• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제9권1호
• /
• pp.98-102
• /
• 2006

저자들은 우하복부 통증을 주소로 내원한 11세 남아에서 복부 초음파와 복부 컴퓨터 단층 촬영으로 복막수염을 진단하고, 대증 요법만으로 회복된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 대한한방부인과학회지
• /
• 제20권3호
• /
• pp.178-184
• /
• 2007

Purpose: During postpartum period, many women complain multiple pain, sweating, cold hypersensitivity, abdominal pain, hot flush and so on. We called the postpartum disease as San Hu Pung. The San Hu Pung could related with dysautonomia. So we studied the character of the postpartum disease patients as heart rate variability(H.R.V) Methods: The subjects were 63 women who visited Kangnam Kyunghee hospital for postpartum management from February 2006 to June 2007. From history taking, 42 symptomatic women was divided at the postpartum disease group, 21 asymptomatic women was divided at the control group. All women was measured HRV, we studied the difference of HRV between two group. Results: Compared with the control group, SDNN of the disease group was significant low. TP, LF and HF of the disease group were significantly lower than the control group. Conclusion: The difference of HRV between the disease group and the control group was significant. The results of HRV on the disease group could mean that San hu pung is related dysautonomia. The more studies to diagnose San hu pung would be needed.

• 대한한의학회지
• /
• 제43권2호
• /
• pp.117-123
• /
• 2022

Objectives: This study is to report a case of hypersensitivity vasculitis with petechiae improved by Jeoryoung-tang Methods: Petechiae was observed in the upper and lower extremities of the patient. The patient also complained of cystitis symptoms such as dysuria and residual urine. Since there were no other accompanying symptoms such as abdominal pain, bleeding, or joint pain, the patient was diagnosed with hypersensitivity vasculitis and Jeoryoung-tang was prescribed for about a month. Results: After administering Jeoryoung-tang for about a month, petechiae improved from 8 to 2 points, and cystitis symptoms also improved from NRS 7 to 2 points. Conclusions: Since it has been confirmed that Jeoryoung-tang was effective as the treatment of skin symptoms through this case, Jeoryoung-tang can be prescribed for patients with other type skin diseases. However, since it is difficult to generalize this single case, continuous follow-up studies should be conducted.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제10권1호
• /
• pp.20-27
• /
• 2007

목 적: 소아에서 위장관 내시경 시술이 비약적으로 늘고 있고 내시경 기술과 적응증이 확대되고 있으나 이러한 변화를 분석한 보고가 매우 드물어 한 병원에서 최근 시행된 위장관 내시경 검사의 경험을 분석함으로써 소아에서 위장관 내시경 검사의 유용성과 안정성을 살펴보았다. 방 법: 2001년 1월부터 2005년 6월까지 4년 6개월 동안 부산대학교병원 소아과에서 위장관 내시경 검사를 받았던 1,040명의 환자를 대상으로 병력지 분석을 통한 후향적 연구를 시행하였다. 총 1,040예의 내시경 검사가 시행되었고 상부 위장관 검사가 840예, 하부 위장관 검사가 200예였다. 결 과: 환자의 남녀비는 1.25:1이었다. 환자의 평균 연령이 $8.5{\pm}2.1$세였고 신생아와 영아가 6.0%를 차지하였으며 5세 이하가 절반을 차지하였다. 상부 위장관(UGI) 및 하부 위장관(LGI)의 진단적 내시경 검사는 각각 634명과 163명에서 시행되었다. UGI 검사의 주된 적응증은 복통(38.8%), 구토(19.4%), 이물(17.7%), 토혈(10.3%) 등이었고, LGI 검사의 주된 적응증은 혈변(56.0%), 복통(27.5%), 설사(3.0%) 등이었다. UGI 치료적 내시경술의 종류로는 이물 제거(148예), 식도 협착에 대한 풍선 확장술(27예), 경피 내시경하 위루술(15예), 내시경적 식도 정맥류 결찰술(3예)이 있었다. LGI 치료적 내시경술은 37명에서 시행되었으며 용종절제술이 34예, 아르곤 플라즈마 응고술이 3예였다. 내시경술의 합병증으로 식도, 위, 대장의 천공이 각각 1예씩 있었고, 호흡 곤란이 4예에서 발생하였다. 결 론: 위장관 내시경 검사는 소아의 위장관 질환의 진단과 치료에 중요한 역할을 하였으며, 전 연령에서 비교적 안전하게 시행되었다. 나이 어린 환자에서의 검사 빈도와 하부 위장관 검사, 다양한 종류의 치료적 내시경 시술이 늘고 있음을 알 수 있었다.

• 혜화의학회지
• /
• 제9권2호
• /
• pp.251-268
• /
• 2001

We arrived at the following conclusion after we have studied crohn's disease through the literatures of western and oriental medicine. 1. Crohn's disease has a characteristic of granulomatous necrosis and cicatricial inflammation which is called by segmental enteritis, granulomatous enteritis. This falls under the category of "Diarrhea", "Dysentery" and is similar to "small intestinal diarrhea", "acute temesmus", "splenic diarrhea" in oriental medicine. 2. In western medicine, the cause of crohn's disease indefinites, but it is presumed immunological unbalance of alimentary canal. In oriental medicine, it is summarized as the abnormal ascending and descending circulation of stomach and splenic energies, the hepatic stagnation, being the lower part of cleaning qi by exogenous disease, dyspeptic convulsion. 3. The presenting symptoms of crohn's disease are intermittent chronic diarrhea, fever, weight loss, abdominal spastic pain or abdominal discomfort. When anyone has a abdominal mass, a rectal abcess, and a rectal constriction by physical examination, we can doubt crohn's disease. 4. The methods of western medical treatment are a suppression of intestinal toxic contents and inflammatory mediator, a supply of nutritive substanceus to intestinal epithelial cell. Oriental medical treatments of these are "inducing diuresis", "warming kidney to reinforce yang", "nourishing qi to invigorate spleen", "eliminatin dampness by cooling" according to syndrome differentiations. As mentioned above, we can confirm possibility of oriental medical treatment that induces recovery of immunologic control function and we need advanced experiment, study, and clinical approach.

• The Korean Journal of Pain
• /
• 제14권1호
• /
• pp.46-50
• /
• 2001

Background: Ondansetron is both a central and peripheral serotonin (5HT) receptor antagonist and droperidol is a dopaminergic blocking drug which acts centrally at the chemoreceptor trigger zone. We assessed the efficacy and adverse effects of ondansetron, droperidol or both, in the prevention of postoperative emesis during postoperative intravenous patient-controlled analgesia (PCA) using butorphanol and ketorolac medication. Methods: We studied 60 women, aged 25-60 yrs, who underwent total abdominal hysterectomy (TAH), under general anesthesia using $N_2O-O_2$-enflurane. A bolus dose of 1 mg of butorphanol and 4 mg of ondansetron were given to patients and thereafter, PCA was started using 10 mg of butorphanol and 240 mg of ketorolac mixed into the 5% D/W solution (total volume; 100 ml, 1 ml of bolus dose, and 10 min of lockout interval). We also added ondansetron 4 mg (Group O, n = 20), ondansetron 4 mg and droperidol 2.5 mg (Group OD, n = 20), or droperidol 2.5 mg (Group D, n = 20) to the PCA drug. The severity of pain, nausea, vomiting, sedation and other side effects were assessed at 0, 1, 2, 6, 12, 24, 36 and 48 hr after awakening. Results: There was no difference in the incidence of nausea and vomiting between the three group [Group O: 4 (20%) and 3 (15%), respectively; Group OD: 1 (5%) and 1 (5%), respectively; Group D: 3 (15%) and 3 (15%), respectively]. Group O showed a lower sedation score than the other groups (P < 0.05). The pain score and other side effects did not show any difference between the groups. Conclusions: The combination of ondansetron and droperidol showed no clinical benefit compared with ondansetron or droperidol alone for prevention of postoperative nausea and vomiting during postoperative PCA using butorphanol and ketorolac.

• The Korean Journal of Pain
• /
• 제6권1호
• /
• pp.55-59
• /
• 1993

Using a visual analogue scale, we compare the effect of patient-controlled analgesia and conventional intramuscular opioid regimen in 68 patients undergoing lower abdominal or gynecological surgery. We also recorded the incidence of side effects. We checked visual analogue scale 4 hours interval for 30 cases managed by patient-controlled analgesia and 38 cases of conventional intramuscular opioid group managed by obstetrician. We maintained fentanyl $0.33{\mu}g/kg/hr$ and set self administrable bolus dose $5.0{\mu}g$(lockout interval: 15 min) in patient-controlled analgesia group. Conventional intramuscular bolus injection group were administered meperidine 50 mg for 4 hour interval. Mean visual analogue scale scores obtained by patient-controlled analgesia group and intramuscular bolus injection group were $2.49{\pm}0.67$ and $4.53{\pm}1.28$(p<0.05). Side effects such as; no significant incidence of respiratory depression, urinary retention, postural hypotension, nausea, vomiting and pruritus were developed by either group. These results suggest that patient-controlled analgesia was more effective method compared with conventional intraumuscular opioid injection regimen for post-operative pain management.

• 성인간호학회지
• /
• 제13권3호
• /
• pp.420-430
• /
• 2001

This study was designed to verify the effect of aromatherapy on menstrual cramps and dysmenorrhea by a quasi experiment (nonequivalent control group pretest-posttest design), from March to October, 2000. The subjects of this experiment consisted of 45 college women with menstrual cramps and dysmenorrhea. They were randomized by 25 for the experimental group and 20 for the control group. Their mean age was 20.6 years, mean menstrual period 28.7 days, mean menstrual cramps(VAS) 7.25, mean dysmenorrhea (Dysmenorrhea Scale) was 27.34. As treatment, aromatherapy was to give effleurrage of the abdomen with lavender, clary sage and rose as aroma oil, almond oil as carrier oil. For the control group, abdominal massage was given with only almond oil. Data collection included menstrual cramps, dysmenorrhea, the change of symptoms(low abdominal pain, lumbago, headache, nausea, fatigue, edema). Menstrual cramps, dysmenorrhea and general, menstrual characteristics of subjects were measured the first day of the pre menstrual period before treatment (pre-test), menstrual cramps, dysmenorrhea, the change of symptoms were measured the first and second day of post menstrual period after treatment (posttest). Data were analyzed by t-test, $\chi^2$- test, repeated measures ANOVA, Cronbach's ${\alpha}$ with SAS Program. The results of this study was as follows; 1. Menstrual cramps was significantly lower in the experimental group(p = .001). 2. Dysmenorrhea was significantly lower in the experimental group(p = .027). 3. Less women in the experimental group complained about the six symptoms than women in the control group after treatment on the first day of the menstrual period(p < 0.05, p < 0.01) In conclusion, these findings indicate that aromatherapy with lavender, clary sage, and rose could be effective to decrease menstrual cramps, and dysmenorrhea. So, aromatherapy could be applied to women suffering with menstrual cramps, dysmenorrhea periodically as an nursing intervention.

• 대한정형도수물리치료학회지
• /
• 제4권1호
• /
• pp.7-20
• /
• 1998

Activity of the trunk muscles is essential for maintaining stability of the lumbar spine because of the unstable structure of that portion of the spine. The central nervous system deals with stabilization of the spine by contraction of the abdominal and multifidus muscles in anticipations of reactive forces produced by limb movement. Recent evidence indicates that the lumbar multifidus muscle and transversus abdominis muscle may be involved in controlling spinal stability. Stabilization training in neutral spine is an integrated approach of education in proper posture and body mechanics along with exercise to improve strength, flexibility, muscular and cardiovascular endurance, and coordination of movement.

• Clinical and Experimental Pediatrics
• /
• 제46권7호
• /
• pp.722-725
• /
• 2003

저자들은 소아에서 토혈과 혈변으로 내원하여 회맹장형 장중첩증으로 진단된 1례를 경험하였기에 보고하는 바이며, 토혈을 동반한 환아의 진단에 있어 장중첩증을 고려해야 할 것으로 사료된다.