• 제목/요약/키워드: 만성 골반통

검색결과 8건 처리시간 0.019초

대구 지역 청소년 및 미혼 여성 자궁내막증 환자의 임상 특성에 관한 비교연구 (Comparison of Clinical Menifestations between Adolescents and Unmarried Young Women with Endometriosis in Daegu)

  • 김윤정;최민혜;정민지;이정호;이택후
    • Clinical and Experimental Reproductive Medicine
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    • 제34권3호
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    • pp.167-172
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    • 2007
  • 목 적: 본 연구는 청소년기와 성인 미혼 여성에서의 자궁내막증의 특징을 비교해 보고 청소년기에 조기 발견 및 치료의 중요성에 대해 알아보고자 한다. 연구방법: 000년 1월부터 2007년 9월까지 대구 소재 두 대학병원을 방문하여 수술을 시행한 환자를 대상으로 청소년 (14$\sim$21세, 23예)과 성인 미혼 여성 (22$\sim$26, 107예)의 자궁내막증의 임상양상, 진단과정, 수술소견, 혈액검사소견(CA-125) 등을 의무 기록 분석을 통한 후향적인 방법으로 비교하였다. 결 과: 대구 지역 청소년은 cyclic pain을 주증상으로 흔히 호소하였다. 청소년은 52.2%가 stage I, II였으며, stage III는 47.8%, stage 4는 없었다. 반면에 성인에서는 stage I이 1.86%에 불과하였으며, stage II 및 stage III가 82.2%로 대다수를 차지하였으며 stage IV도 15.8%차지하였다. 청소년에서도 CA-125가 상승되어 있는 경우가 많았고 이를 병의 경과 관찰에 이용할 수 있을 것이다. 청소년에서 순수 자궁내막증을 의심하여 수술한 경우는 전체 23예 중에 10예에 불과하였으며 이외 13예는 다른 진단으로 시행한 수술에서 우연히 발견되었다. 이는 전체 56.5%로 많은 비중을 차지하며, 성인 여성에서 27.5%에 불과한 것과는 대조적이다. 결 론: 대구 지역 청소년들을 대상으로 시행한 이번 연구에서는 청소년기에서 주기성 통증이 우세하였으며 이는 임상증상 만으로도 조기 발견에 도움이 될 수 있을 것이다. 자궁내막증은 진행하는 병임은 틀림없으므로 만성 골반통이 있는 청소년을 대상으로 적절한 산부인과적 검사를 통한 조기 진단 및 치료가 중요할 것으로 사료된다.

면역약침을 병행한 만성 전립선염/만성 골반통 증후군 환자 치험 1례 (Chronic Non-Bacterial Prostatitis Treated with Additional Immune Pharmacopuncture: A Case Report)

  • 김상진;김보겸;강순성;정희재;정승기;이범준
    • 대한한방내과학회지
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    • 제36권3호
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    • pp.436-445
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    • 2015
  • Objectives The purpose of this study is to report the clinical effects of immuno pharmacopuncture and herbal medicine Simmidojeok-san on chronic non-bacterial prostatitis. Methods The patient was treated with Simmidojeok-san ; 0.2 cc of V pharmacopuncture injection was given into Jeonyang and 0.6 cc of V pharmacopuncture injection was administered into Hoeeum (CV1). National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) and Numerous Rating Scale (NRS) were used to assess treatment effect. Results NIH-CPSI and NRS decreased after treatment. Conclusions The herbal medicine Simmidojeok-san and V pharmacopuncture therapy are effective in treating chronic non-bacterial prostatitis.

부인과 질환으로 유발된 만성 골반통 환자에 대한 한방치료 치험 3례 (Chronic Pelvic Pain Patients with Gynecological Diseases Treated by Korean Medicine Treatment: Three Case Reports)

  • 윤희재;김혜원;백선은;유정은
    • 대한한의학회지
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    • 제41권3호
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    • pp.191-204
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    • 2020
  • Objectives: The purpose of this study is to report the effect of Korean medicine treatment on chronic pelvic pain with gynecological diseases. Methods: Three female patients with gynecological diseases who suffered from chronic pelvic pain got Korean medicine treatment such as Boheo-tang-gagambang, acupuncture, Jungsongouhyul pharmacopuncture, moxibustion, fumigation therapy with Hyeonhosaek-tang and Sasangja-tang and physiotherapy during hospitalization. Numerical Rating Scale(NRS) of pains and percentage of other symptoms were measured every morning. Results: In three cases, after 9, 15, and 22 days of treatment in each case, pelvic pain decreased by more than 50% and other symptoms were also improved. Conclusions: These cases showed that Korean medicine treatment of chronic pelvic pain with gynecological diseases was effective for alleviating symptoms.

8주간의 척추 안정화 운동 프로그램이 만성 경부통 환자의 NDI, 균형 능력 및 자세 변화에 미치는 영향 (The effects of 8-week spinal stabilization exercise program on NDI, postural balance and body shape change in patients with chronic neck pain)

  • 김주은;하성;김원문
    • 한국산학기술학회논문지
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    • 제21권12호
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    • pp.43-51
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    • 2020
  • 이 연구는 8주간의 척추 안정화 운동프로그램이 경부 장애 지수, 균형 능력 및 자세 변화에 어떠한 영향을 주는지를 알아보는 것이다. 운동 프로그램은 8주간 주 3회 척추 안정화 운동을 시행하였으며, 총 60분으로 구성하였다. 연구의 대상자는 6개월간 경부통을 호소하는 만성 경부통 환자 16명을 대상으로 운동 집단(n=8명)과 통제 집단(n=8명)으로 분류하여 운동 프로그램 사전, 사후의 결과를 관찰하여 다음과 같은 결과를 도출하였다. 경부 장애 지수는 시기, 집단, 상호작용에서 유의차가 나타났다(p<.05). 균형 능력은 집단 및 시기 간에서 유의한 상호작용 효과가 나타났다(p<.05). 자세 변화는 골반 경사각에서 시기, 상호작용에서 유의차가 나타났고(p<.05), 경부 및 어깨 위치각은 집단, 시기, 집단, 상호작용 모두 유의차가 나타났다(p<.05). 이상의 결과 척추 안정화 운동이 만성 경부통 환자에게 경부 장애 지수, 균형 능력 변화, 자세 변화에서 유의하게 개선된 결과를 나타내었다. 추후 연구에서는 방사선 영상을 통한 척추 구조 변화에 대한 구체적인 변화를 분석하여 척추 안정화 운동의 타당성을 높이는 연구가 필요할 것으로 사료된다.

계지복령환을 투여한 만성전립선염/만성골반통증후군 환자 증례보고 1례 (A Case Report of Chronic Prostatitis/Chronic Pelvic Pain Syndrome(CP/CPPS) treated with Gyejibokryeong-hwan)

  • 이상훈;이종현;홍미나;윤영주;박성하
    • 대한한의학회지
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    • 제41권1호
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    • pp.117-125
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    • 2020
  • Objectives: Chronic Prostatitis/Chronic Pelvic Pain Syndrome(CP/CPPS) is diagnosed on the basis of symptoms, principally pain or discomfort in the pelvic region. Pathophysiology and treatment of this disease has not been established. CP/CPPS's main symptom appears to be an incurable pain and Collateral disease's(絡病) symptoms also appear as incurable pain in general. The purpose of this study is to report the clinical effects of Gyejibokryeong-hwan(桂枝茯苓丸) based on removing Stasis and freeing Collateral disease on CP/CPPS in which pain appears largely. Methods: The patient was treated with Gyejibokryeong-hwan. National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was used to assess treatment effect. Results: NIH-CPSI and Pelvic pain decreased significantly after treatment. Conclusions: Gyejibokryeong-hwan was effective in treating CP/CPPS. Especially, there was a clear effect on Pelvic pain among the symptoms.

만성 골반통 여성의 한의학적 치료에 관한 국내 임상 연구 고찰 (A Review of the Clinical Study on Korean Medicine Treatment for Women with Chronic Pelvic Pain)

  • 문혜연;이윤재;소민지;유옥철;최성률
    • 대한한방부인과학회지
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    • 제31권3호
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    • pp.50-60
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    • 2018
  • Objectives: The purpose of this study was to investigate the treatment methods of chronic pelvic pain, which have no definite treatment methods, and to provide basic data on clinical trials and clinical practical guideline in Korean Medicine related to chronic pelvic pain. Methods: The key words such as 'pelvic pain', 'pelycalgia' are used for the research through 'OASIS, KTKP, RISS, DBpia, KISS'. Total 6 studies were analyzed. Results: 6 studies were chronic pelvic pain case reports. Case reports 6 studies covered a total of 11 cases. Of these, 4 cases related to adenomyosis, 3 cases of endometriosis, and 2 cases of ovarian cyst. However, there were many cases in which the causative disease was not clear. In addition, the majority of the studies reported on the progress of hospitalization, and all studies used herbal medicine, acupuncture and moxibustion. The duration of treatment ranged from 5 to 30 days for hospitalization and 5 months for outpatient treatment. The most commonly used meridian is Conception Vessel (任脈), and SP6 (三陰交) was the most frequently used acupuncture treatment. The herbal medicine Banchong-san (蟠蔥散) was generally prescribed. Conclusions: The effect on treatment of Korean Medicine for chronic pelvic pain had mostly positive results. However, the number of searched studies, which are insufficient for design or analysis of study, is very limited. We hope that this study will be useful for further clinical studies of chronic pelvic pain.

만성 골반통의 한의약 치료 : 무작위 대조군 연구에 대한 문헌 고찰 (Interventions of Korean Medicine for Chronic Pelvic Pain: a Literature Review of Randomized Controlled Trials)

  • 정원춘;박장경;성수현;황현호;정태영;박종현
    • 대한한방부인과학회지
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    • 제32권4호
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    • pp.102-115
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    • 2019
  • Objectives: This study aimed to review randomized controlled trials (RCTs) on the effects of interventions of Korean medicine for chronic pelvic pain (CPP). Methods: We searched eleven electronic databases from inception up to Apr 2018. RCTs evaluating the effects of Korean medicine interventions for CPP were retrieved. Results: 11 RCTs were included and total number of experimental group was 390 cases. A total of 4 types of interventions were used, of which acupuncture (45.5%), electro-acupuncture (18.2%), electro-acupuncture + auricular acupuncture + moxibustion (18.2%) were the most frequently utilized. 關元 (CV4) (100.0%), 會陰 (CV1) (80.0%), 三陰交 (SP6) (80.0%), 陰陵泉 (SP9) (80.0%) were most frequently used acupoint in acupuncture treatment. Conclusions: For evidence-based treatment of korean medicine intervention for CPP, high quality RCTs must be conducted.