• 제목/요약/키워드: Cerebrovascular accident

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뇌졸중 환자에서 항생제 정주 후 유발된 실신과 의식소실: 증례보고 (Syncope and Unconsciousness after Intravenous Injection of Antibiotics in Patient with Cerebrovascular Accident : Report of a Case)

  • 유재하;손정석;김종배
    • 대한치과마취과학회지
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    • 제12권4호
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    • pp.215-221
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    • 2012
  • The loss of consciousness in the dental office have many causes, such as, vasodepressor syncope, drug administration, orthostatic hypotension, epilepsy, hypoglycemic reaction, acute adrenal insufficiency, acute allergic reaction, acute myocardial infarction, cerebrovascular accident, hyperglycemic reaction and hyperventilation. Patients have fainted during all phases of dental care: during tooth extraction and other surgical procedures, during local anesthetic injections, or during procedures such as venipuncture, on being seated in the dental chair, and even on first entering the dental office. If an elderly patient with known cardiovascular or cerebrovascular problems experiences a syncopal episode, differentiation from cerebrovascular insufficiency of more serious etiology, such as cerebrovascular accident, must be considered. And anaphylactic shock is also suggested during intravenous drug administration. This is a case report of syncope care during venous injection of cephalosporin in patient with cerebrovascular accident.

뇌졸중의 진단에 대한 TCD의 활용 (Brain CT, Brain MRI와 Transcranial Doppler Ultrasonography 비교를 통한 뇌졸중 진단의 상호 보완에 관한 연구) (Transcranial Doppler Ultrasonography(TCD) in diagnosis of Cerebrovascular Accident (CVA))

  • 박세기;강명석;전찬용;박종형
    • 대한한의학회지
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    • 제17권1호
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    • pp.171-189
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    • 1996
  • Background and Purpose: The greater part of patients to visit Hospital of Oriental Medicine suffer from cerebrovascular accident(CVA). There is transcranial Doppler(TCD) in the diagnostic method to confirm cerebrovascular accident(CVA). Transcranial Doppler(TCD) is an accurate method of monitoring the blood flow velocities of the cerebral vessels and have been generally used to prevent symptomatic vasospasm and confirm cerebral infarction. So we studied, in the crebrovascular accident(CVA), to estimate whether transcranial Doppler(TCD) is useful to. Methods: Using transcranial doppler(Multigon Model 500M Transcranial Doppler System), we measured the mean and peak velocity and the direction of blood flow in 10 cerebrovascular accident(CVA)'s subjects who had been examined by Computed Tomography(CT) or Magnetic Resonance Imaging (MRI). Results : As an anticipation, in cerebrovascular accident(CVA)'s subject with Cb-infarction, the mean and peak velocity of blood flow fell down remarkably and the direction of blood flow was change or irritable. But didn't find out any signal in lacunar infarction. Also, in case with spontaneous hemorrhage, the velocity and direction of blood flow was change but this signal was short of diagnosis for Cb-hemorrhage. Besides, we found signals about embolism, stenosis, thrombosis and occlusion in cerebrovascular accident(CVA)'s subjects. Conclusion: In Cb-infarction, the result of TCD was equal to diagnosis with Computed Tomography(CT) or Magnetic Resonance Imaging (MRI). But about lacunar infarction or spontaneous hemorrhage, signals of TCD couldn't be found out or was insufficient more than Computed Tomography(CT) or Magnetic Resonance Imaging(MRI). In cerebrovascular accident(CVA)'s subject with embolism, stenosis, thrombosis or occlusion, signals of TCD were found out more than Computed Tomography(CT) or Magnetic Resonance Imaging(MRI). Therefore transcranial doppler(TCD) is necessary method which makes a diagnosis of cerebrovascular accident(CVA), with Computed Tomography(CT) or Magnetic Resonance Imaging(MRI).

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통원 뇌졸중 환자의 우울 및 가족 지지가 재활 동기에 미치는 영향 (Descriptive Study of Relationships between Depression, Family Support, and Rehabilitation-motivation in Patients with Cerebrovascular Accident)

  • 이화진;이명선
    • 재활간호학회지
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    • 제7권2호
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    • pp.188-196
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    • 2004
  • Purpose: This study was conducted to identify relationships between depression, family support, and rehabilitation-motivation in patients with cerebrovascular accident. Method: The data were collected from 'S' hospital in Seoul from Feb. 1, 2004 to Apr. 30, 2004. The data were analyzed using a SPSS 10.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Result: The results were as follows: The mean rehabilitation-motivation was 119.89, which was slightly high. The rehabilitation-motivation was influenced by religion, education level, occupation, economic status, treatment fee, duration of hospitalization, level of language ability and ADL. Rehabilitation-motivation has showed correlation with family support (r=.538, p=.000) and depression (r=-.417, p=.000). The variables related to rehabilitation-motivation were identified as family support, level of ADL, occupation, depression, and education level, using stepwise multiple regression. They were accounted for 57% of predictability of the rehabilitation-motivation, with the family support the highest at 29.3%. Conclusion: With increasing post stroke patients in Korea, we need to pay more attention to the rehabilitation of them. This study indicates that health professionals need to focus on the intervention especially in increasing family support and in decreasing depression of the patients with cerebrovascular accident.

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지황백호탕(地黃白虎湯)으로 호전된 연하장애(嚥下障碍)와 언어장애(言語障碍)를 동반한 뇌졸중(腦卒中) 환자 치험례 (A Clinical Study of the Cerebrovascular Accident Patient who Has Dysphagia and Dysphasia Improved with Gihwangbaekho-tang)

  • 최인호;김나영;홍솔이;신미란
    • 사상체질의학회지
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    • 제20권2호
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    • pp.145-154
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    • 2008
  • 1. Objectives The purpose of this study is to evaluate the effect of Gihwangbaekho-tang which is based on the Sasang Constitutional Medicine for the cerebrovascular accident patient who has suffered from dysphasia and dysphagia. 2. Methods The subject is about 69-year-old cerebrovascular accident patient suffering from dysphasia and dysphagia who was diagnosed as Soyangin interior overheated disease based on his nature & emotion, physical chracteristics, symptoms, and we have prescribed Gihwangbaekho-tang. 3. Results and Conclusions Cerebrovascular accident parient is suffering from dysphagia, dysphasia, insomnia, constipation, quadroparesis treated with Gihwangbaekho-tang were improved. This study describes the improvement of dysphagia, dysphasia and other general sypmtoms using Gihwangbaekho-tang. Gihwangbaekho-tang takes effect Soyangin interior overheated disease.

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뇌졸중 위험군의 생활습관 관련 건강 행위 (A Study on Health Behavior in People at Risk for a Cerebrovascular Accident)

  • 송미숙;변영순;임경숙;옥지원
    • 대한간호학회지
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    • 제37권7호
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    • pp.1091-1097
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    • 2007
  • Purpose: This study was done to survey health behaviors in people at risk for a Cerebrovascular Accident(CVA). Method: From November 21 to December 29, 2005, a questionnaire survey was conducted with 171 people at risk for a Cerebrovascular Accident(LDL of above 130mg/dl & homocysteine of above $15.0{\mu}mol/L$). Their physical composition was measured and blood was collected. Results: 1. Of the subjects, 34.5% were smokers, 61.4% were drinkers, 56.7% did not exercise regularly, 57.3% did not control their weight, 26.9% preferred eating meat, and 32.2% preferred salty food. 2. The gender was different between smoking status($X^2=10.734$, p= .001), and drinking status($X^2=7.185$, p= .007), and the age was different between smoking status($X^2=6.656$, p=.010), and drinking status($X^2=10.722$, p= .001). The $HbA_1C$ level was different for regular exercise($X^2=4.824$, p=.028) and the HDL-cholesterol was different for meat-eating preference($X^2=7.928$, p= .005). The observance of troubling signs was different for a salty food preference($X^2=4.313$, p= .038). Conclusion: It is necessary to develop programs for taking care of people at risk for a Cerebrovascular Accident and test the effects of the programs in order to reduce the risk factors of CVA and enhance health behavior promotion.

뇌혈관질환자 가족의 부담감과 가정간호 요구도 (A Families's Burden on a Cerebrovascular Accident Patient and the Demand for Nursing Home)

  • 조경희;김경희
    • 한국간호교육학회지
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    • 제12권1호
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    • pp.95-103
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    • 2006
  • Purpose: This is to find out the correlation between a families burden on a cerebrovascular accident patient and the demand for nursing home. Method: The data was established by using structured questionnaires for 102 nursing families of cerebrovascular accident patient at three university hospitals. Result: 1) The total burden was showed to be at 3.21, which was some what higher than average. Total average of demand for nursing home was at 3.30, which was higher than average. 2) This showed static correlations between the economic, social, physical dependent and psychological burden, and demand for nursing home. The result represents that the higher burden showed a significantly positive correlation to the higher demand for nursing home. Conclusion: If a systemic support of nursing home is prepared the differentiated nursing home matched perfectly on each burden, the burden on a family of the patient can be decreased effectively.

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산욕기에 발생한 뇌경색증 1예의 임상 보고 (A case study of patient with Ischemic Cerebrovascular Accident at Puerperium)

  • 정호준;장영철;권도익;안종필
    • 대한한방내과학회지
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    • 제21권5호
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    • pp.883-887
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    • 2000
  • A clinical study was carried out 1 case of ischemic cerebrovascular accident which occurred at puerperium in a 27 year-old woman followed by vaginal delivery The results were as follows: 1. In the clinical view, it was thought that the cause of this case is intracranial venous thrombus, because the symptom-headache, foaming at the mouse, acromyotonia, hemiparesis- occurred in the postpartum and functional outcome is good. 2. In this case, the patient's functional system of spleen-stomach is usually weak, and due to delivery the functional system of spleen-stomach is more insufficient. so it can not control damp-phlegm(濕痰). In addition, vital energy of liver stagnate.

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노인 뇌졸중환자의 변비완화를 위한 탄산수 음용의 효과 (Effects of Carbonated Water Intake on Constipation in Elderly Patients Following a Cerebrovascular Accident)

  • 문재희;전성숙
    • 대한간호학회지
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    • 제41권2호
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    • pp.269-275
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    • 2011
  • Purpose: This study was done to identify effects of carbonated water intake on constipation in elders who have experienced a cerebrovascular accident (CVA) and are bed-ridden. Methods: Forty elderly patients with CVA were randomly assigned to one of two groups in a double-blind study. Patients in the experimental group drank carbonated water and those in the control group drank tap water for two weeks. Six patients dropped out during the study period. Data were analyzed by repeated measured ANCOVA and the covariance was the dose of laxatives used for the two weeks. Results: Frequency of defecation increased significantly and symptoms of constipation decreased significantly for patients in the experimental group. Conclusion: The study results suggest that the intake of carbonated water is an effective method for the intervention of constipation in elderly patients with CVA.

뇌졸중환자 가정간호 및 방문간호서비스의 비용효과 비교 (Cost-Effectiveness Analysis of Home Health Care Program for Cerebrovascular Accident Patients)

  • 전경자;박정영
    • 지역사회간호학회지
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    • 제12권1호
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    • pp.22-31
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    • 2001
  • Purpose of this study is to compare the cost effectiveness of home care services for the cerebrovascular accident patients by the type of institution. The method is the secondary analysis using the patients' charts. 107 subjects and 1.417 visits were sampled from each type of home care institution such as one hospital based home care center. one KNA home care center, one urban health center, one rural health center and one health care post. Result: There were differences in the functional status of patients and the service contents and frequencies provided by the type of home care institution, The cost per visit for one unit of ADL by the hospital based home care was higher than by the community-based home care. Conclusion: It was suggested that the referral system among the home care institutions would be developed to improve the cost-effectiveness.

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도시에 거주하는 뇌졸중 환자의 혈압과 혈청 생화학적 성분간의 상관성 연구 (A Study on Blood Pressure and Serum Biochemical Indices of Cerebrovascular Accident Patients in Korean Urban Adults)

  • 조은영;권종숙;송경희
    • 대한지역사회영양학회지
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    • 제4권1호
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    • pp.57-63
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    • 1999
  • This study was done to investigate the blood pressure, BMI and serum lipids of cerebrovascular accident patients in Seoul. The subjects were 195 Korean urban cerebrovascular accident patients who were hospitalized at Dong Seo Oriental Hospital in Seoul from June, 1997 to December, 1997. There were more cerebral infarction patients(164) than cerebral hemorrhage patients(31). Cerebral infraction patients were prevalent for subjects in their sixties, but cerebral hemorrhage patients were most commonly in their fifties. The BMI of cerebral infarction accidents was significantly higher than that of cerebral hemorrhage patients(p<0.05). Mean diastolic blood pressure of cerebral hemorrhage patients was significantly higher than that of the cerebral infarction patients(p<0.05). The mean systolic blood pressure of the cerebral hemorrhage patients was higher than that of the cerebral infarction patients, not statistically significant. The serum total cholesterol and glucose levels of the cerebral infarction patients was significantly higher than those of the cerebral hemorrhage patients(p<0.05). Serum total cholesterol(p<0.01), triglyceride(p<0.05) and LDH(p<0.01) levels of female subjects were significantly higher than those of male subjects. Serum total cholesterol has a negative correlation with serum GOT and GPT, but has a positive correlation with triglyceride. Serum triglyceride has a negative correlation with diastolic blood pressure but has a positive compellation with serum glucose.

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