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      • KCI등재

        동의보감의 십종요통에 근거한 요통환자의 임상적 연구

        염승철,이건목,이길숭,김성철 대한침구의학회 2005 대한침구의학회지 Vol.22 No.4

        Objective : The analysis of prognosis ablout lumbago classes is important for low back patients. This study was designed to show the clinical significance about lowback pain patients based on 10 classes lumbago in Dong-Eui-Bo-Kham. Methods : To analyze classify 80 patients who had received the hospital treatment for low back pain, they were classified according to 10 classes lumbago in Dong-Eui-Bo-Kham. To estimate the efficacy of oriental medical treatment, we used Quardruple Visual Analog Scale (QVAS). Results and Conclusion : 1. According to 10 classes lumbago in Dong-Eui-Bo-Kham, the largest group of lumbago was due to muscle strain in 30(37.5%) cases, the next was due to wind pathogen group in 18(22.5%) cases, due to blood stasis group in 16(20%), due to Kidney deficiency by 12(15.0%), due to retention of food group by 2(2.5%), the lumbago due to humidity pathogen group by 2(2.5%) in order. 2. By the results which puts out the statistics in lumbago classes on a objectivity treatment record, the Lumbago due to blood stasis, the lumbago due to Kidney deficiency, the lumbago due to muscle strain, the lumbago due to wind pathogen, the lumbago due to retention of food, the lumbago due to humidity pathogen showed3.06(±0.68), 2.83(±0.84), 3.13(±0.78), 2.67±(0.77), 3.00, 3.00. 3. By the results which puts out the statistics in lumbago classes as a subjectivity treatment record, the Lumbago due to blood stasis, the lumbago due to Kidney deficiency, the lumbago due to muscle strain, the lumbago due to wind pathogen, the lumbago due to retention of food, the lumbago due to humidity pathogen changed from 8.19(±1.68), 8.58±(1.08), 7.80±(2.28), 8.67(±1.46), 9.00(±1.41),8.50(±0.71)to2.81(±1.91),4.17(±2.52),2.43(±1.63), 3.00(±1.85), 2.00, 3.00.

      • KCI등재

        금연클리닉 프로그램을 통한 금연침 효과의 후향 연구

        염승철 대한침구의학회 2009 대한침구의학회지 Vol.26 No.3

        Objectives : This study identified the effects of the acupuncture associated with successful cessation at a smoking-cessation clinic of public health center in an urban area. Methods : The subjects of this study were 1121 patients to the smoking cessation clinic of the Anjung Public Healthcare Center in Pyeongtaek, from June 1, 2007 to December 31, 2008. The 123 patients of them were treated by the auricular acupuncture. The experimental group were treated by the acupuncture, and the control only participated in the smoking-cessation clinic program. The data were analysed by SPSS(version 17.0). Chi-square analysis were conducted to see the different of effects between experimental and control group. Also, to find out the factors that affect the success of smoking cessation, logistic regression and Fisher’s exact test were done. Results & Conculusions : 1. As the result of the analysis, it showed that 73.2% of the experimental were able to quit smoking for 4 weeks and 6months. 2. Logistic regression and Fisher’s exact test showed that number of Cigarette per day, Nicotine Dependence, CO figure(p=.004<.01), and Number of Acupuncture(p=.000<.001) were the factors that affect the successful smoking cessation. 3. The smoking cessation were more likely to success as patients have lower CO figure(B=-.074), more number of the acupuncture(B=1.718). The more number of acupuncture increased 1 time, the more smoking cessation success did 5.576 times( = 5.576). 4. As the result of the analysis between experimental and control group, the success rate have the significance difference(p=.000<.001). 73.2% of the experimental were able to quit smoking, but 45.1% of the control did.

      • A Clinical Study about Low Back Pain Patients based on 10 Classes Lumbago in Dong-Eui-Bo-Kham

        염승철 국제선무학회 2006 禪武學術論集 Vol.- No.16

        본 연구는 요통환자에 있어서 그 분류에 따른 예후 및 분석은 중요하다. 본 논문은 요통환자를 대상으로 동의보감에 따라 10종 요통을 분류한 후 그 임상적 의의에 관한 논문이다. 따라서 2003년 3월 1일부터 2004년 8월 30일까지 원광대학교 산본한방병원 침구과에 腰痛, 臀部痛, 下肢放射痛 등으로 입원한 환자 중 Lumbar MRI를 촬영한 환자 80례를 대상으로 동의보감의 10종 요통으로 구분한 후 예후 및 치료 효능을 측정하기 위하여 QVAS를 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 동의보감의 10종 요통에 따른 분류결과 瘀血腰痛인 경우는 16명, 腎虛腰痛인 경우는 12명, 挫閃腰痛인 경우는 30명, 風腰痛인 경우는 18명, 濕熱腰痛인 경우는 2명, 濕腰痛인 경우는 2명으로, 挫閃腰痛인 경우가 전체 환자의 37.5%를 차지하여 가장 많았다. 2. 요통의 종류에 따른 환자의 객관적 치료 성적을 살펴보면 瘀血腰痛, 腎虛腰痛, 挫閃腰痛, 風腰痛, 濕腰痛, 食積腰痛의 경우 각각 3.06(±0.68), 2.83(±0.84), 3.13(±0.78), 2.67±(0.77), 3.00, 3.00으로 분석되었다. 3. 요통의 종류에 따른 환자의 주관적 치료 성적의 평가기준은 瘀血腰痛, 腎虛腰痛, 挫閃腰痛, 風腰痛, 濕腰痛, 食積腰痛의 경우 Admission 각각 8.19(±1.68), 8.58±(1.08), 7.80±(2.28), 8.67(±1.46), 9.00(±1.41), 8.50(±0.71)에서 Discharge 2.81(±1.91), 4.17(±2.52), 2.43(±1.63), 3.00(±1.85), 2.00, 3.00 으로 분석 되었다.

      • KCI등재
      • KCI등재
      • KCI등재

        頸椎椎間板 脫出症 患者의 紅花藥鍼治療에 대한 臨床的 考察

        이건목,염승철,김도호,유성원,김대중,조남근,윤주영 대한침구의학회 2006 대한침구의학회지 Vol.23 No.3

        Objectives : Herniation of Nucleus Pulposus(HNP) of Cervical is the most important reason that causes Cervical pain. The aim of this study is to investigate the effectiveness of Carthmi-Flos Herbal acua-acupuncture therapy for Cervical disc Herniation patients. Methods : To evaluate the effectiveness of Carthmi-Flos Herbal acua-Acupuncture Therapy, 20 patients were treated by Carthmi-Flos Herbal acua-acupuncture therapy. To estimate the efficacy of treatment, we used Quardruple Visual Analog Scale (QVAS). Results & Conclusion : 1. As a objectivity treatment record, they test treatment record good 35%, fair 35%, excellent 30%. 2. After Carthmi-Flos acua-acupuncture therapy, pain rate changed from 8.80 to 5.40 3. By the results which puts out the statistics in sex , a pain rate of male changed from 8.57(±1.51) to 2.71(±2.63), a pain rate of female 8.92(±0.95) to 3.77(±2.09). Intentional difference is none as a therapy. 4. By the results which puts out the statistics in age, after forties changed from 9.07(±0.88) to 3.80(±2.43) and before forties changed from 8.00(±1.58) to 2.20(±1.30). Intentional difference is none as a therapy. 5. By the results which puts out the statistics in Duration, pain rate of the acutest group changed from 8.36(±1.12) to 2.18(±1.08), pain rate of the subacute group changed from 9.80(±0.45), to 5.20(±2.68), pain rate of the chronic group changed from 8.67(±1.53) to 3.33(±1.53). Intentional difference is none as a therapy. 6. By the results which puts out the statistics in the reading of Lumbar MRI, pain rate of the Bulging type changed from 9.00(±1.05) to 4.30(±2.67), pain rate of the Protruded type changed from 8.50(±1.00), to 3.50(±1.29), pain rate of the Extruded type changed from 6.00 to 1.00, pain rate of the Mixed type changed from 9.20(±0.84) to 2.00(±1.23), Intentional difference is none as a therapy.

      • KCI등재

        腰脚痛 환자의 鍼灸治療와 減壓療法을 병용한 效果에 대한 臨床的 考察

        함은영,김도호,염승철,김형수,이재규,이건휘,이건목 대한침구의학회 2008 대한침구의학회지 Vol.25 No.1

        Objectives : Spine decompression therapy has recently become a popular academic field as it has proven to be a great alternative to the limitations of Western medical treatment. However, little study examined spine decompression therapy for lumbago. Thus, this study aimed to investigate the sense of improvement and satisfaction from the lumbago patients reported after being treated with spine decompression therapy. Methods : A total of 80 subjects that consists of lumbago patients were participated in this study. The experimental group(50 subjects) was treated with spine decompression therapy and acupuncture, and the control group(30 subjects) was treated with acupuncture. All the subjects were asked to complete the VAS(visual analogue scale) and ODI(Oswestry disability index) before and after the treatment. Results : A comparison of VAS and ODI results of the two groups shows that the spine decompre- ssion and acupuncture treatment group reported more effective relief from lumbago than the acupuncture treatment group.

      • KCI등재

        경추 신경근증 환자에 있어서 봉약침 치료의 효과에 대한 임상적 고찰

        이길승,이건목,염승철 대한침구의학회 2005 대한침구의학회지 Vol.18 No.3

        Objective : The aim of this study is to investigate the effectiveness of Bee-venom therapy for Cervical radiculopathy patients. Methods : To evaluate the effectiveness of Bee-venom therapy, 14 patients were treated by Bee-venom therapy. To estimate the efficacy of treatment, we used Quardruple Visual Analog Scale (QVAS), JOA score and Odom's degree. Results & Conclusions : 1. As a objectivity treatment record, they test treatment record excellent(7 case) 50%, good(4 case) 28.57%, fair(3 case) 21.43%. 2. After Bee-venom therapy, pain rate changed from 8.82 to 3.25.(p=0.000) 3. After Bee-venom therapy, JOA score changed from 11.00 to 12.79.(p=0.000) 4. By the results which puts out the statistics in sex, age, existence of finger numbness and disc type, the pain rate is not significantly difference as a therapy. (p<0.05) 5. By the results which puts out the statistics in sex, age and disc type, the JOA score is not significantly difference as a therapy.(p<0.05) But by the results which puts out the statistics in existence of finger numbness the JOA score is significantly difference as a therapy.(p=.025) There was reports about Bee-venom therapy of the Patient with Cervical radiculopathy. It is very effective to reduce the pain and increase the JOA score.

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