• 제목/요약/키워드: 침구(鍼灸)

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건측 위주의 양측자침이 뇌졸중 환자의 NIH Scale상의 기능 회복에 미치는 영향 (Effects of Contralateral Both Side Acupuncture on NIH Scale in Stroke Patients)

  • 서정철;백용현;남동현;서동민;이현종;하지영;우현수;이재동
    • 대한한의학회지
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    • 제22권3호
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    • pp.98-104
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    • 2001
  • Objective : In order to study the effect of contralateral both side acupuncture on recovery of motor disorders in stroke patients, a clinical study was performed. Methods : Thirteen patients with post-stroke hemiplegia were randomized into two groups. Six patients (test group) were treated with contralateral both side acupuncture. The other seven patients (control group) were treated with ipsilateral both side acupuncture. The activity of daily living was measured with a National Institutes of Health (NIH) scale. The therapy was performed once a day for 3 weeks. Results : In terms of score of NIH, the test group showed statistically meaningful increase after I weeks treatment, while the control group showed statistically meaningful increase after 2 weeks (P<0.05). The results showed no statistically meaningful difference after 3 weeks treatment between the groups. Conclusions : These results support that contralateral both side acupuncture therapy has almost the same effectiveness compared with ipsilateral both side acupuncture therapy in improvement of the activity of daily living of post-stroke hemiplegic patients.

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ERRATUM: 퇴행성 요추 척추관 협착증의 한의표준임상진료지침 핵심질문 설정에 대한 환자 인식 설문 조사: 단면 설문 연구 (ERRATUM: Patient's Perception for Developing Research Questions of a Clinical Practice Guideline of Korean Medicine for Degenerative Lumbar Spinal Stenosis: A Descriptive Cross-Sectional Survey)

한방복합치료로 난치성 통증을 동반한 요추 추간판탈출증이 호전된 증례보고 (Intractable Pain Management by Combined Korean Medicine Treatment Including Acupotomy in Lumbar Disc Herniation: A Case Report)

  • 최현규;이영록;차현지;성기정;김범석;김민주;이예지;전주현;김영일
    • Korean Journal of Acupuncture
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    • 제38권3호
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    • pp.175-181
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    • 2021
  • A 57-year-old female diagnosed with L5-S1 lumbar intervertebral disc herniation, suffering from severe pain despite taking tapentadol received combined Korean medicine treatment, including acupotomy, acupuncture, pharmacopuncture, and herbal therapies for 53 days. To assess pain, Numeric Rating Scale (NRS) and lumbar range of motion (ROM) were checked daily from the day of admission. Moreover, the Oswestry Disability Index (ODI) and European Quality of Life-5 Dimensions (EQ-5D) were used to evaluate function and quality of life. After combined Korean medicine treatment, reabsorptioin of intervertebral disc was confirmed by radiological examination; pain reduced from NRS 5~7 to NRS 1~2; lumbar ROM in extention increased from 20° to 30°; and function and quality of life improved. The results suggest the possibility that a combined Korean medical treatment, including acupotomy, can be used as an alternative to opioids for pain management of lumbar vertebral disc herniation.

침구점포 경영에 영향을 미치는 요인에 관한 연구 (A study on management performance factors of bedding stores)

  • 김천태;민규식
    • 한국전자통신학회논문지
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    • 제8권1호
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    • pp.135-142
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    • 2013
  • 침구점포 경영성과 요인을 발굴하여 향후 침구점포 예비창업자와 침구회사의 신규점포상담, 개설시 통계적으로 유용한 자료로 사용함으로서 기존보다 정확하게 경영성과를 예측하는 도구와 기준을 제시하고자 한다. 첫째, 경영성과에 가장 큰 영향을 주는 요인으로는 입지 및 상권으로 분석되었다. 둘째, 침구점포의 경영성과 요인의 중요도는 입지, 소비자, 경쟁 순으로 나타났다. 셋째, 입지요인에서는 '침구점포 주변은 유동인구 다(多), 소비자요인에서는 거주 인구수 다(多), 경재요인에서는 상품 품질 우수가 가장 중요한 변수로 나타났다.

대전대 OO한방병원 침구의학과 환자들에 대한 통계적 분석 - 2019년 9월부터 2022년 9월까지 - (Statistical Study of the Patient of Department of Acupuncture and Moxibustion at OO Korean Medicine Hospital in Daejeon - from September, 2019 to September, 2022 -)

  • 김소정;장현진;김민주;최현규;박필제;강연수;김홍경;정정교;전주현;김영일
    • 대한한의학회지
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    • 제44권2호
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    • pp.20-33
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    • 2023
  • Objectives: This study is designed to statistically analyze the features of patients who visited to Department of Acupuncture and Moxibustion at OO Korean Medicine Hospital for 3 years. Methods: This study retrospectively analyzed the medical records of patients at Department of Acupuncture and Moxibustion at OO Korean Medicine Hospital using IBM SPSS ver. 27.0 for Windows. Results: 1. In the analysis of the total number of patients, those in their 30s accounted for the highest percentage, male patients had a higher rate. 2. In the analysis of KCD-8 code, spinal stenosis and fractures in areas other than the spine were the most common in the 70s and older, and cervical sprains were the most common in other. 3. In the analysis of the number of hospitalizations, patients classified as illness or higher age had more re-hospitalization than patients classified as injury or lower age in first-time care. 4. In the analysis of hospitalization duration, patients classified as illness, female or higher age had longer hospitalization duration than patients classified as accident, male or lower age in first-time care. Conclusion: We expect that the results of this study would be used as reference materials for analyzing medical consumption condition of Department of Acupuncture and Moxibustion.

민간요법으로 피부손상을 동반한 말초성 안면마비에 대한 한의치료 증례 보고 (Treatment of Peripheral Facial Palsy with Skin Damage Caused by Folk Remedies Using Korean Medicine: A Case Report)

  • 오유나;김연학;김지훈;김은석;이병렬;양기영
    • Korean Journal of Acupuncture
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    • 제39권4호
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    • pp.191-198
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    • 2022
  • Peripheral facial palsy generally results from damage to the facial nerve. As facial asymmetry is observed, it accompanies not only functional problems but also psychological and social difficulties. Medical institutions treat most patients, however, there are still patients who rely on invasive methods by unqualified practitioners for fear of sequelae. This case describes a 61-year-old woman who experienced facial palsy twice. She visited our hospital with skin damage after folk patch therapy for her facial palsy. Combined Korean medicine treatment was administered during treatment period. After treatments, the symptoms of facial palsy and skin lesions improved. This case showed that Korean Medicine was efficacious in improving symptoms of facial palsy with damaged skin caused by folk patch therapy. Education and awareness of uncontrolled invasive treatments for facial palsy are needed.

침구 의료행위에 기인하는 의료사고 예방에 관한 기초적 연구 (I) - 금침혈가에 관한 문헌적 고찰 - (The Basic Study on the Preventive Measures against Medical Accident Induced by Acupuncture and Moxibustion Therapy I. A Literature Research on the Essence of Prohibitive Acupuncture Point, Jīn-Zhėn-Xué-Gė (禁鍼穴歌))

  • 문진영
    • 동국한의학연구소논문집
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    • 제8권2호
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    • pp.175-199
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    • 2000
  • 침구요법은 한국을 비롯한 중국, 일본 등의 아시아권 국가들에서 전통 의학의 주된 치료법으로 사용되어 왔고 최근에는 미국, 독일, 프랑스 등의 서구 여러 국가들에서도 침구요법의 유효성에 관한 연구가 지속적으로 진행되고 있으며 그 결과 세계보건기구에서는 침구요법의 유효성이 이미 검증된 임상영역들을 발표 공인하기에 이르렀다. 한편 의료행위는 사람을 대상으로 하기 때문에 그 자체가 어느 정도의 위험성을 항상 내포하고 있으며 침구 의료행위 또한 예외일 수는 없다. 또한 과거와는 달리 환자들은 의료정보를 취득할 수 있는 기회가 증가하고 있으며 권리의식도 신장되어 최근에는 의료분쟁의 발생이 급증하고 있는 추세이다. 그러나 현재까지 국내에서는 침구시술과 관련한 의료분쟁의 발생 및 그 대책에 관한 연구보고는 실로 미비한 실정이다. 따라서 본 연구는 이러한 제반 상황을 배경으로 침구 의료행위로 인한 의료사고를 예방할 수 있는 대책을 강구하기 위한 기초적 연구로서 침구취영, 의학입문, 침구대성 및 의종금감에 수록된 금침혈가에서 제시하고 있는 자침 금지혈들의 시술 위험성을 문헌적으로 규명하고자 하였다.

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COVID-19 전후 한방병원 침구의학과 내원 환자들에 대한 비교 분석 - 일개 대학병원을 중심으로 - (Statistical Analysis of Patients Visiting Department of Acupuncture and Moxibustion in Korean Medicine Hospital Before and After COVID-19 - Focusing on a Korean Medicine Hospital in Daejeon -)

  • 이영록;차현지;최현규;김민주;김범석;성기정;전주현;김은석;김영일
    • 대한한의학회지
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    • 제42권2호
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    • pp.31-49
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    • 2021
  • Objectives: The purpose of this study is to statistically analyze the demographic characteristics of patient who visited the department of Acupuncture & Moxibustion, korean medicine hospital(KMH) in Daejeon before and after COVID-19. Methods: This study retrospectively analyzed the medical records of 63,185 patients who received treatment at KMH in Daejeon for 3 years from January 1, 2018 to August 31, 2020. Data were classified by year, month, new/old type, gender, age and Disease group. IBM-SPSS-Statistics ver25.0. was used for the data analysis. Results: 1. According to the analysis by gender, the rate of new patients after COVID-19 outbreak was similar to that of the previous years. The old patients showed an increase in the rate of visits by men and a decrease in the rate of visits by women. 2. According to the analysis by age group, the rate of new patients was similar to that of the previous year. the rate of patients in their 20s and 50s decreased, and the rate of patients over 60 increased. 3. According to the analysis by frequent disease, after the outbreak of COVID-19, the number of patients decreased in 14 disease groups excluding cervical sprains among the 15 frequent disease groups. 4. For inpatients, even after COVID-19 outbreak, the results of all variables were similar to the previous years. Conclusions: After COVID-19, on outpatients, the percentage of female visits, the percentage of patients in their 20s to 50s and Number of patients with frequent disease decreased significantly. On Inpatients, the results of all variables were similar to those before COVID-19.

CP약침 치료를 병행한 하지 감각저하 환자 치험 1례 (Case Report of Hypoesthesia of Lower Limb with Additional CP Pharmacopuncture)

  • 정연중;이현종;이윤규;이정희;공한미;전승아;이봉효;김재수
    • 동의생리병리학회지
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    • 제33권2호
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    • pp.158-162
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    • 2019
  • This study is to show the clinical effect of additional CP Pharmacopuncture on hypoesthesia of lower limb which was occurred by laminectomy. The patients were treated using CP Pharmacopuncture, and other treatments including acupunture, moxibustion and herbal medication. The effect of treatment was measured by Numeric Rating Scale(NRS) and American Spinal Injury Association(ASIA) scale. After treatment, NRS was gradully reduced and ASIA scale's score was incresed. These results suggest that CP Pharmacopuncture might be a possible therapeutic option for hypoesthesia of lower limb which was occurred by laminectomy.

대방풍탕의 흰 쥐 비복근 불용성 근위축에 대한 억제 효과 (The Suppressive Effects of Daebangfung-tang against Disuse Muscle Atrophy in Gastrocnemius of Rats)

  • 김재훈;이정희;이초인;이봉효;이윤규;이현종;김재수
    • Korean Journal of Acupuncture
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    • 제37권4호
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    • pp.262-270
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    • 2020
  • Objectives : The aim of this study is to evaluate the effect of Daebangfung-tang (DBFT) on suppressing muscle atrophy followed by immobilization. Methods : Twenty young male Sprague-Dawley rats were randomized into two groups. The rats in experimental group (DBFT group) were orally administrated DBFT once a day for 2 weeks, and the rats in control group were given normal saline in the same manner. The immobilization on left leg was carried out using casting tape. The morphologies of gastrocnemius in both groups were assessed. The cross sectional area of them was measured by image analyzer. Immunohistochemical staining was implemented and the numbers of immunopositive cells implying the expression of TNF-α were measured and quantified. Results : DBFT represented the significant suppressive effects against the weight loss of the left gastrocnemius muscle and the reduction in cross sectional area of the left gastrocnemius muscle compared with normal saline. Also the treatment with DBFT significantly reduced the expression of TNF-α in gastrocnemius compared with normal saline. Conclusions : DBFT is thought to have the significant suppressive effect against muscle atrophy followed by immobilization.