급성기 중풍환자의 위험요인, 경고증상, 전조증상 및 설진, 맥상, 변증과 NIHSS의 관련성 연구

The Relationship between Risk Factors, Warning Signs, Tongue Diagnosis, Pulse Pattern, Pattern Identification and National Institute of Health Stroke Scale in Acute Stroke Patients

  • 김미영 (경희대학교 한의과대학 심계내과) ;
  • 최원우 (경희대학교 한의과대학 심계내과) ;
  • 박수경 (경희대학교 한의과대학 심계내과) ;
  • 엄정태 (경희대학교 한의과대학 심계내과) ;
  • 박성욱 (경희대학교 동서신의학병원 중풍.뇌질환센터) ;
  • 정우상 (경희대학교 한의과대학 심계내과) ;
  • 조기호 (경희대학교 한의과대학 심계내과)
  • Kim, Mi-Young (Dept. of Cardiovascular & Neurologic Disease(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Choi, Won-Woo (Dept. of Cardiovascular & Neurologic Disease(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Park, Su-Kyung (Dept. of Cardiovascular & Neurologic Disease(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Leem, Jung-Tae (Dept. of Cardiovascular & Neurologic Disease(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Park, Sung-Wook (Stroke & Neurological disorders center, East-West Neo Medical Center, College of Oriental Medicine, Kyung-Hee University) ;
  • Jung, Woo-Sang (Dept. of Cardiovascular & Neurologic Disease(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Cho, Ki-Ho (Dept. of Cardiovascular & Neurologic Disease(Stroke center), College of Oriental Medicine, Kyung-Hee University)
  • 발행 : 2009.12.30

초록

Objectives : The aim of this study was to assess the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. Methods : We studied patients hospitalized within 4 wks after their ictus who were admitted at the Internal Medical Department at Kyunghee Oriental Medical Center, Kyunghee University East-West Neo Medical Center, Kyungwon University Songpa Oriental Medical Center, Kyungwon University Incheon Oriental Medical Center, Dongguk University Ilsan Oriental Medical Center from April 2007 to August 2009. We analyzed the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. Results : 1506 subjects were included into the final analysis. 1. In the risk factors, the NIHSS mean score of atrial fibrillation was significantly higher than non-atrial fibrillation. 2. In the warning signs, the NIHSS mean scores of weakness, loss of eyesight, dysarthria, and sensory loss were significantly higher than in the non-warning signs. 3. There were no significant differences in lifestyle, tongue fur color, pattern identification between groups. 4. In the tongue color, the NIHSS mean score of red was significantly higher than pale or pale red. 5. There were significant differences statistically between forceful/weak, fine/not fine, slippery/not slippery pulse and NIHSS score. Conclusion : The above results show the relationship between risk factors, warning signs, tongue diagnosis, pulse pattern, pattern identification and National Institute of Health Stroke Scale in acute stroke patients. These results can be utilized in the future as a basis material.

키워드

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