• 제목/요약/키워드: Post stroke

검색결과 619건 처리시간 0.023초

복강경 담낭절제술 시 공기배증 전에 주입한 복강 내 lidocaine의 공기배증 후 혈압상승 완화효과 (Attenuation of pneumoperitoneum-induced hypertension by intra-peritoneal lidocaine before pneumoperitoneum in laparoscopic cholecystectomy)

  • 송선옥;이혜미;윤성수;유화림;심수영;김흥대
    • Journal of Yeungnam Medical Science
    • /
    • 제33권2호
    • /
    • pp.90-97
    • /
    • 2016
  • Background: We have previously found that intra-peritoneal lidocaine instillation before pneumoperitoneum attenuates pneumoperitoneum-induced hypertension. Whether this procedure alters patient's hemodynamic status during operation should be determined for clinical application. This study elucidated the possible mechanism of the attenuation of the pneumoperitoneum-induced hypertension by intra-peritoneal lidocaine before pneumoperitoneum. Methods: Thirty-four patients underwent laparoscopic cholecystectomy (LC) were randomly allocated into two groups. After induction of general anesthesia, 200 mL of 0.2% lidocaine (lidocaine group, n=17), or normal saline (control group, n=17) were sub-diaphragmatically instilled 10 minutes before pneumoperitoneum. The changes in systolic blood pressure, heart rate, central venous pressure, stroke volume, cardiac output, and systemic vascular resistance were compared between the groups. The number of analgesics used during post-operative 24 h was compared. Results: Systolic blood pressure was elevated during pneumoperitoneum in both groups (p<0.01), but the degree of elevation was significantly reduced in the lidocaine group than in the control (p<0.01). However, stroke volume and cardiac output were decreased and systemic vascular resistance was increased after induction of pneumoperitoneum (p<0.05) without statistical difference between two groups. The number of analgesics used was significantly reduced in the lidocaine group (p<0.01). Conclusion: These data suggest that intra-peritoneal lidocaine before pneumoperitoneum does not alter patient's hemodynamics, and attenuation of pneumoperitoneum-induced hypertension may be the consequence of reduced intra-abdominal pain rather than the decrease of cardiac output during pneumoperitoneum. Therefore, intra-peritoneal lidocaine instillation before pneumoperitoneum is a useful method to manage an intraoperative pneumoperitoneum-induced hypertension and to control postoperative pain without severe detrimental hemodynamic effects.

한국문화에 따른 간호정립을 위한 기초조사연구 I -전통적인 인간관과 환자역할기대를 중심으로- (A Survey for the Construction of Nursing Theory According to Korean Culture -Traditional View of Human and Expectation of Sick Role-)

  • 박정숙
    • 대한간호학회지
    • /
    • 제26권4호
    • /
    • pp.782-798
    • /
    • 1996
  • This study was a survey done for the purpose of constructing a nursing theory according to Korean culture and to identify the traditional Korean view of humans and the expectations of the sick role, and to confirm changes from the traditional view of humans and expectations of the sick role according to general characteristics of the population. The subjects were all adults over 18 years old. 517 who lived in six large cities and 191 who lived in five rural communities. Data collection was done from November 19th, 1994 to January 19th, 1995 using a tool to measure the traditional view of humans and expectations of the sick role which was developed by the investigator through a literature review. Collected data were analyzed using frequency, percent, Cronbach alpha, 1-test, F-test and Scheffe post hoc contrasts, with the SAS program. The results of this study are summerized as follows : 1. The Traditional view of human score for all subject was 49.92, which shows that Korean traditional view of human is moderate. High scored items were "human need to live by making harmony with nature, not by overcoming the nature" (3.44), "Filial duty to parents and elders is important" (3.31), "Think of family more than a individual" (2.96). 2. The differences in the traditional view of humans between residential districts showed that the residents of Chungbuk(56.00), Kyungbuk(55.26), Chonbuk(51.32), Taegu(50.59) had a more traditional view of humans than those in Pusan(45.42) and Seoul (47.27). 3. The differences in the traditional view of humans according to general characteristics showed that rural community residents, males, older people, people with lower levels of education, married and house-resident groups had a significantly higher traditional view of humans than urban residents, females, younger people, people with a higher levels of education, single and apartment-resident groups. There were differences according to religion and job. Buddhism had a higher traditional view of humans than those of atheism, Christianity and Catholicism and physical workers, a significantly highers score, than technicians and professional workers. 4. Daily expected task performance during illnesses was lowest for patients with stroke (2.16) and psychosis(2.40), in which case almost no daily general tasks were expected, followed by arthritis 4.06, peptic ulcer 4.79, headache 4.99 and cough 5.58. The amount of expected role exemption during illnesses was also highest for stroke(2.25), followed by psychosis(2.08), arthritis(1.64), peptic ulcer(1.29), headache(1.16) and cough(1.09). The amount of daily task performance in the acute stage(3.05) was significantly lower than that of convalescent stage(4.95). 5. Total expectation of role exemption according to general characteristics showed that there was no significant differences in urban /rural community, marriage, level of education and religion. By sex, women showed higher expectation of role exemption during illnesses than men. By age, the 31-40 year old group showed lower expectation of role exemption than the 41-50 year old group or over the 61 year old group.or over the 61 year old group.

  • PDF

만성뇌졸중 환자의 웰니스 증진을 위한 신체기능과 낙성전조동작의 관련성 연구 (A Study on the Relationship between Body Function and Prelusive Movement to Falls to Promote Wellness in Chronic Stroke Patients)

  • 박창식;김진영
    • 한국엔터테인먼트산업학회논문지
    • /
    • 제15권7호
    • /
    • pp.181-192
    • /
    • 2021
  • 이 연구의 목적은 만성 뇌졸중 환자의 낙상 전조 동작과 다양한 신체 기능과의 관련성을 알아봄으로써 뇌졸중 환자의 낙상 연구에 관한 기초 자료를 제공하고자 실시하였다. 연구 대상은 뇌졸중으로 편마비 진단을 받고 N병원에서 입원 치료를 받고 있는 환자 중 연구에 동의한 환자 75명을 대상으로 실시한 결과 낙상 유무에 따른 일반의학적 특성에서 성별, 연령, 신장, 체중, BMI, 진단명, 마비 유형, 유병 기간에서는 차이가 없었으나 보행 보조 도구 사용(독립보행, 네발 지팡이, 외발 지팡이)에서는 비낙상군이 1회 낙상군과 다발성 낙상군과 비교하여 차이가 있는 것으로 나타났다. 낙상 전조 동작에 영향을 주는 요인을 알아본 결과 일어서기에서는 STS, FM-하지 운동 기능 순이었으며, 일어서기 시도에서는 FM-하지 운동 기능, STS, 연령, TIS-동적 균형, OLST-마비측 순이었다. 일어선 직후 균형 잡기에서는 FM-하지 운동 기능이 영향을 주었고, 서서 균형 잡기에서는 FM-하지 운동 기능, OLST-마비측, TIS-협응력 순이었다. 살짝 밀기에서는 FM-총합이 영향을 주었으며, 서서 눈 감고 균형 잡기에서는 STS, 연령, OLST-비마비측, FM-하지 운동 기능, TIS-정적 균형, OLST-마비측, TIS-동적 균형 순이었다. 360도 회전하기에서는 TIS-협응력, FM-하지 운동 기능, FM-상지 운동 기능 순이었다. 이상의 결과로 볼 때, 만성 뇌졸중 환자의 낙상 전조 동작과 다양한 신체 기능과의 관련성을 확인함으로써 낙상을 예방하기 위한 마비측 하지 근력 강화와 더불어 정상적인 보행 주기 및 체중 부하에 입각한 집중적인 균형, 체간조절, 보행 대칭성 훈련 등이 필요하며, 외적인 자극에 대한 최적의 운동 반응을 유도할 수 있는 고유수용성 감각 훈련이 병행되어야 할 것이다.

兩義供辰丹을 倂用한 한방치료가 重症度의 통증 환자에 미치는 진통 효과 : 후향적 연구 (Analgesic Effect of a Traditional Korean Medicine Yang Eui Gongjin-dan on Severe Pain: A Retrospective Study)

  • 이동혁;이영은;이보윤;김연진;조승연;박성욱;정우상;문상관;고창남;조기호;박정미
    • 대한한방내과학회지
    • /
    • 제36권3호
    • /
    • pp.265-275
    • /
    • 2015
  • Objectives: The aim of this study was to investigate the analgesic effect of Yang Eui Gongjin-dan (YEGJD), a traditional Korean medicine, on severe pain or numbness, including acute and chronic non-cancer pain. Methods: Records of patients visiting the Department of Traditional Korean Internal Medicine, Stroke and Neurological Disorders Center, from March 2011 to January 2015, were searched. Their chief complaint was severe numbness or pain (NRS≥7). We compared the NRS of pain pre- and post-YEGJD treatment in 34 patients; and analyzed changes in pain severity pre- and post-YEGJD treatment in 17 chronic non-cancer pain patients. We also investigated other accompanying symptoms, such as insomnia, anorexia, dyspepsia, fatigue, coldness, and excessive sweating, related to the deficiency state (虛症) in traditional Korean medicine. Results: The average pain NRS for the 34 patients significantly decreased from 8.04±1.08 to 3.75±2.54 after YEGJD treatment. The average pain NRS score in chronic non-cancer pain patients also significantly declined from 7.91±0.97 to 3.29±2.29. Conclusions: The traditional Korean medicine Yang Eui Gongjin-dan has an analgesic effect and is useful for treating severe pain or numbness. We recommend a randomized controlled trial using objective assessment scales and a large patient sample to further test the effects of Yang Eui Gongjin-dan.

상호억제 기법에 의한 경직성 편마비 환자 보행의 공간적, 시간적 특성 변화 (Characteristics Change of Spatial and Temporal Parameters of Gait in Spastic Hemiplegic Patients by Reciprocal Inhibition)

  • 김종순;이현옥;안소윤;구봉오;배성수
    • The Journal of Korean Physical Therapy
    • /
    • 제16권4호
    • /
    • pp.59-79
    • /
    • 2004
  • The purpose of this study was to determined the effects of reciprocal inhibition on spatial-temporal gait parameters in spastic hemiplegic patients through GaitRite system. The subjects were consisted 45 patients who had spastic hemiplegia due to stroke. All subjects randomly assigned to 3 group : manual reciprocal inhibition program group(manual group), neuromuscular electrical stimulation group(NMES group) and control group. The manual group received voluntary isometric contraction of pre-tibia muscle. The NMES group received neuromuscular electrical stimulation on tibialis anterior. The control group was not recieved any therapeutic intervention. Before and after experiments, spatial-temporal gait parameters and functional ambulatory profile was measure in all patients. The data of 30 patients who complete experimental course were statistically analysed. The results of this study were as following : 1. The percentage of change of functional ambulatory profile were markedly increased in manual group but statistically non significant(p>.01). 2. The percentage of change of gait velocity and cadence were markedly increased in manual group but statistically non significant(p>.01). 3. Asymmetry ratio of gait elements were more improved in manual group but statistically non significant(p>.01). 4. There were no statistical difference between pre-test and post-test with functional ambulatory profile, gait velocity, cadence and asymmetry ratios in NMES group(p>.01). 5. There were no statistical difference between pre-test and post-test with unctional ambulatory profile, gait velocity, cadence and asymmetry ratios in control group(p>.01). In conclusion, the present results revealed that reciprocal inhibition which produced by voluntary isometric contraction of pre-tibia muscle can be improved spatial-temporal gait parameters including functional ambulatory profile in hemiplegic patients. Therefore, reciprocal inhibition is useful to improve functional activities in hemiplegic patient. Further study should be done to analyze the effects of intervention duration of reciprocal inhibition, appropriate muscle contraction, optimal time to apply the reciprocal inhibition in more long period.

  • PDF

재활훈련을 위한 관성센서 기반 동작 분석 시스템 구현 (Implementation of Motion Analysis System based on Inertial Measurement Units for Rehabilitation Purposes)

  • 강신일;조재성;임도형;이종실;김인영
    • 재활복지공학회논문지
    • /
    • 제7권2호
    • /
    • pp.47-54
    • /
    • 2013
  • 본 논문은 몸 전체의 움직임을 측정하고 분석할 수 있는 관성센서 기반 모션 캡처링 시스템에 관한 것이다. 본 시스템 구현을 위해 자이로스코프, 가속도계 및 지자계 신호를 이용한 자세 방위 측정장치 모듈을 개발하였으며, 다수의 모듈을 환자의 분절에 부착하고 공간상에서 각 분절의 방위각을 계산하여 3차원 모션캡처를 수행하였다. 또한 재활과 관련된 많은 응용에 있어 중요한 생체역학 측정값인 신체 분절간의 관절각을 추출하는 알고리즘을 제안하였다. 개발한 자세 방위 측정장치 모듈의 성능을 평가하기 위하여 3차원 공간상의 변위 및 방위를 밀리미터 해상도로 제공할 수 있는 Vicon을 참조 측정 시스템으로 이용하였으며, 2.56도의 평균 제곱근 오차를 얻을 수 있었다. 실험 결과 본 연구에서 개발한 시스템은 뇌졸중 후 회복단계 동안 사지 및 보행 동작을 실시간으로 분석, 제공함으로서 재활의 효과, 난이도 조절 및 피드백 요소를 제공할 수 있을 것으로 판단된다.

  • PDF

황련(黃連)의 주성분인 Berberine의 뇌신경소교세포로부터 LPS에 의해 유도되는 염증매개물질 생성억제효과 (Effects of Berberine on the production of inflammatory mediators from LPS-stimulated BV2 microglial cells)

  • 박용기;정효원;김창민;최재수;김영식
    • 대한본초학회지
    • /
    • 제22권4호
    • /
    • pp.117-125
    • /
    • 2007
  • Objectives : Berberine, a main alkaloid component of Coptidis rhizoma, has an antimicrobial and anti-tumor activities and antiinflammatory effect. In the present study, we investigated effect of berberine on the production of inflammatory mediators such as nitric oxide(NO), prostaglandin E2(PGE2), TNF-${\alpha}$ and IL-1${\beta}$ in LPS-stimulated BV2 microglial cells, Methods : BV2 cells were pre-treated with berberine and then stimulated with LPS. The cytotoxicity of berberine was determined by MTT assay. The NO production was measured by Griess assay. The mRNA expression and protein levels of inducible nirtic oxide synthase(iNOS) were determined by RT-PCR and Western blot. The production of PGE2 and cytokines was measured by ELISA. Results : Berberine inhibited the production of NO, PGE2 and pro inflammatory cytokines, TNF-${\alpha}$ and IL-1${\beta}$ in a dose dependent manner in LPS-stimulated BV2 cells. In addition, berebrine greatly suppressed the mRNA expression and protein levels of iNOS and inflammatory cytokines induced by LPS stimulation. These results indicate that the post-transcriptional regulatory mechanism of iNOS and/or inflammatory cytokine gene expression by berberine is involved in its anti-inflammatory effects, respectively. Conclusion : The present study suggests that berberine can be useful as a potential anti-inflammatory agent for treatment of various neurodegenerative diseases such as Alsheimer's disease, Parkinson's disease and stroke.

  • PDF

전립선 전용 전자쑥뜸 발열단자의 개발 (Development of the Special Heat Generating Terminal of Cauterizer for Prostate)

  • 조봉관;이윤호
    • Journal of Acupuncture Research
    • /
    • 제26권2호
    • /
    • pp.41-48
    • /
    • 2009
  • Objectives : The conventional direct and indirect moxibustion therapies for prostate treatment could not been applied to the acupuncture point of $CV_1$(Conception Vessel Meridian 1, 會陰) because of its boring body region. The position of $CV_1$(會陰) is the back side of hard part between the anus and the genital organ. The conventional moxibustion methods have many troubles in operating to the acupuncture point of $CV_1$(會陰). In order to get rid of these problems, we have suggested the special heat generating terminal especially for prostate. The features of the special heat generating terminal for prostate are the low temperature infrared heater and the adhesive moxa-pad. These features are no burnt, no fiery and especially suitable for the point of $CV_1$(會陰). Methods: The heat generating terminal which is a part of the moxa-extract moxibustion cauterizer is composed of a PTC(Positive Temperature Coefficients) ceramic heater and the adhesive moxa-pad We had got the experimental demonstrations by the stimulating the acupuncture points which are $CV_1$(會陰), $BL_{28}$(Bladder Meridian 28, 膀胱兪), and $CV_3$(Conception Vessel Meridian 3, 中極) with the special heat generating terminal for the prostatitis and the benign prosthetic hypertrophy. And the stimulation level was 43$^{\circ}C$ infrared heat for one hour. The type of thermography is IRIS-5000. Results : With one subject suffering the prostatitis and another subject suffering the benign prosthetic hypertrophy, we cauterized the acupuncture points $CV_1$(會陰), $BL_{28}$(膀胱兪) and $CV_3$(中極) with the special heat generating terminal for prostate. We measured the temperature variations by the thermography before and after stimulations. Finally we estimated the tendency of temperature decreasing in the region of post-stroke urinary symptoms and the improvement of nocturnal enuresis after the stimulations. Conclusions : We suggest that the special heat generating terminal of moxa-extract moxibustion cauterizer proposed herein is effective for the treatment of prostate by NIH-CPSI and IPSS.

  • PDF

간단하고 빠른 실시간 연필 스트로크 알고리즘 (A Simple and Fast Algorithm for Real-time Pencil Strokes)

  • 최성욱
    • 한국정보과학회논문지:시스템및이론
    • /
    • 제33권6호
    • /
    • pp.344-353
    • /
    • 2006
  • 본 논문은, 연필을 이용하여 종이에 선을 그렸을 때에 나타나는 효과를 모방하는 연필 스트로크 알고리즘을 제안한다. 비사실적 렌더링(NPR, Non-Photorealistic Rendering)에 대한 연구는 사람이 직접 그린 펜화나 수채화, 연필화, 파스텔화 등의 효과를 컴퓨터를 통해 자동으로 표현함을 목적으로 하고 있으며, 현재 그래픽스 분야에서 활발히 진행되고 있다. 이 중에서 연필에 대한 효과에 대한 연구는 LIC(Linear Integral Convolution)를 이용하여 최초 입력영상을, 방향성을 가진 벡터 영역이 반영된 출력 영상으로 변환하는 방식에 대한 연구가 대부분이었다. 그러나 이러한 변환 방식은 후처리방식이므로 사용자가 실시간으로 그림을 그리는 드로잉 툴에 적용하기 불가능하다. 본 논문에서는 무름의 정도에 따라 6B에서부터 6H의 연필들에 의해 실제 선이 그려지는 것을 관찰하고 이를 모방한 새로운 실시간 연필 스트로크 알고리즘을 제시하였다. 본 알고리즘은 연필상수, 스트로크 상의 픽셀 위치에 따른 노이즈 발생 등을 이용한 간단한 형태의 알고리즘임에도 불구하고, 구현 결과, 사용자가 일반 그래픽 에디터와 같은 환경에서 실제 연필 스트로크와 유사한 형태의 스트로크를 실시간으로 그릴 수 있음을 확인할 수 있었다.

뇌경색 마우스의 뇌손상에 대한 소풍탕(疎風湯)의 보호효과 (The Protective Effects of Sopung-tang on Brain Damage in Photothrombotic Ischemia Mouse Model)

  • 장석오;최지혜;이동엽;최용준;이인;문병순
    • 대한한방내과학회지
    • /
    • 제30권3호
    • /
    • pp.612-623
    • /
    • 2009
  • Objectives : The water extract of Sopung-tang (SPT) has been traditionally used in the treatment of acute stroke in Oriental Medicine. Pro-inflammatory cytokines play a critical role in the onset of post-ischemic inflammatory cascades. The present study was designed to investigate the effects of SPT on pro-inflammatory cytokine production in a photothrombotic ischemia mouse model. Methods : After SPT oral administration to the mice for five days, with using Rose Bengal and cold light, photothrombotic ischemia lesion was induced in stereotactically held male BALB/c mice. Also, results including, gross finding lesion size, histopathological finding changes, and inflammatory cytokine expression changes from the photothrombotic ischemia mouse model were observed. Results : The photothrombotic ischemia lesion was decreased by the oral injection of SPT. Also, SPT inhibited the expression of TNF-$\alpha$, IL-$1{\beta}$, IL-6, the active form of caspase-3 protease, and transglutaminase-2 in the photothrombotic ischemia lesion. Conclusions : These results suggest that SPT protects the ischemic death of brain cells through suppression of the production of anti-inflammatory cytokines and catalytic activation of caspase-3 protease in the photothrombotic ischemia mouse model.

  • PDF