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한방치료 후 NK세포 활성도의 호전을 보인 암환자 증례보고 3례
박찬란,김은지,손창규,조정효,이남헌,Park, Chan-ran,Kim, Eun-ji,Son, Chang-gue,Cho, Jung-hyo,Lee, Nam-hun 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.3
Objectives: High natural killer cell activity (NKA) is associated with a clinically favorable status in patients with cancer. This study explores whether traditional Korean medicine (TKM) improves NKA in patients with cancer. Methods: We report three clinical cases involving patients with cancer who underwent NKA tests while they received TKM treatment, including acupuncture, moxibustion, wild ginseng pharmacopuncture, and Korean herbal medicines. We analyzed the treatment process and NKA test results of each patient. Results: The NKA of all three patients presented with an increasing tendency during the treatment process. Patient 1, who had been diagnosed with breast cancer, received inpatient treatment 3 times between September 16, 2017 and February 27, 2019. The NKA increased from 7.2 pg/mL to 571.7 pg/mL. Patient 2, who had thyroid cancer, was hospitalized 4 times between July 23, 2019 and August 27, 2020. The NKA improved from 317.4 pg/mL to 2000 pg/mL. Patient 3, who had liver cancer, received inpatient treatment 4 times between May 27, 2016 and January 10, 2017. The NKA increased from 22.2 pg/mL to 459.5 pg/mL. The chief complaints of these patients also were alleviated. Conclusions: TKM may be an effective treatment for accelerating NKA. Further research is needed to establish evidence that TKM stimulates NKA.
항암 치료 후 발생한 수족증후군에 대한 한의학적 치료의 효과에 대한 고찰
김은지,박찬란,손창규,조정효,이남헌,Kim, Eun-ji,Park, Chan-ran,Son, Chang-gue,Cho, Jung-hyo,Lee, Nam-hun 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.3
Objectives: Hand-foot syndrome (HFS) is a common adverse effect of chemotherapy in cancer patients. This review synthesizes research results to assess the effect of traditional Korean medicine (TKM) on HFS in cancer patients. Methods: Four databases (PubMed, The Cochrane Central Register of Controlled Trials, Research Information Sharing Service, China National Knowledge Infrastructure) were searched for randomized controlled trials (RCTs) to assess the effects of TKM on HFS. The effects and quality of RCTs were assessed with the Cochrane risk of bias (ROB) tool. Results: Six RCTs met our study criteria. In all six, TKM showed improvement in HFS symptoms as well as quality of life scores when compared to the control group. However, the methodological quality of RCTs was relatively low due to the unclear or high ROB. Conclusions: TKM would be helpful to patients with HFS after chemotherapy. To clarify the clinical efficacy of TKM, well-designed studies are required in the future.
오현묵,김슬기,박찬란,고명현,박소정,조종관,박지혜,유화승,이남헌,손창규,조정효,Oh, Hyeon-muk,Kim, Sul-ki,Park, Chan-ran,Ko, Myung-hyun,Park, So-jung,Cho, Chong-kwan,Park, Ji-hye,Yoo, Hwa-seung,Lee, Nam-hun,Son, Chang-gue,Cho, Jung-hyo The Society of Internal Korean Medicine 2021 大韓韓方內科學會誌 Vol.42 No.4
목적: 본 연구는 대전대학교 부속 한방병원에서 암을 주소로 입원치료를 받은 환자를 대상으로 내원 동기 및 만족도를 평가하고자 한다. 방법: 총 100명의 입원환자를 대상으로 의료서비스 만족도 측정을 위한 설문조사를 실시하였다. 통계분석은 독립표본 T검정(Independent t-test), 분산 분석(ANOVA)을 사용하였다. 결과: 암환자들이 한방병원에 내원한 주된 동기는 '암의 전이 및 재발을 예방하기 위해서'로 조사되었다. 환자들은 한방 치료 중 침과 뜸에 대해 가장 높은 만족도를 보였다. 5점 척도로 구성된 만족도 조사에서 한의사 서비스와 관련된 만족도는 평균 4.80점, 의료서비스 이용 관련 만족도는 4.68점으로 나타났다. 결론: 대부분의 암환자는 한방병원의 의료서비스에 만족하는 것으로 나타났고 성별, 연령 및 직업에 따른 한방 의료서비스 만족도에는 유의한 차이가 없었다. Objectives: This study aimed to evaluate the degree of satisfaction of cancer patients and to understand their motives for visiting Korean Medicine Hospital in order to increase satisfaction with Korean medicine among cancer patients. Methods: Data collection was conducted in the form of a survey of 100 inpatients who responded to a self-report questionnaire. Independent t-test and analysis of variance (ANOVA) were used for data analysis. Results: The main reason for visiting Korean Medicine Hospital was to prevent metastasis or recurrence of cancer. Patients showed the highest satisfaction with acupuncture and moxibustion. The average degree of satisfaction related to the doctor service was, on a 5-point scale, 4.80, and that of using procedure was 4.68. Conclusion: Most of the cancer patients are satisfied with the medical services in Korean Medicine Hospital. There were no significant differences in satisfaction degree by gender, age, or occupation.
orafenib 복용 후 발생한 수족증후군의 자운고 치료 1례
강용휘 ( Yong-hwi Kang ),이가영 ( Ga-young Lee ),박찬란 ( Chan-ran Park ),조정효 ( Jung-hyo Cho ),손창규 ( Chang-gue Son ),이남헌 ( Nam-hun Lee ) 대전대학교 한의학연구소 2019 혜화의학회지 Vol.28 No.2
Objectives : The purpose of this case study is to report the effect of Korean medicine on hand-foot syndrome(HFS) casued by sorafenib(nexavar) in hepatocellular carcinoma. Methods : The patient, 77-year-old patient complaining with pain, swelling and erythema on both hands and feet which is characterized as HFS was treated with Jaungo. We evaluated the symptoms by Numeric Rating Scale and pictures. Results : The symptoms of HFS has been alleviated during the treatment. Conclusions : We suggest Jaungo as one of the alternative therapies for HFS due to sorafenib.