The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지

A Quantitative Analysis on Clinical Course of Acute Ischemic Stroke with National Institute of Health Stroke Scale

National Institutes of Health Stroke Scale을 이용한 급성기 허혈성 뇌졸중의 증상 경과에 대한 정량적 고찰

  • Choi, Jin-Young (Dept. of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Cho, Gwon-Il (Dept. of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Shin, Hak-Soo (Dept. of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Shin, Sun-Ho (Dept. of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Kim, Dong-Woung (Dept. of Internal Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Han, Myoung-Ah (Dept. of Internal Medicine, Wonkwang University Oriental Medicine Hospital)
  • 최진영 (원광대학교 전주한방병원 내과) ;
  • 조권일 (원광대학교 전주한방병원 내과) ;
  • 신학수 (원광대학교 전주한방병원 내과) ;
  • 신선호 (원광대학교 전주한방병원 내과) ;
  • 김동웅 (원광대학교 전주한방병원 내과) ;
  • 한명아 (원광대학교 전주한방병원 내과)
  • Published : 2002.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : Studies on stroke were conducted by using the scaling system to estimate, compare severity and to predict prognosis. National Institute of Health Stroke Scale is widely used for this purpose due to its accuracy in predicting clinical symptoms. According to previous studies, neurologic symptoms in acute stage of ischemic stroke did not disappear, and approximately 27% to 43% of them were aggravated, We conducted this study to define clinical aggravation and to improve ischemic stroke in its acute stage by using NIHSS. Methods and Subjects : Due to their acute ischemic stroke, twenty five patients visited Wonkwang Oriental Medicine in Cheonju within forty eight hours from its beginning stage. Two oriental medicine doctors checked NIHSS every six hours during the first ninety six hours and later every twenty four hours for twelve days from the beginning of the disease. Results : The Aggravated group consisted of nineteen out of twenty five cases, which is seventy six % and NIHSS on admissions were $5.88{\pm}0.63$ and it increased linearly over time by the equation of NIHSS on admissions was $8.50{\pm}2.02$ and it decreased linearly over time by the equation of NIHSS=-0.01 one hour+7.91. Conclusion : During the study, we defined the clinical courses of acute ischemic stroke. There have been no reports on this so far. Therefore, we hope that this study will be beneficial to expand the scope of oriental medicine in dealing with aggravating ischemic stroke in the acute stage.

Keywords

References

  1. 사망원인 통계
  2. Stroke v.27 no.10 Comparison of Neurological Scales and Scoring Systems for Acute Stroke Prognosis Muir, K.W.;Weir, C.J.;Murray, G.D.;Povey, C.;Lees, K.R.
  3. Neurology v.53 no.1 Baseline NIH Stroke Scale score strongly predicts outcome after stoke: A report of the Trial of Org 10172 in Acute Stroke Treatment (TOAST) Adams, H.P.;Davis, P.H.;Leira, E.C.;Chang, K.C.;Bendixen, B.H.;Clarke, W.R.;Woolson, R.F.;Hansen, M.D.
  4. Stroke v.30 no.6 Progression in Acute Stroke: Value of the Initial NIH Stroke Scale Score on Patient Stratification in Future Trials DeGraba, T.J.;Hallenbeck, J.M.;Pettigrew, K.D.;Dutka, A.J.;Kelly, B.J.
  5. American Academy of Neurology v.47 no.5 Arterial territories of human brain: Braomstem and cerebellum Tatu, L.;Moulin, T.;Bogousslavsky, J.;Duvernoy, H.
  6. Stroke v.31 no.4 Retrospective Assessment of Initial Stroke Severity With the NIH Stroke Scale Williams, L.S.;Yilmaz, E.Y.;Lopez-Yunez, A.M.
  7. Stroke v.22 A critical appraisal of stroke evaluation and scoring scales Lyden, P.D.;Lau, G.T.
  8. 대한한의학회지 v.17 no.1 뇌졸중 환자의 기능평가방법에 대한 연구 고성규;고창남;조기호;김영석
  9. Stroke v.28 no.2 Reliability of the National Institutes of Health Stroke Scale: Extension to Non-Neurologists in the Context of a Clinical Trial Goldstein, L.B.;Samsa, G.P.
  10. Arch Neurol v.52 Progressing neurological deficit secondary to acute ischemic stroke: a study on predictability, pathogenesis and prognosis Toni, D.;Fiorelli, M.;Gentile, M.;Bastianello, S.;Sacchetti, M.L.;Argentino, C.;Pozzilli, C.;Fieschi, C.
  11. Stroke v.28 Acute ischemic strokes improving during the first 48 hours of onset:predictability, outcome, and possible mechani는: a comparison with early deteriorating strokes Toni, D.;Fiorelli, M.;Bastianello, S.;Falcou, A.;Sette, G.;Ceschin, V.;Sacchetti, M.L.;Argentino, C.
  12. Lancet v.344 Effect of blood pressure and diabetes on stroke in progression Jorgensen, H.S.;Nakayama, H.;Raaschou, H.O.;Olsen, T.S.
  13. Neurol Med Chir v.35 Clinical features of progressive lacunar infarction. Retrospective analysis of patients with motor syndromes Kitanaka, C.;Teraoka, A.
  14. Neurology v.47 no.4 Evolving stroke and the ischemic penumbra Fisher, M.;Garcia, J.H.
  15. Clinical Neuroscience v.4 no.4 Reperfusion damage following focal ischemia:pathophysiology and therapeutic windows Kuroda, S.;Siesjo, B.K.
  16. Stroke v.26 Sequential studies of severely hypometabolic tissue volumes after permanent middle cerebral artery occlusion: a positron emission tomographic in vestigation in anesthetized baboons Touzani, A.;Young, A.R.;Declon, J.M.
  17. Stroke v.12 Thresholds in cerebral ischemia: the ischemic penumbra Astrup, J.;Symon, L.;Siesjo, B.K.
  18. J Cereb Blood Flow Metab v.12 Changes in amino acid neurotransmitters and cerebral blood flow in the ischemic penumbra region following middle cerebral artery occlusion in the rat Takagi, K.;Ginsberg, M.D.;Glabur, M.
  19. J Cereb Blood Flow Metab v.8 Focal cerebral ischemia in the cat: treatment with glutamate antagonist MK-801 after induction of ischemia Park, C.K.;Nehls, D.G.;Graham, D.T.
  20. Am J Pathol v.147 Interleukin-1 receptor antagonist decreases the number of necrotic neurons in rats with middle cerebral artery occlusion Garcia, J.H.;Liu, K.F.;Relton, J.K.
  21. Stroke v.20 Risk factors and clinical manifestations of pathologically verified lacunar infarctions Tuszynski, M.H.;Petito, C.K.;Levy, D.E.
  22. Journal of Neurology, Neurosurgery & Psychiatry v.60 no.2 Dysarthriaclumsy hand syndrome due to infarction of the cerebral peduncle Urban, P.P.;Hopf, H.C.;Visbeck, A.;Fleischer, S.;Andreas, J.
  23. Sroke v.27 no.4 Long-term Prognosis of First-Ever Lacunar Strokes: A Hospital-Based Study Salgado, A.V.;Ferro, J.M.;Gouveia-Oliveira, A.
  24. Stroke v.30 no.11 Underlying Structure of the National Institutes of Health Stroke Scale: Results of a Factor Analysis Lyden, P.;Lu, M.;Jackson, C.;Marler, J.;Kothari, R.;Brott, T.;Zivin, J.
  25. Neurology v.52 no.1 Progressive motor deficits in lacunar infarction Nakamura, K.;Saku, Y.;Ibayashi, S.;Fujishima, M.
  26. Lancet v.337 no.8756 Classification and natural history of clinically identifiable subtypes of cerebral infarction Bamford, J.;Sandercock, P.;Dennis, M.;Burn, J.;Warlow, C.
  27. Stroke v.31 no.9 Deteriorating Ischemic Stroke in 4 Clinical Categories Classified by the Oxfordshire Community Stroke Project Tei, H.;Uchiyama, S.;Ohara, K.;Kobayashi, M.;Uchiyama, Y.;Fukuzawa, M.
  28. Stroke v.68 no.5 How well does the Oxfordshire Community Stroke Project classification predict the site and size of the infarct on brain imaging? Mead, G.E.;Lewis, S.C.;Wardlaw, J.M.;Dennis, M.S.;Walow, C.P.
  29. American journal of physical medicine & rehabilitation v.79 no.6 Prediction of Functional Outcome After Stroke Rehabilitation Inouye, M.;Kishi, K.;Ikeda, Y.;Takada, M.;Katoh, J.;Iwahashi, M.;Hayakawa, M.;Ishihara, K.;Sawamura, S.;Kazumi, T.
  30. 대한한의학회지 v.20 no.1 뇌졸중환자의 기능평가척도로서의 MBI와 MAS의 상관성 분석 고성규;전찬용
  31. 대한한의학회지 v.20 no.1 Modified Barthel Index 및 Motor Assessement Scale을 이용한 검사자간의 신뢰도 검사 고성규;김춘배
  32. 동서의학연구소 논문집 v.1 Effect of oriental medicine on the recovery from acute stroke Kang, Sung-Keel;Kim, Yong-Suk