• The Korean Journal of Pain
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• 제18권2호
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• pp.133-137
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• 2005

Background: Cannabinoids have shown antinociceptive action. The aims of this study were to examine the effect of chronic infusion of a cannabinoids receptors agonist (WIN 55,212-2) for thermal nociception at the spinal level, and to also observe the development of toxicity. Methods: Male Sprague-Dawley rats were implanted with lumbar intrathecal catheters with the nociceptive response (withdrawal response latency) determined by exposing the plantar surface of the hindpaw to radiant heat. Initially, the effect of intrathecal WIN 55,212-2 was evaluated followed by the change in the effect at 1, 2, 3 and 4 weeks after repeated infusion. Finally, the histopathological findings were assessed 1 and 4 weeks following the infusion of WIN 55,212-2. Results: Intrathecal WIN 55,212-2 was found to produce a limited antinociception during the thermal test. %MPE of WIN 55,212-2 at 1, 2, 3, and 4 weeks after infusion was not different from each other. No abnormal pathological findings were observed following a chronic intrathecal infusion of WIN 55,212-2. Conclusions: WIN 55,212-2, a cannabinoids receptors agonist, may be useful in the management of thermal nociception, without changing the effectiveness or causing the toxicity following a chronic infusion at the spinal level.

• The Korean Journal of Pain
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• 제18권2호
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• pp.165-170
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• 2005

Background: It is difficult to treat tourniquet-induced hypertension despite adequate anesthesia, and the mechanism of that is not known. And it may be possible that intraoperative continuous infusion of opioid induces preemptive analgesia postoperatively. We investigated the effect of intraoperative continuous i.v. fentanyl on tourniquet induced cardiovascular changes and postoperative preemptive analgesia in total knee replacements. Methods: Sixty patients were randomly assigned to two groups; In study group ($1.5{\mu}g/kg$ loading and $0.5{\mu}g/kg/hr$ continuous infusion of fentanyl before skin incision and tourniquet inflation) and control group (no treatment). Anesthesia was maintained with enflurane (1-2 MAC) and 50% nitrous oxide in oxygen. Arterial pressure and heart rate were compared between two groups. They received postoperative pain treatment with patient-controlled analgesia (PCA) with fentanyl during the postoperative 48 hours after total knee replacement. Visual analog scale (VAS) scores at either rest or movement were used to assess pain. Total fentanyl dose delivered, number of PCA requests, supplemental analgesics, overall satisfaction score and adverse events were evaluated. Results: There were no significant differences between the two groups on cardiovascular changes by tourniquet induced pain effect. VAS, PCA delivered dose and PCA demands at movement in the 24-48 hour decreased in study group compared with control group (P < 0.05). But there were no significant differences between the two groups on the other time periods except 24-48 hour's patient satisfaction and adverse events. Conclusions: We suggest that intraoperative continuous i.v. fentanyl infusion dose not affect cardiovascular change by tourniquet induced pain. But it may induce preemptive analgesia postoperatively.

• The Korean Journal of Pain
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• 제19권1호
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• pp.91-95
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• 2006

Background: Opioid delivered by epidural patient-controlled analgesia (PCA) is effective in relieving pain after surgery, but it is associated with side effects, such as nausea, vomiting, pruritus, respiratory depression, and urinary retention. The purpose of this study was to compare hydromorphone related side effects and the quality of analgesia when naloxone was added to epidural PCA regimen. Methods: Fifty-two thoracotomy patients with PCA were allocated blindly into two groups. Patients in group H (n = 26) received continuous epidural hydromorphone ($16{\mu}g/ml$) in 0.1% bupivacaine; patients in group N (n = 26) received an epidural infusion containing naloxone ($2{\mu}g/ml$) and hydromorphone ($16{\mu}g/ml$) in 0.1% bupivacaine. The basal rate of PCA was 4 ml/hr and the demand dose was 1.5 ml with a lockout time of 15 min. Pain intensity, sedation, pruritus, nausea and vomiting, respiratory depression were checked at 6, 12, 24 hours postoperatively. Results: The Visual Analog Scale (VAS) scores were significantly lower in group H than in group N. There were no significant differences in the overall incidence of pruritus, nausea and sedation between the two groups. Conclusions: Continuous epidural infusion of naloxone combined with hydromorpho-ne is not effective in reducing the incidence and severity of pruritus induced by epidural hydromorphone.

• Current Research on Agriculture and Life Sciences
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• 제8권
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• pp.71-82
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• 1990

1987년(年)부터 1989년(年)까지 경북지역(慶北地域)을 중심(中心)으로 경남(慶南)과 충북(忠北)의 일부지역(一部地域)에서 조사(調査)한 약용자원식물(藥用資源植物)은 118과(科) 331속(屬) 456종(種)이었고, 이들중 Compositae, Liliaceae, Leguminosae, Labiatae, Rosaecae, Polygonaceae, Umbelliferae, Gramineae, Solanaceae, Cucurbitaceae, Ranunculaceae, Cruciferae, Rutaceae, Araliaceae, Araceae, Moraceae, Scrophularinaceae, Caryohpyllaceae, Convolvulaceae 등 19과(科)에 속하는 식물이 249종(種)으로 조사(調査)된 식물(植物)의 반수이상(半數以上)을 차지하고 있었고 나머지 207종(種)은 99과(科)의 식물(植物)로 분류(分類)되었다. 조사식물(調査植物)의 거의 대부분(大部分)이 다년생(多年生)이었으며, 개화기(開化期)는 대부분 6-8월(月)이었다. 재배포장(栽培圃場)과 전시포장(展示圃場), 정원(庭園), 공원(公園) 등지(等地)에 재식(栽植)되어 있는 78과(科) 213종(種)의 식물(植物)중에서 약용자원식물(藥用資源植物)의 주용도(主用途)는 관상용(觀賞用)이 93종(種), 약용(藥用) 50종(種), 채소류(菜蔬類) 27종(種), 식품용(食品用) 14종(種), 과채류(果菜類) 5종(種), 과수류(果樹類) 13종(種), 유료용(油料用) 5종(種), 다용(茶用) 6종(種), 녹음수(綠陰수樹) 및 가로수용(街路樹用)이 9종(種), 섬유용(纖維用) 등 기타의 용도(用途)가 14종(種)이었다. 조사식물(調査植物)의 약용부위(藥用部位)는 지하부(地下部)가 가장 많았고 그 다음은 경엽(莖葉), 전초(全草), 화기(花器), 종자(種子) 및 과실(果實)의 순(順)이었다. 약용효능은 이뇨(利尿), 위장병(胃腸病), 강장, 진통(鎭痛), 해열(解熱), 진해(鎭咳), 지혈(止血), 소염작용(消炎作用)의 식물(植物)이 대부분이었으며 항암효과의 식물(植物)도 9종(種) 조사(調査)되었고, 한약제(漢藥劑)로 많이 이용(利用)되고 있는 식물(植物)은 87과(科) 191종(種)이었다.

• 대한환경공학회지
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• 제32권7호
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• pp.722-729
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• 2010

하수 재이용에 대한 관심이 급부상하고 있는 가운데, 재이용수의 미량물질 등에 의한 화학적 리스크와 더불어 미생물학적 안전성에 대한 고려가 요구되고 있다. 본 연구에서는 벤치스케일의 연속식 실험장치를 이용, 미량물질 중 최근 주목을 받고 있는 의약품류를 대상으로, UV처리공정의 의약품류 제거효과 및 미생물학적 안전성의 달성 가능성을 고찰하였다. 시험수로 이용한 하수 2차 처리수중에서는 항생물질, 해열진통제 등 38종의 의약품류가 수 ng/L에서 수백 ng/L의 범위로 검출되었으며, 이를 대상으로 하여 UV 및 UV/$H_2O_2$ 처리실험을 행한 결과, UV 단독처리에 의한 의약품류의 효과적인 제거에는 상당량의 UV조사량이 필요할 것으로 예상되었다. 반면, UV/$H_2O_2$ 공정의 경우 $H_2O_2$의 첨가농도를 약 1 mg/L에서 6mg/L까지 증가시킴에 따라 각 의약품류의 제거율은 점점 증가하는 것으로 나타났다. 한편, $923\;mJ/cm^2$의 UV 조사량과 6.2 mg/L의 $H_2O_2$를 병용한 UV/$H_2O_2$ 처리는 Naproxen(>89%)외 모든 의약품류의 농도를 90% 이상까지 감소시킬 수 있었다. 또한 이 운전조건은 현행 하수처리장 유출수중의 대장균군에 대한 규제농도($3,000/cm^3$)를 기준으로 하였을 때, 4~5 log의 불활성화를 달성할 수 있을 것으로 예상되어, 하수 재이용에 요구되는 California Title 22의 criteria를 만족시킬 수 있을 것으로 판단되었다.

• 한국진공학회지
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• 제15권4호
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• pp.421-426
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• 2006

화학증착 시스템의 파이프내 발생하는 오염입자의 진단을 위하여 초음파 및 진동진단법을 각각 비교, 연구하였다. 초음파 진단의 경우 파이프 외벽에 초음파 센서를 부착하여 펄스를 가한 후 에코 분석을 통해 파이프내벽의 오염입자를 관찰하였고 진동 진단의 경우 파이프외벽에 부착된 진통발생기를 통해 파이프에 인위적인 진동을 발생시켜 여기에서 발생되는 주파수 차이를 분석, 파이프내의 오염입자 여부를 관찰하였다. 초음파 진단의 경우, 오염입자가 파이프 내벽에 부착되어 있을 때는 효과가 좋았으나 오염입자가 시간이 지남에 따라 건조되어 파이프 내벽에서 떨어져 나와 파이프 내벽과 오염입자사이에 틈새가 생길 경우 초음파 펄스는 이 공간을 통과하지 못하고 파이프 내벽에서 다시 반사되어 오염입자를 진단하지 못하는 경우가 발생하였다. 따라서 초음파 진단법으로는 진공장비의 오염입자 관찰에 재현성을 보여주지 못하는 것으로 확인되었다. 반면 진동진단법의 경우 위와 같이 일정시간이 지난 동일한 샘플의 경우에서도 오염입자에 의한 차이가 관찰되었다, 즉 파이프내 오염입자가 존재시 새 파이프에 비해 진동음이 저주파대로 떨어짐이 확인되어 추후 화학증착 시스템의 파이프내 오염입자 모니터링 연구에 가장 효과적인 방법으로 기대된다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제28권1호
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• pp.42-48
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• 2006

Open reduction and rigid internal fixation is the most popular treatment method for maxillofacial fracture patients, and it is unevitable that postoperative pain can be developed. Many surgeons including oral & maxillofacial surgeons have made constant efforts to decrease postoperative pain. This study is a comparison of postoperative analgesia and intramuscular analgesia in patients with mandibular fractures. In this study, twenty-one patients (Experimental group) were randomly selected and they were injected with IV patient-controlled analgesia (PCA; Walkmed$^{(R)}$, USA). For control group another twenty-one patients were injected with intramusclar non-steroid anti-inflammatory drugs (Rheoma$^{(R)}$, Samsung Pharm. Co.). And then, we measured visual analogue scale (VAS) scores from first postoperative day to second day at regular time interval. The following results were uptained; 1. In patient group who with open reduction and rigid internal fixation, there was significant difference of postoperative analgesic effect during the first postoperative day(p<0.05). 2. In patient group with over 90 minutes surgery time, there was significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p<0.05). 3. In patient group with less than 90 minutes surgery time, there was no significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p>0.05). 4. In patient group with surgery of open reduction using rigid internal fixation at single fractured site, there was no significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p>0.05). 5. In patient group with surgery at two fractured sites, there was significant difference of postoperative analgesic effect during the first postoperative day when compared between experimental group and control group(p<0.05). As mentioned above, it suggest that patient-controlled analgesia is more effective for postoperative pain relief than intramuscular injection in patients with rigid internal fixation by open reduction after mandibular fracture occurred. Especially, it is considered that in patient with more than 90 minutes surgery time or in cases with multiple fractured sites had more effective results with PCA therapy than conventional intramuscular analgesics.

• International Journal of Oral Biology
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• 제39권1호
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• pp.49-56
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• 2014

이상의 실험결과들을 요약하면, CFA를 안면영역 피하로 주입하여 발생한 염증성 통증 행위반응은 P2X 수용체의 억제제의 투여로 감소할 수 있었다. 특히 $P2X_7$ 수용체 억제제를 투여하면 진통작용 뿐 아니라 활성화된 신경아교세포 발현을 억제하였다. 이러한 실험 결과는 $P2X_7$ 수용체가 신경아교세포에 영향을 미쳐 안면에서 발생하는 만성 염증성 통증의 발생과 유지에 관여하고 있다는 것을 보여준다. 따라서 중추신경계의 신경아교세포를 조절할 수 있는 중추성 $P2X_7$ 수용체 작용기전은 임상에서 만성 염증성 통증을 보다 효과적으로 치료할 수 있는 새로운 방법을 제시해 줄 수 있다고 생각된다.

• Journal of Hospice and Palliative Care
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• 제20권2호
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• pp.131-135
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• 2017

목적: 경구 oxycodone/naloxone 복합제는 아편유사제에 의해 유발되는 변비를 완화시키거나 예방하는 목적으로 사용되고 있다. Naloxone에 의해 oxycodone의 진통 효과가 상쇄되거나 금단증상이 나타난다는 보고는 거의 없었으나 저자는 실제 임상에서 몇몇 금단증상 예를 경험하였기에 이 환자들에 대한 조사 연구를 수행하였다. 방법: 2012년 1월 1일부터 2016년 12월 31일까지 경남 지역 암센터에 방문했던 진행성 암환자들로 oxycodone/naloxone extended-release tablets를 투약 받고 마약 금단증상이 나타났던 환자들의 의무기록을 후향적으로 조사하였다. 결과: 연구 기간 중 경구 oxycodone/naloxone을 처방 받은 1,641명의 암 환자 중, 총 10예(0.6%) 에서 마약 금단 증상을 겪었다. 금단증상 관련 통증 강도의 변화는 oxycodone/naloxone 투여 전 NRS 3에서 평균 NRS 6점으로 증가하였다. 금단증상 중 오한이 10예 중 7예에서 나타나 가장 많이 나타난 증상이었으며 그 외에 식은땀, 전신 쇠약감, 근육경련, 복부경련(각 5예), 불안(4예), 열, 어지럼증, 의식혼란, 하품(각 2예)의 순으로 빈번하게 관찰되었다. 결론: Oxycodone/naloxone extended-release 복합제에 의한 마약 금단증상은 흔하지는 않아도 적은 수의 환자에서라도 나타날 수 있다. 향후 이에 대한 다기관, 전향적 연구가 필요하다.

• 대한한방내과학회지
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• 제29권3호
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• pp.554-566
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• 2008

Objectives : Modified Gamgil-tang is a prescription commonly used for respiratory diseases. This thesis was carried out to check the treatment effects and diversity of drug formulation by comparing extraction method of ethanol and water of modified Gamgil-tang. Methods : All experiments were carried out with water and 50% ethanol extraction for comparison. In vivo experiment, hyaluronidase inhibitory effects and trypsin inhibitory effects were tested to measure the anti-inflammatory effects activity. Scavenging effects of DPPH free radical, xanthine oxidase inhibitory effects and inhibition on TBA-RS formation were experimented to measure anti-oxidative effects. With the in vivo experiment, ICR group mice and SD group rats were used as experimental animals. An anti-inflammatory effects experiment were carried out to measure the action on carrageenin-induced hind paw edema: analgesic effects were measured using writhing syndrome induced by 0.7% acetic acid in mice: antipyretic effect was measured using endotoxin, and inhibitory effects of increase vascular permeability induced by 0.5% histamine were measured. Results : For extraction of glycyrrhizin contents, ethanol extract was extracted 2 times of that of water extract. Anti-inflammatory effects showed high in ethanol extract. Anti-oxidative effects measured high in ethanol extract. No significant result was found in inhibition on TBA-RS formation. Analgesic effects were found to be similar in water and ethanol extract. Antipyretic effects were found to be stronger in water extract. Inhibitory effects of increase vascular permeability induced by 0.5% histamine showed stronger in ethanol extract. Conclusion : By measuring anti-inflammatory effects, analgesic effects, antipyretic effects, anti-oxidative effects, and histamine permeation inhibition effects both in water extract and ethanol extract after adding agents such as Mentha Herba, Gardenias Fructus, and propolis to existing Gamgil-Tang, ethanol extract was found to be more effective in anti-inflammatory effects, analgesic effects, anti-oxidative effects, and histamine permeation inhibition effects. The converse was found for antipyretic effect.