• Title/Summary/Keyword: cirrhosis

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태음조위탕가미방(太陰調胃湯加味方)으로 복수를 동반한 간경변 환자 치험 1례 (A Case report of ascites in Liver cirrhosis treated with Taeumjowetang-gamibang)

  • 김정철;이해연;박정한;이재준;이유경;한동윤;조현석
    • 대한한방내과학회지
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    • 제25권3호
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    • pp.625-632
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    • 2004
  • Liver cirrhosis is a disease of the liver in which normal cells are replaced by scar tissue. This condition results in the failure of the liver to perform many of its usual functions. Liver cirrhosis include acsites, jaundice, portal hypertension, varices etc. This report is about one case of ascites with liver cirrhosis. In this case, we administrated Taeumjowetang-gamibang was administered and acupuncture was done in treatment of ascites and its symptoms. After administration of Taeumjowetang-gamibang medication, clinical symptoms and prominently improved and ascites dwindled to nothing. This reports suggests Taeumjowetang-gamibang has desirable effected on ascites.

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간경변증 환자의 식이이행과 영양상태 및 질병상태와의 관계 (Relationships among Dietary Compliance, Nutritional Status and Stages of Disease in Patients with Liver Cirrhosis)

  • 윤미정;민혜숙
    • 근관절건강학회지
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    • 제22권3호
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    • pp.219-227
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    • 2015
  • Purpose: The purpose of this study was to investigate the degree of dietary compliance, nutritional status, and stages of disease in patients with liver cirrhosis and to identify the relationships among those variables. Methods: This study used a cross-sectional design and conducted a survey of 100 patients who were treated at D-university hospital in Busan. For data analysis, descriptive statistics and Pearson's correlation coefficients were performed using SPSS/WINdow 20.0 program. Results: The mean score of dietary compliance was 3.50 in the a 5-point scale. Stage of disease was significantly correlated with dietary compliance (r=.20, p=.048), and protein as one of nutritional status (r=-.44, p<.001). Conclusion: These findings suggest that dietary compliance of patients with liver cirrhosis can have an influence on prognosis of disease. Therefore, patients should be encouraged to improve dietary compliance from the early stage of liver cirrhosis.

간경변증 환자의 식이이행 영향요인 (Factors influencing Dietary Compliance in Patients with Liver Cirrhosis)

  • 윤미정;민혜숙
    • 근관절건강학회지
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    • 제23권3호
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    • pp.179-186
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    • 2016
  • Purpose: The purpose of this study was to identify factors that influence dietary compliance in patients with liver cirrhosis. Methods: This study used a cross-sectional design and was conducted with a survey of 141 patients in liver cirrhosis who were treated at D-university hospital in Busan. For data analysis, descriptive statistics, Pearson's correlation coefficients, and a multiple regression were performed using SPSS/WIN 20.0 Program for windows. Results: The mean score was 3.47 in dietary compliance. Dietary compliance had a positive correlation with self-efficacy, perceived-benefit medical staff support, age, drink or not but had a negative correlation with perceived barrier. As a result of multiple regression analysis, self-efficacy and perceived-benefits explained 30.1% (F=7.69, p<.001) of the variance of dietary compliance. Conclusion: Dietary compliance was suggested to consider self-efficacy and perceived-benefits when developing a nutritional education programs for patients with liver cirrhosis.

간경변증(肝硬變症)에 있어서 교질형방사성금(膠質形放射性金)($^{198}Au$)을 사용(使用)한 간(肝)스켄과 간기능(肝機能)과의 관계(關係)에 관(關)한 임상연구(臨床硏究) (A Clinical Study on Liver Scanning using Colloidal Radiogold and Liver Function in Cirrhosis of the Liver)

  • 고창순;이종헌;장고창;이영;민영일;홍창기
    • 대한핵의학회지
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    • 제3권1호
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    • pp.59-67
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    • 1969
  • Correlation between the blood clearance half time and findings of liver scan using the colloidal radiogold in patients of liver cirrhosis is observed through the scoring system, in which the more changes in size, shape and density in the liver scan, the more points are given (table 1). Results: 1) Within the increase in severity of hepatocellular dysfunction in liver cirrhosis, the degree and frequency of following changes in liver scan (done with colloidal radiogold) were increased in order. a) generalized hepatomegaly b) enlargement of the left lobe & reduction of the right lobe c) relatively increased radiodensity in the left lobe and 4) visualization of spleen. 2) Frequency of the normal scan in liver cirrhosis was $12{\pm}3.56%$, frequency of normal value in blood clearance half time of the radiogold was $5.0{\pm}2.34%$ and frequency of normal scan & normal blood clearance rate in liver cirrhosis was $3.6{\pm}2.06%$.

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실험적 간경화 동물모델 비교 (Experimental Hepatic Cirrhosis in Rats)

  • 박은전;김재백;손동환;고건일
    • 약학회지
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    • 제41권5호
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    • pp.622-628
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    • 1997
  • Hepatic cirrhosis is a common response to chronic liver injury from many causes and is one of the most common cause of all deaths. This study was carried out to compare experimental hepatic cirrhosis in rats to understand this disease and to apply for the pharmacokinetics in disease state. Following three kinds of experimental models were induced; 1) Bile duct ligation/scission (BDL/S), 2) N, N-dimethylnitrosamine(DMN), 3) Carbon tetrachloride. The hepatic cirrhosis was characterized by examing the liver/body weight ratio, serum biochemical values, hydroxyproline content in liver and histopathological lesions in cirrhotic rat liver. The results are as follows : (1) In BDL/S, the liver was enlarged to 250% of normal liver. In contrast the liver was shrinked to 48% and 78% of the normal liver in DMN and carbon tetrachloride, respectively. (2) In carbon tetrachloride and BDL/S, the serum ALT, AST, ALP and total bilirubin levels were significantly increased to 200~300% of normal level, while ALT and total bilirubin levels were significantly increased in DMN group. (3) Hydroxyproline content in cirrhotic rat liver was significantly 200~500% higher than that of normal liver. (4) Nodular formation with fibrosis was observed in BDL/S, DMN, carbon tetrachloride induced cirrhotic rat liver.

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원발성 답증성 간경변에 대한 장기간 한방 치험례 (Long-term Clinical Case of Primary Biliary Cirrhosis Treated with Traditional Korean Medicine)

  • 이준수;홍상훈;김강산;박상은
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.182-188
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    • 2016
  • Objective: This study was designed to assess the clinical effect of traditional Korean medicine on primary biliary cirrhosis.Method: We provided herbal medicine and acupuncture therapy to a 38-year-old male patient who complained about jaundice, itching, and fatigue. During a six-day hospital stay, we checked any changes in symptoms and conducted liver function tests (such as aspartate aminotransferase [AST], alanine aminotransferase [ALT], alkaline phosphatase [ALP], and gamma-glutamyl transferase [GGT], among others) to evaluate any improvement.Results: We observed that herbal medicine and acupuncture therapy appeared to decrease the symptoms of primary biliary cirrhosis. During each hospital stay, the symptoms and liver function test both showed improvement, especially in ALP.Conclusion: Based on the therapeutic results of the six-day hospital stay, we report improved primary biliary cirrhosis symptoms and a decreasing tendency in ALP and GGP levels following treatment with traditional Korean medicine.

간경변증 환자의 자가간호이행 관련 요인: 증상경험, 지각된 건강상태 및 질병상태를 중심으로 (Self-Care Compliance among Patients with Liver Cirrhosis: Focusing on Symptom Experiences, Perceived Health Status and Disease Status)

  • 윤미정
    • 기본간호학회지
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    • 제25권3호
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    • pp.165-175
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    • 2018
  • Purpose: The purposes of this study were to examine symptom experiences, perceived health status, disease status, and self-care compliance of patients with liver cirrhosis and to identify the factors that affect their self-care compliance. Methods: The study design was a cross-sectional design and 148 patients who were being treated at D-university hospital in Busan participated in the survey. The data were analyzed using t-test, ANOVA, Bonferroni test, Pearson correlation coefficients, and multiple linear regression analysis. Results: The factors affecting self-care compliance were symptom experiences, disease status, age, and gender. These factors explained 21.6% of the variance in self-care compliance of patients with liver cirrhosis. Conclusion: The findings indicate that nursing interventions that prevent patients' symptoms are needed to promote self-care compliance in patients with liver cirrhosis. The patient should also be helped to recognize the need for self-care compliance from an early stage.

알코올 간경변증 환자에 대한 청간해주탕 치험 1례 (A Case Report of Alcohol-Associated Cirrhosis Treated with Cheongganhaeju-tang)

  • 이주영;이은경;박민정;김영철;이장훈
    • 대한한방내과학회지
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    • 제45권2호
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    • pp.270-277
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    • 2024
  • Objectives: This study identified the effects of Korean medicine treatment on a patient with alcohol-associated cirrhosis. Methods: A 50-year-old male with alcohol-associated cirrhosis was treated with Cheongganhaeju-tang from 10 November 2023 to 18 January 2024 to reduce fatigue, dyspepsia, anorexia, and weight loss and to improve laboratory findings, such as liver enzymes. We observed changes in the patient's symptoms and laboratory findings during a treatment period of approximately 2 months. Results: With Cheongganhaeju-tang treatment, serum levels of liver enzymes remained stable, clinical symptoms improved, and alcohol cravings decreased. Conclusion: This case points to Cheongganhaeju-tang as a therapeutic option to manage alcohol-associated cirrhosis.

알코올성 간경화증환자에서 발견된 속가슴동맥의 자발성 파열로 인한 종격동 혈종: 증례 보고 (Spontaneous Rupture of the Internal Thoracic Artery Causing a Mediastinal Hematoma in a Patient with Alcoholic Liver Cirrhosis: A Case Report)

  • 박재양;강은주;박재형
    • 대한영상의학회지
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    • 제84권3호
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    • pp.750-756
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    • 2023
  • 자발적 동맥 출혈은 드물며, 속가슴동맥의 자발적 파열에 의한 혈종은 이전에 보고된 바가 없다. 간경화증이 있거나 과음하는 환자는 출혈의 위험성이 더 큰 것으로 알려져 있다. 저자들은 알코올성 간경화증을 가진 39세 여성에서 자발적 속가슴동맥 출혈로 인해 발생한 거대한 종격동 혈종의 증례를 보고하고자 한다.

알코올성 간경변(肝硬變)(섬유화(纖維化))의 병변(病變) 기전(機轉)에 대한 동서의학적(東西醫學的) 고찰(考察) (The study on Oriental and Western medical of Liver cirrhosis(Fibrosis) pathological system)

  • 한성수;손창규
    • 혜화의학회지
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    • 제9권1호
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    • pp.379-386
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    • 2000
  • 1. There two parts of alcohol's metabolic system the first one is alcoholdehydrogenase(ADH), and second is microsomal ethanol oxidizing system(MEOS). 2. Alcoholic cirrhosis(fibrosis) leads from cytotoxin, malnutrition, and immunue reaction. 3. In the Oriental medical point of view alcohol has strong heat and toxin, which can cause judal, ju-ka, ju-beack, ju-juck, and ko-chang in other words these means that it can cause hepatasis, fatty liver, fibrosis, and liver cirrhosis. 4. About the Liver cirrhosis(fibrosis) pathological system, in the oriental medical point of view, it effects the liver, kidney and spleen which causes Uy-heulGin-guk(瘀血 積), seup-yeul ne-oun(濕熱內蘊), and in the long term it can cause kansinyumhu(肝腎陰虛), kanbeyumhu(肝脾陰虛). Because of the expand of alcohol liver disease, in the future there must be more studies about these disease in Oriental medicine point of view.

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