• 제목/요약/키워드: dry eye disease

검색결과 49건 처리시간 0.021초

방풍통성산(防風通聖散)의 문헌(文獻) 및 형상의학적(形象醫學的) 고찰(考察) (Documentational Study and Observation from the View of Hyungsang Medicine on Bangpungtongseong-san)

  • 석민희;김준홍;이용태
    • 동의생리병리학회지
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    • 제22권1호
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    • pp.51-59
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    • 2008
  • The following conclusions were obtained from the studies on Bangpuntongseongsan both from the documents and Hyungsang medicine. Bangpungtongseong-san was created by Yu Wan-so to relieve both interior and exterior of disease from the pathogenic fire, and it cures wind syndrome and dry syndrome. Bangpungtongseong-san is of light herbal combination and it works in the upper part of the body and is mainly applied to skin disease. Perspiration without harming the exterior and purgation without hurting the interior shows that it is not a severe prescription belonging to meditation therapy. It is mostly used for curing the disease of internal heat caused by over drinking and consuming heavy food, and it has special relationship with Yangmyung meridian. It is mentioned in the chapters of spirit, head, face, eye, ear, nose, throat, skin, hair, prescription, wind, dryness, fire, internal damage, epidemic infectious disease, carbuncle and cellulitis, ulceration, and pediatrics of ${\ulcorner}$Donguibogam${\lrcorner}$. It is usually applied to those who belong to Yangmyung type of the six meridian types or wind type, who has excessive heat, people with red complexion, reddened nose, pimples over the face and nose, coarse heel, loss of hair due to wind-heat, and to those who tend to have dandruff. Through examination over the cases treated with Hyungsan medicine, Bangpungtongseong-san was found efficacious in bloodshot eyes, brandy nose, loss of hair, various skin problems, tetanus, acute alcoholism, paralysis of hand and foot, deafness, and tinnitus.

백내장수술 안에서 열화상카메라를 이용한 안구표면 온도의 변화 (Thermographic Assessment on Temperature Change of Eye Surface in Cataract Surgery Observation)

  • 박창원;안영주;김효진
    • 대한시과학회지
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    • 제20권4호
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    • pp.497-504
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    • 2018
  • 목적 : 백내장 환자를 대상으로 수술 전과 후의 안구표면의 온도변화 양상을 열화상카메라의 서모그래피를 이용하여 연구 하고자 하였다. 방법 : 본 연구는 백내장 수술을 받은 환자 50-79세까지 75명 75안의 환자 군을 대상으로 하였다. 과거에 굴절교정수술, 각막관련 수술을 받은 자와 콘택트렌즈를 사용하는 자, 눈물관 이상자, 전신질환 치료 약물을 복용하는 자 등 눈물분비와 눈물막에 영향을 줄 수 있는 자는 연구 대상자에서 제외하였고 눈물막파괴시간 검사(Tear Break Up Time, BUT), 쉬르머 검사(Schirmer's Test), 맥모니테스트(Mcmonnies questionnaire)를 시행한 후 열화상카메라(Cox CX series, Answer., Korea)를 이용하여 안구표면의 온도변화를 실시간으로 측정하였다. 결과 : 전체 대상자의 술 전 안구표면 온도는 $35.20{\pm}0.54^{\circ}C$이었고 술 후에는 $35.30{\pm}0.53^{\circ}C$로 표면온도가 상승하였으나 유의한 차이를 보이지 않았다. 안구표면 온도변화는 술전에서 $-0.12{\pm}0.08{\Delta}$ ($^{\circ}C/sec$)에서 술 후 $-0.18{\pm}0.07{\Delta}$ ($^{\circ}C/sec$)로 통계학적으로 유의한 결과를 나타냈다. 연령 별 비교에서는, 50 대군은 백내장 술 전 대상자의 안구표면 온도변화가 $-0.14{\pm}0.09{\Delta}$ ($^{\circ}C/sec$)에서 $-0.19{\pm}0.05{\Delta}$ ($^{\circ}C/sec$)으로 나타났고 60 대군에서는 $-0.12{\pm}0.08{\Delta}$ ($^{\circ}C/sec$)에서 $-0.15{\pm}0.07{\Delta}$ ($^{\circ}C/sec$)으로 나타났으며 70 대군에서는 술 전 대상자의 안구표면 온도변화는 $-0.12{\pm}0.08{\Delta}$($^{\circ}C/sec$)에서 $-0.18{\pm}0.07{\Delta}$($^{\circ}C/sec$)으로 전 연령에서 모두 유의한 안구표면 온도변화를 보였다. 결론 : 백내장 술 후에는 안구건조증 평가지표가 모두 감소하였고 안구표면 온도변화가 유의함을 보였다. 안구표면의 서모그래피 기술은 비침습적으로 안구건조증을 평가하는데 용이하였고 객관적으로 수치화할 수 있는 장점이 있어 다양한 안구건조증 연구에 활용 될 것으로 기대된다.

아토피피부염 동물 병태 모델에서 아토탕의 개선효과 (Effects of Ato-tang on DNCB-induced atopic dermatitis in Mice)

  • 김건우;김동희
    • 대한본초학회지
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    • 제31권4호
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    • pp.79-85
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    • 2016
  • Objectives : The aim of this study is to investigate anti-atopic dermatitis effect using ato-tang.Methods : Ato-tang was external treatment to NC/Nga mice for 4 weeks, where atopic dermatitis was induced by DNCB at 1% and 0.4% for 3 weeks. Atopic dermatitis index score was measured using eye observation and picture evaluation. The histopathological change of dorsal skin was observed by hematoxylin and eosin (H&E) staining. Cytokines including IL-4, IL-5 and IL-13 were measured by Luminex or reverse transcriptase polymerase chain reaction (RT-PCR) analysis and immunoglobulin E (IgE) was measured by ELISA reader.Results : The dorsal skin of Ato-tang group showed decrease in erythema, pruritus, dry skin, edema, excoriation, erosion and lichenification level through naked eye observations. Immunoglobulin cell infiltration and the thickness of epidermis were significantly decreased in the dorsal skin compared to control. Production of Th2 cytokines (IL-4, IL-5, IL-13) and IgE level in serum were all significantly decreased, in comparison with control. In addition, mRNA expression level of Th2 cytokines (IL-4, IL-5, IL-13) in spleen was decreased, in comparison with control.Conclusion : The results indicated that external treatment of ato was improved skin barrier function in the symptoms of atopic dermatitis disease. Also, atopic dermatitis factors where cytokine as well as immunoglobulin E in serum and mRNA expression were decreased, respectively, in comparison with control. Therefore, we suggest that ato could be effectively used as a external therapeutic drug based on atopic dermatitis factors.

피부질환을 위한 $CO_2$ 레이저의 공극 (1.0mm 및 1.6mm)차이에 따른 동작출력 파형변화에 관한 특성연구 (Special quality research about action output waveform change by gap (1.0mm and 1.6mm) difference of $CO_2$ laser for skin disease)

  • 김휘영
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 춘계학술대회 논문집 전기기기 및 에너지변환시스템부문
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    • pp.156-158
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    • 2007
  • Laser wave length can have evaporation effect by absorption because outer skin or tissue of focus is consisted of water almost though absorption of water occurs more than 90% almost in formation thickness of very thin floor Can operate outer skin, steam by floor and correct incision of formation is available. Suture surgical operation is avaliable to vein or lymph system and surgical operation region can dry and see as eye and radish bleeding surgical operation is avaliable Specially, stability of tube both end output about pulse by weight very, this research can cause various curative effect because can reduce bulk and control easily current wave style of medical laser using electric power conversion device of high frequency way. If introduce ZVS (Zero Voltage Switching) or ZVZCS (Zero Voltage and Zero Current Switching), is more profitable because can reduce switching damage Because electric power department of proposed medical laser can do stable soft-switching in wide subordinate extent introducing ZVZCS technique by the first help and control department composes microcontroller, output current waveform user have free form make. Result that experiment because design and manufacture, brought result that improve of 20% than existing equipment, and will be bought to get into superior result if supplement as systematic late.

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피부질환을 위한 $CO_2$ 레이저의 공극차이에 따른 동작출력 변화에 관한 연구 (Special quality research about action output waveform change by gap (1.0mm and 1.6mm) difference of $CO_2$ laser for skin disease)

  • 김휘영
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2007년도 심포지엄 논문집 정보 및 제어부문
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    • pp.52-54
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    • 2007
  • Laser wave length can have evaporation effect by absorption because outer skin or tissue of focus is consisted of water almost though absorption of water occurs more than 90% almost in formation thickness of very thin floor. Can operate outer skin, steam by floor and correct incision of formation is available. Suture surgical operation is available to vein or lymph system and surgical operation region can dry and see as eye and radish bleeding surgical operation is available. Specially, stability of tube both end output about pulse by weight very, this research can cause various curative effect because can reduce bulk and control easily current wave style of medical laser using electric power conversion device of high frequency way. If introduce ZVS (Zero Voltage Switching) or ZVZCS (Zero Voltage and Zero Current Switching), is more profitable because can reduce switching damage. Because electric power department of proposed medical laser can do stable soft-switching in wide subordinate extent introducing ZVZCS technique by the first help and control department composes microcontroller, output current waveform user have free form make. Result that experiment because design and manufacture, brought result that improve of 20% than existing equipment, and will be bought to get into superior result if supplement as systematic late.

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실내 공간 내에서 한국인 청년의 하루 중 눈물층 변화 (The differences of tear film for young Korean of a day indoor space)

  • 오현진;이지영
    • 디지털융복합연구
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    • 제10권11호
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    • pp.535-540
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    • 2012
  • 본 연구는 동일한 공간 내에서 동일한 활동을 수행하고 있는 젊은 성인들의 눈물 상태를 조사하여, 하루 동안 눈물의 변화를 비교해 보고자 하였다. 본 연구의 목적에 동의한 지원 대상안 중 예비 검사와 하루 중 두 번의 검사에 모두 참여하고, 눈 건강 상태에 영향을 미칠만한 전신질환과 안질환이 없으며, 정위상태이며, 교정시력이 성인이 일상생활에 불편감이 없는 0.8 이상이고, 각막의 약주경선 곡률반경이 수평방향이고, 강주경선 곡률반경이 수직방향인 대학생 37명(58안)을 대상으로 하였다. 전체 대상안에 대하여, 나안시력, 굴절이상도, 각막 곡률반경, 쉬머테스트, 눈물막 파괴시간 검사를 실시하였다. 쉬머테스트 결과 쉬머 용지가 눈물의 수성층에 의해 적셔진 양은 오전 중에 $16.0{\pm}7.0mm$이었으며, 일과 후에는 $14.1{\pm}7.1mm$로 줄어 들었다. 눈물막 파괴 검사로 각막의 건조점이 나타나는 시간은 오전 중에 $11.3{\pm}0.6$초이었으며, 일과 후에는 $12.1{\pm}0.9$초로 늘어났으나 유의한 차이는 없었다.

화병역학연구 자료를 기반으로 한 화병 환자의 특성 (The Characteristics of Hwa-byung Patients Based on Hwa-byung Epidemiologic Data)

  • 김종우;정선용;서현욱;정인철;이승기;김보경;김근우;이재혁;김낙형;김태헌;강형원;김세현
    • 동의신경정신과학회지
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    • 제21권2호
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    • pp.157-169
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    • 2010
  • Objectives : The aim of this study was to investigate the characteristics of Hwa-Byung(HB) patients, draw the clinical key issue of HB, and provide the data as the basis for development of Clinical Guideline of HB. Methods : The study participants included 151 subjects who thought they have HB in 9 site. For all patients, we used HB epidemiologic study protocol, which include the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1), diagnostic criteria of HB, symptoms check list, pattern identification tool, psychiastric psychological questionaires, and Framingham coronary risk score(FRS). Results : 1. For all participants, 62 % of subjects were diagnosed with HB. These patients had comorbid DSM-IV diagnoses with depression (65%) and anxiety (27%). But 22% of these patients had only HB. 2. HB patients had various physical symptoms when visiting, were diagnosed as various disease, and undergone medical treatments in the past. Among the diagonsed illness, Gastronitestinal diseases (51.6%), psychiatric disorders(40.9%), endocrine diseases(39.8%) were being the most frequent. The frequent physical symptoms of HB patients reported were chest discomfort, head ache, pallpitation, frequent sigh, amnesia, shoulder pain, dry mouth, eye fatigue etc. 3. HB patients had high scores in psychologic questionares, CES-D, STAI, and STAXI. It means that HB patients might be low-level emotional stability. 4. Participant had negative opinion about the treatment of HB that it would be difficult or impossible (65.7%), but they neglect the need of medical treatment. Conclusions : This result shows that HB is comorbid with various psychiatric disease, but it has different physio-psychological symptoms from others and there were only HB patients. so we identify HB is independent disease. Moreover, there were the wrong perception of HB which blocking treatments. These problems support that the neccesity of development of Clinical Guideline of HB.

한방안이비인후피부과 입원환자의 특성 연구 -2012년 3월부터 2018년 2월까지 대전대학교 둔산한방병원을 중심으로- (A Study on the Characteristics of Inpatients in Korean Medicine Ophthalmology, Otolaryngology & Dermatology Clinic -From March, 2012 to February, 2018, Korean Medicine Hospital of Daejeon University-)

  • 황미리;정현아
    • 한방안이비인후피부과학회지
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    • 제32권1호
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    • pp.16-31
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    • 2019
  • Objective : The purpose of this study is to analyze the charcateristics of inpatients in Ophthalmology, Otolaryngology & Dermatology Clinic by gender, age, season, and department of medical care after hospitalization from March, 2012 to February, 2018. Method : From March 1, 2012 to February 28, 2018, patients who were admitted to the Ophthalmology, Otolaryngology & Dermatology Clinic of Korean Medical Hospital were classified by gender, age, department, and season, and their relationship, hospitalization period, number of outpatient visits Differences were analyzed objectively using various statistical methods using IBM SPSS 18.0. Results : 1. The number of inpatients was 432, including duplication. Of these, 317 were female and 115 were male. The number of female patients was 2.8 times higher. 2. The average age of the inpatients was 43.9 years and the number of middle-aged 40-50 patients was 48.6%. 3. The number of inpatients in the departments was in the order of dermatology, otology, laryngology, rhinology, and ophthalmology. The most hospitalized diseases were eczema in the dermatology department, sudden hearing loss in the otology department, tonsillitis/peritonsillar abscess, rhinitis in the rhinology department, and dry eye syndrome in ophthalmology. 1) The effect of gender on the difference in the number of inpatients by subdivision was statistically significant. 2) The effect of age on the difference in the number of inpatients by subdivision was statistically significant. 3) The effect of seasons on the difference in the number of inpatients was not statistically significant. 4. The number of inpatients by season was in the order of winter, spring, summer, autumn, and the number of inpatients decreased significantly in autumn. 1) The effect of gender on the difference in the number of hospitalized patients by season was not statistically significant. 2) The effect of age on the difference in the number of hospitalized patients by season was not statistically significant. 5. The average length of hospital stay for inpatients was 10.7 days. 1) The effect of gender on length of hospital stay was not statistically significant. 2) The effect of age on hospital stay was not statistically significant. 3) The effect of the subdivision on hospital stay was statistically significant. 4) The effect of the season on hospital stay was not statistically significant. Conclusion : As a result of this study, the most distinctive feature of the present study was the high rate of inpatients with otic disease like idiopathic hearing loss and Meniere 's syndrome and the high rate of female patients. This may be related to the increased prevalence of the disease and the severity of the disease. In addition, the high rate of female patients suggests that women are more likely to be affected by illnesses, as well as to have more medical use and severe symptoms requiring hospitalization. In the future, it would be better to provide various treatment plans and policies for patients with otic diseases and female patients. Also it would be good if studies on these fields are made in the future.

원발성 안와 림프종의 방사선치료 성적에 관한 후향적 분석 (Primary Orbital Lymphoma : A Retrospective Analysis of Results of Radiation Therapy)

  • 김수산;안승도;장혜숙;김경주;이상욱;최은경;김종훈;허주령;서철원;김성배
    • Radiation Oncology Journal
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    • 제20권2호
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    • pp.139-146
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    • 2002
  • 목적 : 원발성 안와 림프종로 진단 받고 방사선치료를 받은 환자들을 대상으로 치료 반응, 재발 양상, 생존률 및 치료 부작용에 대해 알아보고자 하였다. 대상 및 방법 : 1991년 2월부터 2001년 4월까지 서울중앙병원에서 원발성 안와 림프종으로 진단 받고 방사선치료를 받은 31명의 환자를 대상으로 후향적 분석을 시행하였다. 성별분포는 남자가 18명, 여자가 13명이었다. 연령은 3세에서 73세까지 분포하였으며 중앙값은 44세였다. 원발 부위는 결막이 9명, 안검이 12명, 안와가 10명이었다. 병리학적 소견은 MALT (low-grade B-cell lymphoma of mucosa-associated lymphoid tissue type) 림프종이 28명, diffuse large B-cell 림프종이 1명, anaplastic large cell 림프종이 1명이었으며 lymphoblastic 림프종이 1명이었다. Ann Arbor staging에 따른 병기 분포를 살펴보면 1기가 31명으로 전부를 차지하였으며 각각 비장, 신장, 골수와 맥락얼기(choroid plexus)에 병변이 있었던 환자 4명은 연구에서 제외하였다. 전체 환자 중, 양측 안와 침범이 있는 환자는 6명이었다. 방사선치료는 결막과 안검 부위는 $6\~16\;MeV$의 전자선을 이용하여 전방 1문 치료로 30 Gy/10 fractions을 조사하였고, 안와 부위는 4 MV, 6 MV의 광자선을 이용하여 쐐기를 이용한 전사방 2문 치료로 $20\~28$회에 걸쳐 총 $40\~50.4\;Gy$를 조사하였다. 특히 결막과 안검 부위는 수정체를 보호하기 위한 납차폐물이 사용되었다. 항암화학요법은 12명의 환자에서 시행되었다. 중앙 추적 관찰기간은 53개월이었다. 결과 : 전체 환자의 5년 생존율은 $90.7\%$이었으며, 2명이 질병과 무관하게 폐렴과 비소세포성 폐암으로 사망하여 질병관련(cause-specific) 5년 생존율은 $96.0\%$이었으며 5년 무병 생존율은 $80.0\%$, 5년 국소제어율은 $90.5\%$였다. 방사선치료를 받은 31명 모두가 치료 후 6개월 이내에 완전관해를 보여 완전관해율은 $100\%$였다. 이 중 국소 재발은 방사선치료 후 16개월과 18개월에 2명의 환자에서 보였고 구제 방사선치료 후 모두 완전관해를 보였다. 2명이 조사 영역 밖에서 재발하였고 lymphoblastic 림프종 환자가 방사선치료 후 18개월에 골수에서 재발하여 사망하였고 MALT 림프종 환자가 방사선치료 후 41개월에 폐에 재발하여 구제 방사선치료 후 완전관해를 보였다. 12명의 환자가 방사선치료 전에 항암화학요법을 받았으며 부분관해가 11명에서 나타났고 1명은 반응을 보이지 않았다. 방사선치료 당시 시력이 있었던 29명 중 5명에서 방사선유발 백내장이 발생하였으며 2명에서 안구건조증이 발생하였다. 결론 : 원발성 안와 림프종의 대부분이 MALT 림프종이었다. 방사선치료는 매우 좋은 치료 반응과 국소 제어율을 보였으며 높은 생존율을 보였다. 국소 재발한 경우에도 방사선치료가 구제치료의 역할을 할 수 있음을 알 수 있었으며 대부분의 환자에서 심각한 후유증을 보이지 않는 안전한 치료로 생각된다.