• 제목/요약/키워드: Abdominal pain

검색결과 1,541건 처리시간 0.036초

복부 수술 환자의 통증 정도 및 통증관리 만족도 영향 요인 - 통증 자가조절기 사용 환자를 중심으로 - (A Study for Assessing Pain Intensity and Investigating Factors of Satisfaction with Postoperative Pain Management)

  • 이종경
    • 성인간호학회지
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    • 제18권1호
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    • pp.125-135
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    • 2006
  • Purpose: The purpose of this study was to identify pain intensity according to activities over postoperative days and to identify factors of patient satisfaction with pain management after abdominal surgery. Methods: The subjects were 123 patients who were admitted at a general surgical ward and had abdominal surgery from Mar. 2005 to June 2005. The collected data were analyzed using the SPSS 12.0 program. Results: The average postoperative pain scores were 6.13 at POD 1, 5.46 at POD 2, and 4.22 at POD 3. In stepwise multiple regression analysis a total of 40% of variance in satisfaction with pain management was accounted for by pain intensity on POD 3 at rest (29.4%) and attitude toward using pain medicine (6.6%), and side effects of pain medicine (4.0%). Conclusion: According to the findings of this study, patients had inadequate pain management after abdominal surgery. Therefore, nurses need to provide educational programs focused on changing attitudes toward using pain medicine, to reduce side effects of pain medicine, and to develop nursing intervention for relieving pain.

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대건중탕 및 쑥뜸치료로 호전된 간세포암 환자의 암성 통증 1례 (A Clinical case of a Hepatocellular carcinoma Patient with abdomen pain Improved by Daegunjoong-tang and Moxibustion.)

  • 이수정;하정빈;유재환
    • 대한암한의학회지
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    • 제25권2호
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    • pp.13-21
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    • 2020
  • Objective: Most cancer patients suffer from various forms of pain. This study presents the case of a patient with hapatocellular carcinoma with abdominal pain treated by Daegunjoong-tang. Method: For 7 days, the patient was treated with Daegunjoong-Tang and Moxibustion. We planned to maintain moxibustion CV12(中脘), CV4(關元) for 20 minutes everyday. To evaluate the therapeutic effect, we used Visual Analogue Scale (VAS) and Clinical Opiate Withdrawal Scale (COWS). Results: After the treatments, Visual Analogue Scale (VAS) and Clinical Opiate Withdrawal Scale (COWS) score about abdominal pain are decreased. Conclusions: These results suggested that Daegunjoong-tang and Moxibustion have a beneficial effect on relieving abdominal pain caused by cancer.

Effects of a Low-Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyol Diet on Symptoms of Functional Abdominal Pain in Pediatric Patients

  • Gendy, Yasmine Gamal Abdou El;Wahed, Mohammad Ashraf Abdel;Ragab, Mostafa Hussein Hassan;Awad, Yosra Mohamed Mohsen
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제25권6호
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    • pp.510-518
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    • 2022
  • Purpose: Recently, great interest has been focused on dietary fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) for the treatment of functional abdominal pain (FAP). Several meta-analyses, including those on the adult population, have been published, potentiating its role. However, pediatric studies are scarce. We aimed to evaluate the effect of a low-FODMAP diet on the severity of FAP in children. Methods: This clinical trial included 50 patients aged 3-18 years with irritable bowel syndrome and FAP that were not otherwise specified. The patients were instructed to receive a low FODMAP diet guided by a dietitian. The primary outcome was the percentage of responders after 2 months of dietary intervention compared with baseline. Other outcomes included changes in stool consistency and quality of life (QoL) scores using the KIDSCREEN-10 questionnaire, and weight-for-age z-scores. Results: After the dietary intervention, 74% of patients showed more than 30% lower pain intensity, as examined using the Wong-Baker Faces pain rating scale. Their QoL significantly improved, and patients have gained weight. Conclusion: A low FODMAP diet can improve pain intensity and QoL among children with functional abdominal pain, with no detrimental effects on body weight.

한양방 협진 치료를 통해 호전을 보인 주상(酒傷)으로 인한 급성 복통 환자 1례 (A Case Report of Patient with Alcoholic Derogation Acute Abdominal Pain Using Oriental Medicine Combined with Conventional Treatment)

  • 김상범;박재우;조종관;이연월;유화승
    • 혜화의학회지
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    • 제21권1호
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    • pp.79-85
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    • 2012
  • Objective : This study was aimed to report a patient accompanied by alcoholic derogation acute abdominal pain treated with oriental medicine combined with conventional treatment. Methods : A 36 year old female patient complained of acute abdominal pain for one year from Apr. 2009. She had treated at local general hospital. But the symptom was not reduced. Instead, it was aggravated on Jul. 2010. The main symptoms were left flank pain, chest discomfort, nausea and anorexia. The patient was treated by oriental medicine (herbal medicine (Chunggan-plus), acupuncture, moxibustion, etc) combined with conventional medicine from Jul. 10th, 2010 to Jul. 17th, 2010. We observed the patient with evaluation of laboratory test and imaging scan. Results : Most of the symptoms of the patient were improved. Especially, the abdominal pain were disappeared from grade 3 to grade 0. No side effects were noted during treatment. Conclusion : This results suggest that the oriental medicine combined with western medicine may effective to treat alcoholic derogation acute abdominal pain.

반복적 구토 및 복통으로 가성 장 폐쇄로 진단받은 환자 1례 (A Case of Patient with Recurrent Vomiting and Abdominal pain due to Intestinal Pseudoobstruction)

  • 조형준;이진용;김덕곤;김기훈
    • 대한한방소아과학회지
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    • 제18권1호
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    • pp.93-104
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    • 2004
  • Objectives: Transverse myelitis is a rare neurological disorder that is part of a spectrum of neuroimmunologic diseases of the central nervous system. A patient was hospitalized with intestinal pseudoobstruction(poor oral feeding, vomiting, abdominal pain, constipation) secondary to Transverse myelitis. We treated her with Oriental medical approach and obtained satisfactory result. Methods: The Herbal medicine(Bihwa-eum), Acupuncture, Moxibustion therapy were applied for improving the deficiency of energy of the spleen and stomach, regulate the flow of vital energy. Results: After treatments, Patient's vomiting frequency is decreased and abdominal pain is improved and oral feeding is available. She gains in weight continuously. Conclusion: The authors thought that Bihwa-eum is effective to vomiting and abdominal pain due to intestinal pseudoobstruction. The more study is needed.

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반복되는 복통과 고혈압을 동반한 급성 간헐성 포르피린증 1예 (Acute Intermittent Porphyria Presented with Recurrent Abdominal Pain and Hypertension)

  • 박미란;서정기;고재성;장주영;양혜란
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제14권1호
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    • pp.81-85
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    • 2011
  • 16세 여아에서 복통, 구토, 고혈압, 경련 및 고지혈증을 보였던 급성 간헐성 포르피린증 1예를 경험하였기에 보고하는 바이다. 소아에서 원인을 알 수 없는 복통에 고혈압, 경련 등 특징적 포르피리아 증상이 동반된 경우에 반드시 급성 간헐성 포르피린증을 고려해야 한다.

신한복통(身寒腹痛) 망음증(亡陰證) 원발성 불면증 환자 3례 보고 (Three Case Study of Primary Insomnia Patient Diagnosed with Cold-related Diarrhea Accompanied by Abdominal Pain)

  • 홍승민;황민우
    • 사상체질의학회지
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    • 제28권4호
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    • pp.350-360
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    • 2016
  • Objective The aim of this study was to report significant improvement of primary insomnia in a Soyangin Cold-related diarrhea accompanied by abdominal pain Symptomatic pattern Patient. Methods The patients were diagnosed with Soyangin Cold-related diarrhea accompanied by abdominal pain Symptomatology(身寒腹痛亡陰證) and treated with Hyungbangjihwang-tang(荊防地黃湯). The primary outcome measures for this study were condition of sleep using a questionnaire with Pittsburgh Sleep Quality Index (PSQI) Secondary outcome assessment included change of original symptoms such as patient's digestion, sweating and feces. Result The symptoms of primary insomnia improved by the end of the a treatment period without side effect. original symptoms were also changed. Conclusions This result show Hyungbangjihwang-tang(荊防地黃湯) can be used to treat primary insomnia in a Soyangin Cold related Mangeum Symptomatic Pattern accompanied by abdominal pain Symptomatology(身寒腹痛亡陰證). Meaning and process of primary insomnia are different according to Sasang Constitutions.

『상한론(傷寒論)』 변병(辨病) 진단체계(診斷體系)에 근거하여 진무탕(眞武湯) 투여 후 호전된 식욕부진 증례 1례 (Anorexia Treated by Jinmu-tang Based on the Disease Pattern Identification Diagnostic System of the Shanghanlun Provisions)

  • 서영호;황보민;최해윤
    • 대한상한금궤의학회지
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    • 제13권1호
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    • pp.145-153
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    • 2021
  • Objective : This study aimed to report the improvement of a patient with anorexia by treatment with Jinmu-tang (Hyunmu-tang) based on the disease pattern identification diagnostic system (DPIDS) of the Shanghanlun provisions. Methods : We evaluated the progress of symptoms, patient compliance, and presence of side effects after the patient was administered Jinmu-tang. The clinical response was estimated according to the number of meals a day, the size of meals, the number of complaints of abdominal pain in a week, and a Likert scale. Results : According to the DPIDS, the patient was diagnosed according to provision 316 with soyinbing. After administration of Jinmu-tang for 45 days, the number of meals a day and the size of meals increased, the number of complaints of abdominal pain in a week decreased, and the Likert scale score decreased from 3 to 0. Conclusions : This case report suggests that the word "腹痛" (abdominal pain) in the 316th Shanghanlun provision indicates anxiety about abdominal pain, which affected anorexia in this case.

The effect of co-contraction exercises of abdominal bracing combined with ankle dorsiflexion on abdominal muscle thickness and strength in patients with chronic low back pain

  • Chai, Wenlan;Lee, So Hee;Park, Yu Hyung
    • Physical Therapy Rehabilitation Science
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    • 제3권2호
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    • pp.93-100
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    • 2014
  • Objective: The purpose of this study was to determine the effect of the abdominal bracing (AB) and abdominal bracing combined with ankle dorsiflexion (ABDF) on abdominal muscle thickness and strength in patients with chronic low back pain (LBP). Design: Two group pretest posttest design. Methods: Sixteen subjects were divided randomly into two group: ABDF group (n=8), and alone AB group (n=8). The ABDF group practiced AB exercise with additional ankle dorsiflexion. AB group practiced only AB exercises. Subjects in both groups received ABDF exercise and AB exercise for 40 min per day, three days per week during a period of three weeks, respectively. All the subjects were evaluated for abdominal muscle thickness and strength before and after intervention using ultrasonography and MedX machine. Results: The external oblique (EO), internal oblique, transverse abdominis (TrA) muscle thickness and the strength produced at $48^{\circ}$, $60^{\circ}$, $72^{\circ}$ showed a significant increase in the ABDF group after intervention, with a more significant improvement in EO and TrA muscle thickness in the ABDF group compared with the AB group (p<0.05). Also, the strength at $48^{\circ}$ strength showed a significant improvement in the ABDF group than the AB group (p<0.05). Conclusions: The study results showed that abdominal muscle contraction exercises with AD in patients with LBP had an influence on abdominal muscle thickness and strength. Therefore, these findings suggest that ABDF may be useful approach for enhancement of abdominal muscle thickness and strength in patients with chronic low back pain.

이혈요법이 여학생의 생리통과 월경곤란증에 미치는 효과 (Effect of the Auriculotherapy on Dysmenorrhea in School-aged Girls)

  • 박상연
    • 성인간호학회지
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    • 제22권5호
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    • pp.529-536
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    • 2010
  • Purpose: This study was designed to identify the effect of auriculotherapy on low abdominal pain and dysmenorrhea in school-aged girls. Methods: This design was a pre and post-test with nonequivalent groups. The subjects were 71 girls who were middle school students with dysmenorrheal (35 students for the treatment group and 36 students for the comparison group). The subjects of the treatment group received auriculotherapy once a week for 10 weeks. The comparison group received instruction on auriculotherapy and was requested waiting for the order. Results: The treatment group reported significantly less low abdominal pain than the comparison group. However, there were not statistical differences in reported dysmenorrhea. In future analysis, 60.0% of the treatment group reported more physical comfort, and 45.7% reported more emotional cool down. Conclusion: The finding indicate that auriculotherapy could be effective in decreasing low abdominal pain during menstrual periods. Therefore, auriculotherapy could be an effective nursing intervention for low abdominal pain occurring during mensuration. However, further studies need to be done to support auriculotherapy as effective.