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주의력결핍·과잉행동장애의 침치료에 대한 최신 연구동향 - 2011-2013년 중국 논문 중심으로 -
강문수,김우경,김락형,Kang, Mun Su,Kim, Woo Kyoung,Kim, Lak Hyung 대한한방소아과학회 2013 대한한방소아과학회지 Vol.27 No.4
Objectives The purpose of this study was to investigate the acupuncture therapy about Attention Deficit Hyperactivity Disorder (ADHD) in China. Methods We searched for the studies on ADHD at China National Knowledge Infrastructure (CNKI, http://www.cnki.net) from 2011.1 to 2013.8. Results Selected 12 studies were divided into 7 case reports and 5 control studies. 7 case reports reported significant improvements with acupuncture therapy in ADHD. 5 control studies reported results that the acupuncture therapy groups were similar or better than western medicine treatment groups. Frequently used acupuncture points were EX-HN23 (7 times), GV20 ${\bullet}$ P6 ${\bullet}$ SP6 (6 times), G13 ${\bullet}$ EX-HN1 (5 times). Conclusions There have been reported many ADHD clinical studies in China and these studies can be applied to the clinical practices in Korea.
경혈탐측기에 반응한 이혈(耳穴)과 신체 동통 부위와의 관계 연구
강문수,박현철,김락형,유정석,송범용,Kang, Mun-Su,Park, Hyun-Chul,Kim, Lak-Hyung,Yu, Jeong-Suk,Song, Beom-Yong 대한침구의학회 2007 대한침구의학회지 Vol.24 No.6
Objectives : The objectives of this study were to investigate the relationship between electrical detection of ear acupuncture points and musculoskeletal pain. Methods : 18 adults who have musculoskeletal pain without trauma factorsparticipated in this study. They answered the questionnaire and their ear acupuncture points were examined with electrical detectors. We analyzed the relationship between electrical detection of ear acupuncture points and musculoskeletal pain with concordance rate and validity. Results : Total concordance rates of the head region was 68.00%(questionnaire) 32.08%(investigation), that of vertebral region was 67.86%, 59.38%, that of both upper limbs was 86.67%, 39.69%, and that of both lower limbs was 50.00%, 23.46%. The true positive rate was 0.704, the true negative rate was 0.492, the false positive rate was 0.508, and the false negative rate was 0.296 in the validity test. In the head, two concordance rates of the temporal and occipital regions were relatively higher than those of the parietal and frontal regions. In the vertebral region, two concordance rates of the cervical and lumbar regions were relatively higher than those of the thoracic and sacrum regions. In the upper limb, two concordance rates of the shoulder and shoulder joints were relatively higher than those of the others. In the lower limb, concordance rates of investigation were relatively low at all areas. The right lower limb was relatively higher than the left in concordance rates of the questionnaire. Conclusions : The results suggest that electrical detection of ear acupuncture points can be used in the diagnosis and treatment of musculoskeletal pain.
국내 크론병 환자에서 위점막의 Bamboo Joint-Like Appearance에 관한 연구
강문수 ( Mun Su Kang ),박동일 ( Dong Il Park ),박정호 ( Jung Ho Park ),김홍주 ( Hong Joo Kim ),조용균 ( Yong Kyun Cho ),손정일 ( Chong Il Sohn ),전우규 ( Woo Kyu Jeon ),김병익 ( Byung Ik Kim ) 대한소화기학회 2006 대한소화기학회지 Vol.48 No.6
목적 : "Bamboo joint-like (BJL) appearance"는 규칙적인 미란이나 고랑이 가로지르는 위체부 소만부와 분문부의 종주하는 두꺼워진 점막 주름으로 크론병과 연관이 있다는 보고가 있어 왔다. 이번 연구에서는 국내 크론병 환자에서 BJL appearance의 발견율에 대해 알아보고자 하였다. 대상 및 방법: 본원에서 진단 받은 크론병 및 궤양성 대장염 환자에 대해 2005년 1월부터 12월까지 상부위장관내시경을 시행하였고, 같은 기간 상부위장관 증상으로 상부위장관 내시경 검사를 받은 비염증 장질환 환자를 순서대로 포함하였다. 검사자 간 차이를 줄이기 위해 모든 내시경 검사는 한명의 내시경의가 시행하였고, 미세 변화 관찰을 위해 0.4% 인디고카민액을 이용한 색소 내시경을 시행하였다. 결과: 21명의 크론병 환자(검사 당시 평균연령±표준편차; 40±15세, 남/여; 13/8), 28명의 궤양성 대장염 환자(42±15세, 21/7), 그리고 685명의 비염증 장질환 환자(49±14세, 354/331)가 포함되었다. 크론병 환자의 상부위장관내시경 소견으로는 미란위염이 52.4% (11/21)로 가장 많았고, 만성표재위염 23.8% (5/21), 만성위축위염 4.8% (1/21), 십이지장 미란이나 궤양 9.5% (2/21), 그리고 9.5% (2/21)는 정상이었다. BJL appearance는 크론병 환자의 47.6% (10/21)에서 발견되어 궤양성 대장염 환자(3.6%, 1.27)나 비염증 장질환 환자(0.1%, 1/685)보다 의미 있게 높은 발견율을 보였다(p<0.001). 크론병 환자에서 BJL appearance의 발견율은 성별, H. pylori 감염 상태, 비엔나 분류에 따른 표현형, 치료 약제, 혹은 상부 위장관 내시경 소견과는 차이가 없었다. 결론: 위체부와 분문부의 BJL appearance는 크론병 진단의 단서가 될 수 있다. Background/Aims: Bamboo joint-like (BJL) appearance is an endoscopic finding characterized by swollen longitudinal folds transversed by erosive fissures or linear furrows on the lesser curvature side of gastric body and cardia. It has been reported to be associated with Crohn`s disease (CD). This study was aimed to evaluate the incidence of BJL appearance in Korean patients with CD. Methods: From January to December in 2005, we performed esophagogastroduodenoscopy (EGD) in patients diagnosed as CD and ulcerative colitis (UC) in our hospital. Non-inflammatory bowel disease (IBD) subjects with upper gastrointestinal symptoms who underwent EGD were consecutively enrolled during the same period. One endoscopist performed all the endoscopic examinations to avoid inter-observer variation. A dye-spraying technique with 0.4% indigocarmine was used to allow the detection of subtle changes during the endoscopic examination. Results: A total of 21 patients with CD (mean age±SD, 40±15 yr; M/F, 13/8), 28 patients with UC (42±15 yr; 21/7), and 685 non-IBD subjects (49±14 yr; 354/331) were enrolled. EGD findings in CD patients were gastric erosions (11/21), chronic superficial gastritis (5/21), chronic atrophic gastritis (1/21), duodenal erosions or ulcers (2/21), and normal (2/21). Incidence of BJL appearance was significantly higher in patients with CD (47.6%, 10/21) than others (UC, 3.6%, 1/28; non- IBD, 0.1 %, 1/685) (p < 0.0001). Among patients with CD, incidence of BJL appearance was not significantly different according to the sex, status of H. pylori infection, Vienna classification for phenotype, medications or EGD findings. Conclusions: BJL appearance on the gastric body and cardia can be a diagnostic clue to CD. (Korean J Gastroenterol 2006;48:395-400)
이혈(耳穴)진단에서 Earlobe Crease와 고혈압의 관련성
강문수 ( Mun Su Kang ),김진희 ( Jin Hui Kim ),김락형 ( Lak Hyung Kim ) 경락경혈학회 2012 Korean Journal of Acupuncture Vol.29 No.4
Objectives: The objective of this study was to evaluate the correlation between earlobe crease(ELC) and Hypertension(HTN) in the auricular point diagnosis. Methods: 140 patients who were admitted the Jeongeup City Geriatric Hospital were examined for the presence or absence of ELC and HTN. The one examined the ELC of patients and the other examined the presence of hypertension. The presence of right ELC, left ELC, right or left ELC, and right and left ELC were respectively compared with the presence of HTN. Chi-square test was used to analyze the correlation between ELC and HTN. Results: The presence of right ELC was significantly related to presence of HTN(p=0.001). The sensitivity, specificity, and positive and negative predictability of ELC for diagnosis of HTN were 0.755, 0.524, 0.787, and 0.478. The presence of left ELC was significantly related to presence of HTN(p=0.002). The sensitivity, specificity, and positive and negative predictability of ELC for diagnosis of HTN were 0.745, 0.524, 0.785, and 0.468. The presence of right or left ELC was significantly related to presence of HTN(p<0.001). The sensitivity, specificity, and positive and negative predictability of ELC for diagnosis of HTN were 0.806, 0.500, 0.790, and 0.525. The presence of right and left ELCs was significantly related to presence of HTN (p=0.007). The sensitivity, specificity, and positive and negative predictability of ELC for diagnosis of HTN were 0.694, 0.548, 0.782, and 0.434. Conclusions: These results show that the presence of ELC is significantly associated with hypertension.
성격검사 및 신경심리검사를 이용한 사상체질간 성격 및 인지 특성 연구
강문수 ( Mun Su Kang ),유경 ( Gyung Yu ),김락형 ( Lak Hyung Kim ) 대한한방신경정신과학회 2015 동의신경정신과학회지 Vol.26 No.2
Objectives: The purpose of this study is to evaluate the personality traits and cognitive characteristics of the Sasang constitution by comparing the Eysenck Personality Questionnaire (EPQ), Temperament and Character Inventory (TCI), Continuous Performance Test (CPT) and Stroop Test. Methods: One hundred and six healthy subjects (age 20 to 40) were analyzed; 45 Taeeumin, 30 Soyangin and 31 Soeumin. The Sasang constitution was diagnosed by a sasang constitutional medicine specialist based on the results of a Two Step Questionnaire for Sasang Constitution Diagnosis (TS-QSCD), the external appearance, temperament and symptoms. The results of the EPQ, TCI, CPT and Stroop Test were compared between Sasang constitutions. Results: Among the seven dimensions of EPQ, Taeeumin and Soyangin scored significantly higher than Soeumin in Extraversion. Soyangin scored significantly higher than Soeumin in Impulsiveness. Among the four temperament dimensions of TCI, Taeeumin and Soyangin scored significantly higher than Soeumin in novelty seeking, reward dependence and persistence. Soeumin scored significantly higher than Taeeumin and Soyangin in harm avoidance. Among the three character dimensions of TCI, Soyangin scored significantly higher than Taeeumin in self transcendence. The results for CPT showed no significant differences between sasang constitutions. Taeeumin had a significantly higher color score in the stroop test than Soeumin. Conclusions: The personality tests showed significant differences between Sasang constitutions, but the neuropsychological test did not show any differences. Further studies should be performed to identify neuropsychological differences between Sasang constitutions.