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A Clinical Case Study on the Long Term Respiration Management of Amyotrophic Lateral Sclerosis Patient with Respiratory Failure

호흡부전을 동반한 근위축성 측삭 경화증 환자의 장기적 호흡관리 1례

  • Lee, Jong Cheol (Department of Acupuncture & Moxibustion Medicine, Gwangju Korean Medical Hospital, Wonkwang University) ;
  • Jeong, Ho Hyun (Department of Acupuncture & Moxibustion Medicine, Gwangju Korean Medical Hospital, Wonkwang University) ;
  • Cha, Eun Hye (Department of Acupuncture & Moxibustion Medicine, Gwangju Korean Medical Hospital, Wonkwang University) ;
  • Park, Man Yong (Department of Acupuncture & Moxibustion Medicine, Gwangju Korean Medical Hospital, Wonkwang University) ;
  • Kim, Tae Ho (Department of Acupuncture & Moxibustion Medicine, Bucheon Jaseng Hospital of Korean Medicine) ;
  • Song, Bong Keun (Department of Internal Medicine, Gwangju Korean Medical Hospital, Wonkwang University) ;
  • Son, Il Hong (Department of Neurology, Sanbon Hospital, Wonkwang University) ;
  • Kim, Sung Chul (Department of Acupuncture & Moxibustion Medicine, Gwangju Korean Medical Hospital, Wonkwang University)
  • 이종철 (원광대학교 부속광주한방병원 침구의학과) ;
  • 정호현 (원광대학교 부속광주한방병원 침구의학과) ;
  • 차은혜 (원광대학교 부속광주한방병원 침구의학과) ;
  • 박만용 (원광대학교 부속광주한방병원 침구의학과) ;
  • 김태호 (부천자생한방병원 침구의학과) ;
  • 송봉근 (원광대학교 부속광주한방병원 내과) ;
  • 손일홍 (원광대학교 부속산본병원 신경과) ;
  • 김성철 (원광대학교 부속광주한방병원 침구의학과)
  • Received : 2014.08.11
  • Accepted : 2014.08.28
  • Published : 2014.09.20

Abstract

Objectives : Amyotrophic lateral sclerosis(ALS) is a progressive neurodegenerative disorder characterized by a selective death of motor neuron, leading to respiratory insufficiency. The purpose of this study was to assess the long term respiratory management of ALS patient with respiratory failure. Methods : One ALS patient applying a non-invasive BIPAP ventilator as well as Korean medical treatment such as acupuncture, pharmacopuncture and herbal medicine was measured on $SpO_2$, $EtCO_2$, Vte(expiratorytidalvolume) for 2 years 7 months. Results : The $SpO_2$, $EtCO_2$ of ALS patient were maintained in the normal range for 2 years 7 months. The Vte of ALS patient also wasn't worse in this study. Conclusions : In this study, the long term respiration management, combined administration of Korean medical treatment and non-invasive BIPAP ventilator, could be effective in ALS patient with respiratory failure.

Keywords

References

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