• 제목/요약/키워드: Fecal incontinence

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암컷 개의 양측 회음 허니아에서 결장 고정술과 방광 고정술 후 반힘줄 근육 전위술의 이용 (Repair of Bilateral Perineal Hernia with Semitendinosus Muscle Transposition Along with Colopexy and Cystopexy in a Bitch)

  • 허수영;이동빈;이해범
    • 한국임상수의학회지
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    • 제30권5호
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    • pp.371-375
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    • 2013
  • 체중 3.5 kg 11년령 요크셔 테리어가 대변실금, 뒤무직(이급후증), 회음부의 종괴를 동반하는 증상으로 내원하였다. 신체 검사상 비대 유선, 질 분비물과 정복이 가능한 회음부의 종괴가 발견되었다. 임상증상과 방사선검사를 바탕으로 배쪽 양측 회음 허니아와 자궁축농증으로 진단하였다. 자궁난소 적출술 후 양측 회음 허니아는 결장 고정술과 방광 고정술 후 반힘즐 근육 전위술을 이용하여 정복하였다. 수술 후 방사선과 컴퓨터 단층 촬영 검사상에 배쪽 양측 회음 허니아의 정복을 확인할 수 있었다. 술 후 10일째 정상적인 활동을 보였고 1년 동안에 검사상 수술과 관련된 부작용은 관찰되지 않았다. 배쪽 양측 회음 허니아는 결장 고정술과 방광 고정술 후 반힘즐 근육 전위술을 이용하여 성공적으로 치료 되었다.

장루미보유 직장암 환자의 불안과 우울 및 관련요인 (Anxiety, Depression and their Correlates in Rectal Cancer Patients Without Ileostomy)

  • 임세미;강윤희
    • 임상간호연구
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    • 제21권1호
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    • pp.80-91
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    • 2015
  • Purpose: This study aimed to identify the relationships among bowel function, health locus of control, anxiety, and depression in patient with rectal cancer. Methods: This study utilized a descriptive correlational design. Subjects were 200 rectal cancer patients who attended out-patient clinic in a colorectal cancer center. The study instruments included the scales for bowel function, health locus of control, anxiety, and depression. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson's correlation coefficient. Results: The mean score of bowel function was $34.44{\pm}5.73$. The mean scores of internal HLOC, chance HLOC, doctor HLOC, and powerful others HLOC were $29.06{\pm}6.81$, $22.41{\pm}6.96$, $15.88{\pm}2.85$, and $10.72{\pm}4.68$ respectively. The mean scores of anxiety and depression were $4.49{\pm}3.95$ and $6.25{\pm}3.98$, respectively. There were significant negative correlations between bowel function and anxiety (r=-.180, p=.011); between bowel function and depression (r=-.267, p<.001); and between internal health locus of control and depression (r=-.149, p=.035). There were significant positive correlations between chance health locus of control and depression (r=.146, p=.039), and between anxiety and depression (r=.651, p<.001). Conclusion: It is suggested that anxiety and depression for the patients with low bowel function after colorectal cancer surgery should be evaluated and nursing interventions to enhance internal health locus of control need to be developed.

직장 탈출증에 대한 보중익기탕과 수술 치료 병용요법의 임상 연구 고찰 - 무작위 대조군 연구를 중심으로 (A Review of Clinical Studies about Bojungikgi-tang Combined with Surgical Therapy on Rectal Prolapse - Focusing on Randomized Controlled Trial)

  • 공경환;김도현
    • 동의생리병리학회지
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    • 제38권2호
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    • pp.59-65
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    • 2024
  • Rectal prolapse is a condition where the rectal wall protrudes outside the anus. While it is a rare condition, it can cause discomfort for patients due to the protrusion of the rectal structure, discharge of mucus and blood, fecal incontinence, constipation, and other inconveniences. In this review, we analyzed a randomized controlled trial (RCT) study that used the herbal medicine Bojungikgi-tang(Buzhongyiqi-tang) as a complementary therapy to improve the weaknesses and side effects of the standard treatment, surgical therapy, for rectal prolapse. The analysis included 12 RCT studies, and in all studies, the prescription involved the use of Astragali Radix at the highest dosage. Among the 11 studies that evaluated efficacy, 7 studies showed a significant effect compared to the control group. In all 3 studies that evaluating recurrence rates and all 5 studies investigating complications after surgery, the experimental group showed significant effects. Based on these findings, this study could be considered as a foundational evidence for the application of bojungikgi-tang(Buzhongyiqi-tang) in clinical practice in Korean medicine for patients with rectal prolapse. It could also serve as foundational data for future research.