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정갑인,이해혁,이효환,유정완,남계현,이임순,이권해 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.2
Objective : Our purpose was to make preparations of what for proper emergency care and delivery in order to improve maternal and fetal well-being. Methods : The study was undertaken for the clinical evaluation and statistical analysis on the patients with placenta previa who had been admitted and delivered at Soonchunhyang University Hospital from January, 1994 to May, 1998, retrospectively. Results : The incidence of placenta previa was 2.0%. Placenta previa has occurred more often in multigravida(92%) than primigravida(8%). Vaginal bleeding was most frequent(37.3%) presentation. The mean gestational age at the first bleeding episode was 31~35 weeks(46.4%). The type of placenta previa was totalis (31.3%), Partialis(18%), marginalis(32.7%), low lying(18%). Conclusion . This study indicates that the obstetrician and the pediatrician should be prepared for emergency care and delivery of the placenta previa patients, with the improvement of delivery room and neonatal intensive care unit.
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이권해,이해혁,문원실,김상엽,이석민,이명환,김진수,구도형,이효환 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.8
본 연구에서 다음과 같은 결과를 얻었다. 1. 평균 폐경 연령은 만 48.3±4.1세였다. 2. 갱년기 증상 빈도는 Ⅰ군에서는 열성 홍조, 요통, 관절통 순, Ⅱ군에서는 요통, 관절통, 열성 홍조, 빈뇨 순, Ⅲ군에서는 요통, 빈뇨, 관절통, 열성 홍조 순이었으며, Ⅳ군에서는 요통, 관절통, 빈뇨, 불면증, 열성 홍조 순으 로 나타났다. 연령에 관계없이 전체 환자의 증상 빈도 순으로 보면 요통, 관절통, 열성 홍조, 빈뇨 등의 순서로 증 상이 나타났다. 3. 골밀도 측정의 결과는 요추 전후, 요추 측면, 대퇴 경부, 대퇴 Ward`s 삼각의 골밀도는 연령이 증가함에 따라 모두 통계학적으로 유의하게 감소하는 결과를 보였다. 4. 골대사의 생화학적 지표는 혈청 오스테오칼신치와 요중 디옥시피리디놀린 배설량은 연령의 증가에 따른 일관된 변화를 보이지 않았으며, 통계학적 유의성은 없었지만, 혈청 총 알칼라인포스파타제치는 연령이 증가함 에 따라 오히려 계속 증가되어, 폐경이 경과된 후에도 여 전히 골교체율이 증가되어 있는 경우가 많았다. 5. 혈청 지질의 변화에서 통계학적 유의성은 없었지 만, 혈청 총콜레스테롤치, 저밀도지단백콜레스테롤치와 중성지방치는 연령이 증가함에 따라 증가하는 양상이었으며, 고밀도지단백콜레스테롤치는 연령이 증가함에 따라 감소하였다. 6. 혈청 총 칼슘치와 혈청 요산치는 연령에 따른 변화가 없었다. 이상의 결과로 상당히 많은 폐경기 전후 여성이 폐경 기 증상으로 고통받고 골밀도가 감소하므로 호르몬 대 치요법을 적절한 시기에 시작한다면 갱년기의 불편한 증상을 줄이게 되고, 골밀도 및 혈청 지질 변화를 호전시 켜 폐경기 이후의 삶의 질을 향상시킬 것으로 기대된다. Purpose: We have evaluated the characteristics of perimenopausal women in Korea, by the age of menopause, climacteric symptoms, bone mineral density, biochemical bone markers and lipid profiles. Methods: There is 233 perimenopausal women who are divided into four groups (Group Ⅰ, Group Ⅱ, Group Ⅲ, Group Ⅳ) by age. The age distributions of Group Ⅰare below 50 years old. Those of Group Ⅱ, Ⅲ, Ⅳ are 51∼55 years old, 56∼60 years old and above 61 years old. We asked them for their climacteric symptoms and we checked them for the bone mineral density, biochemical bone markers and lipid profiles. Results : 1) The mean age of menopause is 48.3±4.1 years old. 2) The common symptoms of the Korean perimenopausal women were backache, arthralgia, hot flashing and urinary frequency in order of frequency. 3) The bone mineral densities of climacteric women were significantly decreased by increasing age. 4) The serum alkaline phosphatase among biochemical markers of bone turnover was significantly increasing state by increasing age. 5) The levels of serum total cholesterol, LDL-cholesterol and triglycerides were increasing tendency, but HDL-cholesterol was decreasing tendency by increasing age. 6) There are no variation by increasing age in the serum total calcium and serum uric acid. Conclusions: Increasing age had a great effect on bone mineral loss and lipid profiles in the climacteric women.
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이해혁(Hae Hyeog Lee),이정재(Jeong Jae Lee),남계현(Kae Hyun Nam),이임순(Im Soon Lee),이권해(Kwon Hae Lee),이효환(Hyo Hwan Lee),이석민(Seok Min Lee),정갑인(Kab In Jung),정한우(Han Woo Jung),신정옥(Jeong Ok Shin),구도형(Do Hyoung Koo) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.2
N/A Objective: To evaluate the frequency and obstetric consequences of women with uterine anomalies and correlation between obstetric consequence and congenital uterine anomalies. Materials and Methods: A retrospective study was made on 65 patients with uterine anomalies in order to evaluate the obstetric consequence at department of obstetrics and gynecology, Soonchunhyang University Hospital from January 1994 to June 1997. The diagnosis of uterine anomalies was made with hysterosalpingogram or ultrasonogram, or at the time of cesarean section. The uterine anomalies were classified according to the classification of Buttram and Gibbons and compared the pregnancy outcome for each classification. The obstetric consequences were divided into preterm delivery, premature rupture of membranes, intrauterine growth restriction, and abnormal presentation of fetus. Statistical analysis was carried out using chi-square test, the significance was defined as P < 0.05. Results: 1. The incidence of uterine anomalies accounted for 1.04% (65/6,250 deliveries). 2. The most common uterine anomalies were class III (Uterine didelphys, 47.7%). 3. We noted preterm birth rate (16.9%), premature rupture of membranes rate (20%), intrauterine growth restriction rate (9.2%) in 65 patients. 4. The rate of breech presentation was 41.5% and the mean birth weight was 2,747 gram. 5. When uterine anormalies were present, the incidence of obstetric consequences was significantly increased. Conclusion: We concluded that congenital uterine anomalies were closely related to obstetric consequences, such as preterm, breech presentation, intrauterine growth retardation.
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