Journal of Physiology & Pathology in Korean Medicine (동의생리병리학회지)

The Physiological Society of Korean Medicine and The Society of Pathology in Korean Medicine (대한동의생리학회·한의병리학회)
권호 표지

Short-term Prognosis according to Time of Treatment of Patients with Acute Cerebral Infarction : Measurement by NIHSS

급성기 뇌경색환자의 치료시기에 따른 단기 예후 평가 : NIHSS를 이용한 후향적 연구

  • Park, Seung Chan (Department of Internal Medicine, Pusan National University Oriental Medicine Hospital) ;
  • Cho, Seung Mo (Pusan National University School of Korean Medicine) ;
  • Kim, Do Gyoung (Department of Internal Medicine, Dong Eui Medical Center) ;
  • Lim, Chi Yeon (Department of Medicine, Medical School, Dongguk University) ;
  • Lee, Jae Wook (Department of Internal Medicine, Dong Eui Medical Center) ;
  • Hong, Jin Woo (Pusan National University School of Korean Medicine) ;
  • Lee, In (Pusan National University School of Korean Medicine) ;
  • Lee, In Sun (Department of Rehabilitation Medicine, Dong Eui Medical Center) ;
  • Kim, Young Kyun (Department of Internal Medicine, Dong Eui Medical Center) ;
  • Kwon, Jung Nam (Pusan National University School of Korean Medicine)
  • 박승찬 (부산대학교 한방병원 한방내과) ;
  • 조승모 (부산대학교 한의학전문대학원) ;
  • 김도경 (동의의료원 한방내과) ;
  • 임지연 (동국대학교 의과대학 의학과) ;
  • 이재욱 (동의의료원 한방내과) ;
  • 홍진우 (부산대학교 한의학전문대학원) ;
  • 이인 (부산대학교 한의학전문대학원) ;
  • 이인선 (동의의료원 한방재활의학과) ;
  • 김영균 (동의의료원 한방내과) ;
  • 권정남 (부산대학교 한의학전문대학원)
  • Received : 2012.09.10
  • Accepted : 2012.10.22
  • Published : 2012.12.25
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Abstract

This study was done to examine the prognosis according to onset and duration of treatment in acute ischemic cerebral infarction patients. We analysed NIHSS(National Institutes of Health Stroke Scale) score of acute ischemic cerebral infarction patients who visited department of Internal Korean Medicine, one medical center in Busan from January to December 2009. We divided patients into two groups by the initial time of treatment. Group A is admitted within 7 days, Group B is admitted from 7 to 14 days. We used NIHSS for functional recovery after 3 weeks later from admission day, and analyzed prognostic factor by analysis of covariance. All patients showed statistically significant improvement after 1week, 2weeks, 3weeks from admission, and between 1st week and 2nd week. However, there was no significant difference between 2nd week and 3rd week. NIHSS recovery score after 3weeks were analysed according to the timing of treatment. There was a statistically significant difference between two groups. The percentage of aggravated patients showed no statistically significant difference between the two groups. This study suggests that earlier admission care has an effect on functional recovery of patients with acute ischemic cerebral infarction. Further research on the large scale and long-term follow up is required.

Keywords

References

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