• 제목/요약/키워드: 궤양

검색결과 616건 처리시간 0.027초

궤양성 대장염에서 식이 인자와 장 마이크로비오타의 상호작용 (Interaction between Dietary Factors and Gut Microbiota in Ulcerative Colitis)

  • 성미경
    • Journal of Digestive Cancer Research
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    • 제10권1호
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    • pp.31-38
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    • 2022
  • Ulcerative colitis (UC) exhibits chronic intestinal inflammatory conditions with cycles of relapse and remission. The incidence is rapidly growing in Asian countries including South Korea possibly due to changes in lifestyles. Although the etiology of inflammatory bowel disease is inconclusive, gut microbiota composition is considered a critical factor involved in the pathogenesis of UC. The overgrowth of pathogenic bacteria evokes hyper-immune responses in gut epithelium causing tissue inflammation and damage. Also, failure to regulate gut epithelium integrity due to chronic inflammation and mucus depletion accelerates bacterial translocation aggravating immune dysregulation. Gut microbiota composition responds to the diet in a very rapid manner. Epidemiological studies have indicated that the risk of UC is associated with low plant foods/high animal foods consumption. Several bacterial strains consistently found depleted in UC patients use plant food-originated dietary fiber producing short chain fatty acids to maintain epithelial integrity. These bacteria also use mucus layer mucin to keep gut microbiota diversity. These studies partly explain the association between dietary modification of gut microbiota in UC development. Further human intervention trials are required to allow the use of specific bacterial strains in the management of UC.

CNN기반 욕창 유발 위험 부위 감지 시스템 (A proposal for CNN-based pressure-inducing risk detection system)

  • 김민근;박철우;이영우
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2021년도 추계학술대회
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    • pp.439-441
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    • 2021
  • 매년 고령화 사회로 인해 욕창환자가 증가하고 있으며 COVID-19의 팬데믹 상황으로 간호인의 업무 부하로 욕창 관리의 중요성이 대두되고 있다. 욕창은 부동자세로 인해 궤양이 생기는 질병으로 간호인이 주기적으로 체위변경을 해줘야 하기에 간호 부담이 큰 질병이다. 이에 본 연구에서는 인공지능이 욕창 유발 위험을 검출하고 호발 현황을 실시간 모니터링 해줌으로써 간호인의 업무 부담을 줄일 수 있는 시스템을 제시한다. 본 시스템을 통하여 간호인의 욕창 간호의 어려움을 해소시켜 간호 업무의 증대할수 있을 것이다.

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한약재 특성에 따른 궤양성 대장염 치료과 장내세균 상관관계 연구 (The Study about Relationship between Treatment of Ulcerative Colitis and Intestinal Bacteria According to Characteristic of Herbal Medicine)

  • 전용덕
    • 한국자원식물학회:학술대회논문집
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    • 한국자원식물학회 2020년도 춘계학술대회
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    • pp.9-9
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    • 2020
  • Many modern people are exposed to chronic inflammatory diseases, such as inflammatory bowel disease (IBD), atopic dermatitis and immune disorder. Among those chronic diseases, the incidence ratio of IBD has been increased. IBD, including Crohn's disease and ulcerative colitis (UC), is known to cause abnormal inflammation in intestinal tissue. UC is accompanied by abdominal pain, bloody stool and diarrhea. Many therapeutic agents, such as sulfasalazine, corticosteroids, immunosuppressive agents, have been used for treating UC. However, those agents have side-effects and temporary effects on UC. The aim of this study was to investigate the effect of herbal medicine on UC and relationship between UC and intestinal bacteria according characteristic of herbal medicine. To determine the effect of herbal medicine on UC, various herbal medicine were chosen within oriental medicine category such as cheongyeol and onyeol medicine. In this study, we found carthami fructus, included in cheongyeol medicine, had stronger effect than onyeol medicine. Also, we determined influence of carthami fructus against lactic acid bacteria. Catthami fructus and lingon berry extracts affected the composition of mice intestinal bacteria in mice fecal. The symptoms of UC could be regulate by using herbal medicine, according to characteristic of herbal medicine. Also, herbal medicine might be change body condition to healthy by controlling intestinal bacteria composition. Herbal medicine characteristic could be a therapeutic agent by revealing relationship between intestinal bacteria and UC.

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간질성 방광염에 대한 침치료 효과 (Effects of Acupuncture on Symptoms in a Patient with Interstitial Cystitis)

  • 최유행;이승덕;김갑성
    • Journal of Acupuncture Research
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    • 제18권4호
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    • pp.212-220
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    • 2001
  • 간질성 방광염이란 성인여성에게 생기는 질환으로 일종의 근육에 생긴 염증이며 미국에서는 아주 흔한 질환이나 국내에서는 그 동안 진단기준이 없어 단순한 방광염으로 오인 되어왔다. 증상은 일반적인 방광염과 비슷하나 너무 자주 재발하고 잘 낫지 않으며 방광용적의 감소로 빈뇨와 급뇨, 하복부와 회음부의 통증이 흔하고 방광을 비우면 증상은 호전되는 양상을 보인다. 진단을 확진할 정확한 검사가 없기 때문에 반드시 다른 질환이 없슴을 증명하여야 한다. 즉 방광염을 일으키는 원인들인 요로 감염, 골반염, 결핵, 결석, 성병, 전립선염, 방광암 등이 없이 빈뇨와 소변을 참지 못하고 하복통이 있을 때 일단 의심을 하고 방광내시경상에 방광 벽의 염증이나 점상성 출혈, 궤양이 있으면 확진한다. 양방에서는 한가지 완벽한 치료가 없어 여러 가지 복합적인 치료를 하며 일차적으로는 약물요법과 방광확장술을 시도한다. 먹는 약으로는 아직 공인된 것은 없으며 이 약들은 증상의 호전은 기대할 수 있으나 일시적인 경우가 많으며 결국은 방광확장술을 추가하는 경우가 대부분이다. 이에 이 질환을 갖고 있는 여자 환자에게 침 치료를 시행한 결과 주관적인 통증과 급박감에 있어서 감소와 객관적인 소변 횟수의 감소에 있어 만족할 만한 효과를 얻었기에 보고하는 바이다.

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소염정장탕(消炎整腸湯)이 DSS로 유발(誘發)된 생쥐의 궤양성 대장염에 미치는 영향(影響) (The Effects of Soyumjungjang-tang on DSS-Induced Ulcerative Colitis in Mouse)

  • 송영근;류봉하;윤성우
    • 대한한방내과학회지
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    • 제29권2호
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    • pp.385-400
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    • 2008
  • Objectives : This study was carried out to investigate the effects of Soyumjungjang-tang(SJT) on the experimental ulcerative colitis induced by dextran sulfate sodium(DSS) in mice. Methods : Ulcerative colitis was induced through supplying 4% DSS solution as the drinking water for 7 days in 6-week-old male ICR mice. The colitic mice were divided into three groups: the sample groups were orally administered SJT in doses of 25mg/kg(S25 group) or 100mg/kg(S100 group) once a day for 10 days, from 3 days before starting drinking the DSS solution, and the control(C) group was administered normal saline instead of SJT. The DSS solution or SJT was not administered to the normal(N) group. The length of colon, histologic finding, the activities of myeloperoxidase(MPO) and alkaline phosphatase(AP), and the expressions of $IL-1{\beta}$, IL-6, COX-2, $NF-{\kappa}B$, and $I{\kappa}B$ in colonic mucosa was checked using immunoblot, ELISA, etc. The activities of chondroitinase, tryptophanase, ${\beta}-glucuronidase$ and ${\beta}-glucosidase$ in stool were also measured. Results : The length of colon shortened, histologic finding deteriorated, the activities of MPO, AP, chondroitinase, tryptophanase, ${\beta}-glucuronidase$ and ${\beta}-glucosidase$, and the expressions of $IL-1{\beta}$, IL-6, COX-2, $NF-{\kappa}B$ increased, and the expression of $I{\kappa}B$ decreased in the C group. All measures, except $NF-{\kappa}B$, were restored in S25 group, but some measures deteriorated more in the S100 group than in the C group. Conclusions : According to the above results, it is supposed that SJT has a potential therapeutic effect on ulcerative colitis.

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가감석홍전(加減惜紅煎)으로 호전된 궤양성대장염(潰瘍性大腸炎) 환자(患者) 치험(治驗) 1례(例) (One Case of Ulcerative Colitis Improved by Gagam-Sukhongjeon)

  • 임동석;김남욱;이형호;이영수;홍석;김희철;최창원
    • 대한한의학방제학회지
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    • 제15권1호
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    • pp.229-237
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    • 2007
  • Objective : this study is designed to evaluate the effects of an oriental medicine therapy, namely gagam-sukhongjeon, on ulcerative colitis Methods : The Clinical data was analyzed on a patient with ulcerative colitis due to hanyeolchakjab(寒熱錯雜), whose symptoms were combined chillness and fever. The patient visited at the internal medicine department of Dong-Shin University Suncheon Oriental Hospital on February 25, 2006, and go into hospital from February 25, 2006 to March 9, 2006. and revisited from March 18, 2006 to April 5, 2006. The patient was treated with Herbal medicine(gagam-sukhongjeon) Result : After treatment, bloody stool and abdominal pain disappeared in visual analogue scale(VAS), pain disability index(PDI) and verbal rating scale(VRS). Conclusions : This study suggests that gagam-Sukhongjeon is significantly effective in treatment of ulcerative colitis.

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백혈구 감소증을 특징으로 하는 돼지 전염성 질병의 육안적 병변 (Lesions of Infectious Disease which is Characterized by Marked Leukopenia in Korea)

  • 송재국;이현범;이근우
    • 대한수의사회지
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    • 제29권2호
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    • pp.104-112
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    • 1993
  • 우리나라 양돈장에 전염성으로 발생하고 있는 돼지 질병 중 현저한 백혈구 감소증을 동반하는 질병을 진단하기 위한 일조로서 10,000/cmm이하의 백혈구 감소증을 나타낸 9개 양돈장의 27두의 병돈을 대상으로 하여 부검 및 백혈구 분별계산을 실시하였다. 또한 $2{\~}3$개월령의 건강한 자돈 12두에 대하여 백혈구 계산을 실시하였다. 실험성적을 요약하면 아래와 같았다. 1) $2{\~}3$개월령의 건강한 자돈의 백혈구 계산치는 총백혈구수 : $11,800{\~}19,950$(평균 17,042)/cmm, 호중구수 : $29{\~}46$(평균 34.6)${\%}$, 임파구수 : $46{\~}65$(평균 58.1)${\%}$, 호산구수 : $0{\~}6$(평균 2.4)${\%}$, 단구수 : $1{\~}9$(평균 4.9)${\%}$이었다. 2) 백혈구 감소증을 나타낸 병돈 27예의 병변과 그 출현빈도는 신장의 출혈 : 26/27($96.3{\%}$), 임파선 출혈 : 27/27($100{\%}$), 방광의 출혈 : 10/27($37.0{\%}$), 피부의충 출혈 : 17/27($63.0{\%}$), 비장의 출혈성 경색 : 9/27($33.3{\%}$), 맹장의 버튼상 궤양 : 2/27($7.4{\%}$)이었다.

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의이인(薏苡仁) 추출물이 DSS(dextran sulfate sodium)로 유발된 생쥐의 궤양성 대장염에 미치는 영향 (The Effects of Coicis Semen Extract (CSE) on Dextran Sulfate Sodium - Induced Colitis in Mice)

  • 허경;장명웅;임성우
    • 대한한방내과학회지
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    • 제33권4호
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    • pp.520-532
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    • 2012
  • Objectives : This study was carried out to investigate the effects of Coicis Semen Extract (CSE) on the experimental colitis induced by dextran sulfate sodium (DSS) in mice. Methods : Experimental colitis was induced by daily treatment with 5% DSS in the drinking water for 7 days in 6-week-old male ICR mice. The colitic mice were divided into three groups: the normal (N) group consisted of mice that were not inflammation-induced. The control (C) group was composed of untreated colitis elicited mice. The sample (S) group was administered CSE after colitis elicitation. The effects on colonic mucosal ulcers were evaluated by the morphological, histological and immunohistochemical change of the large intestine. Results : Inhibition of LPS-induced NO decreased in the S group. Inhibition of LPS-induced iNOS and COX-2 mRNA noticeably decreased in the S group from 0.25 mg/ml. In the common morphological and histochemical change, the erosion and the infiltration of inflammatory cells increased in the C group, while they noticeably decreased in the S group. The length of colon was shortened more in the C group than in the S group. The distributions of MUC2 and Hsp70 treated with CSE increased noticeably more in the S group than in the C group (p<0.05). It was confirmed histochemically and immunohistochemically that the distributions of iNOS, COX-2, MAC387, serotonin, apoptosis and PCNA treated with CSE decreased in the S group more than in the C group (p<0.05). Conclusions : It is confirmed that CSE has cytoprotective effect, so can alleviate inflammation process. Therefore, it is expected to have potential protective effect on colitis.

항염증조절을 통한 금은화-감초 복합 추출물의 DSS 유도 궤양성 대장염 완화 효과 (The Anti-Inflammatory Effect of Lonicera Japonica-Glycyrrhiza Uralensis Decoction on Ulcerative Colitis Induced by DSS in Mice)

  • 이연우;안상현;김호현;김기봉
    • 대한한방소아과학회지
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    • 제32권3호
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    • pp.16-25
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    • 2018
  • Objectives The purpose of this study is to investigate the anti-inflammatory effect of Lonicera Japonica-Glycyrrhiza Uralensis decoction extracts (LGE) on ulcerative colitis in children and adolescents. Methods Colitis was induced by DSS (Dextran Sulfate Sodium) in C57BL/6 mice. The sample mice were divided into group of four. The mice in the control group were not inflammation-induced. The control group was composed of untreated ulcerative colitis elicited mice. The mice in the experimental group were administered with Pentasa and another experimental group mice were treated with LGE after colitis elicitation. The effects on ulcerative colitis were evaluated by the morphological changes of colonic mucosa, decrease in the effect of pro-inflammatory cytokines ($TNF-{\alpha}$ and $NF-{\kappa}B$) and inflammatory cytokines (iNOS and COX-2) in the mucosa. Results LGE showed protective effects in DSS induced ulcerative colitis. LGE inhibited shortening of colon length and relieved the hemorrhagic erosion in colonic mucosa. LGE decreased pro-inflammatory cytokines ($TNF-{\alpha}$ and $NF-{\kappa}B$) and inflammatory cytokines (iNOS and COX-2). According to the GC/MS analysis, N-methyl pyrrolidone (NMP) was identified. Conclusions The result shows the clinical efficacy of LGE and demonstrates possible treatment options for ulcerative colitis. Further investigations for biological activity and chemical analysis of LGE will be needed.

소화성궤양환자의 통증표현양상에 관한 연구 (A study on Pain Express Pattern of Peptic Ulcer Patient)

  • 김정선;최영희
    • 대한간호학회지
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    • 제21권2호
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    • pp.230-246
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    • 1991
  • Pain is a subjective and multidemensional concept. Therefore the patient's expression of pain have been referedl to the best believable indicator of pain condition but the support data obtained from the patient considered cultural difference is a deficient condition in determinded on the precise nursing diagnosis. The purpose of this reasearch was to understand multiple pain reponses in cultural difference and sensitivity, to encourage communication between medical teams, and to provide the foundation data of on data of precise nursing assessment for the patient in pain. The research problem was to grasp pain express pattern of Korean peptic ulcer patients. The subjects were 20 peptic ulcer patients in medical unit or OPD of twp university hospitals in Seoul. Data were collected from September 7th to 22nd, 1990 by intensive interviews. Interviews were done by the researcher and all were tape - recorded. The Data analysis was done by Phenomenological method from Van Kaam. Validity assured by confirmation of the internal consistency of the statements and catigory by nursing collegue in educational and clinicions in medical care. From the emic data, 96 descriptive statements were organized in 18 theme cluster. The results of study were summerized as follows. 1. Pain Express Pattern cluster of Peptic Ulcer Patients were “Pain as clogging”, “shallow pain”, “pain as pressing”, “nauseating pain”, “pain as smarting”, “pain as pulling”, “pain as pricking”, “pain as bursting”, “wrenching pain”, “excising pain”, “uncontrollable pain for mind and body”, “awakening pain”, “pain as hollowing” and the other cluster. As above mentioned, Pain Express Pattern of Peptic Ulcer Patient appeared diversely in verbal and they were propered to Korean culture. Therefore they will provide for the foundation data of precise nursing assessment.

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