrome

  • Woo, Young-Min (Department of Acupuncture & Moxibustion, National Medical Center) ;
  • Song, Kyung-Sup (Department of Oriental Internal Medicne, National Medical Center) ;
  • Lee, Jin-Hun (Department of Oriental Internal Medicne, National Medical Center)
  • 발행 : 2000.12.30
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초록

Objectives : To evaluate the pain control effect of combination treatment of Oriental Medicine on patients who suffered from thalamic pain syndrome caused by thalamic stroke. Methods : We reviewed the medical records and brain imaging data of all patients with thalamic stroke from September 1998 to August 2000 who visited to Department of Oriental Internal Medicine, National Medical Center. We evaluated clinical features of thalamic pain syndrome, including incidence, onset interval from stroke, nature, pain distribution, and assessed the pain control effect of combination treatment by Visual Analog Scale(VAS). Results : 64 cases were selected under the inclusion criteria, and 17 patients(26.5%) with thalamic pain syndrome were identified from 64 thalamic strokes. VAS proved combination treatment effective to control pain of thalamic pain syndrome. In 12 cases(70.5%), pain onset was within the first week poststroke. The patients with allodynia were 6(35.3%). In 12 cases(70.5%), the lesion was mainly located in the posterolateral areas of thalamus. Conclusion : We conclude that combination treatment of the Oriental Medicine modalities have pain control effectiveness on thalamic pain syndrome.(t=-5.47, p=0.0001)

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