대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
권호 표지

한방병원에 입원한 뇌경색 환자의 기능회복과 관련된 특성에 대한 연구

The Study about Characteristics Affecting Functional Recovery of Stroke Patients Treated in an Oriental Medical Center

  • 김영지 (경희대학교 한의과대학 심계내과학교실) ;
  • 김미영 (경희대학교 한의과대학 심계내과학교실) ;
  • 이승엽 (경희대학교 한의과대학 심계내과학교실) ;
  • 최원우 (경희대학교 한의과대학 심계내과학교실) ;
  • 박주영 (경희대학교 한의과대학 심계내과학교실) ;
  • 권승원 (경희대학교 한의과대학 심계내과학교실) ;
  • 정우상 (경희대학교 한의과대학 심계내과학교실) ;
  • 문상관 (경희대학교 한의과대학 심계내과학교실) ;
  • 조기호 (경희대학교 한의과대학 심계내과학교실) ;
  • 김영석 (경희대학교 한의과대학 심계내과학교실) ;
  • 박성욱 (경희대학교 동서신의학병원 중풍.뇌혈관질환센터) ;
  • 박정미 (경희대학교 동서신의학병원 중풍.뇌혈관질환센터) ;
  • 고창남 (경희대학교 동서신의학병원 중풍.뇌혈관질환센터) ;
  • 배형섭 (경희대학교 동서신의학병원 중풍.뇌혈관질환센터) ;
  • 나병조 (강남경희한방병원 내과학교실)
  • Kim, Young-Jee (Dept. of Cardiovascular & Neurologic Diseases(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Mi-Young (Dept. of Cardiovascular & Neurologic Diseases(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Lee, Seung-Yeop (Dept. of Cardiovascular & Neurologic Diseases(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Choi, Won-Woo (Dept. of Cardiovascular & Neurologic Diseases(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Park, Joo-Young (Dept. of Cardiovascular & Neurologic Diseases(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Kwon, Seung-Won (Dept. of Cardiovascular & Neurologic Diseases(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Jung, Woo-Sang (Dept. of Cardiovascular & Neurologic Diseases(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Moon, Sang-Kwan (Dept. of Cardiovascular & Neurologic Diseases(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Cho, Ki-Ho (Dept. of Cardiovascular & Neurologic Diseases(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Young-Suk (Dept. of Cardiovascular & Neurologic Diseases(Stroke center), College of Oriental Medicine, Kyung-Hee University) ;
  • Park, Sung-Wook (Stroke & Neurological Disorders Center, East-West Neo Medical Center, Kyung-Hee University) ;
  • Park, Jung-Mi (Stroke & Neurological Disorders Center, East-West Neo Medical Center, Kyung-Hee University) ;
  • Ko, Chang-Nam (Stroke & Neurological Disorders Center, East-West Neo Medical Center, Kyung-Hee University) ;
  • Bae, Hyung-Sup (Stroke & Neurological Disorders Center, East-West Neo Medical Center, Kyung-Hee University) ;
  • Na, Byong-Jo (Dept. of Internal Medicine, Kang-Nam Kyung-Hee Oriental Medicine Hospital)
  • 발행 : 2009.12.30
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초록

Objectives : Stroke is the most common disabling neurological disease of adult life. The treatment and rehabilitation of stroke patients is an important and challenging area in the field of medicine. In Korea, a lot of stroke patients are treated using oriental medicine and there have been reports on their functional recovery. The aim of this study was to prove the therapeutic effect of oriental medicine on ischemic stroke. We also tried to identify characteristics of patients whose functional recovery was prominent and studied whether or not the use of fluids, anticoagulants, antiplatelets and neuroprotective agents increased the functional recovery of patients. Methods : We studied 794 patients within 2 weeks after first attack of ischemic stroke who were admitted to Kyung-Hee Oriental Medical Center from 1999 to 2000. Their maximum admission period was 60 days. Results : Motor power grade, NIHSS and MBI scores of patients improved during hospitalization significantly. Factors affecting functional recovery were admission period, motor power grade, NIHSS and MBI at admission. Age, waist-hip ratio and HDL cholesterol also affected functional recovery of patients. Whether or not fluids, anticoagulants, antiplatelets and neuroprotective agents were administered had nothing to do with functional recovery. Conclusion : Oriental medicine is effective for treatment and rehabilitation of ischemic stroke patients. When we manage stroke, we have to consider some important factors.

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