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      • 부자 추출물이 LPS로 유도된 C57BL6 마우스의 패혈증 연관 급성 폐 손상에 미치는 영향

        이인승,부민아,심재욱,백승호,박진봉,In-Seung Lee,Mina Boo,Jae Ouk Sim,Seung-Ho Baek,Jinbong Park 대한융합한의학회 2022 대한융합한의학회지 Vol.4 No.1

        Objectives: TSepsis and subsequent acute lung injury (ALI) is a critical state of health caused by infection or endotoxins. This study was conducted to evaluate the effect of Water Extract of Aconiti Lateralis Preparata Radix (AR) on lipopolysaccharide (LPS)-induced sepsis in C57BL/6 mice. Methods: Male C57BL/6 mice were intraperitoneally injected with LPS to induce sepsis and ALI. AR was orally fed twice at 30 min and 180 min after LPS injection. At 24 h post injection, mice were sacrificed, bronchoalveolar lavage fluid (BALF) and blood was collected, and lung tissue was harvested. Hematoxylin and eosin staining was performed in lung tissues, wet/dry ratio of the lung tissue was measured, and the serum cytokine and chemokine levels were analyzed. Results: AR revoked the LPS-induced pathological changes in lung tissues, such as abnormal histological structures, immune cell infiltration and lung edema. Also, AR suppressed the neutrophil infiltration into the lung which was greatly increased by LPS injection based on the cell content of collected BALF. Serum cytokines and chemokines were measured, and AR reversed the LPS-induced increase of cytokines such as interleukin 1 beta, interleukin 6, tumor necrosis factor alpha and chemokines including C-X-C motif chemokine ligand 1 and 2. Conclusion: TAR showed a protective effect in the pathological progress of LPS-induced ALI. Especially, AR suppressed lung edema and infiltration of neutrophils by inhibiting cytokine and chemokine expressions. Such results demonstrate the potential of AR as a therapeutic agent for sepsis and sepsis-induced ALI.

      • KCI등재

        내측 개방 근위 경골 절골술 후 통증 조절에서 관절 주위 다중 약물 국소 주사와 내전근관 차단술의 효과 비교

        김옥걸(Ok-Gul Kim),김도훈(Do-Hun Kim),서승석(Seung-Suk Seo),이인승(In-Seung Lee) 대한정형외과학회 2019 대한정형외과학회지 Vol.54 No.2

        목적: 내측 개방 근위 경골 절골술 후 통증 조절에서 관절 주위 다중 약물 국소 주사와 내전근관 차단술의 효과를 비교하고자 하였다. 대상 및 방법: 2016년 11월부터 2017년 3월까지 개방형 내측 근위 경골 절골술을 시행한 환자 60명을 대상으로 하여 후향적으로 분석하였다. 전 예에서 척추 마취를 시행하였으며, 수술 직전 선제 약물 투여 후 정맥내 자가 통증 조절 장치를 시행하였다. 30명의 환자(I군)는 관절 주위 다중 약물 국소 주사를 맞았고, 다른 30명의 환자(II군)는 내전근관 차단술을 시행 받았다. 두 그룹에 대해 수술 후 통증 수준, 추가적인 tramadol hydrochloride 주사의 빈도, 자가 통증 조절 장치 사용 총량 및 버튼을 누른 횟수 등을 비교하였다. 결과: 수술 후 2주째까지 시각통증점수(visual analogue scale)는 두 군 간에 유의한 차이를 보이지 않았다. 추가 tramadol hydrochloride 주사의 빈도는 두 군 간에 유의한 차이가 없었다. 자가 통증 조절 장치 버튼을 누르는 횟수와 평균 총 fentanyl 소비량에서도 그룹 간에 유의한 차이가 없었다. 결론: 내측 개방적 근위 경골 절골술을 시행한 환자의 급성기 통증 조절에 있어서 관절 주위 다중 약물 주입 및 내전근관 신경 차단술은 비슷한 효과를 가지는 것으로 생각된다. Purpose: The efficacy of periarticular multimodal drug injection and adductor canal block after a medial opening-wedge high tibial osteotomy was compared in terms of the postoperative pain level. Materials and Methods: From November 2016 to March 2017, 60 patients underwent a medial opening-wedge high tibial osteotomy under spinal anesthesia. Preemptive analgesic medication, intravenous patient controlled anesthesia were used for pain control in all patients. Thirty patients received a periarticular multimodal drug injection (group I), and 30 patients received an adductor canal block (group II). These two groups were compared regarding the postoperative pain level, frequency of additional tramadol injections, total amount of patient-controlled analgesia, and number of times that the patients pushed the patient-controlled analgesia button at each time interval. Results: The visual analogue scale scores over the two-week postoperative period showed no statistical significance. The frequency of additional tramadol hydrochloride injections was similar in the two groups over time. The mean number of times that patients pushed the patient-controlled analgesia button was similar in two groups over time. The total amount of patient-controlled analgesia was similar in the two groups over time. Conclusion: This study shows that intraoperative periarticular multimodal drug injections and adductor canal block may have a similar effect on postoperative pain control in patients who have undergone a medial opening-wedge high tibial osteotomy for unicompartmental osteoarthritis of the knee.

      • SCOPUSKCI등재

        백서 창상의 피복방법에 따르는 Muofibroblast의 생성 및 소실되는 과정의 실험적인 비교관찰

        김한중,최희윤,조철현,이인승 大韓成形外科學會 1985 Archives of Plastic Surgery Vol.12 No.1

        The question of how skin coverage affects contracting wounds has long been a significant problem in the study of wound contraction. Myofibroblasts appear to be well established as the cellular cause of wound contraction. Myofibroblasts are found in many types of contracting wounds, including granulating wounds and hypertrophic burn scars. Myofibroblasts in contracting wounds have definitive life cycles, being present when contraction is active and then disappearing when contraction has ceased. In this study, we observated comparatively quantitative changes in the surface area by planimetry and changes of myofibroblasts by electron microscope through 8 weeks according to the types of skin coverage. The purpose of this study was to evaluate the myofibroblast population in skin coveraged wounds in a rat model, which allowed frequent biopsies as well as precise identificaion of the interface of the skin coverage and the wound bed. The results of our experiments are as follows: 1. Granulating wound Contracted rapidly and had long persistence of myofibroblasts. 2. Split-thickness skin graft Contrated less and myofibroblasts were more rapidly decreased and were disappeared at 5 weeks later. 3. Full-thickness skin graft Minimum contracti aondnmyofibroblasts were very rapidly decreased and were disappeared at 4 weeks later. 4. Local flap No contraction and could not find myofibroblast. Slowly increase in size at begining. 5. Contraction was influenced by number and lasting time of myofibroblast.

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