• 제목/요약/키워드: 불면(不眠)

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불면(不眠)환자에 대한 자하거(紫河車) 약침(藥針) 효능에 관한 연구 (A study on the effects of the Hominis placenta-induced injection on insomnia patient)

  • 윤형선;문장혁;정경숙;이정훈;백종엽;안호진
    • Journal of Acupuncture Research
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    • 제21권3호
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    • pp.99-105
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    • 2004
  • Objective : This study has been designed and performed to identify the effect on insomnia patients according to the injection of herbal medicine induced from the Hominis placenta. Methods : Injection on G20(風池), G20(池) in insomnia patients who were admitted in Dong-Seo Oriental Medical Hospital every day for 5days, without western medicine. Results: Total duration of sleeping time showed 0.68 hours of increased. (p<0.005 respectively)

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한방치료와 호흡명상으로 호전된 불면 및 우울증을 동반한 불안 장애 환자 치험 1례 (Clinical Report of One Case with Insomnia, Depression and Anxiety Disorder Improved by Traditional Korean Medical Treatment and Breathing Meditation)

  • 오경민;김보경
    • 동의신경정신과학회지
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    • 제20권3호
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    • pp.297-307
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    • 2009
  • Objectives : Insomnia, depression and anxiety disorder are widespread in elderly patients. Mood disorder and insomnia share complex theoretical and clinical relationships. We investigated if traditional Korean medical treatment and breathing meditation are effective in patient with insomnia, depression and anxiety disorder. Methods : We treated one patient with traditional Korean medical treatment such as accupuncture, herb-medication, moxa and breathing meditation Results : After Treatment, the chief complaint and accompanying symptoms were improved, and the score of BAI, SADS, BDI, PSQI, IQ were decresed. Conclusions : According to this study traditional Korean medical treatment is effective for the cure of insomnia, depression and anxiety disorder and breathing meditation forifies the traditional Korean medical treatment.

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불면에 대한 전침치료 동향 (1994-2009년 중국 임상 논문 중심으로) (A Review of Electroacupuncture on Patients with Insomnia in Chinese Medicine)

  • 성원영;김락형
    • 동의신경정신과학회지
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    • 제20권4호
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    • pp.91-101
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    • 2009
  • Objectives : The study was designed to evaluate the effect of electroacupuncture on patients with insomnia in China. Methods : We performed systematic review of case-control studies of electroacupuncture on patients with insomnia published from 1994 to 2009 in CNKI(中國知識基礎施設工程 http://www.cnki.net). Results : 17 studies were selected. The electroacupuncture points frequently used were Sinmun(神門), Sameumgy(三陰交), Baekhoe(百會), Sasinchong(四神聰), etc. G6805 electroacupuncture instrument were mostly used in those studies and the treating methods of electroacupuncture were various according to each study. Combination of both Electroacupuncture and other therapy reported better results than simple therapy such as simple electroacupuncture or acupuncture, western medicine, herbal medicine, auricular therapy. Conclusions : There have been many studies of electroacupuncture on patients with insomnia in China and these studies can applied to the clinical practices in Korea.

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한방치료와 점진적 근육이완법으로 호전된 불면 환자 치험 2례 (A Clinical Report of Two Patients with Insomnia by Korean Traditional Treatment and Progressive Muscle Relaxation)

  • 이진환;강현선;김진이;성우용;강래엽
    • 동의신경정신과학회지
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    • 제20권4호
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    • pp.173-183
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    • 2009
  • Objectives : This study was designed to report the effect of Korean traditional treatment and progressive muscle relaxation for insomnia. Methods : We treated two patients scored more than 15 point at insomnia severity index by korean traditional treatment and progressive muscle relaxation. Results : After treatment, sleep duration and sleep quality was improved. Insomnia Severity Index, Pittsburgh Sleep Quality Index score were decreased. Conclusions : We may conclude that korean traditional treatment and progressive muscle relaxation is effective in patients with insomnia.

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고침무우산으로 개선된 중풍 환자 불면 1례 (Oriental Treatment of Insomnia in Stroke Patient)

  • 양대진;강경숙;한진안;배형섭
    • 대한한의학회지
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    • 제21권4호
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    • pp.271-275
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    • 2000
  • A growing number of people are concerned about their sleep. There are many people with chronic sleep disorders. As there are various causes in a disease, proper treatment according to each cause is necessary for a more effective treatment. In general, insomnia is classified into five categories of physical, physiological, psychological, psychiatric and pharmacological aspects. Sedative-hypnotics including benzodiazepine and non-benzodiazepine have widely been used in chronic insomniacs. However, most hypnotics including non-benzodiazepine cause some of dependence, tolerance, impaired daytime function and rebound insomnia. Therefore, we are looking forward to proposing an effective oriental treatment for insomnia. A 71-year-old male who had suffered from cerebral infarction was admitted to our department for oriental treatment of stroke and insomnia. Initial treatment modalities with administration of paroxetine were not effective. However administration of oriental medicine' Gochimmuwoo-san(Gaozhenwuyou-san)' achieved a desirable effect.

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불면(不眠)을 동반(同伴)한 틱장애 환아(患兒) 1례(例)에 대한 증례보고(證例報告) (A clinical study of Tic-disorder child with insomnia)

  • 김윤희;윤지연
    • 대한한방소아과학회지
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    • 제18권2호
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    • pp.251-261
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    • 2004
  • Objective : The purpose of this study is to report a Tic-disorder child with insomnia. Methods : The patient suffered from Tic-disorder and insomnia and presenting symptom of Tic-disorder was eye blinking. We estimated by Yale Global Tic Severity Scale (YGTSS) and treated him with Yangsintangkamibang, acupuncture, auriculo-acupuncture and hand acupuncture. Result : After this treatment, symptoms of Tic-disorder and insomnia disappeared and The patient was emotionally stable. Conclusion : We had good effects in oriental medical treatments on Tic-disorder. And so this study requires further studies about Tic-disorders.

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신돌연변이 불면잠 nm-f의 유전형질 (Phenotypic Characteristics of New Mutant, Non-molting f(nm-f) of Bombyx mori)

  • 선희숙;노시갑
    • 한국잠사곤충학회지
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    • 제42권2호
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    • pp.86-92
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    • 2000
  • Studies were carried out to investigate the phenotypic characteristics of the non-molting mutant (nm-f) which was mapped on the 2nd linkage group. The results obtained were as follows : The nm-f mutant was distinguishable in the 3rd day of hatching. About 80 percentage of the non-molting mutant larvae died at the first instar within 10 days of hatching. The remaining larvae survived to the 2nd ad the 3rd instar but did not live to the final instar. There was no difference in non-molting nutant manifestation between hibernating and artificial hatching eggs. As a result of hemolymph protein analysis, the protein content on nm-f mutant was less than the normal larvae's. Therefore, we conclude that the characterization of nm-f is similar to the already known strains of non-molting mutant and the shortage of hemolymph protein is closely related to the non-molting characteristic in nm-f.

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Zolpidem, Triazolam 및 위약이 입원한 정신분열병 환자의 불면에 미치는 영향에 대한 비교연구 (Comparison of Effects of Zolpidem, Triazolam, and Placebo on the Insomnia of Schizophrenic Inpatients.)

  • 박소영;손진욱
    • 수면정신생리
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    • 제4권2호
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    • pp.181-190
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    • 1997
  • Zolpidem is a relatively new, short-acting, rapid onset, and nonbenzodiazepine hypnotics. Zolpidem selectively binds to the central benzodiazepine 1 (BZI) receptor subtype. The present study was designed to compare the hypnotic effects of zolpidem (10 mg), triazolam (0.25 mg), and placebo in 22 schizophrenic inpatients. Zolpidem, triazolam, and placebo were administered orally in a randomized, double-blind design. Compared with placebo, zolpidem and triazolam significantly decreased sleep latency (p<0.05), increased total sleep time (p<0.05), and increased improvement of satisfaction of sleep (p<0.05). Zolpidem decreased the number of awakenings significantly in comparison with placebo (p<0.05), but triazolam did not. In addition, both drugs were well tolerated and did not produce severe side effects. These results suggest that zolpidem is effective for transient insomnia of schizophrenic inpatients and zolpidem is superior to triazolam in hypnotic effect.

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불면증 치료법으로서의 뉴로모듈레이션 (Neuromodulation for Insomnia Management)

  • 윤호경
    • 수면정신생리
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    • 제28권1호
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    • pp.2-5
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    • 2021
  • Hyperarousal or increased brain excitability is thought to play a key role in the pathophysiology of insomnia. Neuromodulation techniques are emergent complementary therapies for insomnia and can improve sleep by modulating cortical excitability. A growing body of literature support the idea that neuromodulation can be effective in improving sleep or treating insomnia. Recent evidence has revealed that neuromodulation methods can improve objective and subjective sleep measures in individuals with insomnia, although effects vary according to protocol. Different mechanisms of action might explain the relative efficacy of neuromodulation techniques on sleep outcomes. Further research testing different stimulation parameters, replicating existing protocols, and adding standardized sleep-related outcomes could provide further evidence on the clinical utility of neuromodulation techniques.

불면증을 호소하는 환자에서의 폐쇄성 수면 무호흡증 감별 인자 (Differential Factors of Obstructive Sleep Apnea in Subjects whose Main Sleep Complaint was Insomnia)

  • 김석주;이유진;김의중;정도언
    • 수면정신생리
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    • 제11권1호
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    • pp.22-28
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    • 2004
  • 배 경 : 불면증은 다양한 수면장애에서 흔하게 나타날 수 있는 증상이다. 폐쇄성 수면 무호흡증에서 불면증 이외의 다른 여러 증상이 나타날 수 있으나, 폐쇄성 수면 무호흡증 환자가 불면증을 주된 수면 문제로 호소하는 경우도 드물지 않다. 폐쇄성 수면 무호흡증은 특수한 진단적/치료적 접근을 필요로 하므로 불면증을 호소하는 환자에서 폐쇄성 수면 무호흡증의 감별은 중요하다. 본 연구는 불면증을 주소로 하는 환자에서 폐쇄성 수면 무호흡증의 유병율과 그 감별인자를 조사하려고 하였다. 방법:1996년 6월부터 2002년 12월까지 불면을 주소로 수면다원검사실에 의뢰된 470명의 환자(남자 235명, 여자 235명, 평균 연령 $53.6{\pm}12.4$세) 환자들의 의무기록과 수면다원검사 결과를 분석하였다. 우선 불면증 환자에서의 폐쇄성 수면무호흡증 유병율을 조사하였다. 그리고, 폐쇄성 수면무호흡증을 동반한 불면증 군과 폐쇄성 수면무호흡증을 동반하지 않은 불면증군의 인구학적/임상적 특성을 비교하였다. 마지막으로 폐쇄성 수면무호흡증을 동반한 불면증 군 내에서 폐쇄성 수면무호흡증의 정도인 호흡장애지수와 인구학적/임상적 특성의 상관관계를 보았다. 결 과:총 연구대상 470명 중 125명(26.6%)에서 야간 수면다원검사로 폐쇄성 수면 무호흡증을 진단하였다. 폐쇄성 수면무호흡증을 동반한 불면증 군은 폐쇄성 수면무호흡증을 동반하지 않은 불면증 군에 비해 유의하게 연령이 높고($58.4{\pm}12.3\;years$ vs $51.8{\pm}11.2\;years$, p<0.01), 신체질량지수(body mass index;BMI)가 높았다($23.4{\pm}3.3\;kg/m^2$ vs $22.5{\pm}3.1\;kg/m^2$, p=0.44). 또한, 폐쇄성 수면무호흡증을 동반한 군에서 코골이가 더 흔하게 관찰되었으며(96.0% vs 63.5%, p<0.01) 남성의 비율이 높았으며(64.0% vs 44.9%, pp<0.01) 고혈압이 있는 경우(20.0% vs 9.3%, pp<0.01)가 많았다. 폐쇄성 수면무호흡증을 동반한 군내에서는 연령과 호흡장애지수가 유의한 양의 상관관계를 보였다(p=0.01). 결 론:불면을 주소로 내원한 환자들의 상당수가 폐쇄성 수면무호흡증을 가지고 있었다. 불면을 주소로 내원한 환자들에서 폐쇄성 수면무호흡증의 감별인자로 코골이, 고령, 남성, 고혈압, 그리고 비만을 찾을 수 있었다. 위 감별인자를 가진 환자들에서 야간 수면다원검사를 포함한 폐쇄성 수면 무호흡증에 대한 진단적 접근이 필요하다.

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