• Journal of Yeungnam Medical Science
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• 제24권2호
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• pp.305-310
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• 2007

수술 후 인후 합병증은 통증이나 구토에 비하면 사소한 합병증이지만 흔히 환자들이 불편을 호소한다. 양 측 내시경적 부비동 수술 후에 양 코를 막아 입으로 숨 쉬게 되어 구강 건조가 더 심할 것으로 보고 환자들을 glycopyrrolate를 전투약 하고 반전시에 쓴 경우, 전투약 하지 않고 반전에만 쓴 경우, 전투약에만 쓰고 반전은 atropine을 쓴 경우, 전투약 하지 않고 반전은 atropine으로 한 경우의 네 군으로 나누었다. 마취 종료 1시간, 6시간, 12시간, 24시간, 48시간 후의 인후통과 쉰 소리 여부를 묻고, 없는 경우 0, 있는 경우에는 감기 시 목 아픈 것 보다 약하면 1, 비슷하면 2, 더 심하면 3으로 하여 심각도를 나누어 물었다. 각 군 간의 인후통 발생률은 1군에서 조금 높았으나 유의한 차이가 없었다. 심각도는 모두 1이하로 낮았다. 쉰 소리는 모든 환자에서 발생하지 않았다. 양측 내시경적 부비동 수술 후 인후 합병증은 심각도가 낮고 24시간 내에 사라지는 것으로 항콜린성 제제 사용을 피해야 할 필요성은 없을 것으로 보인다.

• 성인간호학회지
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• 제21권5호
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• pp.538-546
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• 2009

Purpose: The purpose of this study was to identify the effects of cuff pressure on postoperative sore throat. Methods: Data were collected from January 4 through May 15, 2008. Among the 60 patients, 30 patients were randomly assigned to the control group and the rest to the experimental group. Initial cuff pressure of both groups was set at 20 $cmH_2O$. The experimental group was maintained at 20 $cmH_2O$ throughout the anesthesia, while the control group was not regulated further. Sore throat was assessed at postoperative 1, 24 and 72 hours. Data were analyzed using Mann-Whitney test and Spearman's rho coefficients. Results: Cuff pressure in control group increased from 20 to 43 $cmH_2O$ within 3 hours after induction. However, the experimental group showed that there was apparently a reduced rate of sore throat at postoperative 24 hours (p = .048), and 72 hours (p = .002) than in the control group. However, no outstanding differences between both groups at postoperative 1 hour (p = .081) were detected. The correlation between cuff pressure and sore throat was statistically significant ($r_s$ = .590, p < .001). Conclusion: We conclude that maintaining cuff pressure at 20 $cmH_2O$ could be an effective means to reduce sore throat in surgical patients with inhalation anesthesia.

• Journal of Korean Biological Nursing Science
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• 제22권3호
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• pp.204-212
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• 2020

Purpose: The purpose of this study was to examine the effect of nebulizer therapy with normal saline on thirst and sore throat among postoperative patients. Methods: A quasi-experimental nonequivalent control group, pretest-posttest design was used with 50 participants. The experimental group received nebulizer therapy with normal saline every two hours for 10 minutes three times and wet gauze (n= 25), and the control group received only wet gauze (n= 25). Data were collected using the Numeral Rating Scale for Thirst and Sore Throat. Measurements were calculated before applying nebulizer therapy and total five times for 12 hours after treatment. Data were analyzed using the repeated measured ANOVA. Results: Thirst for the experimental group using the nebulizer therapy with normal saline improved more than for the control group (F= 3.06, p= .043). Sore throat was not significantly different between the two groups (F= 0.63, p= .565). Conclusion: Study results indicate that using nebulizer therapy with normal saline can reduced thirst for postoperative patients. So nurses can apply nebulizer therapy with normal saline to reduce thirst and to improve comfort for postoperative patients.

• 재활간호학회지
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• 제14권2호
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• pp.136-144
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• 2011

Purpose: A purpose of this study was to identify the effects of cold water gargling on thirst, oral cavity condition and sore throat in orthopedics surgery patients who underwent general anesthesia. Methods: Pretest-posttest non-synchronized design with a nonequivalent control group was used. A total of 52 participants were conveniently selected and assigned to each group. The experimental group gargled hourly with cold water for 8 hours after operation. The control group received wet gauze as needed. We compared the thirst, oral cavity condition and sore throat at 0, 2, 4 and 8 hours after operation. Results: The score of thirst and oral cavity condition was lower in the experimental group than in the control group. However, there was no significant differences in the levels of sore throat between the experimental and control group. Conclusion: These findings suggest that cold water gargling can be a useful nursing intervention for alleviating thirst and improving oral condition for patients with orthopedic surgery after general anesthesia.

• 근관절건강학회지
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• 제28권1호
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• pp.41-49
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• 2021

Purpose: This study aimed to compare the effects of the Difflam spray 0.3% with the sodium bicarbonate-normal saline spray on oral care for postoperative patients. Methods: The participants were randomly allocated to either the Difflam (n=22) group or the saline solution (n=23) group. The data were collected at the 1-, 4-, 7-, and 10-hour marks after returning to the ward post operation using the Beck's subjective oral discomfort scale, Visual Analogue Scale for sore throat, and portable halitosis detector. Results: The sore throat (F=7.25, p=.001) score significantly decreased after oral care using the Difflam spray 0.3%. However, the difference in the scores of oral comfort (F=0.34, p=.797) and halitosis (F=0.91, p=.443) between the two groups was not statistically significant. Conclusion: These findings suggest that the Difflam spray 0.3% is effective in improving postoperative sore throat. A further study that explores the effect of various oral solutions for postoperative patients is needed to present systemic and effective evidence-based oral care guidelines.

• 임상간호연구
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• 제29권1호
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• pp.67-74
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• 2023

Purpose: This study aimed to identify the effect of warm scarf on xerostomia and sore throat in postoperative colon cancer patients. Methods: A total of 40 participants with colon cancer who underwent colon cancer operation over 2hours were included from C University hospital in Seoul. The number of experimental group and control group is each 20 calculated by G*Power, and they were assigned by using nonequivalent control group no-synchronized design. In the experimental group, a warm scarf was applied to the neck for 120 minutes from entering the recovery room after the colorectal cancer surgery was completed. In the experimental group and the control group, xerostomia and sore throat were measured twice at 60-minute intervals. The degree of xerostomia was measured through the degree of wetness of the absorbent paper in mm, and the degree of sore throat was measured through the NRS (Numeral Rating Scale). Data were collected using self-administered questionnaires from August 2018 to September 2020 and were analyzed using IBM SPSS/WIN 21.0 Descriptive statistics, x² test, Fisher's exact test, t-test were used to determine the participant's characteristics. The effect of warm scarf on xerostomia and sore throat were separately estimated by Repeated Measures ANOVA. Results: The experimental group showed significant decrease of xerostomia and sore throat as time goes (p<.001). Conclusion: Results indicate that warm scarf on xerostomia and sore throat in postoperative colon cancer patients is helpful method for relieving side effect of tracheal intubation.

• 사상체질의학회지
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• 제12권1호
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• pp.240-259
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• 2000

1. 연구배경 및 목적 소음인(少陰人) 신정방의 하나인 독삼관계이중탕(獨參官桂理中湯)의 효능(效能)와 활용(活用)에 대한 임상적 연구를 통하여 사상체질병증(四象體質病證)의 이해(理解)와 방제(方劑)의 운용(運用)에 도움을 주고자 한다. 2. 방법 1997년 8월부터 2000년 6월까지 본원에 내원(來院)한 환자들중 독삼관계이중탕(獨參官桂理中湯) 5첩이상 투여되고 경과(經過) 관찰(觀察)이 가능했던 인후통(咽喉痛)를 주소증(主訴症)으로하는 16명(남자 1명, 여자 15명)을 대상으로 하여 임상적(臨床的) 유의성(有意性)를 검증(檢證)하였다. 16명은 체간측정법(體幹測定法)에 의한 체질감별상(體質鑑別上) 소음인(少陰人)로 판정한 15명, 태음인(太陰人) 1명이었다. 3. 결과 독삼관계이중탕(獨參官桂理中湯)를 소음인(少陰人) 20대에서 60대에 걸쳐 사용하였으며, 대상환자(對象患者)들의 주소증(主訴症)는 인후통(咽喉痛), 편도선염(扁桃腺炎), 비염(鼻炎), 구조(口燥), 구고(口苦), 건해(乾咳), 구내염(口內炎), 대장파한증, 경년기증후군(更年期證候群) 등 28종류이었다. 치료효과(治療效果)의 분포는 쾌유(快癒) 56.25%, 양호(良好) 18.75%, 호전(好戰) 6.25%, 별무효과(別無效果) 12.50%, 악화(惡化) 6.25%(태음인의 경우)이었다. 전신증상의 특징으로 설태(舌苔)가 황(黃), 백(白), 황흑(黃黑)하게 나타나거나 수면장애(睡眠障碍), 한출이상(汗出異常)이 있는 경우도 있었다. 처방(處方)을 활용(活用)할 때는 처방(處方)의 변경없이 독삼관계이중탕(獨參官桂理中湯)만을 사용하였으며 처방내용 중 인삼(人蔘)의 중량(重量)을 20그람 또는 32그람으로 하여 분여(扮與)하였다. 독삼관계이중탕(獨參官桂理中湯)의 치료효과(治療效果)는 인삼(人蔘)의 중량(重量)에 관계없이 유효(有效)하였으며 효과발현시간(效果發顯時間)은 연령(年齡)에 관계없이 복용량(服用量)의 변화(變化)에 따라 신속(迅速)하였다. 부작용(副作用)로는 혈압상승(血壓上升), 두통(頭痛), 결흉(結胸)등이 있었다. 4. 결론 독삼관계이중탕(獨參官桂理中湯)는 인후통(咽喉痛)에 특효(特效)가 있었다.

• 동국한의학연구소논문집
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• 제9권
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• pp.25-33
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• 2000

임상적으로 흔히 접할 수 있는 현훈의 원인은 크게 말초성과 중추성으로 구분되는데, 말초성 현훈의 경우는 전정기관 장애가 많은 반면, 중추성 현훈의 경우는 소뇌와 뇌간 부위의 혈관인성 질환, 종양 질환 등이 대부분을 차지한다. 이에 필자는 소뇌경색으로 인한 중추성 현훈 환자가 한방치료를 통해 호전된 증례가 있어 보고하고자 한다. 61세의 남환으로 인후통, 해수 등의 상기도 감염증세가 있어 가료하던 중, 현훈 두통 발생하여 뇌전산화단층촬영 및 자기공명영상촬영에서 소뇌경색 진단받은 후 상초풍열 열담으로 진단하여 청인이격탕을 투여한 결과 제반증상 호전을 확인하여 이를 보고하고자 한다.

• 한방안이비인후피부과학회지
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• 제24권1호
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• pp.1-15
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• 2011

Objective : To establish the fundament for EBM of Traditional Korean Medicine, the papers on Bangpungtongseong-san (Fangfengtongsheng-san) frequently used in medical institutions of Traditional Korean Medicine were analyzed through researching domestic and international papers. Methods : The papers were classified by the registration of domestic or international journals, the year of publishment, experimental fields and the kinds of studies on biological activities. Results : Among 324 volumes of papers on Bangpungtongseong-san (Fangfengtongsheng-san), 38 volumes were selected according to selective criteria. 18 volumes were published in domestic journals, 20 volumes were in Japanese journal. The papers on instrumental analyses reported the quantification of standard compounds of herbal medicines in Bangpungtongseong-san (Fangfengtongsheng-san) using HPLC method. The papers on biological activities of Bangpungtongseong-san (Fangfengtongsheng-san) showed inhibitory effect to obesity, arteriosclerosis, allergic response, inflammation, pain, hyperlipidemia, hypertension, atopy, diabete mallatus and improvement of gastrointestinal activity and cerebral blood circulation. Among biological activities, papers on anti-obesity effect were reported mostly. Conclusions : Further studies including anti-obesity activity need to be preceeded to establish the fundament for EBM of Bangpungtongseong-san (Fangfengtongsheng-san).

• 한방안이비인후피부과학회지
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• 제29권4호
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• pp.199-205
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• 2016

Objectives : The purpose of this study is to report that Korean medical treatment is good for Dyshidrotic Eczema patient. Methods : This is 2 case reports on patient who has been suffering from Dyshidrotic Eczema. To reduce symptoms, we provided with internal herbal medicine Gagam-tongcheong-san 2 times a day, Wet Dressing by hwangryunhaedok-tang and acupuncture therapy. Results : After series of treatments, the symptoms of Dyshidrotic Eczema were remarkably improved. Conclusions : Gagam-tongcheong-san were effective for Dyshidrotic Eczema patients. Hence, more studies should be demanded in Korean medicine for elevation of treatment rate.