• 제목/요약/키워드: Hospital Treatment

검색결과 18,217건 처리시간 0.041초

경추 추간판 탈출증 환자 88례에 대한 임상적 고찰 (The Clinical Study on 88 Patients of Cervical Disc Herniation)

  • 이효은;조재희;문자영;임명장;강인;이한;정호석;장형석
    • Journal of Acupuncture Research
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    • 제25권6호
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    • pp.145-152
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    • 2008
  • Objectives : This study is to survey the effectiveness of the oriental medicine treatment on cervical disc herniation. Methods : The clinical study was done on 88 cases of patients with cervical disc herniation diagnosed by M.R.I, symptoms and physical test who admitted in Ja-seng Oriental Medicine Hospital from January 2006 to March 2008. After treatment, the efficacy was evaluated according to the criteria of Robinson et al. Results : The clinical results were satisfactory as excellent in cases, good in cases, fair in cases, 92.05% of all were improved above good state Conclusions : Oriental medicine treatment is effective on the recovery of cervical disc heniation.

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Treatment Response Evaluation by Computed Tomography Pulmonary Vasculature Analysis in Patients With Chronic Thromboembolic Pulmonary Hypertension

  • Yu-Sen Huang;Zheng-Wei Chen;Wen-Jeng Lee;Cho-Kai Wu;Ping-Hung Kuo;Hsao-Hsun Hsu;Shu-Yu Tang;Cheng-Hsuan Tsai;Mao-Yuan Su;Chi-Lun Ko;Juey-Jen Hwang;Yen-Hung Lin;Yeun-Chung Chang
    • Korean Journal of Radiology
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    • 제24권4호
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    • pp.349-361
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    • 2023
  • Objective: To quantitatively assess the pulmonary vasculature using non-contrast computed tomography (CT) in patients with chronic thromboembolic pulmonary hypertension (CTEPH) pre- and post-treatment and correlate CT-based parameters with right heart catheterization (RHC) hemodynamic and clinical parameters. Materials and Methods: A total of 30 patients with CTEPH (mean age, 57.9 years; 53% female) who received multimodal treatment, including riociguat for ≥ 16 weeks with or without balloon pulmonary angioplasty and underwent both non-contrast CT for pulmonary vasculature analysis and RHC pre- and post-treatment were included. The radiographic analysis included subpleural perfusion parameters, including blood volume in small vessels with a cross-sectional area ≤ 5 mm2 (BV5) and total blood vessel volume (TBV) in the lungs. The RHC parameters included mean pulmonary artery pressure (mPAP), pulmonary vascular resistance (PVR), and cardiac index (CI). Clinical parameters included the World Health Organization (WHO) functional class and 6-minute walking distance (6MWD). Results: The number, area, and density of the subpleural small vessels increased after treatment by 35.7% (P < 0.001), 13.3% (P = 0.028), and 39.3% (P < 0.001), respectively. The blood volume shifted from larger to smaller vessels, as indicated by an 11.3% increase in the BV5/TBV ratio (P = 0.042). The BV5/TBV ratio was negatively correlated with PVR (r = -0.26; P = 0.035) and positively correlated with CI (r = 0.33; P = 0.009). The percent change across treatment in the BV5/TBV ratio correlated with the percent change in mPAP (r = -0.56; P = 0.001), PVR (r = -0.64; P < 0.001), and CI (r = 0.28; P = 0.049). Furthermore, the BV5/TBV ratio was inversely associated with the WHO functional classes I-IV (P = 0.004) and positively associated with 6MWD (P = 0.013). Conclusion: Non-contrast CT measures could quantitatively assess changes in the pulmonary vasculature in response to treatment and were correlated with hemodynamic and clinical parameters.

후두신경 영역 침치료로 호전된 후두신경통 증례 1례 (A Case Report of Occipital Neuralgia Treated with Acupuncture in the Occipital Nerve Area)

  • 김민화;남이랑;김마리아;구기범;이세연;권정남;이인;최준용;윤영주;김소연;한창우;박소정;홍진우
    • 대한한방내과학회지
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    • 제44권6호
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    • pp.1327-1336
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    • 2023
  • This case report presents the effectiveness of Korean medicine in the treatment of occipital neuralgia. The patient with occipital neuralgia was treated with acupuncture. Acupuncture treatment was administered to the occipital nerve area, which is commonly used in occipital nerve blocks by western medicine doctors. The severity of the symptoms was assessed daily using the Numerical Rating Scale (NRS) score of pain. The patient received outpatient treatment a total of 7 times, and only received acupuncture treatment each time. According to the patient, his symptoms decreased by about 90% two days after acupuncture treatment, and the frequency and duration of the symptoms also decreased. Seven days after all acupuncture treatments, the severity of pain was reduced from NRS 6 to NRS 0. The findings of this case report suggest that treatment with Korean medicine can be an effective option for treating occipital neuralgia. Acupuncture can be a good treatment method for occipital neuralgia, along with western drug treatment and occipital nerve block.

Cerebral Hemorrhage after Endovascular Treatment of Bilateral Traumatic Carotid Cavernous Fistulae with Covered Stents

  • Cho, Kwang-Chun;Seo, Dae-Hee;Choe, Il-Seung;Park, Sung-Choon
    • Journal of Korean Neurosurgical Society
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    • 제50권2호
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    • pp.126-129
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    • 2011
  • Bilateral traumatic carotid-cavernous fistulae (TCCFs) is rarely encountered neurovascular disease. For treatment of TCCF, detachable balloons have been widely used. Nowadays, transarterial and/or transvenous coil embolization with placement of covered stents is adopted as another treatment method. We experienced a patient with a bilateral TCCFs who was successfully treated with covered stents. However, cerebral hemorrhage occurred in the bed of previous infarction one day after treatment. Hyperperfusion syndrome was considered as a possible cause of the hemorrhage, so that barbiturate coma therapy was started and progression of hemorrhage was stopped. We emphasize that cerebral hyperperfusion hemorrhage can occur even after successful endovascular treatment of TCCF.

특발성 척추 측만증(Idiopathic Scoliosis)의 보존적 치료에 대한 최근 임상 연구 (A Recent Study of Conservative Treatment of Idiopathic Scoliosis)

  • 이광호;송윤경;전찬용;정승민
    • 대한추나의학회지
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    • 제6권1호
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    • pp.67-84
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    • 2005
  • Idiopathic scoliosis is a complex three-dimensional deformity of the spine. There is two ways in treatment of scoliosis, normally. In order to prevent a progressive course of the disorder, conservative treatment is started in selected patients. And sometimes, operation is performed to severe patients. But, application standard is vague. So We reviewed the latest medical theses. English language articles in Medline database between 2003 and 2005. 8. 31. were reviewed. The searching words was Idiopathic scoliosis, conservative treatment, brace. exercise. We classified 27 articles. The results of this research demonstrate that conservative treatment is more effective than observation until operation.

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추나 요법을 적용한 산후 골반통 환자의 경과관찰 1례 (A Case Report on Postpartum Pelvic Pain Applied Chuna Treatment)

  • 이진복;임정균;이형걸;정시영
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.11-17
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    • 2011
  • A 28-year-old woman presented with postpartum pelvic pain. The patient complained severe pain and couldn't walk at all a week after natal. Computed tomography and plain radiography of the pelvis didn't reveal abnormal condition except asymmetrical alignment. Chuna treatment isn't usually applicable to the patient after natal. But we tried Chuna treatment to adjust the asymmetrical alignment of pelvis by half degree of strength. The pelvic pain improved considerably after 2 weeks treatment, so we report this case to emphasize the role of Chuna treatment in the management of postpartum pelvic pain.

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교통사고 후유증관리에 관한 한의학적 임상 고찰 (Korean Medicine approach to traffic accident victims)

  • 신용승;박종배;김종훈;최정림;김덕호
    • Journal of Acupuncture Research
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    • 제19권6호
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    • pp.1-11
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    • 2002
  • Objective : Korean medicine treatment method is noted as alternative in treating traffic accidents(TA) victims recently. The main purpose of this research is to make a survey of the effective way of the Korean medicine treatment about TA victims. Methods : In following research, 389 cases of traffic victims who hospitalized in the Youngsaeng Korean Medicine Hospital & Youngsaeng Clinic from March 1, 2001 to November 30, 2001 were surveyed. The research is focused on finding out the distribution, such as sex and age, damaged part of the body of 389 TA victims, nature of damage of 389 TA victims, chief complaint of 389 TA victims, nature of damage by Korean medicine code classification, treatment given to 389 TA victims, Extract(Ex) medicine given to 389 TA victims, days in hospital of 389 TA victims. Results : The patients reached korean medicine hospital in fewer numbers from most of TA victims. As neck pain and L-spin sprain, most of symptoms was light and the treatment of medicine as well was limited for TA. The treatment method which was used for treating TA was acupuncture, cupping therapy, physical therapy, Ex medicine. Few ways could use the Ex medicine as well. Conclusions : The achieving rate of treatment was marked highly by using Haenggi(行氣) Hwalhyeol(活血) Guyea(祛瘀) and we confirmed a possibility for the treatment of TA in korean medicine treatment method. It needs to increase all kinds of treatment-ways which can treat successfully and needs to come into application of insurance. Korean medicine method will have possibility to take part in TA injury admission, by presenting basis to prove effectiveness of treatment-ways.

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장요근에 대한 침치료환자군과 MET치료환자군의 호전도 비교 연구 (The Comparative Study of Improvement of Patient Who were Diagnosed Sprain and Strain of Lumbar Spine with MET Treatment on Iliopsoas Muscles and with Acupuncture Treatment)

  • 임준혁;윤석훈;정우석;신현승;조송현
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.1-9
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    • 2011
  • Object : This study was planned to show the influences of MET(muscle energy techniques) treatment and acupuncture treatment on iliopsoas muscles of sprain and strain of lumbar spine patients. Method : This study was carried out on the 39 patients who had been treated for their sprain and strain of lumbar spine from March 2 to October 15, 2010 in the department of oriental rehabilitaion medicine, Dongsuwon oriental medicine hospital. And 22 out of 39 patients had a tenderness and pain in their iliopsoas muscles. And we divided those 22 patients into 2 groups by blocked randomization; group A took near acupuncture point needling treatment on the iliopsoas muscles, group B took MET(muscle energy techniques) treatment on the iliopsoas muscles. To evaluate the efficiency of each treatment, all patients were examined with VAS(visual analogue scale) before treatment and after the 3rd, 5th treatment. Result : On the VAS, it was decreased significantly after treatment in all groups. And it didn't show the clear difference between two groups. Conclusion : In this study, it did not show statistical difference in VAS between two groups.

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요추 척추관 협착증의 비수술적 치료에 대한 최근 국내·외 연구 동향 (Recent Domestic and International Trends on Non-Surgical Treatment of Lumbar Spinal Stenosis)

  • 김미현;박은상;황현호;이여경;송금주;권미리;강준혁
    • 한방재활의학과학회지
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    • 제31권3호
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    • pp.1-17
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    • 2021
  • Objectives The present study examined the recent domestic and international trends of non-surgical treatment of lumbar spinal stenosis (LSS). Methods The studies on non-surgical treatment of LSS were investigated via searching Korean web databases and PubMed. As a result, 39 studies were analyzed according to the authors, the types of study, the relationship to surgical treatment and the method of treatment. Results The first authors' occupations were identified as 17 doctors, 12 Korean medicine doctors, six physiotherapists, three chiropractic doctors and one doctor of science. The most common type of study in Korea was the case report and most of the studies were retrospective. Overseas, there were many prospective or experimental studies including randomized controlled trials (RCT). In Korea, non-surgical treatment was performed independently of surgical treatment in most cases. Among non-surgical treatments, the most researched treatment was traditional Korean medicine (TKM), followed by injection therapy, exercise therapy, and physical therapy. Conclusions Through this review, we can determine the effectiveness of TKM and its research direction. TKM should be studied experimentally including RCT and it should be conducted not only on acupuncture, but also on other treatment methods such as acupotomy, chuna, and herbal medicine. It is also necessary to conduct studies on TKM before and after surgery to compare the effects of surgery and TKM together, as well the effects on non-surgical treatments.

요통환자에 대한 침치료와 물리치료의 단독 및 병행치료의 효과와 만족도 조사 (Research on the Effect and Satisfaction between Independenced and Parallelism Treatment of Acupuncture and Physical of Lumbago Patients)

  • 유상민;배경연;이용현;정재중;임세영
    • Journal of Acupuncture Research
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    • 제22권6호
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    • pp.75-84
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    • 2005
  • Objectives : Research on the effect and satisfaction between Acupuncture Treatment, Physical Treatment and contemporary Treatments of Acupuncture and Physical of lumbago patients Methods : We separated lumbago patients into three groups. A group with only Acupuncture Treatment and a group with only Physical Treatment and a group with contemporary treatments of Acupuncture and Physical. Questionnaire survey and score of Visual Analog Scale(VAS) and Oswestry Disability Index(ODI) were examined for comparison. Results & Conclusion : 1. Of the 54 patients Acupuncture Teatment group had 17 patients with similar ratio of gender and the average age was 39.5 years old. For the Physical Treatment group the ratio of male was 75% of the 8 patients and had the youngest average age which was 29.1 years old and the group with contemporary Treatments the ratio of female was 62% of 29 patients and had the oldest average age which was 46.7 years old. 2. The Acupuncture Treatment group had the shortest treatment period because of many acute stage caused by lumber sprain and the improvement score was the best. The group of contemporary treatments had the longest history day and treatment period by serious disease like HIVD and spinal stenosis but the improvement score of VAS and ODI was good similar to the Acupuncture Treatment group. For the Physical Treatment group there was many patients with degenerative change but not severe pain. The VAS, ODI and the improvement score was the lowest before and after the treatment.

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