• 제목/요약/키워드: Patient discomfort

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비장도인법(脾腸導引法)을 적용한 복부 팽만감 주소의 기능성소화불량 증례보고 (Spleen Daoyin Method (脾腸導引法) for Functional Dyspepsia Patients: A Case Report)

  • 정해인;하나연;김진성
    • 대한한방내과학회지
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    • 제42권6호
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    • pp.1331-1340
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    • 2021
  • A 42-year-old patient with functional dyspepsia had suffered from early satiation and postprandial fullness for 1 year despite Western medicine treatment. We treated her with the Spleen Daoyin method, along with acupuncture, moxibustion, and herbal medicine and scored her symptoms using a 4-point Functional Dyspepsia-related Quality of Life (4p-FD-QoL) questionnaire, the Gastrointestinal Symptom Rating Scale (GSRS), and a visual analogue scale (VAS). A 7-day Spleen Daoyin treatment decreased her 4p-FD-QoL score from 61 to 51, with a marked decrease in the emotional part (18 to 10). Her GSRS score did not change, but her bloating score decreased from 3 to 1. Her VAS score decreased from 6.6 to 4.3 for upper abdomen discomfort, but lower abdomen discomfort was unchanged. The patient showed high compliance and satisfaction with exercise therapy and reported no adverse events. Spleen Dayoin may be a useful therapy for functional dyspepsia, especially when accompanied by psychological problems.

Single-flap versus double-flap approach for periodontal pocket reduction in supraosseous defects: a comparative study

  • Mathala, Venkata Lakshmi;Konathala, Santosh Venkata Ramesh;Gottumukkala, Naga Venkata Satya Sruthima;Pasupuleti, Mohan Kumar;Bypalli, Vivek;Korukonda, Radharani
    • Journal of Periodontal and Implant Science
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    • 제51권4호
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    • pp.239-253
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    • 2021
  • Purpose: The single-flap approach (SFA) is a minimally invasive technique with limited mucoperiosteal flap elevation to gain access to the buccal/palatal aspects, thus limiting post-surgical complications. The purpose of the present study was to gain insights into the impact of the SFA over the double-flap approach (DFA) on periodontal flap treatment outcomes and patient compliance in terms of discomfort and time taken for surgical procedures. Methods: Twenty patients with persistent probing pocket depths of ≥5 mm were scheduled for the SFA (test site) and for the DFA (control site). All the clinical periodontal parameters were recorded at baseline, 3 months, and 6 months. Radiographic bone level (cone-beam computed tomography) was evaluated at baseline and 6 months. Patients' postoperative pain perception and wound healing were also assessed. Results: The SFA showed a significant reduction in periodontal pocket depth, gain in clinical attachment level (CAL), and gain in bone level when compared with the DFA. The SFA substantially improved wound healing and induced less postoperative pain than the DFA. Conclusions: The SFA resulted in substantial improvement in the composite outcome measures, as shown by a reduction in pocket depth with minimal gingival recession, gain in CAL, early wound healing, less postoperative discomfort, and better patient-centered outcomes.

감초사심탕(甘草瀉心湯)으로 호전된 베체트병 의증 환자 1례 (A Case of Suggested Behcet's Disease Patient Treated by Gamchosasim-tang)

  • 양동선;구희준;여은주;양승정;조성희;박경미
    • 대한한방부인과학회지
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    • 제22권4호
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    • pp.187-193
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    • 2009
  • Purpose: This paper is aim to report the effects of Gamchosasim-tang(GCT) on the genital ulcer suggested Behcet's disease. Methods: The patient in this case was 45-year-old. The chief complains were genital ulcers, mouth ulcers, fatigue, skin lesions (hand site), eye discomfort. She was treated by GCT. The progress of symptoms were evaluated by visual analogue sclae. Results: After the treatments, genital ulcer pain and mouth ulcer pain disappeared, fatigue, skin lesions, eye discomfort decreased. Conclusion: This clinical case indicate that GCT is effective in treatment of the genital ulcers. And GCT is considered that good effect is to Behcet's disease.

기훈 환자의 보허음 투여 후 호전 1례 (An Improved Case after Treating Chi-Vertigo Patient with Boheo-eum)

  • 김진석;홍종희;박재우;전우현;조남희;오수완;김진성;류봉하;류기원
    • 대한한의학회지
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    • 제21권4호
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    • pp.253-259
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    • 2000
  • The subject was a 46-year-old woman who was suffering from severe vertigo. Her major symptoms were vertigo, headache, neck pain, feverishness, and her minor symptoms were intermittent nausea and tinnitus, mild chest discomfort, facial flushing and sweating. Her symptoms were diagnosed as Chi-Vertigo and the patient was treated with Boheo-eum(Buxu-yin). Next, the patient's vertigo was evaluated with Vestibular disorders activities of Daily Living scale and Dix-Hallpike maneuver per 3days. An improved state in vestibular disorders activities of daily living scale, a frequency and duration of Dix-Hallpike maneuver were observed. In this case Boheo-eum(Buxu-yin) has an effect on a patient with vertigo due to Chi-Vertigo.

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혈압 상승으로 인한 의식하 진정 요법의 실패 -증례보고- (Failure of Intravenous Sedation due to Significant Hypertension -A Case Report-)

  • 고세욱
    • 대한치과마취과학회지
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    • 제7권2호
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    • pp.126-130
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    • 2007
  • Sedation is often indicated for the relief of anxiety for outpatient oral surgery. In combination with local anesthesia, it is safe and effective method of treatment. However, it is not always effective in allowing the physician to complete the planned oral surgery procedure. On occasion, a procedure is left unfinished due to patient combativeness and discomfort and hypertension in spite of increase in sedative doses. Episodic increases in blood pressure were most commonly caused by light anesthesia or sedation and by the patient's experience of pain during treatment. Female patient was 42 years old. blood pressure is 150/90 mmHg. Extraction and implant surgery was done under IV sedation. During seadtion, her blood pressure was increased (200/100 mmHg). Surgery was stopped. She was done monitoring blood pressure. The blood pressure was decreased to 130/90 mmHg. Sedation was failed due to significant hypertension. Blood pressure is seldom increased during sedation but we should evaluate the patient's medical history and know guideline for hypertension crisis.

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울혈성 심부전으로 진단받은 소양인 환자 치험 1례 (A clinical case study of a shaoyangin patient diagnosed as congestive heart failure)

  • 김경선;임은철;고우석
    • 사상체질의학회지
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    • 제14권3호
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    • pp.160-166
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    • 2002
  • A clinical case study of a shaoyangin patient diagnosed as congestive heart failure Congestive heart failure is dysfunction of heart that can't supply sufficient mount of blood required of tissue metabolism as a result of myocardial hyposystole. We treated 80 year-old female congestive heart failure patient with edema, dyspnea, chest discomfort, and dysuria. We have diagnosed her as shaoyangin(少陽人) pyohan(表寒) disease, infirmity, edema and have prescribed hyungbangjihwangtang(荊防地黃湯). In the result we had the improvement of the symptoms of CHF and general depressed condition. This report described the process and contents about the way the patient was cured.

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소음인 공황장애 환자에 대한 증례 보고 (The Clinical Observation on 1 case of Soeumin Patient with Painc Disorder)

  • 김경민;김영균;김종원;정원교
    • 대한한방내과학회지
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    • 제22권3호
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    • pp.459-462
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    • 2001
  • Panic disorder is one of common disease clinically, and it is included in the anxiety disorders. This case is about a patient who is 43 years old lady, suffered by a sense of unease, irritation, palpitation, chest discomfort, heating sense of the upper part. etc. This patient was treated by Bosimgunbitang(Buxin Jianpi Tang) in early stage, and Palmulgunzatang(Bawu Junzi Tang) in chronic stage. This paper describe the process and contents about the way the patient was treated.

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Iatrogenic Duodenal Obstruction due to Acupuncture Therapy Trauma

  • Chung, Jae Hun;Lee, Si-Hak
    • Journal of Trauma and Injury
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    • 제34권1호
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    • pp.70-74
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    • 2021
  • There are many possible causes of duodenal obstruction, such as congenital anomalies and various acquired conditions associated with space-occupying lesions. However, hemorrhage or retroperitoneal hematoma is a rare cause of duodenal obstruction. Here, we report the case of a 55-year-old man who developed duodenal obstruction due to a large retroperitoneal hematoma after acupuncture therapy. The patient experienced abdominal discomfort along with vomiting and nausea. Considering the size of the hematoma, emergency surgery could have been performed, but conservative treatment was continued because the patient's vital signs were stable. With spontaneous resolution of the hematoma, the symptoms of duodenal obstruction improved. The patient was eventually discharged without any complications associated with the hematoma. Our findings suggest that even when a hematoma is large, a conservative approach can be maintained until improvement of the symptoms of duodenal obstruction if the vital signs of the patient remain stable.

한방병원 입원환자의 양생(養生)과 양생(養生) 영향요인 (Health Promotion and Related Factors in Oriental Medicine Hospital Inpatients)

  • 송민선;서영숙;최찬헌
    • 동의생리병리학회지
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    • 제25권6호
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    • pp.1069-1078
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    • 2011
  • The purpose of this study was to examine health promotion level and related of patients hospitalized. The participants for this study 225 of oriental medicine hospital inpatients. Health promotion, sleep, anxiety and discomfort are measured structured questionnaires each. Data were collected using structured questionnaires and analyzed using t-test, ANOVA and multiple regression. The general health promotion score is 98.12, mortality health promotion 20.31, mental health promotion 12.89, dietary health promotion 15.28, activity and rest health promotion 12.84, exercise health promotion 7.23, sleepy health promotion 15.42, seasonal health promotion 7.60 and sexual health promotion 9.31. There were significant differences in health promotion level according to spouse (p=0.003), sleep (p<0.001), anxiety (p<0.001) and discomfort (p<0.001). The significant predictors of health promotion were spouse (p<0.001), religious (p<0.001), drinking (p=0.036), sleep (p<0.001) and discomfort (p<0.001), explaining 33.7% of the variance in health promotion. Health promotion influenced not only the physical condition but also the psychological condition. The result suggest the health promotion level and predictors of health promotion is a useful index for improvement of health and prevention of disease in oriental medicine.

티트리 오일을 이용한 구강함수가 화학요법을 받는 암 환자의 구강상태와 불편감 및 구강세균집락에 미치는 효과 (The Effects of Teatree Oil Gargling on Oral Cavity Micro-Organism Growth and Perceived Discomfort of Patient Receiving Chemotherapy)

  • 김남초;김희정
    • 성인간호학회지
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    • 제17권2호
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    • pp.276-286
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    • 2005
  • Purpose: The study is to investigate the effects of tea tree oil gargling on oral cavity micro-organism growth and on the perceived discomfort of patients receiving chemotherapy. Methods: A nonequivalent control group non-synchronized design was used to determine the effects of tea tree oil gargling on oral cavity for 20 second after using it for one week, twice a day. The sample consisted of two groups of patients receiving chemotherapy : 19 patients in experimental and 20 patients in control group. The instruments used in the study were Oral Assessment Guide(OAG), a measure of perceived symptoms on oral cavity, and a test of oral mucosal micro-organism culture. The data were analyzed using chi-square test, repeated measure of ANOVA, and Pearson correlation coefficient. Results: There was no significant difference between the two groups in micro-organism culture test of oral mucosa. The experimental group showed a lower number and fewer kinds of micro-organisms than the control group. Conclusion: It is considered that use of tea tree oil is effective in infection control of the oral cavity.

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