뇌졸중(腦卒中) 전조증상(前兆症狀)으로서의 현훈(眩暈)에 대한 설문조사분석(設問調査分析)

고성규,용형순,Ko, Sung-Gyu,Yong, Hyung-Soon 대한한방내과학회 2000 大韓韓方內科學會誌 Vol.21 No.1

Objective : This study has been made to analysis of clinical type of vertigo prodromic Cerebral Vascular Disease in stroke patients who admitted to sangji oriental hospital department of circulatoty internal medicine in the period from July. 1999 to October 1999. Methods : A Questionaire was done after explanationin details to patients and agreement of patients. The inquire was done as follows. Sex and age, risk factor of stroke, type of stroke, existence of vertigo last three years before stroke attack, the beginning age of vertigo and period of prevalence, frequency, continuance time of vertigo, predilection season and time, factor of causing vertigo, accompanying symptoms of vertigo, severity of vertigo. Result and Conclusion : The existence of Rotation sense(Rotation group and non-Rotation group) and the type of Stroke is no difference significantly but the Rotation vertigo group and non-Rotation vertigo group is difference significantly in distribution. The sixties in age of vertigo attack, previous vertigo before 3 year Stroke attack, irregular in predilection season of vertigo, have a high frequency significantly in distribution and previous period of vertigo has no significantly difference in distribution. One or two per a month in frequency of vertigo, below 5 minute in continuance time of vertigo, irregular in predilection time of vertigo, stand up and sit down in causing vertigo position have a high frequency significantly in distribution.

대한한방내과학회지에 투고된 논문들의 경향성

고성규,Ko, Seong-Gyu 대한한방내과학회 2002 大韓韓方內科學會誌 Vol.23 No.1

Objective : We analyzed the published and contributed manuscripts of the journal of Oriental Internal Medicine in 2001. Methods : We analysed 120 manuscripts contributed to the editorial board of Journal of Oriental Internal Medicine from January to December 2001. Each manuscript was reviewed by three judges, was reviewed by two editors of the board and who took notes on the coding sheet. The variables of surveying were yes or no of acceptance, total scores, score of each 9 item, the number of writers and institutes, and languages. Statistical methods were used such as descriptive analysis, independent samples t test, ANOVA, multiple composition, multivariate logistic regression analysis. Results : THe odds ratio in vivo, in vitro study for clinical study were 5.15(95% CI 1.93-13.71), and case series or case-control study for case report were 3.78(95% CI, 1.28-11.19) Conclusions : Although in vivo, the in vitro study had more possibility of acceptance to publish than the clinical study, we should identify that these results are assuming high inter-reviewer reliability.

복부비만과 소공성경색

고성규 대한한방내과학회 2003 大韓韓方內科學會誌 Vol.24 No.3

한의과대학의 예방(사회)의학 관련 교과목의 교육과정 및 표준화방안

고성규,신용철,Ko, Seong-Gyu,Shin, Yong-Cheol 대한예방한의학회 2008 대한예방한의학회지 Vol.12 No.2

The rapid change of the health and medical environment and the globalization of medicine has driven doctors to converge and analyse of new and up-to-date medical information and decide to what to make decision for diagnosis and treatments in clinical practice. Medical environment goes with the changes with social environment such as rapid increase of aging population, changes of disease pattern, formation of new area of experts except doctors, government intervention for the medical system, medical insurance of the charges of medical treatment, a increased desire for human rights. These trends should be adopted rapidly to the education system for the students of medical school. The learning objectives of the preventive medicine was developed in 1995 and underwent necessary revision of the contents to create the first revision in 2006. However, the required educational contents of health promotion and disease prevention have been changed by the new trends of medical education such as PBL and integrated curriculum and the 2006 revision does not satisfy these needs. We formed a task force which surveyed all the Western and Traditional Korean medical colleges to describe the state of preventive medicine education in Korea, analyzed the changing education demand according to the change of health environment and quantitatively measured the validity and usefulness of each learning objective in the previous curriculum. With these results, for the good education for preventive medicine, each Traditional Korean medicine schools need more preventive medicine faculties and teaching assistants and opening of some required subjects such as Yangsaeng and Qigong. And future studies of the learning process and ongoing development of teaching materials according to the new learning objectives should be undertaken with persistence in order to ensure the progress of preventive medicine education.

뇌혈관질환의 신경기능평가 객관화를 위한 표준화방법 연구 91~114

고성규 한국한의학연구원 1998 한국한의학연구원 연구보고서 Vol.- No.-

뇌혈관질환의 신경기능평가 객관화를 위한 표준화방법 연구 59~90

고성규 한국한의학연구원 1998 한국한의학연구원 연구보고서 Vol.- No.-

뇌졸중환자의 연하장애에 관한 임상적 연구 (1)

고성규,Ko, Seong-Gyu 대한한방내과학회 1997 大韓韓方內科學會誌 Vol.18 No.1

Dysphagia generally has a good prognosis after stroke involving cerebral hemisphere or braibstem, but it could have serious consquence with dehydration leading to haemoconcentration, renal failure and aspiration leading to pneumonia. This preliminary report was written for main report. The main report will be written to give an objective guide post of management and treatment in stroke patient with dysphagia. The objective guide posts were follows as, 1. Close examination for relationship between dysphagia in stroke patients and other neurological deficits 2. Influence on the prognosis of dysphagia in stroke patients by the grade of dysphagia at admission time. 3. The realtionship between the site and size of brain damage and the grade and prognosis of dysphagia 4. The frequency and prognosis of dysphagia in stroke patients according to sex and age. 5. The rate and speed of recovery with dysphagia after stroke. 6. Frequency and process of complications, aspiration pneumonia, weight loss, sore, in stroke patient group with dysphagia.

뇌혈관질환의 신경기능평가 객관화를 위한 표준화방법 연구 1~58

고성규 한국한의학연구원 1998 한국한의학연구원 연구보고서 Vol.- No.-

Correlation Analysis with Modified Barthel Index and Motor Assessment Scale in Stroke Patients

고성규,전찬용,Ko, Seong-Gyu,Jun, Chan-Yong The Society of Korean Medicine 1999 대한한의학회지 Vol.20 No.1

연구목적 : 뇌졸중환자에 기능회복도의 측정을 위해 가장 신뢰도가 높은 MBI에 대해서 순수하게 뇌졸중환자의 운동기능평가만을 위해 고안된 MAS의 상관성을 각 기간별로 분석하여 MAS의 운동기능평가척도로서의 객관성에 대해 연구한다. 또 한편으로 경과시간에 따른 운동기능 회복도의 차이를 전체그룹과 사상그룹에서 평가한다. 연구방법 : 1998년 1월부터 1998년 6월까지 6개월에 걸쳐 상지대학교 한의과대학 부속한방병원 내과에 입원하여 뇌졸중으로 진단된 환자 중 의식과 언어상태가 명료한 32명을 대상으로 하였다. 입원직후 사상의학과에 의뢰하여 QSCCII 시스템에 의하여 체질진단을 받은 후 본원 운동기능평가실에서 입원직후, 입원 후 2주와 4주 등 3회에 걸쳐 Modified Barthel Index(MBI)와 Motor Assessment Scale(MAS)을 시행하였다. 각 환자에 대한 검사는 2명의 한방순환기내과 전문의와 전공의에 의해 환자에 대한 사전 정보 없이 이루어졌다. 연구결과 : 통계처리는 상관분석을 위해서는 Pearson correlation coefficient, 사상체질에 있어서 각 경과시간에 따른 점수변화는 Repeated ANOVA, 일반적특성 분석에는 Descriptive analysis가 사용되었고, 프로그램은 SPSS/PC+ 7.5 version을 사용하였다. 1. 뇌졸중 환자의 사상의학적인 분포는 태음인이 56.3%로 가장 많았고, 소양인이 28.1%, 소음인이 12.5%, 태양인이 3.1%이었으며, 연령별로는 50대가 32.6%로 가장 많았으며, 평균연령은 60.9세였다. 2. 경과시간에 따른 사상체질간의 MBI, MAS 평균점수변화는 MBI, MAS 모두 반복측정 분산분석 결과 입원당시와 2주 후, 입원당시와 4주 후에서 모두 P<0.001의 범위에서 통계학적으로 유의하게 증가하였고, 경과시간과 사상체질간의 교호작용은 없었다. 3. MBI, MAS 모두 각 항목과 기능별 분류군에서도 경과시간에 따른 평균점수의 변화는 P<0.001 범위에서 통계학적으로 유의하게 증가하여 한방치료의 효과가 있음을 보여주었다. 4. MBI와 MAS의 경과시간별 Pearson 상관성 분석결과 입원당시의 MBI와 입원당시의 MAS에서, 2주 후의 MBI와 입원당시, 2주 후, 4주 후의 MAS에서, 4주 후의 MBI와 입원당시, 2주, 4주 후의 MAS에서 모두 높은 상관성을 보여, 두 평가방법 간에는 상관성이 높다고 본다.

Apoptosis and Anti-proliferation by Saussurea lappa and Pharbits nil in AGS Human Gastric Cancer Cell Line

고성규,오희라,이선동,황귀서 대한한방내과학회 2003 大韓韓方內科學會誌 Vol.24 No.1