• 제목/요약/키워드: Visual Analogue Scale score

검색결과 600건 처리시간 0.029초

가미소풍활혈탕(加味疎風活血湯)을 투여한 외상성 슬부 손상 환자 치험 3례 (A Case Report of Prescribing Gamisopunghwalhyeal-tang (jiameishufenghuoxue-tang) for the Three Patients with Traumatic Knee Joint Injury)

  • 김주영;김정원;엄봉군;한상욱;김오영
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.63-74
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    • 2011
  • Objectives: The purpose of this study is to investigate the clinical application of Gamisopunghwalhyeal-tang to three patients traumatic knee joint injury. Methods: Patients are hospitalized at Dept. of Oriental Rehabilitation, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as traumatic knee joint injury and treated mainly with herbal medicine ; Gamisopunghwalhyeal-tang. This study was measured by VAS(Visual Analogue Scale) score and walking time and Western Ontario and McMaster Universities(WOMAC) index score. Results: After taking Gamisopunghwalhyeal-tang, the patient's pain was controlled and increased time of walking on floor after treatment. VAS & WOMAC score were decreased. Conclusions: As seen in this three cases of traumatic knee joint injury, Gamisopunghwalhyeal-tang has a positive effect to control pain with traumatic knee joint injury.

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요통에 대한 추나요법과 가열식 화침 병행 치료의 효과 (The Effects of Burning Acupuncture Therapy with Chuna Therapy for Low Back Pain Patients)

  • 장동호;배우열;정종훈;이인선
    • 한방재활의학과학회지
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    • 제21권3호
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    • pp.21-32
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    • 2011
  • Objectives : The purpose of this is to prove that using burning acupuncture therapy with chuna therapy can be more effective therapy for low bock pain patient. Methods : 43 patients with low back pan were divided into 2 groups; using burning acupuncture therapy with chuna therapy group and using chuna therapy only group. The patients were evaluated by visual analogue scale(VAS) and pain rating score(PRS). Results : Each group showed significant in decreasing VAS score and PRS score. After 2nd treatment, the sample group was significant mere effective in decreasing VAS. And after 3rd treatment, the sample group was significantly more effective in decreasing PRS(p<0.05). Constructive disease didn't affect the change of pain significantly. Conclusions : In this clinical study, using burning acupuncture therapy with chuna therapy group was more effective in relieving low back pain than using chuna therapy only group.

한방 치료 및 고관절 경근 추나로 호전된 양측성 대퇴골두 무혈성 괴사 환자의 치험 1례 (A Case Report on a Patient of Bilateral Avascular Necrosis of Femur Head, Treated with Korean Medicine and Hip Joint Fascia Chuna Therapy)

  • 박재홍;오은영;박수아;신유빈;김영준
    • 척추신경추나의학회지
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    • 제9권1호
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    • pp.115-124
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    • 2014
  • Objectives : The aim of this study is to report the improved case of bilateral avascular necrosis(AVN) of femur head treated with Korean medicine and Fascia Chuna Therapy Methods : The patient diagnosed with bilateral AVN is hospitalized at department of korean rehabilitation medicine, Samse hospital of korean medicine. The subject is treated by herbal medicine, acupuncture, SBV and hip joint gyoung-geon chuna. This study was measured by visual analogue scale(VAS) score, walking time without pain per 6 minutes and harris hip score(HHS). Results : The patient showed decreased VAS score, HHS and improved walking time without pain per 6 minutes after treated with korean medicine and hip joint Fascia Chuna Therapy. Conclusions : The patient showed reduced pain and positive effect on activities of daily living.

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Effect of precooling on pain during local anesthesia administration in children: a systematic review

  • Tirupathi, Sunny Priyatham;Rajasekhar, Srinitya
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제20권3호
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    • pp.119-127
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    • 2020
  • This study was conducted to determine how precooling reduces the subjective reported pain and objective pain and to evaluate the effectiveness of precooling the injection site before administration of local anesthesia in children. Electronic databases (PubMed, Ovid SP, Cochrane Central Register of Controlled Trials) were searched for publications from 1980 to 2020. Studies were screened for titles and abstracts, followed by full-text evaluation of included reports. Six studies were included in this systematic review. The primary outcome evaluated was the pain perception or the subjective pain reported by the child receiving the injection. The secondary outcome evaluated was objective pain evaluated in each study. Among 5 studies that evaluated child reported pain scores on a visual analogue scale (VAS), 4 studies reported lower scores in the precooling group and one study reported a higher VAS score in the precooling group than in children treated with 20% benzocaine topical anesthesia. Among 6 studies that evaluated the pain reaction of children by Sound Eye Motor (SEM) score, 4 studies reported a lower SEM score in the precooling group, one study reported no significant difference between the precooling and control groups, and one study reported higher SEM scores in the precooling group than in children treated with 20% benzocaine topical anesthesia. Within the limits of this systematic review, evidence suggests that precooling the injection site with ice can be an effective adjunct to topical anesthesia in reducing both subjective and objective pain during local anesthesia administration in children.

십미패독산(十味敗毒散)가미방 (정안탕(正顔湯))으로 호전을 보인 지루성 피부염 치험 5례 증례보고 (Five case reports of Seborrheic Dermatitis Patients treated with Shi Wei Ba Du-San gamibang (Jeongan-tang))

  • 김은진;류동훈;정아람
    • 대한한방소아과학회지
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    • 제35권3호
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    • pp.89-99
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    • 2021
  • Objectives Seborrheic dermatitis is a chronic superficial eczematous dermatitis characterized by the redness and dry or greasy squama. This case study was designed to assess the effect of Shi Wei Ba Du-San gamibang (Jeongan-tang) for seborrheic dermatitis by retrospective methods. Methods From June 1, 2016 to January 31, 2020, 5 patients with seborrheic dermatitis were treated with Jeongan-tang for 3 months at Oriental Medicine Clinic. We analyzed information and body conditions of 5 patients. Redness, squama, and skin discomfort such as itching were assessed in 5 patients by using VAS (Visual Analogue Scale) score. We evaluated the symptom change by photographs and VAS score before and after the treatment. Results At first, the frequency of flushing and redness was decreased. Secondly, the scaly skin was change to normal state and itching sensation was lessened. After the treatment, the total VAS score was decreased. Conclusions Jeongan-tang can be effective in seborrheic dermatitis, and it also can be helpful to regenerate the skin condition as well.

사물탕(四物湯) 등 한의 치료로 호전된 급성 두드러기에 대한 증례 보고 (A Case Report of Acute Urticaria Treated by Korean Medicine Treatment)

  • 김지희;윤화정
    • 한방안이비인후피부과학회지
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    • 제36권2호
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    • pp.94-103
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    • 2023
  • Objectives : This study is to report effectiveness of Korean medicine monotherapy on an acute urticaria patient. Methods : A 26-year-old female acute urticaria patient visited Dong-Eui university Korean medical hospital at November 10th, 2020. The patient received Korean monotherapy including herbal medicine and aroma cream. The treatment continued for about 1 month until December 4th, 2020. Urticaria activity score(UAS), visual analogue scale(VAS), photographs were used to assess the symptoms. Results : After 20 days of medication, the symptoms were disappeared. UAS score was dropped 6 to 0 and VAS score dropped 9 to 0. About two years later, there was no recurrence. Conclusions : These results suggests that acute urticaria which accompanied by a moderate degree of pruritus can be sufficiently managed by Korean medicine therapy.

과민치아에 대한 904nm GaAs 반도체레이저의 효과 (Effects of GaAs (904 nm) Low Level Laser Therapy on Dentin Hypersensitivity)

  • 원태희;김기석
    • Journal of Oral Medicine and Pain
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    • 제36권4호
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    • pp.215-224
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    • 2011
  • 본 연구의 목적은 과민치아에 904 nm GaAs 다이오드 레이저를 조사하여 치료효과를 연구하여 과민 치아의 치료에 이러한 저수준 레이저 요법을 임상적으로 사용할 수 있는지 가능성을 파악하는 데 있다. 단국대학교 치과대학 부속치과병원 안면 동통 구강내과에 내원한 환자를 대상으로 하였으며, 각 환자는 치경부에 사아질이 노출된 치아가 적어도 좌우로 2개 이상의 짝이 되는 치아를 소유하였다. 본 연구에 사용된 치아는 모두 50 개로써 실험군 25개, 대조군 25 이었다. Tactile test, cold(ice stick) test, electrical pulp test 를 실험전, 실험 1주후, 2주후, 3주후, 4주후 모두 5회 시행하였다. 레이저조사는 첫방문시, 1주후, 2주후, 3주후 등 4회하되 모두 세가지 검사를 마친 후 시행하였다. 전기치수 검사 외 Tactile test와 cold test는 주관적 평가인 visual analogue scale을 사용하였다. 실험 결과, Tactile test에서 VAS 수치는 시간 경과에 따라 유의하게 감소하였으나 실험군과 대조군간에는 유의한 차이가 없었다. 전기치수 검사에서는 실험군의 과민도가 대조군에 비해 유의하게 높았으나 (높은 역치를 의미) 시간 경과시 유의한 변화는 볼 수 없었다. 온도 (cold) 검사에서는 레이저 조사후 실험군과 대조군 간의 차이뿐 만 아니라 시간 경과 시에도 유의하게 감소하였다. 이러한 결과를 보아 904 nm GaAs 레이저는 과민치아의 치료에 비가역적인 방법으로서 효과적으로 사용할 수 있으리라 사료된다.

내측 반월상 연골판 후각 기시부 파열 봉합 후 추시 자기공명영상 검사의 유용성 (Magnetic resonance imaging Usefulness after Medial Meniscus Posterior Root Tear Repair)

  • 전재균;김준범;이봉주
    • 대한관절경학회지
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    • 제17권1호
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    • pp.6-10
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    • 2013
  • 목적: 슬관절 내측 연골판 후각 기시부 파열에 대하여 관절경적 봉합 수술을 시행한 후 유합 유무를 평가하기 위한 magnetic resonance imaging (MRI)의 유용성에 대하여 보고 하고자 한다. 대상 및 방법: 2007년 11월부터 2011년 6월까지 내측 반월상 연골판 후각 기시부 파열을 봉합한 환자 중 술후 MRI와 관절경검사를 모두 시행하였던 17명을 대상으로 하였다. 관절경검사와 MRI 검사를 시행하여 비교하였다. 결과: 술전 Lysholm knee score는 평균 56.4에서 평균 79.0으로 visual analogue scale (VAS) score는 8점에서 3점으로 호전되었다. 2차적 관절경 검사상 17예 모두 섬유화 재생 후 안정화된 소견이 확인되었다. 그러나 MRI 검사에서 내측 반월상 연골판 후각 기시부 파열을 시사하는 수직 직선 결함(cleft sign)은 술전후 모두 관찰되었고, 음영 손실(ghost sign)은 술전 10예에서 술후 9예, 방사선 직선 결함(radial linear defect) 소견은 술전 17예에서 술후는 15예에서 확인되었다. 결론: 내측 반월상 연골판 후각 기시부 파열의 관절경적 봉합술을 시행한 환자를 대상으로 비해부학적 위치에 봉합한 경우 술후 추시 MRI 검사는 유합 여부 판단에 유용하지 않았다. 유합 여부를 정확하게 평가하기 위해서는 관절경적 검사가 필요한 것으로 판단된다.

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요추 추간판 탈출증 환자의 침 치료와 봉독침, 봉약침 병행치료에 대한 비교연구 (Comparative Study of Acupuncture, Bee Venom Acupuncture, and Bee Venom Pharmacopuncture on the Treatment of Herniation of Nucleus Pulpous)

  • 유상민;이종영;이향숙;권기록
    • Journal of Acupuncture Research
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    • 제23권5호
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    • pp.39-54
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    • 2006
  • Objectives : Herniation of Nucleus Pulpous (HNP) of Lumbar is one of the most common causes of low back pain. The aim of this study is to investigate the effectiveness of acupuncture, bee venom acupuncture (BVA), and bee venom Pharmacopuncture (BVP) therapy for HNP. Methods : We separated 35 patients with HNP of L-spine into three groups; Acupuncture treated group, BVA treated group, and BVP treated group, and monitored for 30 days. 4 grades of recovery degree, score of Visual Analog Scale (VAS), and Oswestry Disability Index (ODI) were examined for comparison. Results : 1. Visual Analogue Scale of low back pain and radiating pain showed significant decrease in BVA and BVP groups compared to the Acupuncture group at VAS0_2, VAS0_3 evaluations. 2. ODI of disability of daily activities showed significant decrease in BVA and BVP groups compared to the Acupuncture group at VAS0_1, VAS0_2, and VAS0_3 evaluations. 3. Compared to the Acupuncture group, BVA and BVP groups were improved in S.L.R.T and R.O.M of L-spine as confirmed by the physical examination. 4. Treatment efficacy was more apparent in acute cases as ODI was significantly lower than chronic cases. Conclusion : BVA and BVP therapies can be used in addition to the acupuncture therapy for highly effective treatment of HNP. Further clinical studies are required to verify these findings.

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경추 신경근증 환자에 있어서 봉약침 치료의 효과에 대한 임상적 고찰 (A clinical study on the patient of Cervical radiculopathy by Bee-venom threapy)

  • 이길숭;이건목;염승철
    • Journal of Acupuncture Research
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    • 제22권3호
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    • pp.201-213
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    • 2005
  • 봉약침(蜂藥鍼)을 위주로한 한의학적 치료로 경추 신경근 병변의 3증상(일측의 경부 동통과 상완부의 방사통, 수부나 수지의 지각이상)을 호소하는 환자(患者)들을 치료하면서 시각적상사척도(Visual Analogue Scale, VAS), JOA score 및 Odom의 평가기준에 따른 호전 양상을 측정한 결과 다음과 같은 결론을 얻었다. 1. 객관적 치료 성적을 살펴보면 Excellent인 경우가 7예(50%)로 가장 많았으며, Good이 4례 (28.57%), Fair가 3예(21.43%)의 순이며, 불량으로 평가된 경우는 하나도 없었다. 2. 시술 전 pain rate의 평균 8.82(${\pm}1.27$)에서 시술 후 평균 3.25(${\pm}2.21$)로 평균 차이가 5.57로 매우 유의성 있는 차이를 보였으며(p=0.000), 이는 객관적인 호전율과도 일치하였다. 3. 시술 전 JOA score의 평균이 11.00(${\pm}1.57$)에 서 시술 후 평균 12.79(${\pm}0.58$)로 평균 차이가 1.79로 매우 유의성 있는 차이를 보였다 (p=0.000). 4. 시술 전후의 성별, 나이, 수지비증유무, Disc Type에 따른 pain rate에는 유의한 차이가 없다. (P<0.05) 5. 시술 전후의 성별, 연령별, Disc Type 에 따른 JOA score는 유의한 차이가 없으나 (p<0.05), 수지비증유무에 따른 JOA는 유의한 차이가 있었다(p=.025). 수지비증이 있는 경우 가 좀더 유의하게 증가하였다. 이상의 결과로 보아 봉약침(蜂藥鍼) 위주로 한 한의학적 치료가 경추 신경근 병변을 호소하는 환자에게 유의한 효과가 있었으며 다른 한방적 보존적 요법과 더불어 시행시키면 전반적인 경추의 퇴행성 변화에 대한 치료(治療)에 더욱 더 유익하리라 판단된다.

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