• 제목/요약/키워드: SIDE EFFECTS-nausea

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A clinical Comparison of Lobaplatin or Cisplatin with Mitomycine and Vincristine in Treating Patients with Cervical Squamous Carcinoma

  • Li, Wei-Ping;Liu, Hui;Chen, Li;Yao, Yuan-Qing;Zhao, En-Feng
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권11호
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    • pp.4629-4631
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    • 2015
  • Background: The research was to compare the efficacy and side effects of cisplatin or lobaplatin in combination with mitomycine (MMC) and vincristine in treating patients with cervical squamous carcinoma. Materials and Methods: Cervical squamous carcinoma patients who were pathologically diagnosed with stage Ib-IIb from April 2012 to May 2013 in the general hospital of Chinese People's Libration Amy were enrolled. All patients were confirmed without prior treatment and were randomly divided into two groups, Group A and B. Efficacy and side effects were evaluated after one cycle of chemotherapy. Results: Group A (n=42) were treated with Loubo$^{(R)}$ (Lobaplatin) $50mg/m^2$, MMC $16mg/m^2$ and Vincristine $2mg/m^2$ every 21 days. Group B (n=44) were treated with Cisplatin $100mg/m^2$, MMC $16mg/m^2$ and Vincristine $2mg/m^2$ every 21 days. All 86 patients completed one cycle of chemotherapy with cisplatin or lobaplatin in combination with MMC and vincristine. No difference was observed regardiing short-term effect between two groups. Main side effects were bone marrow suppression and gastrointestinal reactions including decrease of white blood cells, platelet and nausea/vomiting. Grade III-VI liver and kidney impairment was not reported in two groups. In group A the incidence of uterine artery spasm in the process of drug delivery was significantly lower than the group B. Conclusions: Cisplatin or lobaplatin with MMC and Vincristine in the interventional treatment of cervical squamous carcinoma were effective, especially after uterine artery perfusion chemotherapy at tumor reduction and tumor downstaging period. The adverse reactions of concurrent chemotherapy are tolerable, and low physical and mental pressure even more less stimulation of vascular in treatment with lobaplatin. However, the long-term effects of this treatment need further observation.

제왕절개술 환자에서 Fentanyl-Ketorolac-Droperidol과 Nalbuphine-Ketorolac-Droperidol의 술후 진통효과 비교 (The Effect of Fentanyl-Ketorolac-Droperidol and Nalbuphine-Ketorolac-Droperidol for Postoperative Analgesia in Cesarean Section Patients)

  • 이재상;정영표;이강창;김태요
    • The Korean Journal of Pain
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    • 제8권2호
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    • pp.251-256
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    • 1995
  • Opioids produce strong analgesic effect result with some side effects such as nausea, vomiting, urinary retention, somnolence, and respiratory depression. Nalbuphine, an agonist-antagonist has, at low doses, an analgesic potency comparable to morphine with little side effects. Analgesic effect after continuous infusion of fentanyl-ketorolac-droperidol, or $Nubain^{(R)}$-ketorolac-dropertiodl combination in Cesarean section patients were assessed by numerical rating scale (NRS) and Prince Hednry scale (PHS). The patients were divided into two groups. Each group consists of 30 patients. Group 1 received 20 ${\mu}g$ of fentanyl the end of surgery. And then continuously infused with additional 380${\mu}g$ of fentanyl plus 120 mg of ketorolac and 2.5 mg of droperidol. Group 2 initially received 2 mg of $Nubain^{(R)}$ at the end of surgery and the remaining dose of $Nubain^{(R)}$ 38 mg plus ketorolac 120 mg and droperidol 2.5 mg was continuously infused. With all patients, initial dose of drug was administered by bolus of i.v. injection and the remaining dose was administered via i.v. using a Baxter Two $Infusor^{(R)}$. Pain scores and side effects were recorded at the time of recovery room arrival, and at interval of 30 min, 1 hr, 6 hr, 14 hr, 24 hr, 48 hr after start of continuous infusion. No significant difference was found between the pain scores and side effects of both groups although pain control effect was excellent in both groups. We concluded that $Nubain^{(R)}$ could be an alternative to fentanyl for postoperative pain control.

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충남지역 일부 대학생의 성별과 비만도에 따른 에너지음료 섭취실태 및 인식 (Intake Status and Perception of Energy Drinks according to the Gender and Obesity of Some University Students in Chungnam Province)

  • 고갑금;김명희;이제혁
    • 한국식품영양학회지
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    • 제32권3호
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    • pp.167-178
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    • 2019
  • The purpose of this study was to investigate the intake status of energy drinks, knowledge of caffeine and the perception on intake of energy drinks by university students. We surveyed 351 university students from October 25, 2017 to January 25, 2018. The subjects (70.9%) consumed energy drinks more than once. Male students consumed energy drinks more frequently than the female ones. A huge portion (68.3%) of the subjects consumed energy drinks to recover from fatigue and reduce sleepiness. Moreover, they consumed most of the energy drinks at home and the university library. The main anticipated efficacy of energy drinks was the relieving drowsiness. Respondents (86.3%) perceived that energy drinks could be hazardous to the health of human beings. The main risks of consuming energy drinks were sleep disorders, addiction problems and heart beating. The main recognized effects of energy drinks were relieved drowsiness and decreased fatigue. The major side effects were heart beating, nausea, vomiting, heartburn and sleeping disorders. This study suggests that nutritional education is needed to confirm the recommendation of daily intake for caffeine and to raise awareness about the side effects of energy drinks.

인삼 복용 후 발생한 비출혈 및 심계항진을 주소로 한 소양인 환자 1례 (A Case Study of a Soyangin Patient with Palpitation and Epistaxis that Occurred after Taking Panax Ginseng)

  • 이선영;황민우
    • 사상체질의학회지
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    • 제25권4호
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    • pp.406-413
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    • 2013
  • Objectives The purpose of this case study was to report improvement of palpitation, epistaxis, nausea, and anorexia after treatment with Dojeokgangki-tang gamibang in a middle-aged woman who has been taking Panax Ginseng continually. Methods Upon beginning her Dojeokgangki-tang gamibang regimen the patient was asked to self-evaluate the degree of discomfort in her symptoms using a using a number scale from 0 (no symptoms) to 10 (most severe). Evaluation of palpitation and chest discomfort was made a high priority. Results The palpitation the patient experienced, and self-evaluated as an "8" on the number scale at the time of her admission to the hospital, had disappeared (become "0") by the fourth day of hospitalization. The numerous symptoms which accompanied her palpitations (chest discomfort, nausea, anorexia, general weakness, weight loss, and depression) also improved accordingly. Conclusions Health functional food can pose serious health risks such as sudden bleeding and palpitations in individuals with pre-existing health problems. One must exercise extreme caution in deciding to take such supplements. As seen in the case of the middle-aged woman, the quality of life of patients who had experienced adverse reactions to such supplements can be treated through the administration of Dojeokgangki-tang gamibang.

소아의 수술 후 오심 및 구토에 대한 침술치료 임상연구 고찰 (Acupuncture Clinical Trial Study for Prevention of Postoperative Nausea and Vomiting in Children)

  • 장규태;김장현;최은영
    • 대한한방소아과학회지
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    • 제19권1호
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    • pp.173-183
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    • 2005
  • Background and objective : Postoperative nausea and vomiting(PONV) are frequent complications of general anesthesia in children. High cost and associated side effects of antiemetic drugs, have increased interest in nonpharmacological methods for treatment of PONV. The aim of this study was to report the effect of acupuncture for prevention of PONV in children. Material and Method : Randomized clinical trials retrieved by a search of articles indexed on the Medline and NDSL database. Key words to search were 'PONV', 'POV', 'acupuncture', 'children', 'pediatric'. Results : Eleven articles were selected and six of them showed significant effectiveness of acupuncture in preventing PONV in children. Acupuncture methods were needle acupuncture acupressure, electro-acupuncture, laser acupuncture, acupuncture point injection. The main acupuncture point was P6(Neiguan). Conclusion : The effectiveness of acupuncture for prevention of PONV in children has been shown in some, but not all trials. Further studies are needed.

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초음파 유도 좌골 신경 도관 삽입에 의한 수술 후 통증 조절 - 술기 보고 - (Postoperative Pain Control by Ultrasound-Guided Sciatic Nerve Catheterization - A Technical Note -)

  • 강찬;황득수;김영모;황정모;이승현
    • 대한족부족관절학회지
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    • 제15권2호
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    • pp.97-101
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    • 2011
  • Intravenous Patient Controlled Analgesia (IV PCA0 after general or spinal anesthesia may be a method of postoperative pain control, but side effects such as nausea, vomiting, and sedation occurs in most patients. The following research is based on the ultrasound guided femorosciatic nerve block held on parts below the knee joint operation. Because this anesthesia is held locally on the sciatic nerve with continuous anesthesia performed through perineural catheterization, the complications of nausea, vomiting, and sedation may be reduced while postoperative pain caused by the sciatic nerve is controlled. The following report is held on this experience.

제왕절개술후 통증치료를 위해 경막외강에 투입된 Morphine과 Nalbuphine의 비교 연구 (A Comparison of the Epidural Nalbuphine to Epidural Morphine in Post-Cesarean Section Patients)

  • 문봉기;이윤우;이자원;윤덕미;오흥근
    • The Korean Journal of Pain
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    • 제6권1호
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    • pp.60-66
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    • 1993
  • The clinical effects of epidural nalbuphine were compared to those of epidural morphine in sixty Cesarean delivery. They were physical status 1 or 2 by ASA classification and randomly divided into three groups. They were administered nalbuphine 5 mg(Group N5), nalbuphine 10 mg(Group N10) or morphine 3 mg(Group M3) through an indwelling epidural catheter at the time of peritoneal closure. During the first postoperative 24 hours, their analgesic effects were evaluated by visual analogue scale(0-10), respiration rates and Trieger dot test. The severity of side effects(0-2) was also evaluated. The results were as follows ; 1) The number of patients who needed additional epidural analgesics was least in group M3 (p<0.05). There was no significant difference between group N5 and group N10. 2) The duration between the first and second epidural administration was ; 19.2 hours in group M3, 8.6 hours in group N10 and 5.4 hours in group N5. There was a significant difference each group (p<0.05). 3) From the fourth post operative hour, both groups receiving nalbuphine showed a higher VAS score compared to group M3(p<0.05). 4) The incidence of pruritus, nausea, vomiting and voiding difficulty were more severe in group M3 compared with the other groups. However the severity did not increase with increasing nalbuphine dosage. 5) There were no patients showing objective sedation or low respiration rate(10 times/minute). We concluded that epidural administration of nalbuphine 5 mg or 10 mg is one way of post operative pain control. Its side effects were less than epidural morphine, but it is a less convenient in the method of analgesia.

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흉곽내 악성종양환자에서 Cisplatin 투여시 5-hydroxyindoleacetic Acid (5-HIAA)의 변화 (Urinary 5-hydroxyindoleacetic Acid(5-HIAA) Excretion Before and During Cisplatin Chemotherapy in Patients with Intrathoracic Malignancy)

  • 양동규;장윤수;김영삼;이준구;박재민;안강현;김세규;정현철;장준;안철민;김성규;이원영
    • Tuberculosis and Respiratory Diseases
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    • 제46권6호
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    • pp.811-816
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    • 1999
  • Background : Nausea and vomiting associated with chemotherapy are common side effects which remain difficult to control. Acute phase nausea and vomiting (0-24 hours after induction of chemotherapy) parallels plasma serotonin release, which explains the effectiveness of $5-HT_3$ receptor antagonists. Serotonin released from gastrointestinal enterochromaffin cells may mediate chemotherapy-induced emesis. In this study, we analyzed urinary excretion of 5-HIAA, the main metabolite of serotonin. Methods : Eight men and four women were studied in their cisplatin chemotherapy cycle. Urinary 5-hydroxyindoleaoetic aicd (HIAA) levels were determined before and during a 24-hour period under ondansetron prophylaxis. Results : Urinary 5-HIAA excretion for a 24-hour period was increased in all patients after induction of cisplatin (P=0.002). Conclusion : Cisplatin chemotherapy is associated with serotonin release in the acute phase. Our finding may provide evidence for a relationship between emesis and serotonin following cisplatin chemotherapy.

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대장내시경 전처치로 설탕 첨가법, 껌 씹기법 및 표준복용법의 비교연구 (Comparison of sugar addition, gum chewing, and standard methods for the colonoscopy bowel preparation ; an endoscopist-blinded, randomized controlled trial)

  • 황유리;허명행
    • 한국융합학회논문지
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    • 제12권8호
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    • pp.335-343
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    • 2021
  • 본 연구는 대장내시경을 위한 대장정결 방법으로 쿨프렙산을 복용하는 대상자에게 설탕 첨가 및 껌 씹기를 적용하여 오심, 혐오, 대장정결도에 미치는 효과를 확인하기 위한 무작위 대조군 연구이다. 연구대상은 20~65세의 성인으로 120명이 실험을 완료하였다. 수집된 자료는 SPSS/WIN 25.0을 사용하여 X2 test, ANOVA을 시행하여 오심, 혐오, 대장정결도의 효과를 확인한 결과 설탕 첨가법 및 껌 씹기법을 사용하여 쿨프렙산을 복용하는 것은 표준복용법과 비교하여 오심, 혐오, 대장정결도에 유의한 차이는 없었다. 대장정결제 복용 시 어려움을 줄이기 위한 융합적인 노력이 필요하다. 다만, 연구 대상자에서 고혈당 등의 부작용이 관찰되지 않아 개인의 기호에 따라 일부 적용 가능하다고 생각된다.

두경부 편평세포암종에 대한 UFT 투여 후 항종양효과에 관한 제2상 임상 연구 (A Phase n Study on UFT Therapy for Head and Neck Squamous Cell Carcinoma)

  • 최종욱;최건;정광윤
    • 대한두경부종양학회지
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    • 제10권1호
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    • pp.74-79
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    • 1994
  • A Phase II study of UFT which is a mixture of Tegafur and Uracil was conducted in two institutions during past two years. Ninty-four patients of head and neck squamous cell carcinoma entered this trial, of which sixty-eight were evaluated. Among those, thirty-six cases were previously untreated and thirty-two cases were recurrent UFT was administrated orally at a daily dose of $400mg/m^2$ for eight weeks. The results were as following: 1) Overall response was 30.88%, but for 38.36% for 36 cases of the untreated cases, 21.88% for 32 cases of recurrent cases. 2) UFT was more effective in early stage and well differentiated squamous cell carcinoma and UFT tended to reduce the tumor size maximally at fourth or fifth week 3) There was no serious side effects except mild gastrointestinal disturbances such as nausea and vomiting, which were recovered immediately after stop or reducing a daily dose. Therefore, UFT therapy is clinically effective for head and neck squamous cell carcinoma and also may be useful for combination or palliative chemotherapy because of mild side effects.

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