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진흥용 ( Heung Young Jin ),위상양 ( Sang Yang Wi ),박지현 ( Ji Heun Park ),박태선 ( Tae Sun Park ),백홍선 ( Hong Sun Baek ) 전북대학교 의과학연구소 2005 全北醫大論文集 Vol.29 No.2
연구배경: 당뇨병의 관리에 있어서 만성합병증 예방 및 치료는 당뇨병 환자의 예후와 밀접한 관계가 있다. 그러나, 이는 연령, 지역 및 경제적 여건에 따라 많은 차이를 보일 수 있고 또한 시골지역 고령 환자들의 관리 소홀로 반영될 수 있다. 본 연구에서는 시골지역 당뇨병 환자들의 관리 실태 및 문제점을 알아보고자 하였다. 방법: 임실 지역 환자들 중 최근 6개월간 임실의료원에 내원한 107명의 당뇨병 환자들을 대상으로 혈당 및 혈압조절 정도를 조사하였다, 또한 신경병증 및 망막병증 등을 포함한 만성합병증에 대한 검사여부 및 유병률, 그 외 운동 및 식이 조절행태에 대해 알아보았다. 결과: 대상환자들의 평균연령 및 당뇨병 이환 기관은 각각 63.7±8.9, 6.8±3.7년이었고 공 복시 평균혈당은 128.8±41.7mg/dl, 식후2시간 평균혈당은 233.7±73.9mg/dl, 평균 당화혈색소는 7.3±0.7%로 조사되었다. 고혈압이 동반된 환자는 58.9%, 단백뇨 및 신경병증증상을 보인 환자는 각각 23.4%와 30.8%였다. 75.7%에 달하는 많은 환자들은 한번도 망막병증에 대한 안과적 검진을 받은 적이 없었다. 그 외 운동 및 식이조절을 시행하고 있는 환자들은 각각 43%와 34.6%로 낮게 조사되었다. 결론: 시골지역 당뇨병 환자들의 관리에 있어서 혈당 및 혈압 조절 외에 소홀하게 여겨지고 있는 만성병증의 교육, 예방 및 치료를 위해 좀 더 적극적인 정책적 변화가 필요하리라 사료된다. Background: In the management of diabetic patient, the prevention and the treatment of chronic complications are strongly related with prognosis. But management status of chronic complications is affected by age, living area and economic condition of patients, so it is possible that the patients living in rural district might be managed carelessly. Therefore, this study was performed to estimate the management status and problems in caring of diabetic patients in the country. Methods: We studied 107 diabetic patients who visited Im-Sil public Medical Center during the period from September 2004 to March 2005 in Im-Sil district. We investigated blood glucose level, blood pressure, the prevalence of the chronic complications and whether the evaluations of chronic complications including peripheral neuropathy and retinopathy were done. Results: The average age was 63.7±8.9yrs and average disease duration was 6.8±3.7yrs. The mean fasting and 2-hr blood glucose level were 128.8±41.7mg/dl and 233.7±73.9mg/dl, respectively. The mean HbAlc level was 7.3±0.7% and 44.7% of the patients had < 7.0% of HbAlc level. Hypertension, proteinuria, peripheral neuropathy and retinopathy were combined 58.9%, 23.4%, 30.8% and 1.9%, respectively. Exercise trial and diet control were performed only 43% and 34.6% of the patients, respectively. Conclusion: We suggest that positive medical systems for diabetic patients living in the country should be prepared for prevention and treatment of chronic complications.
위상양 전북대학교 의과학연구소 1979 全北醫大論文集 Vol.3 No.-
This is clinical evaluation of the predisposing diseases and the clinical findings of pyothorax admitted at the Ieonbug University Hospital and Gun-San Provincial Hospital from Jan. 1978. 1) There were 42 males and 6 females and the twenties showed the highest incidence in age distribution. 2) Pulmonary tuberculosis was considered to be cause of pleural empyema in 22 patients, lung abscess and paragonimiasis in 5 respectively, liver abscess in 2 and pneumonia was the precipitating cause for empyema in all 6 children under the age of 15 years. Etiology was unknown in 8 patients. 3) The cultured organisms were staphylococcus aureus in 11 patients, pseudomonas in 10, streptococcus in 6, and sterile culture was obtained in 17 patients.
魏常洋 전북대학교 의과학연구소 1980 全北醫大論文集 Vol.4 No.1
From Jan. of 1978 to Nov. 1979, Clinical findings and Drug resistance of pulmonary tuberculus patients admitted to Jeonbug National University Hospital and registered at Public Health Center were observed and analyzed. The results were as follow. 1. Parcentage distribution of radiological pulmonary tuberculosis was 47% in far advanced cases, 25.5% in minimal cases, 21.6% in moderately advanced cases. 2. Abnormal electrocardiographic findings were peaked P and Sinus tachycardia with 43.1% and 21.5% incidence respectively. 3. Precedence of clinical sysmtom was cough, sputum, weight loss, dyspnea, tiredness, chest pain, and hemoptysis. 4. G-I disturbances with peptic ulcer were observed in 39.2% cases of pulmonary tuberculous patients. 5. Direct smear negative ratio to culture positive was 26.1% and smear positivity was 41.2%. 6. prevalence of tubercle bacilli resistant to I.N.H. PAS, S-M, Rifampicin, Ethambutol and Pyrazinamide was 90%, 51%, 52.9%, 49%, 64.7% and 4.7% respectively.
魏常洋 전북대학교 의과학연구소 1981 全北醫大論文集 Vol.5 No.1
Hypercalcemia has been known to occur in association with granulomatous disease. Serum calcium concentration was measured in 47 patients with active pulmonary tuberculosis and 31 patients with chronic obstructive pulmonary disease admitted to Jeonbug National University Hospital. The results were as follows. 1. Mean serum calcium in patients with active tuberculosis was higher than in patients with chronic obstructive pulmonary disease, and the level was 8.95mg/dl, 8.4mg/dl respectively. 2. Mean serum calcium in patients with active tuberculosis was higher than in control group supplemented with same dose of Vitamin D. 3. Hypercalcemia appears to be related to the activity of pulmonary tuberculosis and the intake of vitamin D, however the exact mechanism remains unknown.