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심대무,김태균,송하헌,송재용,이동훈,이명실 대한척추외과학회 1999 대한척추외과학회지 Vol.6 No.1
연구계획 : 요통으로 대학 병원에 입원하여 수술 치료전까지 질환의 만성화와 과대한 의료비 지출을 보이는 경향 이 있어 의무 기록 및 간호사 면담을 통하여 조사하였다. 연구목적 : 본 연구는 요통으로 입원한 환자의 입원 전까지 치료 내용을 간호사가 환자 상담을 통하여 얻은 내원 동기, 진료비, 치료 과정, 치료 결과 등에 대하여 분석하여 우리 의료 환경 특성을 이해하고자 하는데 있다. 대상 및 방법 : 1997년 10월부터 1998년 3월까지 5개월간 본교 정형외과에 요통을 주소로 입원치료한 100명을 대상으로 하였다. 입원 후 간호력 조사시 오차를 줄이기 위하여 한 명의 간호사가 병력 일지 및 면담 후 작성하고 치료 기간, 내원 동기, 진료비, 치료 과정, 치료 결과 등에 대하여 조사하였다. 결과 : 다음과 같이 요약 할수 있다. 1. 입원 전의 진료는 발병 후 입원까지 기간이 6개월 이상이 72 %로 만성화를 보였으며, 한방 진료를 거쳐 내원한 경우가 80 %이였다. 2. 입원 전 진료비 지출은 1인 평균 100만원 이상의 고가의 진료비 지출을 보였고, 한방 진료 기관의 경우 1인당 평균 130만원의 진료비 지출이 있었으며, 1회 방문 당 진료비는 한의원이 의원에 비하여 7배이상의 지출로 제일 높았다. 3. 입원을 선택한 동기는 주위의 권유에 의한 경우가 89 %로 주종을 이루었고, 수술적 치료를 시행한 환자는 62명중 탁월 12명, 우수 35명, 양호 13명과 불량 2명을 보였다. 결론 : 환자의 장기화 및 고가의 진료비 지출과 한방 진료의 선호들을 보이고 있으며, 위 3가지 요소가 서로 관련 이 있음을 보여 주고 있다. Object : The Authors compaired the treatment interval, the motive of admission and costs of episodes of back pain care between different provide type in a population representation of the Korea. Material & Method : We reviewed 100 different patients undergone back pain care from October 1997 to March 1998 in Wonkwang Medical Center. This study was a prospective, nurse community based and observational design. Male were 42 and female were 58, mean age was 51(18-81)years. Patients with back pain had been treated with 62 patients operation and 38 patients conservative treatment. Results : The results were as follows 1. The from preadmmision treatment to admission treatment time is consume over 6 months, that makes chronic phase of back pain until 72%, more than 80% of the patients were admitted after the herb medical treatment. 2. The cost of preadmission treatment is average 1,000,000 won. In the cases of herb medicine are average 1,300,000won. The medical fee in the herb medicine is seven times as much as in the medical clinics for a visit. 3. The motive of admission is recommended by neighbour that major to 89%, 62 patients were operated that showed 12 excellent, 35 good, 13 fair and 2 poor results. Conclusion : There were correlations of three factors, that is high cost, patients chronicity and preference of the herb medicine.
( Yong Sung Kim ),( Suck Chei Choi ),( Jae Myung Park ),( Chang Hwan Choi ),( Dong Ho Lee ),( Hee Jung Son ),( In Kyung Sung ),( Jeong Jo Jeong ),( Joon Seong Lee ),( Ki Nam Shim ),( Kwang Jae Lee ),( 대한소화기기능성질환·운동학회 2010 Journal of Neurogastroenterology and Motility (JNM Vol.16 No.1
Introduction: Tegaserod has been used for treatment of irritable bowel syndrome (IBS) but there is no data regarding its effect on Korean patients. The aim of this study was to evaluate the effect of tegaserod on symptoms and quality of Life (QOL) in Korean female IBS patients with constipation and to evaluate the usefulness of the IBS-QOL in clinical study. Methods: A prospective, open Labeled, multicenter study was performed. Female patients fulfilling Rome II criteria for IBS received 6 mg of tegaserod twice a day for 4 weeks. The efficacy on IBS symptoms and QOL was assessed using 7-point scaled symptom questionnaire and IBS-QOL questionnaire, respectively. Results: A total of 81 female patients (range 18-73 years of age) were enrolled in this study. Tegaserod therapy significantly reduced the overall symptom scores after 4 weeks (p 0.01). The improved symptoms included abdominal discomfort or pain, hard or Lumpy stool, straining during a bowel movement, feeling of incomplete bowel movement, and abdominal fullness or bloating. The IBS-QOL of responders to tegaserod treatment was also significantly improved after 4 weeks (p 0.01). Furthermore, improvement of symptom scores significantly correlated with improvement of the IBS-QOL scores (r = -0.60, p 0.001). Conclusions: Tegaserod 6 mg given twice daily improved the QOL as well as the bowel symptoms in Korean female IBS patients with constipation. The IBS-QOL can be used as a reliable end-point in clinical study.(J Neurogastroenterol Motil 2010;16:61-70)
( Yong-soo Kong ),( Yu-mi Kim ),( Je-myung Shim ) 대한물리치료학회 2016 대한물리치료학회지 Vol.28 No.5
Purpose: This study was conducted to investigate the effects of modified cervical exercise on respiratory functions in smartphone users with forward head posture. Methods: Thirty-three smartphone users with forward head posture participated in this study. Subjects were divided into three groups that performed modified cervical exercise one time a day (A group), two times a day (B group), and three times a day (C group). All subjects performed the exercise for four weeks, during which time respiratory functions were measured. Results: There were significant differences in respiratory functions such as forced vital capacity, forced expiratory volume at one second, and maximal voluntary ventilation in the C group after four weeks (p<0.05). Moreover, the forced vital capacity differed among groups, and the post hoc test revealed a significant difference between A group and C group (p<0.05). Conclusion: The results of this study confirmed that modified cervical exercise improved respiratory functions in smartphone users with forward head posture. These findings indicate that smartphone users with forward head posture should perform modified cervical exercise to build correct posture and respiratory functions.