• 제목/요약/키워드: 1st Frequency

검색결과 943건 처리시간 0.029초

한양방 협진에 대한 한의대생들의 인식도 (A Study on the Recognition of Students of Oriental Medical School on Cooperative System between Oriental and Western Medicine)

  • 유왕근;김경숙
    • 대한예방한의학회지
    • /
    • 제9권2호
    • /
    • pp.77-91
    • /
    • 2005
  • The purpose of this study is to examine the recognition of the student of oriental medical school on cooperative system between Oriental and Western medicine and to provide basic information for the development of oriental medicine. In order to look at the level of recognition on cooperative system between Oriental and Western medicine, from September 1st to 15th of 2005, this study had been conducted through personal interview and questionnaires to 600 students who were attending the Department of Oriental Medicine (in both prep and regular courses) in D University, located in the City of Daegu. The data has been analyzed using statistic program, the SPSS WIN 12.0. Statistical analysis tools used for this study were frequency analysis, cross-over analysis and the t-test. The results are as follows; The students of oriental medical school had relatively high level of recognition on the basic concept, interests, necessity and potential for cooperative system between Oriental and Western medicine. However, they had negative understandings on the issue of unification of the two medical systems and it's possibility in the future. The students were optimistic about possible merits of cooperative system between Oriental and Western medicine, especially in the field of rehabilitation. On the reasons for lack of development of cooperative system between Oriental and Western medicine, the students listed prejudices existing on both sides firstly, followed by their contrasting approach on human illness, lack of legal and institutional support system, the indifferences of doctors and indifferences of oriental medical doctors. In addition, students understood that the dualism existing in our current medical system is aggravating mutual distrust between the two sides, causing the confusion of patients on the choice of medical facilities, and raising their medical bills. Therefore, in order to vitalize collaboration between Oriental and Western medicine in new health care environment, the following measures should be needed decreasing the prejudices between the two medical spheres with open mind improving educational programs in Western and Oriental medical schools; promoting joint academic research or exchange programs between the schools, and increasing government effort to minimize legal and institutional restrictions cooperative system between Oriental and Western medicine.

  • PDF

Deconstructionism in Issey Miyake's Fashion Design

  • Kwon, Hae-Sook
    • 패션비즈니스
    • /
    • 제11권6호
    • /
    • pp.87-100
    • /
    • 2007
  • This study aims at analyzing the characteristics of deconestructionism expressed in Issey Myake's fashion who is one of the most creative designers in the world. Method and contents of this study are as follows. Through the review of literatures, three major categories such as interminacy of meaning, decentring, and intertextuality and eight subcategories have been identified as major features of deconestructionism. These subcategories for content analysis were selected to examine the characteristics of deconstructionism expressed in Issey Myake's design in depth. Interminacy of meaning was divided into unstructured and unconstructed factors while decentring into qualities of cross-gender, subculture, anti-fashion, and post-humanism. Lastly, intertextuality was classified into factors of disordered mixing mode and mixed styles. Materials for analysis were chosen from total 349 designs on the website,www.firstview.com, which carries Issey Miyake's collection from 2002 S/S through 2006 F/W. 2 fashion major analysts including the researcher participated in 1st analysis and two another fashion major analysts participated in 2nd analysis. The final level of consistency between analysts was over 97% for all categories. The data analysis quantitatively evaluates the frequency of each category and qualitatively evaluates the characteristics of design. The result is as follows. First, the avant-garde facets of inter-textuality are most prominent. In particular, Miyake has introduced the various novelly textiles to fashion and employed the mixtured styles, not to copy them but to create hybrid designs by using pastiches and mixing fashion styles. Moreover, he has used various fabrics in order to inflict shock and contrast but still create subtle harmony, thus enriching his fashion. Second, the indeterminacy of meaning is the second most frequently shown facet of Miyake's fashion design. Miyake has employed unconstructed expression techniques, which has projected unusual images free from basic forms of designs and also has used the unstructured styles which dismantle harmony and balance-the common rule of design. He has made a new attempt to acknowledge clothing as an expressive artwork by allowing clothes to take a complete form when a person actually wears them. He has demonstrated a unique perspective on cloth construction and presented a love for artistic collaboration in the development of his collections A distinct manufactured aesthetic is exaggerated, even hyperbolic. Thirdly, the aspects of decentralization were also shown in Miyake's design, however, it has been visibly decreased after 2002 S/S.

Perception and use of gait measures among physical therapists in South Korea

  • Jang, Ho Young;Kim, You Lim;Kim, Sung-jin;Yoon, Tak Yong;Kim, Kyung Hun;Ahn, Ick Keun;Lee, Suk Min
    • Physical Therapy Rehabilitation Science
    • /
    • 제6권2호
    • /
    • pp.90-95
    • /
    • 2017
  • Objective: The purpose of this study was to investigate the physical therapists' perception of the use of gait measures, the frequency of the gait measures used, and also to identify the barriers that limit the use of these assessment tools. Design: Cross-sectional study. Methods: Physical therapists from the Seoul, Gyeonggi area from March to July 2016 were included in the study. Over the course of 18 weeks, a cross-sectional study was conducted with a self-report questionnaire. A total of 700 questionnaires were distributed and 350 questionnaires (50%) were collected, however with the exclusion of 140 questionnaires due to non-consent, a total of 210 questionnaires (30%) were analysed. Results: Out of the 10 standardized assessment tools, the therapists showed the highest perception for the timed up and go test (TUG [n=153, 72.9%]) and they also had high perception for the 10 meters walk test (10MWT [n=149, 71.0%]), and 6-minute walk test (6MWT [n=123, 58.6%]). The respondents answered that the TUG (n=116, 55.2%), 10MWT (n=100, 47.6%), and 6MWT (n=51, 24.3%) was used the most often. On the contrary, only four (1.9%) therapists have used the Chedoke-McMaster stroke assessment and the Rivermead Mobility Index. The lack of time was considered as the most important barrier to the use of assessment tools in clinical practice. Conclusions: Through this study, it has been shown that the domestic physical therapists used the TUG and the 10MWT mainly due to high recognition and evaluation status; however, the lack of time was the greatest impediment to the clinical application of the gait assessment tools.

성 건강 교육프로그램 개발과 효과 (The Development of a Sexuality Education Program and Its Effect on High School Girl Students)

  • 이영숙;김태임
    • 부모자녀건강학회지
    • /
    • 제6권2호
    • /
    • pp.127-146
    • /
    • 2003
  • The purpose of this study is to investigate the seven-hour sexuality education program for senior high school girl students and apply it to them to find out how this program affects their sex-related knowledge, sexual attitudes, and the self-efficacy of sexual behavior practice. The ultimate goal of this study is that high school girl students are to prevent unwanted pregnancy, STD and AIDS, after attending this sexuality education program. A non-equivalent control group pretest-post test design was used for this study. The number of experimental group consisted of 80 girl students and the control group was composed of 80 girls, too. A total of 160 freshmen from two commercial girls' high schools were selected by a convenience sampling method. This study was carried out in commercial high schools located in Daejeon, Korea from July 15th to October 31st, 2002. To discover the need for sexuality education, the researcher surveyed with a pre-designed questionnaire to 160 girls from the two different commercial high schools. The sex education curriculum was developed on the basis of the need of high school girl students for sex education survey results and literature review and a teaching-learning planning model and health belief model. The experimental group was taught the sexuality education program for seven hours from October 19th to 23rd, 2002 and each period continued for 50 minutes. The SPSS(10.0) Windows statistics software was used to analyze the data, along with frequency, percentage, $X^2$-test, t-test, and paired t-test. The instruments' internal consistencies were tested by Cronbach's alpha coefficient. The results of this study were as follows: 1. The increment of sex-related knowledge score after seven hour sexuality education was significantly higher in experimental group (t=-10.88, p=.000). 2. The increment of sex-related attitude score after seven hour sexuality education was significantly higher in experimental group (t=-2.67, p=.009). 3. The increment of the practice of self-efficacy of sexual behavior score after seven hour sexuality education was significantly higher in experimental group(t=-4.95, p=.000). In conclusion, sexuality education programs based on high girl students' educational desire, characteristics of development, a teaching learning planning model, a health belief model were effective to improve sex-related knowledge, sexual attitudes and the self-efficacy of sexual behavior practice of commercial high school girl students. This result can contribute to expand the school nurse's role in the sex education area and to develop theory-based school health nursing.

  • PDF

음주운전자 275명 혈액 중 마약류 및 남용약물의 분석 (Distribution of Abused Drugs in 275 Alcohol-positive Blood Samples of Korean Driver)

  • 최혜영;이주선;최상길;김은미;김재균;김영운;임미애;정희선
    • 약학회지
    • /
    • 제52권2호
    • /
    • pp.137-146
    • /
    • 2008
  • Even though driving under the influence of drug (DUID) is a worldwide problem, we, Korea has no regulation system yet except for alcohol, and there are little cases reported related to DUID. In order to investigate the type of abused drugs for drivers in Korea, we tried to analyze controlled and non-controlled drugs in alcohol-positive blood samples. 275 whole bloods, which were positive for alcohol on the roadside test, were collected from the police for two months ($Nov.{\sim}Dec.$ 2006). The analytical strategy was constituted of three steps: First, alcohol in blood samples were confirmed and quantified by gas chromatography. Second, controlled drugs were screened by $Evidence_{investigator}\;^{TM}$ (Randox, U.K.) as preliminary test. It was based on immunoassay by biochip array analyzer. Nine groups of drug abuse were screened: amphetamines, methamphetamines, cannabis, cocaine, opiates, barbiturates, methadone, benzodiazepines I (oxazepam) & II (lorazepam). Finally, confirmation of these drugs was performed by GC-MS. Blood samples were extracted by solid-phase extraction by $RapidTrace^{TM}$ (Zymark, U.S.A.). After trimethylsilyl (TMS) derivatization, eluates were analyzed to GC-MS. Total 49 drugs were investigated in this study including controlled drugs, antidepressants, 1st generation antihistamines, dextromethorphan, nalbuphine, ketamine, etc. For rapid detection, we developed the automated identification system. It was made up a new software, "DrugMan", modified Chemstation data analysis menu and newly developed macro modules. A series of peak selection, identification and reporting of the results were performed automatically by this system. Concentrations of alcohol in 275 blood samples were ranged from 0.011 to 0.249% (average, 0.119%). Among 149 blood samples, just six samples (4.0%) were showed positive results to the immunoassay: one methamphetamine and five benzodiazepines group I. By GC-MS confirmation, only benzodiazepines were detected and methamphetamine was not detected from immunoassay positive blood sample. Besides these drugs, 5 chlorpheniramines, dextromethorphan, diazepam, doxylamine, ibuprofen, lidocaine and topiramate were also detected in whole bloods by GC-MS. Conclusively, the frequency of drug abuse for Korean drivers was relatively low. There was none case which illegal drug was detected. However these results were limited to alcohol positive blood samples, so it is necessary to analyze more samples including alcohol negative blood.

자궁 내 성장지연으로 인한 부당 경량아의 혈액학적 특징 (Hematologic Characteristics of Intrauterine Growth Restricted Small for Gestational Age Infants)

  • 김순주;조일현;조연수;윤영아;이주영;이현승;이정현;성인경;김소영
    • Neonatal Medicine
    • /
    • 제18권2호
    • /
    • pp.248-256
    • /
    • 2011
  • 목적: 부당 경량아와 자궁 내 성장 지연을 혼동하여 사용하고 있다. 실제 부당 경량아 중 약 70% 정도는 기질적으로 작게 태어난 경우로 자궁 내 성장 지연으로 인한 부당 경량아에 비해 주산기 합병증의 위험이 거의 없다. 그러나 자궁 내 성장 지연으로 인한 부당 경량아를 구별할 수 있는 뚜렷한 방법은 아직 없다. 저자들은 자궁 내 성장 지연의 위험 인자 중 모체의 고혈압, 당뇨병에 초점을 맞춰 고혈압 및 당뇨병 산모의 부당 경량아와 자궁내 성장 지연의 위험 요인을 발견할 수 없었던 부당 경량아를 대상으로 모체의 질환에 따른 임상적 특징과 혈액학적 특징을 비교해 보고 부당 경량아의 출생 시 자궁 내 성장 지연의 정도 및 예후를 예측하는 데 도움이 되고자 본 연구를 계획하였다. 방법: 2007년 1월부터 2010년 7월까지 가톨릭대학교 서울성모병원과 여의도 성모병원에서 출생한 부당 경량아 중 모체의 고혈압, 당뇨 이외의 자궁 내 성장 지연의 위험 인자를 가진 환아를 모두 제외한 163명을 대상으로 의무 기록을 후향적으로 분석하여 임상적 소견, 혈액학적 소견을 기록하였다. 대상군을 모체의 질환에 따라, 재태 연령에 따라, 재태 연령과 모체의 질환을 함께 고려하여 세가지 방법으로 분류하여 비교하였다. 결과: 모체의 질환별로 전체 부당 경량아를 분류하였을 때 예후, 임상적 특징은 큰 차이가 없었으나 고혈압 산모에서 출생한 부당 경량아에서 백혈구와 혈소판이 유의하게 낮았으며 (P=0.004, P=0.003) 혈소판 수치는 재원 기간과 관련성이 있었다. 미숙아 부당 경량아와 만삭아 부당 경량아를 재태 연령과 출생 체중을 보정하여 비교하였을 때에도 미숙아 부당 경량아에서 백혈구와 혈소판이 유의하게 낮았다(P <0.001, P <0.001). 그러나 미숙아 부당 경량아를 모체의 질환에 따라 비교하였을 때에는 이러한 차이가 나타나지 않았다. 결론: 백혈구와 혈소판 수의 감소와 자궁 내 성장 지연의 발생과 관련이 있는 것으로 보인다. 자궁 내 성장 지연아의 이학적 소견과 이러한 혈액학적 특징을 함께 고려한다면 자궁 내 성장 지연을 진단하는 데에 도움이 될 것으로 생각된다.

입원한 기분장애 소아청소년의 임상특성 - 주요 우울증과 양극성장애의 우울삽화 비교를 중심으로 - (CLINICAL CHARACTERISTICS OF CHILD AND ADOLESCENT PSYCHIATRIC INPATIENTS WITH MOOD DISORDER)

  • 조수철;백기청;이경규;김현우;홍강의;임명호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제11권2호
    • /
    • pp.209-220
    • /
    • 2000
  • 본 연구는 소아청소년에서의 우울증 및 조울증의 우울삽화에 대한 임상특성을 알아보고자 하였다. 1993년 3월 1일부터 1999년 10월 31일까지 OO대학교 어린이 병원 소아청소년 정신과에 입원하였던 34명의 우울증 환아와 17명의 조울증 우울삽화 환아를 대상으로 병록지 기록을 통해서 이들의 사회인구학적 특성, 진단적 분류, 입원시 주 증상 및 문제점, 증상의 빈도, 주산기 모 병력과 아동기 발달력, 공존 정신질환 및 신경 심리학적 검사, 가족의 임상적 특성, 가족 정신병리 및 가족 병력, 치료반응 등에 대하여 조사하였다. 1) 우울증에서 남자의 비율이 여성의 경우보다 높았으며, 조울증 우울삽화에서는 남녀의 비율이 비슷하였다. 2) 평균 발병 연령은 조울증 우울삽화에서 14.1세, 우울증에서 12.8세로 우울증에서 일찍 발병하는 양상을 나타냈으며, 입원 횟수에 있어서는 조울증 우울삽화에서 우울증에 비해서 많았다. 3) 조울증 우울삽화와 우울증 모두에서 식물증상의 호소가 신체증상보다 많았으며, 자살사고 증상은 우울증에서, 공격적인 증상은 조울증 우울삽화에서 많았고, 정신병적 증상에서는 망상은 우울증에서 환각은 조울증 우울삽화에서 많이 나타났다. 4) 두 집단 모두에서 불안장애가 가장 많이 동반되었으며, 신체형 장애, 정신지체, 인격장애 등이 동반되었다. 5) 조울증 우울삽화와 우울증 모두 높은 가족력을 보였고, 특히 우울증은 아동 학대력과 가족의 부적절한 양육과 관련성을 보였다. 성인에서 조울증과 우울증이 분명한 임상적 차이를 갖고있는 것처럼 소아에서도 조울증 우울삽화와 우울증은 발병연령, 신체증상 및 식물증상을 비롯한 임상증상의 차이, 공존질환 등에서 서로 다른 임상 양상을 나타내었다. 발병 위험이 통계적으로 유의하게 높다고 할 수 있었다. 2) 자신은 남들에게 인기도 없고, 따돌림을 당한다고 여기며 정신병적 증상을 가진 군(47명, 남자 31명, 여자 16명)은 단순히 정신병적 증상이 높은 군에 비해 불안 척도, 우울증 척도, 공격성, 대인 민감성, 학교 및 사회 적응 척도, 강박증상 척도, 공포불안 척도, 정신병적 증상, 신체적 증상 호소 등에서는 차이를 보이지 않았으나 자신이 따돌림을 받는다는 호소와 편집증은 더 높게 측정되었다. 그리고, 학교폭력 피해자 중에서 정신병적 증상이 유의하게 높게 측정되었고, 스스로 인기가 없다고 생각하는 대상들에서는, 불안 증상, 우울증, 공격성, 대인 예민성, 강박증상, 편집증, 신체 증상 호소 등이 정신병적 증상을 잘 설명해주었다 ($r^2$=0.93). 즉, 따돌림을 당한다고 호소한 집단은 정신병적 증상이 유의하게 높았고, 이를 통해 왕따 피해자는 정신병 발병 위험이 통계적으로 유의하게 높다고 할 수 있었다. 이를 통해서 따돌림과 같은 학교폭력 피해자가 불안증상, 우울증, 공격성, 대인 예민성, 강박증상, 편집증, 신체 증상 호소와 같은 문제를 보였을 경우에는 정신병적 증상 유무와 학교 적응, 집중력 장애, 사고개념 형성 장애 등을 확인하여 정신병의 진단을 고려해야 한다고 할 수 있다.탈트검사에서 기질성 뇌장애를 의심할만한 소견은 14명(63.5%)에서 보였다. 지능검사의 결과는 평균이상 IQ는 12명((54.5%), 지능지체 및 경계선 지능은 9명(41.0%)이었다. 5) 주 진단 및 공존진단:주 진단으로는 행실장애가 6명(27.3%), 경계선장애(borderline child) 5명(23.0%), 우울병 4명(18%)

  • PDF

흡연이 치아건강에 미치는 영향에 관한 연구 - 대구지역 치기공과 학생을 중심으로 - (Research about influence on the teeth health by the smoking - research intended for students of dental technology in Daegu -)

  • 김정숙;정효경;이종도
    • 대한치과기공학회지
    • /
    • 제31권3호
    • /
    • pp.35-45
    • /
    • 2009
  • This survey study was conducted on dental technician school students in April 2008 to investigate the effects of smoking on oral health. 110 male and 39 female students were surveyed and cross analysis was performed to examine the relationship between oral health status and smoking-related and oral health maintenance characteristics of smoking and non-smoking group. T-test and one-way ANAVA was used to analyze the average difference verification of two independent samples(smoking group and non-smoking group) and followings are the results. In general characteristics, 74 male students(74.7%) and 25 female(25.3%) students smoked and the percentage of male students were higher in smoking group. Regarding class grade, 2nd-year students(37 students, 37.4%) and 1st-year students(18 students, 36.0%) took the highest percentage of smoking and non-smoking group, respectively. Concerning the experience of drinking, smoking group consumed more alcoholic beverages(94 students, 94.9%) With respect to the frequency of between-meal consumption, respondents who eat between-meal once or twice smoked more. Respecting preferences of sweet food, respondents who enjoyed sweet food smoked more. Concerning smoking characteristics, many of smoking group had been smoked fo a long time(two to five years) and it was worrisome. About the amounts of smoking, 50 respondents(52.6%) of smoking group smoked 20 cigarettes a day with the highest proportion. With regard to the awareness of harmfulness, 70 respondents(70.7%) considered smoking as very harmful and showed that smoking group were aware of its harmfulness but it was habitualized. Respecting smokers in family members, father was more common as smokers(58 respondents, 58.6%) in family and showed that the influence of father. Main reasons of poor periodontal health were alchoholic consumption, smoking, and oral parafunctional habit(57 respondents, 56.7%) in smoking group and neglect of oral hygiene(21 respondents, 42.0%) in non-smoking group. With regard to the scaling, 80 respondents of smoking group(80.8%) didn't received scaling and showed that more oral health education was required. Regarding the periodontal status, non-smoking group was $1.26{\pm}0.44$, respondents who received scaling was $1.43{\pm}0.50$, respondents who regularly floss was $1.50{\pm}0.52$, respondents who brush more than three times a day was $1.38{\pm}0.49$ and had better periodontal health. Bleeding during tooth brushing was more frequent in smoking group ($1.51{\pm}0.70$). Regarding mouth order, non-smoking group was $2.34{\pm}0.62$, after scaling was $2.02{\pm}0.76$, patients who regularly floss was $1.50{\pm}0.52$, patients who brush more than three times a day was $1.81{\pm}0.87$. Concerning the experience of dental caries treatment, smoking group was $1.20{\pm}0.40$, patients who do not floss was $1.30{\pm}0.46$, patients who brush once a day was $1.29{\pm}0.45$. With regard to dental prosthesis, non-smoking group was $3.78{\pm}1.62$, patients who received scaling was $1.43{\pm}0.50$, patients who regularly floss was $1.40{\pm}0.51$, patients who brush more than three times a day was $1.24{\pm}0.43$. From these results, oral health education and smoking has correlation and more oral health education needs to be carried out to educate students with non-health related majors about harmfulness of smoking on oral health. Also more study are required.

  • PDF

신생아 백질연화증 환아 말초혈의 중성구 변화 (Changes of Neutrophil Count in Peripheral Blood of the Neonate with Periventricular Leukomalacia)

  • 이환석;박경필;김행미
    • Clinical and Experimental Pediatrics
    • /
    • 제46권10호
    • /
    • pp.966-971
    • /
    • 2003
  • 목 적 : 조직 손상에 중성구가 관련하는 병변에서 말초혈 중성구 감소가 관찰되고 있다. 이에 저자는 백질연화증 환아의 출생 직후 채혈한 말초혈에서 중성구의 변화를 조사하여 백질연화증 발생에 있어서의 중성구 감소의 유무 및 나아가 백질연화증 발병 기전을 조사하고자 하였다. 방 법 : 1999년 2월부터 3년 동안 체중 1,500 gm 미만인 신생아로 출생 1시간 이내에 말초혈 온혈구계산(complete blood count)을 시행한 환아를 대상으로 하였다. 중성구는 말초혈에서 $1,500/mm^3$ 미만인 경우 중성구 감소로 판독하였다. 백질연화증은 두부 초음파 검사를 생후 3-7일에 시행하고 그 소견에 따라 1-2주 간격으로 반복 관찰하여 백질 에코의 증가 후 낭포를 형성하거나, 뇌 CT 혹은 MRI 검사에서 방사선과 전문의가 백질연화증으로 확진한 경우로 하였다. 결 과 : 중성구 감소 신생아는 대상 신생아 37명 중 13명으로 중성구 감소군 신생아의 중성구수는 $988{\pm}512/mm^3$, 중성구 감소를 보이지 않았던 24명의 대조군의 중성구수는 $7,450{\pm}7,412/mm^3$이었다. 중성구 감소군과 대조군의 재태주령, 체중, Apgar 점수, 산모의 임신유발고혈압 및 감염 빈도는 유의한 차이가 없었다. 중성구 감소군의 호흡 곤란 증후군의 빈도 인공환기 및 산소 등의 호흡 보조 처치의 필요성은 대조군과 차이를 보이지 않았다. 동반 질환 중 뇌실내 출혈 및 grade 3 이상의 중증 뇌실내 출혈이 중성구 감소군에서 각각 10명(76.9%) 및 4명(30.8%)으로 대조군의 10명(41.7%) 및 1명(4.2%)에 비해 유의하게 많았으나(P<0.05, 0.042) 만성폐질환, 미숙아 망막증 및 백질연화증의 발생 빈도는 차이를 보이지 않았다. 백질연화증으로 확진된 환아 5명과 12명의 대조군의 백혈구 및 중성구 수는 백질연화증군 각각 $18,760.0{\pm}10,266.1/mm^3$, $7,272.0{\pm}7,435.0/mm^3$, 대조군 각각 $11,131.7{\pm}3,386.5/mm^3$, $2,407.5{\pm}1,933.1/mm^3$로 백질연화증 군에서 더 높았고 백질연화증 군의 인공환기 빈도는 80.0%, 인공폐표면 활성제 투여 빈도는 60.0%로 대조군의 41.7% 및 41.7%에 비해 백질연화증 군에서 더 높았으며 인공환기 기간 및 산소흡인 기간 역시 백질연화증 군에서 더 길었으나 대상군의 수가 적어 통계적 검정은 하지 못하였다. 결 론 : 본 조사에서는 중성구의 감소와 호흡 곤란 증후군 및 보조 호흡관리 상태 사이에는 관련성이 보이지 않았다. 또한 중성구 감소 미숙아에서 백질연화증의 빈도가 증가하지 않았다.

기관지 결핵의 임상상과 기관지 내시경 소견 (Clinical and Bronchoscopic Features in Endobronchial Tuberculosis)

  • 안진영;이장은;박형욱;이정화;양승아;정성수;김주옥;김선영
    • Tuberculosis and Respiratory Diseases
    • /
    • 제60권5호
    • /
    • pp.532-539
    • /
    • 2006
  • 연구 배경 : 기관지 결핵은 폐결핵의 특이한 형태로, 폐결핵은 과거 50년에 비해서 줄어들고 있지만 기관지 결핵은 여전히 감소하지 않고 중요한 보건학적 문제로 남아 있다. 저자들은 폐결핵으로 진단을 받은 환자들에서 기관지 결핵의 동반율과 임상 증상, 흉부 방사선 소견, 기관지경 분류 소견에 따른 발생 빈도, 발생 위치, 항결핵 치료 시작 후 기관지경을 추적 검사한 환자들에서 기관지내의 협착과 같은 합병증의 동반 빈도에 대해서 조사를 하였다. 방 법 : 1999년 1월부터 2003년 12월까지 충남대학교 내과에서 활동성 폐결핵을 진단을 받은 환자를 대상으로 하였다. 환자가 폐결핵이 의심되거나 진단이 되면 2주 이내에 기관지 내시경을 시행하였고 병변이 있는 곳에서 기관지 세척솔 또는 기관지 점막생검술을 시행하였다. 결 과 : 1999년 1월부터 2003년 12월까지 충남대학교 병원 호흡기 내과에서 활동성 폐결핵으로 진단을 받은 환자는 총 699명이였다. 이중 458명에서 기관지 내시경을 시행하였고 51%인 234명에서 기관지 결핵이 동반하였다. 남자는 40.3%, 여자는 66.3%에서 기관지 결핵이 동반되었으며 20대 여성에서 기관지 결핵이 제일 많이 동반하였다. 가장 흔한 증상은 기침, 객담, 발열 등의 비 특이적 증상이었고 기관지내시경상 기관지 결핵의 아형중 부종-충혈형(36.8%)이 제일 흔히 관찰되었다. 흉부 방사선 소견으로는 반상 침윤을 보이는 경우가 제일 많았고 우 폐가 좌 폐보다 많이 발생하였다. 단일 부위로는 좌 상엽에서 제일 호발하였다. 58명에서 추적 기관지 내시경 검사를 하였고 대부분의 환자에서 큰 후유증 없이 잘 나았다. 그러나 8명에서 기관 및 주 기관지에 협착이 남았고 6명은 잔유병변이 남아 있어서 치료를 연장 하였다. 결 론 : 폐결핵 환자에서 기관지 결핵의 병발은 여전히 높으며 젊은 여성에서 만성적인 기침이 지속될 때 기관지 결핵을 의심해서 기관지 내시경을 실시하여야 한다. 또한 치료 도중에 기관지 내시경의 추적검사를 통해 후유증의 정도와 치료 종결의 결정에 도움을 받을 수 있을 것으로 생각된다.