• 제목/요약/키워드: 식욕부진

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고관절 전치환술을 시행 후 내원한 만성 강직성 척추염 환자 치험 1례 (A Case of Chronic Ankylosing Spondylitis with Total Hip Replacement - A Case Report -)

  • 조윤철;나경원;임세영;유상민;김상덕
    • 대한추나의학회지
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    • 제5권1호
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    • pp.141-150
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    • 2004
  • 본 증례는 약 30년전 임신 후부터 강직성 척추염의 증상이 나타나기 시작하였고, 15년 전부터 경추 부까지 강직이 진행되었으며, 10년전부터 고관절의 침습이 나타났고 이후 계속 강직이 진행되어 좌측 고관절에 전치환술을 시행하고 2주후 본원에 내원한 만성 강직성 척추염 환자로서, 그동안 적절한 치료를 꾸준히 받아오지 못하여 척추부 및 고관절의 강직과 흉협통 뿐 아니라 견관절, 슬관절 및 거의 전신관절에 강직과 통증이 나타났고 식욕부진, 소화 장애와 전신피로감까지 호소하여 증상의 별다른 호진을 기대하기 힘들 것으로 예상하였으나 64일간 본원에 입원하여 한의학적인 치료와 운동요법 및 물리요법으로 이학적 검사상의 호전과 전신증상의 호전을 보였다. 식욕부진, 소화불량, 피로감, 체중감소, 빈혈, 발열(發熱), 도한(盜汗) 등 만성 강직성 척추염 환자에게서 나타날 수 있는 전신증상은 한의학에서 허증(虛證)의 범주에 가깝고, 변증시치를 통한 한의학적인 치료로 전신증상의 개선을 도모하면서 꾸준한 운동치료, 호흡치료 등의 재활치료를 병행한다면 보다 나은 임상적 치료효능을 거둘 수 있을 것으로 생각된다.

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항암화학요법을 받는 암환자의 시기별 오심과 구토, 식욕부진 및 음식섭취에 관한 연구 - 자궁암 환자와 위암 환자의 비교 - (A Study on Nausea & Vomiting, Anorexia and Food intake in Cancer Patients undergoing Chemotherapy Overtime - Comparison between Cervix Cancer and Stomach Cancer -)

  • 유성미;구미옥
    • 성인간호학회지
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    • 제15권4호
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    • pp.573-584
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    • 2003
  • Purpose: This study was conducted to investigate the level of nausea & vomiting, anorexia and food intake during the periods of chemotherapy and 14 days after discharge. Method: The subjects were 40 cancer patients(cervix cancer : 20 patients, stomach cancer: 20 patients) who had chemotherapy with Cisplatin & 5-Fu. Data were analyzed by mean & standard deviation, ANCOVA. Result: 1. The severity of nausea & vomiting with anorexia in cancer patients receiving chemotherapy was the highest at the 3rd day and then it gradually decreased. At the 14th day after discharge, nausea & vomiting with anorexia still remained with very low levels. 2. The amount of food intake was the lowest on the 3rd day and then gradually increased. However, it was 53.3-72.5% of the ordinary food intake on the 14th day after discharge. Calorie intake was 625.31 Kcal on the 3rd day and 1130.92 Kcal on the 7th day after discharge. 3. There were no significant differences in nausea & vomiting, anorexia, food intake, calory intake between those with cervix cancer and stomach cancer. Conclusion: In cancer patients nausea & vomiting and anorexia were severe and food intake was very poor during chemotherapy but afterwards they were gradually improved, but were not completely recovered on the 14th day after discharge. Therefore the nursing intervention regarding the increase of food intake was necessary during chemotherapy and after discharge.

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항암 화학요법을 받는 환자의 식욕부진 정도와 식이양상에 관한 연구 (A Study on the Anorexia and Diet Patterns in Cancer Chemotherapy Patients)

  • 최은숙;김금순
    • 기본간호학회지
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    • 제2권1호
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    • pp.19-35
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    • 1995
  • This study was designed to identify the severity of anorexia and the diet patterns in receiving chemotherapy. The identification of anorexia would provide useful and basic information to oncology nursing care. The subjects of this study were 102 hospitalized chemotherapy patients in a September 10, 1994. The subjects were 20 years old or above and who agreed to participate in this study and could understand the questionnaire. Three-days diet history were collected and analysed. The study subjects change, food aversions, the severity of anorexia. Data related to demographic and other mecdical characteristics such as age, diagnosis, and medication were collected by review of patient medical record. The results of this study were summarized as follows : 1) The score of anorexia was 73.7 in Anorexia Visual Analogue Scales and mean amount of fool intake per a day was 823cc. The larger the anorexia VAS score, the more severe of anorexia. 2) The food preferences of subjects were identified. Those were aversions, or dislikes the meat such as beef, pork, and chicken, and greesy or fried foods. The Caffeinated drinks such as coffee and tea were disgusted, also. The patients preferred vegetables and Korean traditional food especially kimchee and soy bean soap. 3) Those who were administered analgesics and cisplatin suffered more severe in anorexia than those who analgesics and cisplatin was not administarted. The patients with gastrointestinal cancer has more severe anorexia than those who have the other site cancer ; head and neck, genirourinary etc. The result of this study in turn provide valuable nursing practice guidelines for nutritional counseling in cancer chemotherapy patient. Nurses working with chemotherapy ward should identify the severity of anorexia and diet patterns. In conclusion, the severity of anorexia in cancer chemotherapy patients is very important problems. Health care personnels recognize the potential problems of anorexia and encourage the nutritional counseling in cancer chemotherapy patients.

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내관지압이 항암요법을 받는 부인암환자의 오심, 구토와 식욕부진에 미치는 효과 (Effect of Nei-Guan Acupressure on Nausea.Vomiting and Anorexia in Gynecological Cancer Patients Receiving Chemotherapy)

  • 신혜숙;이상복;류경희
    • 동서간호학연구지
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    • 제15권1호
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    • pp.26-33
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    • 2009
  • Purpose: The purpose of this study was to examine the effect of Nei-Guan acupressure on nausea, vomiting, and anorexia in gynecological cancer patients receiving chemotherapy. Methods: Subjects consisted of 40 patients with cancer who were hospitalized and had chemotherapy at a general hospital located in Gyeonggi province, Korea. Control subjects (n=20) received only chemotherapy and intervention subjects (n=20) received Nei-Guan acupressure during their chemotherapy. The data were collected from February to October in 2008. Nausea and vomiting were measured with the Rhode's Index of Nausea, Vomiting, and Retching, and anorexia was measured using a Visual Analog Scale. Data were analyzed by X$^2$-test, t-test, repeated measures ANOVA. Results: Severity of nausea and vomiting in the intervention group was significantly less than in the control group. Repeated measure ANOVA revealed significant group effect (F=28.09, p=.000), time effect (F=321.48, p=.000), and interaction effect (F=7.90, p=.000). Severity of anorexia in the intervention group was significantly less than in the control group. Repeated measure ANOVA revealed significant group effect (F=28.68, p=.000), time effect (F=52.32, p=.000), and interaction effect (F=6.35, p=.000). Conclusions: Acupressure can be applied as a supportive nursing intervention to relieve nausea, vomiting, and anorexia in patients receiving chemotherapy.

고양이 림프구성 위염에서 싸이클로스포린을 이용한 치료 증례 (Treatment of Lymphocytic Gastritis with Cyclosporine in a Cat)

  • 이화준;박소영;안병우;양만표;강지훈
    • 한국임상수의학회지
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    • 제31권2호
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    • pp.108-111
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    • 2014
  • 7세 중성화된 암컷 고양이가 3개월 동안 지속된 간헐적인 구토 증상으로 진료 의뢰되었다. 혈액 검사와 진단영상학적 검사에서 비정상적인 소견은 관찰되지 않았다. 내시경 검사에서 위 동체 점막에 국소적인 미란이 관찰되었고, 해당 병변들에 대한 조직병리학적 검사를 통해 림프구성 위염으로 진단하였다. 프레드니솔론 투약 7일 후에 구토 및 식욕 부진 증상은 소실되었지만, 장기간 투약에 의한 부작용 발생 때문에 프레드니솔론 대신에 싸이클로스포린을 처방하였다. 환자의 상태는 개선되었고, 구토와 식욕부진은 더 이상 관찰되지 않았다. 본보는 만성 구토를 보이는 고양이 림프구성 위염에 있어 싸이클로스포린은 치료 약물로 적용 가능함을 시사한다.

칡 뿌리를 이용한 필름의 제조 (Preparation of Pueraria thunbergiana Benth Roots Film)

  • 정현엽;손태원;이건민;최원미;이연진
    • 한국염색가공학회:학술대회논문집
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    • 한국염색가공학회 2008년도 제38차 학술발표대회
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    • pp.147-149
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    • 2008
  • 현재 칡은 잎, 줄기, 뿌리를 이용해 많은 연구가 이루어지고 있다. 칡의 줄기를 이용해 삼태기, 광주리, 바구니 등을 제작하고, 꽃으로는 갈화라하여 식욕부진, 구토, 장출혈, 술 중독 등에 처방하고 있다. 그 중 뿌리는 고열, 두통, 고혈압, 주독, 설사 등에 효과가 있어 뿌리를 달여 칡차로서 많이 음용되고 있다. 하지만 뿌리의 즙을 짜고 남은 칡뿌리 섬유의 잔사는 식물성 섬유소로서 현재 대부분 폐기되거나 일부 양축 농가에서 사료의 증량제로 활용되고 있는 실정이다. 매년 1,000톤이상의 칡뿌리 생산량 중 잔사가 600톤 이상 된다. 이 잔사를 이용해 펄프를 만들고 필름을 만들어 나아가 섬유를 만듬으로써 친환경적인 섬유로써의 가능성을 살펴보고자 한다.

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향사육군자탕을 포함한 한방치료로 호전된 파킨슨병 환자의 식욕부진 및 오심 치험 1례 (A Case Study of Parkinson's Disease Patient with Anorexia and Nausea Treated with Korean-medicine Treatment including Hyangsayukgunja-tang)

  • 이수정;하정빈;유재환
    • 대한한방내과학회지
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    • 제41권5호
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    • pp.717-723
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    • 2020
  • Objectives: The purpose of this study was to address a case of a Parkinson's disease with anorexia and nausea. Methods: A patient diagnosed with Parkinson's disease with anorexia and nausea was treated with Korean medicine therapies including herbal medication (Hyangsayukgunja-tang), acupuncture, electro-acupuncture, and moxibustion for 7days. To evaluate the therapeutic effect, we used a visual analogue scale(VAS). Results: After the treatment, the VAS score for anorexia and nausea had decreased. Conclusion: These results suggested that Korean medicine therapies with Hyangsayukgunja-tang have a beneficial effect on the gastrointestinal symptoms of Parkinson's disease.

항암화학요법을 받고 있는 유방암 환자에서 내관지압 방법에 따른 오심, 구토, 식욕부진의 효과 비교 (Comparison of Effects of Different Acupressure Methods on Nausea, Vomiting, and Anorexia for Breast Cancer Patients: Among Patients Undergoing Chemotherapy)

  • 박효선;신나연
    • Journal of Korean Biological Nursing Science
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    • 제22권2호
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    • pp.102-110
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    • 2020
  • Purpose: The purpose of the study was to identify the comparison with the different methods of acupressure treatment in breast cancer patients undergoing chemotherapy. Methods: This study was a single group pretest-posttest design. Thirty patients age 30-65 scheduled for chemotherapy were included. The data were collected through self- reported questionnaires on nausea, vomiting, and anorexia and analyzed using descriptive statistics and the Wilcoxon signed ranked test. Results: The relieving effect of nausea and vomiting (Z= -2.54, p= .011) was significant in P6 acupressure by wrist bands. Conclusion: Patients undergoing chemotherapy have relieving effects on nausea and vomiting after P6 acupressure by wrist band. This study demonstrates the stimulation of the P6 acupressure by wrist band for reducing nausea and vomiting for breast cancer patients undergoing chemotherapy.

다발성 신경병증과 재발성 국소 신경병증을 보인 신경성 식욕부진 (Polyneuropathy and Recurrent Focal Neuropathy in Anorexia Nervosa)

  • 김한준;김성훈;이광우
    • Annals of Clinical Neurophysiology
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    • 제3권1호
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    • pp.40-42
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    • 2001
  • Anorexia nervosa(AN) is a disorder characterized by disturbance of body image, fear of gaining weight, severe weight loss and, in female, amenorrhea. Compared with normal persons, patients with AN have neuropathic symptoms more frequently. But electrophysiologic abnormalities have rarely been reported. We experienced a case with recurrent neuropathic symptoms after severe weight loss. Further evaluation revealed AN. Electrophysiologic study showed sensorimotor polyneuropathy and focal neuropathy with conduction block. As far as we know, this feature of neuropathy in AN has not been described. We describe unusual feature of neuropathy in our patient with literature review.

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식욕부진(食慾不振)을 나타내는 소아(小兒)의 한의학적(韓醫學的) 치료(治療)에 관한 최근(最近) 경향(傾向) (Current oriental medical treatment of Anorexia for children)

  • 장규태
    • 대한한방소아과학회지
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    • 제16권1호
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    • pp.181-202
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    • 2002
  • Anorexia is one of the most common childhood-onset symptom and is Icing-term progress. Public interest in anorexia has increased along with debate concerning painless treatment. This study was progressed for oriental medical treatment for anorexia in china. The purpose of this study is current oriental medical approach to anorexia. Anorexia was named 'yanshizheng(厭食症)' in chinese medicine. The study for anorexia in china consist of basic, clinical, experimental study. In the oriental medicine, the reason of anorexia is weekness of the spleen and the stomach(脾胃虛弱), indigestion for milk and food(乳食停滯). The method of treatment is strengthening the spleen and pacification the stomach(健脾和胃). It should help primary care providers in their assessment of common child health problem.

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