• 제목/요약/키워드: Subjective Pain

검색결과 649건 처리시간 0.023초

구강작열감증후군 환자에서 심상유두 수 측정의 진단적 가치 (Diagnostic Values of the Measurement of Fungiform Papillae in Patients with Burning Mouth Syndrome)

  • 이엄지;박재우;김진성
    • 대한한방내과학회지
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    • 제37권6호
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    • pp.978-989
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    • 2016
  • Objectives: This study evaluated the diagnostic values of measuring the number of fungiform papillae in patients with burning mouth syndrome (BMS). Methods: Seventy participants (35 BMS patients and 35 Healthy control) participated in this study. The number of fungiform papillae (FP) was measured on the anterior part of the tongue within an area of $9mm^2$ using a digital camera. The subjects were evaluated on their yin deficiency and blood stasis conditions using the Yin-Deficiency Questionnaire (YDQ) and Blood Stasis Questionnaire (BSQ). Moreover, the severities of subjective tongue pain in the BMS patients were assessed using Visual Analog Scale. Results: There were significant differences in the number of FP and the YDQ and BSQ scores between the two groups. The number of FP and the YDQ scores in the BMS group showed statistically significant correlations with the VAS score of tongue pain. In the bivariate logistic regression analysis, the factor that most strongly contributed to BMS was the number of FP. The optimal cut-off value of the number of fungiform papillae was calculated as 5.5 with 71.4% sensitivity and 82.9% specificity. There was no statistically significant correlation between the number of FP and the YDQ or BSQ score. Conclusions: According to these findings, measuring the number of FP could be a valuable evaluation indicator of BMS.

요추간판탈출증(腰椎間板脫出症) 환자(患者)의 추나치료(推拿治療) 효과(效果)에 대(對)한 임상적(臨床的) 고찰(考察) (The Clinical Study on the Effect of Chuna Treatment for Patients with Herniated Intervertebral Disc of Lumbar Spine)

  • 김수장;장형석;김성용;신준식
    • 대한추나의학회지
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    • 제2권1호
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    • pp.93-109
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    • 2001
  • Objectives : The aim of present study is to estimate clinical outcome of Chuna treatment and Chuna medicine treatment for patients with H.I.V.D(Herniated Intervertebral Disc) of lumbar spine according to the character of patients and the steps of Chuna therapy, and therefore suggest a prospective, desirable Chuna treatment and patient guidance. Methods : We investigated the 258 cases of outpatients who were diagnosed as the H.I.V.D. on lumbar C.T. or MRI and were treated more than seven times with chuna treatment and more than one time with Chuna medicine treatment In Jaseng Oriental Medicine Hospital from September 1, 1999 to December 31, 2000. We evaluated the subjective symptoms by Hudgin's classification. For the sake of the more objective evaluation for before and after treatment, we calculated the Improvement index and ratio of the four parts to estimate the pain and functional disorder In before and after treatment by Macnab's criteria. Results & Conclusion : The improvement index and ratio showed that the conservative therapy with Chuna therapy improved the symptom of H.I.V.D. much effectively, and especially in the patient groups of male, 30-39 years, standing Job, duration of symptom within one week, the 4th step of chuna treatment, the first step of chuna medicine treatment, and the excellent satisfactory assessment of Chuna treatment. Therefore, it is supposed that the conservative therapy with Chuna therapy and patient guidance should be much actively continued.

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주관적인 3차원 피로감 측정 방법에 대한 휴먼팩터 연구 (Human Factor Research on the Measurement of Subjective Three Dimensional Fatigue)

  • 이형철
    • 방송공학회논문지
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    • 제15권5호
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    • pp.607-616
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    • 2010
  • 현재까지 제안된 3차원 시각피로 측정 방법은 측정의 타당도가 결여되어 있고 시각피로의 복합적인 특성을 제대로 파악해 내지 못 하는 단점이 있다. 본 연구의 목적은 3차원 시각피로의 구성요인을 분석하고 안정적으로 타당하게 주관적인 시각피로를 측정하는 방법을 제안하는 것이다. 연구결과는 다음과 같이 요약된다. 첫째, 시각피로가 네 개의 독립적인 하위요인(시각적 스트레스, 안구 통증, 신체 통증, 상 흐림 요인)으로 구성되어 있음을 규명하였고, 둘째, 네 개의 요인으로 구성되어 있는 3차원 시각피로를 측정할 수 있는 29개의 문항을 개발하였으며, 셋째, 시각피로에 영향을 미칠 것으로 기대되는 시청시간과 양안시차의 조작이 개발된 측정 방법을 이용하여 측정된 시각피로에 실제로 영향을 미침을 확인하였다. 이와 같은 결과는 본 연구에서 제안하는 시각피로 측정 방법이 3차원 시각피로를 타당하게 측정함을 시사한다.

골관절염 노인의 건강 관련 삶의 질 영향요인: 국민건강영양조사 자료를 이용하여 (Factors influencing Health-related Quality of Life in Older Adults with Osteoarthritis: Based on the 2010-2011 Korea National Health and Nutrition Examination Survey)

  • 김민주;배선형
    • 근관절건강학회지
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    • 제21권3호
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    • pp.195-205
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    • 2014
  • Purpose: This study was conducted to identify factors that influence health-related quality of life in older adults with osteoarthritis. Methods: This study used a cross-sectional design with secondary analysis of the Korean National Health and Nutrition Examination Survey 2011. A total of 362 participants aged 65 years and older who had osteoarthritis were selected. Health-related quality of life using EQ-5D, perceived health status, body mass index, numbers of chronic illness, smoking and alcohol use, exercise, activity limitation, joint pain and stiffness, depression, and perceived stress were measured. Descriptive statistics, $x^2$-test, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression were conducted with SPSS/WIN 21.0. Results: The mean score of EQ-5D was 0.77 in older adults with osteoarthritis. The results of multiple regression analysis showed that age, income, subjective health status, restriction of activity, knee joint stiffness, depressive mood, and perceived stress significantly predicted health-related quality of life in older adults with osteoarthritis, explaining 42% of the variance. Conclusion: Older adults with osteoarthritis have low health-related quality of life. In oder to improve health-related quality of life in older adults with osteoarthritis, it is important not only to enhance physical function but also to provide emotional support.

당일 입원 환자의 치과 수술 시 Propofol을 이용한 Monitored-Aesthesia Care (MAC)의 안정성 및 유용성에 관한 연구 (Safety and Availability of Monitored-Anesthesia Care using Propofol during Implant Surgery of the One-day Admission Patients)

  • 김범수;김영균;윤필영;이용인
    • 대한치과마취과학회지
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    • 제7권2호
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    • pp.120-125
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    • 2007
  • Background: Propofol has been used extensively for short-acting intravenous sedative agent during monitored anesthesia care (MAC). This study was designed to evaluate the safety and availability of MAC using propofol in implant surgery of the one-day admission patients. Methods: In this study, subjects were divided into two groups according to ASA physical status. The heart rate, blood pressure, peripheral oxygen saturation and ECG of a patient were estimated under MAC by an anesthesiologist and the vital signs were recorded in recovery room periodically afterwards. The subjective satisfaction with regard to outpatient ambulatory surgery under MAC procedure was evaluated the next day. Results: Systolic and diastolic blood pressure were significantly decreased during MAC in ASA I group, but other remarkable changes in vital sign were not observed. There was no significant difference in pain and anxiety level between ASA I and ASA II, III group. Satisfaction rate was high in both groups. Conclusion: Monitored-Anesthesia Care using propofol during implant surgery of the one-day admission patients might be safe and available procedure because heart rate, blood pressure and oxygen saturation are stable before and during surgery, and adequate control of pain and anxiety is supported.

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형방사백산(荊防瀉白散)으로 호전된 소양인(少陽人) 하지불안증후군 환자 치험 1례 (A Case Study of Soyangin Patient with Restless Legs Syndrome Treated with Hyeongbangsabaeksan)

  • 김진영;이지원;오혜원;이준희;이의주;고병희
    • 사상체질의학회지
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    • 제27권4호
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    • pp.419-428
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    • 2015
  • Objectives The aim of this study was to report an improvement on the symptoms of Restless Legs Syndrome (RLS) after using Hyeongbangsabaeksan.Methods The patient was diagnosed with Soyangin Soyang-sangpung Symptomatology and treated with Hyeongbangsabaeksan. The patient's subjective symptoms of pain on the lower limb and discomfort in sleeping were observed using the Numerical Rating Scale(NRS) and Visual Analogue Scale(VAS) respectively during the treatment period. And other specific symptoms of RLS were assessed once per week for a total of three times with Korean Versions of the International Restless Legs Scale.Results and Conclusions The pain on the patient's lower limb decreased from NRS 4 to NRS 0 after one week of treatment. And discomfort in sleeping decreased from VAS 5.5 to VAS 0 after one week of treatment. Furthermore, the score of Korean Versions of the International Restless Legs Scale decreased from 40 to 5 after two weeks of treatment. In conclusion, this study shows that Sasang Constitutional Medicine can be an effective treatment for Soyangin patient with Restless Legs Syndrome as Soyangin Soyang-sangpung Symptomatology.

구강안면운동장애에 대한 필로카핀의 적용 (The Effects of Pilocarpine in Patients with Orofacial Movement Disorder)

  • 정성희;옥수민;허준영;고명연;안용우
    • Journal of Oral Medicine and Pain
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    • 제37권2호
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    • pp.107-112
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    • 2012
  • 하악 및 구강주위근육의 조절되지 않는 움직임으로 정의 되는 구강안면운동장애(orofacial movement disorder, OMD)는 노인층에서 많이 발생하며 그 원인이 아직 정확히 밝혀지지 않고 치료방법 또한 다양하다. 임상적 특징을 분석하고 치료방법을 연구한 자료는 많이 있으나 타액분비와 OMD의 상관관계에 대한 구체적인 연구는 아직 없다. 본 연구에서는 부산대학교치과병원 구강내과에 내원한 OMD 환자 중 구강건조감을 호소한 4명의 환자를 증례로 하여 필로카핀(pilocarpine)을 경구로 투여한 후 OMD 증상의 변화를 관찰하였다. 연구결과 타액분비량의 저하를 보여 구강건조증으로 진단된 증례와 정상타액분비량을 보이는 증례 모두에서 필로카핀의 경구투여 후 OMD증상의 개선을 보였다. 따라서 향후 OMD와 구강건조증의 상관관계에 대한 추가적인 연구가 필요할 것으로 사료된다.

한방병원에 내원한 악관절 환자 52명에 관한 임상적 고찰 (The Clinical Study of 52 Patients with Temporomandibular Disorder who Visited Oriental Medical Hospital)

  • 이진혁;설무창;민관식;진은석;정해찬
    • 척추신경추나의학회지
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    • 제4권1호
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    • pp.65-73
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    • 2009
  • Objectives : The propose of this study is to analyze characteristics with sex, age, motivation, symptom, Impression, treatment effect about temporomandibular disorder patients. Method : We performed a retrospective study of 52 patients who visited the Jaseng Hospital of Oriental Medicine, from August 2008 to October 2008. Result : Women occupied the most part. And 27 persons in the 20th are the most distribution of age. The majority of patients occured the symptom for no reason. In the distribution of symptoms, TMD pain(88.46%), Click sound(82.69%), neck pain(52.92%), headache(38.46%), lumbago(21.15%) happened. In the impression through radiological diagnoses, The majority of patients diagnosed Straightening of cervical lordotic curvature. Oriental medical treatment showed a very valuable effect on improvement of TMD symptom. Conclusion : The results showed a valuable treatment effect of temporotandibular disorders on Oriental medical treatment. Therefore this work have the necessity of continuous study and observation and will help us to understand the features of patients who visiting the TMD clinic of Jaseng Hospital of Oriental medicine.

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Morphine이 굴근반사(Flexion Reflex)에 미치는 영향 (Morphine Sensitive Components of the Flexion Reflex)

  • 정진모;백광세;남택상;김인교;강두희
    • The Korean Journal of Physiology
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    • 제15권2호
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    • pp.67-71
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    • 1981
  • Experiments were conducted to test morphine sensitivity of the flexion reflex in the anemic decerebrate cats. Animals were immobilized with gallamine triethiodide(Flxaedil) and were artificially ventilated. The sural nerve was electrically stimulated(20V, 0.5 msec) and the flexion reflex was obtained by recording compound action potentials from the nerve innervated to the semitendinosus muscle. Intravenous injection of morphine $(0.5{\sim}2.0\;mg/kg)$ was found to have following effects on the flexion reflex. 1) Morphine tended to depress the early component of the flexion reflex and the effect was widely variable between animal preparations. 2) Morphine significantly depressed the late component of the flexion reflex, the effect being proportional to the dose of morphine. 3) The morphine effect on the flexion reflex was reversed by a small dose of naloxone hydrochloride$(0.025{\sim}0.1\;mg/kg)$. 4) Naloxone hydrochloride alone did not appear to facilitate the flexion reflex. 5) The main site for the morphine action was found to be the brain stem. From these results and those reported in literatures, we conclude that the late component of the flexion reflex well represents the pain sensation, thus the late component of the flexion reflex can be used as a reasonable subjective index of pain in experimental animals.

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한국 청소년의 스트레스와 구강건강 및 건강행태의 융합적 영향 (The Convergence Impact of Oral Health Behaviors, Health behaviors to Stress in Korean Adolescents)

  • 전미진;김정선
    • 한국융합학회논문지
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    • 제8권4호
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    • pp.139-148
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    • 2017
  • 본 연구는 한국 청소년의 스트레스가 구강건강 및 건강행태에 미치는 융합적인 영향을 알아보고자 하였다. 제 11차(2015년) 청소년 건강행태 온라인 조사를 활용하여 72,060명을 대상으로 연구하였다. 일반적인 특성은 성별(Sex)에서는 여학생에서, 학년(Grade)에서는 고등학생이, 성적(Academic performance)에서는 하위그룹(Low)이, 주관적건강수준(Subjective health status)에서는 즉 나쁘다고 느끼는 학생이, 아침식사(Breakfast)를 하지 않는 학생이, 격렬한 신체운동(Exercise)에서도 하지 않는 학생에서 스트레스 지수가 또한 높게 나타났으며 통계적으로 유의하였다(p<0.001). 자가구강증상(Self-assessed Oral health status))에서는 저작시 통증(Tooth pain when eating)이 있으며, 잇몸에 출혈(Bleeding gum)이 있고, 구취(Bad breath)가 있는 학생에게서 스트레스가 높았으며, 통계적으로 유의하였다(p<0.001). 이 연구의 함축적인 결과 청소년들 사이에서 심리적인 스트레스가 구강건강 및 건강행태에 밀접한 영향을 주는 결과를 보였으며, 이러한 결과 더욱이 청소년 시기에 알맞은 구강건강프로그램의 지속적인 발전이 더욱 필요할 것으로 보인다.