일산화탄소 중독 이후 지연성 뇌손상에 대한 보신익뇌탕가미방의 효과 1례 : case report

A Case Study of Patient with Delayed Encephalopathy after Carbon Monoxide Poisoning Improved by Korean Traditional Treatment, Especially Boshiniknoe-tang-gami

  • 배고은 (부산대학교한방병원 한방내과) ;
  • 박혜림 (부산대학교한방병원 한방내과) ;
  • 홍미나 (부산대학교한방병원 한방내과) ;
  • 조재현 (부산대학교한방병원 한방내과) ;
  • 최진용 (부산대학교한방병원 한방내과) ;
  • 홍진우 (부산대학교한방병원 한방내과) ;
  • 권정남 (부산대학교한방병원 한방내과) ;
  • 김소연 (부산대학교한방병원 한방내과) ;
  • 최준용 (부산대학교한방병원 한방내과) ;
  • 한창우 (부산대학교한방병원 한방내과) ;
  • 윤영주 (부산대학교한방병원 한방내과) ;
  • 박성하 (부산대학교한방병원 한방내과) ;
  • 이인 (부산대학교한방병원 한방내과)
  • Bae, Go-eun (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Park, Hye-lim (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Hong, Minna (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Cho, Jae Hyun (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Choi, Jin Yong (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Hong, Jin woo (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Kwon, Jung Nam (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Kim, So Yeon (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Choi, Jun Young (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Han, Chang Woo (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Yun, Young Ju (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Park, Seong-ha (Department of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Lee, In (Department of Internal Medicine, Pusan National University Korean Medicine Hospital)
  • 발행 : 2016.12.01

초록

This case report is to show the effects of Traditional Korean medicine (TKM) on the patient with delayed encephalopathy after carbon monoxide poisoning. A patient with delayed encephalopathy after carbon monoxide poisoning occurs rarely and only a few cases have been reported. We treated a patient with cognitive deficit, gait disturbance was treated with herbal medicine(Boshiniknoe-tang-gami), acupuncture, moxibustion. We evaluated the improvements of symptoms by Korean Version of Mini Mental Status Examination score(K-MMSE), Modified Barthel Index(MBI) and Glasgow Coma Scale(GCS). After 3 weeks, total score of K-MMSE was increased from 12 to 17 and it was maintained to week 6. After 6 weeks, total score of MBI was increased from 30 to 86. And GCS was increased from 11 to 14. This report proved effect of Traditional Korean medicine on the improvement of delayed encephalopathy after carbon monoxide poisoning

키워드

과제정보

본 연구는 2016년도 부산대학교병원 임상연구비 지원으로 이루어 졌다.