• Title/Summary/Keyword: 화상통증

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건강관리코너 - 여름철화상관리

  • Kim, Han-Gu
    • 방재와보험
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    • s.108
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    • pp.64-67
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    • 2005
  • 여름철에는 덥고 습한 날씨가 이어져 사람들은 최대한 신체를 노출시켜 시원함을 유지하고자 한다. 따라서 뜨거운 수증기나 국물에 데거나 다리미 등의 뜨거운 쇠붙이에 의해 접촉화상을 입는 경우가 흔하다. 이런 경우 심한 통증과 상처가 생기게 되는데, 대부분의 사람들은 당황하여 어떻게 대처해야 할지 몰라 우왕좌왕하기 마련이다. 일부의 사람들은 간장이나 된장, 알로에 등을 상처에 바르는 등 전근대적인 방법으로 상처를 치료하다가 상처를 키워서 병원에 가기도 하고, 심지어는 창상을 그대로 노출시켜 세균에 의한 감염이 발생되어 얕은 화상이 더욱 깊어져 치료만으로 나을 수 있는 상처를 피부이식술 등의 수술을 필요로 하게 되는 결과를 낳기도 한다. 또한 수술을 하는 정도는 아니더라도 화상흉터가 많이 남게 될 수도 있어 초기의 화상관리가 중요하다 하겠다. 과연 독자들은 화상상처에 어떻게 대처하는지? 초기에 상처를 어떻게 돌보는가에 따라 평생 화상흉터의 멍에를 지고 갈수 있다는 것을 알고 있는지? 이러한 많은 문제점들에 대한 관리적인 차원에서 일반인들이 어렵고 복잡하다고 생각할 수 있는 화상관리에 대해 이야기해 보고자 한다. 화상이 생겼을 때의 처치는 일반적인 열창 때의 처치와는 다른 점이 있다. 우선 열에 의해 피부가 손상을 받아 이를 식히는 과정이 필요하며 이 과정(찬물로의 창상세척)이 간과될 경우 이차적 점은 화상에 의한 상처는 손상된 피부로 인해 노출된 생살을 어떻게 세균감염으로부터 보호하느냐 하는 점이 문제가 되며 이를 예방하는 과정이 필요하다는 것이다.

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A Case Report of Pain Relief for Burn Patient through only Korean Medicine (한의 단독 치료를 통한 화상환자 통증 완화 치험 1례 증례 보고)

  • Kwon, Joong Chul;Na, Sam Sik;Chang, Sung Jin;Lee, Jae Heung
    • Journal of Korean Medical Ki-Gong Academy
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    • v.20 no.1
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    • pp.104-117
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    • 2020
  • Objective : The purpose of this study is to report that Korean Medicine treatment is effective in treating pain in burn patients. Results : We effectively reduced the pain that occurred after the end of the burn treatment through Korean Medicine such as multiple acupuncture, cupping, Sugi therapy, and external salve. VAS(Visual Analog Scale) values were reduced from 8 to 2 after about 23 days of treatment. Conclusions : This report shows that there was no special effect on dermatology treatment for pain that occurred after the end of treatment of burn patient, but it can also be excellent through Korean Medicine alone. It's only one case, so it cannot be determined that Korean Medicine for a burn is excellent. but if more excellent burn treatment of Korean Medicine is reported continuously, it will prove its validity. Therefore, it is hoped that more case reports and studies on burn treatments will be done in the future.

Chemical burns of the oral mucosa caused by Policresulen: report of a case (Policresulen 오용에 의한 구강 궤양의 발병 증례 및 화학화상에 대한 고찰)

  • Jung, Jung-Woo;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.38 no.2
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    • pp.109-114
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    • 2013
  • Chemical burn on the oral mucosa is caused by contact with various chemical products and manifests with localized mucositis, keratotic white lesions, bleeding, and painful tissue surface due to the coagulation of the tissue. Policresulen ($Albothyl^{(R)}$) is a topical antiseptic, commonly used over-the-counter drug for vaginitis, thrush and stomatitis. This drug is highly acidic with pH 0.6, and can act as a strong corrosive agent to oral mucosa. When inadvertently used in oral cavity, it may cause chemical burns of oral mucosa, resulting necrosis and bleeding surface resembling to erythema multifome. A 56 years old female patient presented with the chief complaints of painful ulcerations on the tongue, the upper and lower lips. On intraoral examination, an erythromatous, erosive or ulcerative surface covered with inflammatory exudates or bleeding crust is observed on the anterior half of the tongue and the upper and lower lips. She has occasionally applied the policresulen solution topically on the tongue to relieve pain from recurrent focal glossitis for about 10 years. In this time she applied it broadly and repeatedly to the tongue, the upper and lower lips for the purpose of pain relief by herself without instruction by physician or dentist. After cessation of policresulen application, the oral mucosa was rapidly recovered with use of topical steroids. In 2 weeks the lesions subsided completely. In summary, inadvertent use of $Albothyl^{(R)}$ on oral mucosa may result in chemical burn, causing mucosal erosion, ulceration and inflammation. It can be recovered by topical use of corticosteroid for 2 weeks after cessation of using $Albothyl^{(R)}$.

The Effects of Self-Selected Music on Anxiety and Pain during Burn Dressing Changes (선호 음악요법이 화상환자의 드레싱 시 상태불안과 통증에 미치는 효과)

  • Son, Jung-Tae;Kim, Sun-Hwa
    • Journal of Korean Academy of Nursing
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    • v.36 no.1
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    • pp.159-168
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    • 2006
  • Purpose: The purpose of this study was to examine the effects of music therapy on state anxiety and pain among patients undergoing burn dressing changes. Method: A convenience sample of 32 adult burn patients who were eligible and provided consent were included in the study which was a quasi-experimental study of a nonequivalent control group pretest-posttest design. Fifteen patients in the control group received the routine burn dressing changes but 17 patients in the experimental group listened to self-selected music through headphones connected to a CD player during burn dressing changes for three days. All subjects of the music group chose the type of music that would relax them. Before and after burn dressing changes, subjects completed the State Anxiety Inventory and self-report of pain scores. Result: There was a significant reduction in state anxiety before and after burn dressing changes in those who received music therapy in contrast to those who did not receive music therapy. The music group reported lower pain scores before and after burn dressing changes than did the non-music group. Conclusion: These findings indicate that music therapy composed of self-selected music is a valuable intervention for the treatment of pain and anxiety in patients undergoing burn dressing changes.

Pain Relief Efficacy of Ibuprofen Releasing Foam Dressing (Biatain Ibu®) on Outpatient Patient with Partial Thickness Burn Wound (부분층화상을 입은 외래 환자에서 이부프로펜 방출성 드레싱 제재(Biatain Ibu®)의 창상부위 통증의 경감 효과에 대한 연구)

  • Lee, Jun-Ho;Choi, Bong Gyu;Lee, Jin Ho;Kim, Jae Won
    • Journal of the Korean Burn Society
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    • v.22 no.1
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    • pp.15-19
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    • 2019
  • Purpose: Pain management in burn treatment is important in improving wound healing and quality of life. Ibuprofen is a proven pain relieving agent in patients with partial thickness burn by intraveous injection. The purpose of this study is to evaluate the efficacy of Biatain Ibu® (polyurethane foam containing ibuprofen) in pain control for outpatients with partial thickness burns. Methods: A prospective randomized clinical trial was performed in outpatients with partial thickness burn from August 1, 2017 to July 31, 2018. Acute pain, chronic pain, complications, days for re-epithelialization and patient's satisfaction were compared between Biatain Ibu® and Biatain® groups. Results: A total of 20 patients (Biatain Ibu®, n=10; Biatain®, n=10) were assessed in the trial. On Burn days 3, 5, 7, 11, 13, and 15, the acute pain levels were significantly lower in the Biatain Ibu® group than in the Biatain® group. Complications, chronic pain levels and days for re-epithelialization were not significantly different between the two groups. Patient's satisfaction was not statistically significant but was higher in the Biatain Ibu® group. Conclusion: Biatain Ibu® is effective in relieving pain in outpatients with partial thickness burn without decreasing patient satisfaction, wound healing ability or developing any complications.

Safety Accidents and Physical Fatigue of School Foodservice Employees (학교급식 조리종사원의 안전사고 실태 및 신체적 피로도 분석)

  • Cho, Yeon-Jung;Kim, Hyun-Ah
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.42 no.9
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    • pp.1482-1491
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    • 2013
  • The purpose of this study was to investigate the safety accidents and physical fatigues of school foodservice employees. Out of 300 questionnaires distributed from December 1~20, 2011, 276 responded. After excluding 54 incomplete questionnaires, 222 (usage rate: 74%) were examined in the final analysis. First, our results showed that in terms of safety accidents, most received bruises (92.8%), followed by burns (73.0%), cuts and lacerated wounds (69.4%), sprains (47.7%), falls (42.8%), fractures/dislocations (31.5%) and electric shock (2.7%). Second, we found that the average degree of physical fatigue of school foodservice employees was 3.65 based on the 5-point Likert scale. Specifically, pain in the arms and wrist was rated the highest, at 4.18. Third, results showed that the factors affecting physical fatigue were 'class of school' (P<0.05), 'frequency of meal serving per day' (P<0.05), 'no. of meals served per day' (P<0.001), 'no. of meals per employee' (P<0.05) and 'warm-up exercise before starting work' (P<0.05). This means that foodservice employees serving middle schools, serving meals three times per day, serving more than 1,000 meals per day, and serving more than 111 meals per employee perceive higher levels of physical fatigue. In addition, the physical fatigue of those who perform warm-up exercises before starting work was significantly lower than those who do not perform warm-up exercises before work (P<0.05). In conclusion, the frequently occurring major safety accidents of school foodservice employees were bruises and burns. An increase in workload also leads to the increasing physical fatigue of school foodservice employees. Thus, to lower the physical fatigue of school foodservice employees, school foodservice employees should be encouraged to perform warm-up exercises before staring work and new staffing guidelines for school foodservice employees should be developed.

Burn Wound along the Guide Needle Trajectory as a Complication of Radiofrequency Neurotomy of the Lumbar Medial Branch -A case report- (요부 내측지 고주파 신경절리술 시행 시 유도침 경로를 따라 발생한 화상 -증례보고-)

  • Youn, Hong Jun;Shim, Jae Chol
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.257-260
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    • 2006
  • Radiofrequency neurotomy of the lumbar medial branch, via a caudal approach, is a representative interventional procedure for lumbar zygapophysial joint pain, which can be performed more accurately and easily using a guide needle technique. We experienced a case of burn wound formation along the guide needle trajectory, where heat conduction through the guide needle was suggested to have resulted in the burn wound.

Study on the Thermal Protective Performance Measurements of Fire Fighter's Protective Clothing for Low Level Radiant Heat Exposures (저열유속 조건의 복사열 노출에 따른 소방보호복의 열보호성능 측정에 관한 연구)

  • Lee, Jun-Kyoung;Bang, Young-Jun;Bang, Chang-Hoon;Kwon, Jung-Suk
    • Fire Science and Engineering
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    • v.28 no.2
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    • pp.1-8
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    • 2014
  • Despite advancements in the development of synthetic fibers and materials that provide better insulation, fire burn injuries remain a significant issue. To ensure adequate protection, clothing and equipment must be selected on the basis of performance. There are different standards like ISO standards applicable to each of the various types of clothing used by fire fighters. But, in most cases, the tests are performed in the conditions of high heat flux exposure, the clothing material can be destroyed easily. Thus the effective way to investigate the protective performance for the low (radiant) heat flux conditions should be needed. Therefore improved RPP (Radiant Protective Performance) test method based on the onset of pain burn injury was suggested. Experiments were performed to verify the proposed method with current protective clothing for fire fighters and the transient heat transfer characteristics were identified, also. Moreover, several protective performance indices were acquired from experimental results to analyze their relations.

Purification and Characterization of Anti-Coagulant Activity Fraction from Persimmon Stem (감꼭지로부터 혈액응고저해물질의 정제와 특성)

  • 사유선;김경아;최혜선
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.32 no.8
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    • pp.1323-1327
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    • 2003
  • Persimmon has been considered to have therapeutic values for various diseases in Korea. Dried persimmon has been applied to wounded parts for anti-inflammatory and analgesic activities. Anti-coagulant fraction from Persimmon stem was purified through gel filtration, phenyl Sepharose, DEAE-Sephadex and additional gel filtration column chromatographies. Its molecular weight was estimated to be 130,000 ∼ 180,000. By element analysis, its main components were C, H, and O. The anti -coagulant was heat- stable and completely inhibited after periodate oxidation, indicating that it was a complex carbohydrate.

A Study on Rehabilitation Treatment Using Radiofrequency Treatment (고주파 통증치료기를 이용한 재활 치료에 대한 연구)

  • Jo, Jae-Hyun;Lee, Sang-Yong;Lee, Geun-Yong;Yoon, Se-Jin;Cheong, Ha-Young;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.13 no.3
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    • pp.212-218
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    • 2020
  • When Radiofrequency energy is applied to the human body, the vibration width is very short. Therefore, the electrolyte burn generated when using the direct current does not occur. Ion molecules, polarized molecules, etc., vibrate more than 40,000 times per second, converting them into frictional heat to generate deep heat. The blood flow of capillaries increases 4-5 times more than at rest, increasing the supply of oxygen, nutrients, antibodies, and white blood cells. In addition, the electrochemical reaction does not occur because the vibration width and the pulsation period are very short. It is a physical factor treatment method that does not stimulate the sensory nerves and motor nerves. In this study, an isotonic exercise is performed in a young normal adult using a Radiofrequency pain treatment device. The purpose of this study is to integrate rehabilitation therapy by measuring electromyography data during isotonic exercise and confirming the effect on changes in motor neuron response. The EMG data generated when isotonic exercise of the forearm biceps muscle and the EMG data measured after the use of a Radiofrequency pain treatment device after exercise were RMS, respectively, and verified through t-test. It was confirmed that there was a significant difference in both men and women because the t-value was smaller than the significance level p (<.05).