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대퇴신경지각이상증 환자에 대한 침치료 및 근막이완요법 병용 치험 1례
이은지 ( Eun Ji Lee ),김신애 ( Shin Ae Kim ),권민구 ( Min Gu Kwon ),김성태 ( Sung Tae Kim ),신현권 ( Hyun Gwon Shin ),조현정 ( Hyun Jung Cho ),양태준 ( Tae Jun Yang ),김선욱 ( Seon Wook Kim ),정주용 ( Joo Yong Jeong ),강수우 ( Suo 대한경락경혈학회 2016 Korean Journal of Acupuncture Vol.33 No.2
Objectives : The purpose of this case is to report the improvement after treatment about a patient with meralgia paresthetica. Methods : We treated the patient with acupucture therapy, cupping therapy, electroacupuncture therapy, percutaneous radiofrequency thermoablation and myofascial release technique by Turbo SASO from 26th June 2015 to 3rd July 2015 by evaluating femoral function with VAS score. Results : After 5 times of treatment, this patient achieved excellent outcome following the technique, showing that clinical symptom as able to walked and pain was disappeared, VAS changed from 10 to 3 and the result of patrick test came out negative. Conclusions : The various symptoms appear in the Meralgia paresthetica such as numbness, paresthesia, and pain in the anterolateral thigh, which may result from either an entrapment neuropathy or a neuroma of the lateral femoral cutaneous nerve(LFCN). Oriental medical treatment for meralgia paresthetica resulted in satisfactory results by diminishing the symptoms progressively during the five days of treatment. Differential diagnosis was based on careful physical examination. More research of meralgia paresthetica is needed.
Jin-Hee Kim,In Ah Choi,Joo Youn Lee,Kyoung-Hwa Kim,김성태,Ki-Tae Koo,Tae-Il Kim,Yang-Jo Seol,Young Ku,In-Chul Rhyu,Yeong Wook Song,Yong-Moo Lee 대한치주과학회 2018 Journal of Periodontal & Implant Science Vol.48 No.6
Purpose: Periodontitis and rheumatoid arthritis (RA) share a similar inflammatory pathogenesis. Porphyromonas gingivalis (Pg) can induce anticyclic-citrullinated peptide autoantibodies (anti-CCP antibodies), a key factor in the development of RA. This study aimed at evaluating the relationships between the 2 diseases and identifying the clinical implications thereof, with a focus on periodontal pathogens in Korean adults. Methods: A total of 260 RA patients and 86 age- and sex-matched control patients without arthritis were enrolled in this prospective cross-sectional study. Periodontal indices and the prevalence and amount of periodontal pathogens were compared between the groups. Correlations between periodontal and RA indices were examined, as were correlations between 9 periodontal pathogens and RA indices. Results: The RA group had significantly higher values than the control group for all investigated periodontal indices (P<0.05) except the number of teeth. The gingival index (GI) was correlated with the disease activity score 28 (DAS28) (r=0.125, P=0.049), RA disease duration (r=0.253, P<0.001), erythrocyte sedimentation rate (ESR) (r=0.162, P=0.010), and anti-CCP antibody titer (r=0.205, P=0.004). Probing pocket depth (PPD) was correlated with ESR (r=0.139, P=0.027) and anti-Pg antibody titer (r=0.203, P=0.001). Bleeding on probing (BOP) was correlated with DAS28 (r=0.137, P=0.030), RA disease duration (r=0.202, P=0.001), ESR (r=0.136, P=0.030), anti-Pg antibody titer (r=0.177, P=0.005), and anti-CCP antibody titer (r=0.188, P=0.007). Clinical attachment level (CAL) and periodontitis severity were correlated with anti-Pg antibody titer (the former r=0.201, P=0.002; the latter r=0.175, P=0.006). The quantity of Pg was positively correlated with the serum anti-Pg antibody titer (r=0.148, P=0.020). Conclusions: The GI, BOP, and PPD showed positive relationships with several RA indices. The anti-Pg antibody titer had positive relationships with PPD, BOP, CAL, and periodontitis severity. Thus, increasing values of periodontal indices could be used as a risk indicator of disease development in RA patients, and an increasing anti-Pg antibody titer could be considered as a warning sign in RA patients suffering with periodontitis.
Helicobacter pylori 제균치료 후 위생검검체 갯수가 추적 CLO검사 결과에 미치는 영향
이상우,김성태,최재현,김윤배,이홍식,김창덕,진윤태,엄순호,류호상,전훈재,송치욱,현진해 대한소화기학회 2000 대한소화기학회지 Vol.35 No.4
Background/Aims: The accurate detection of Helicobacter pylori (H. pylori) after triple therapy is needed for effective control of H. pylori-infected gastrointestinal diseases. This study was designed to determine whether the increased number of biopsy specimens improved the sensitivity of CLO test after eradication treatment. Methods: A total of 196 patients with H. pylori-infected peptic ulcer were enrolled. Gastroscopic examinations were performed before and after triple therapy (4-6 weeks after therapy) for CLO test, histology, and polymerase chain reaction (PCR). In group 1 (n=73), nine biopsy specimens were taken from the antrum, the angle, and the midbody (2 for CLO test, 2 for PCR 5 for histology). In group 2 (n=123), eleven biopsy specimens were taken from the antrum and the midbody (4 for CLO test, 2 for PCR, 5 for histology). Results: The age, sex, and treatment regimens of both groups were similar. The sensitivities of follow-up CLO test in group 1 and 2 were 56% and 85% (p=0.0325), and the specifities were 100% and 98%, respectively (p=0.543). Conclusions: The increased number of biopsy specimens may improve the sensitivity of CLO test after H. pylori triple therapy.
요소호기 검사로 평가한 치료 기간에 따른 Helicobacter pylori 제균율의 분석 : OAC 7, 10, 14 일간 병합요법의 비교
이상우,박동규,김성태,이성준,박재홍,이홍식,김창덕,진윤태,최재현,엄순호,류호상,현진해,박철희,조영직,전훈재,고동욱 대한소화기내시경학회 2001 Clinical Endoscopy Vol.23 No.4
Background/Aims: Efficacy of triple therapy with omeprazole, amoxicillin, and clarithromycin (OAC) for Helicobacter pylori (H. pylori) varies among different geographic regions and patient populations. And, there is no full consensus on how long this treatment should be maintained. We assessed the efficacy of the OAC regimen according to the treatment duration (7, 10 or 14 days) using (13)^C-urea breath test ((13)^C-UBT). Methods: Two hundred fifty five H. pylori positive patients with peptic ulcer were randomly assigned to a OAC (omeprazole 20㎎ b.d., amoxicilln 1.0 g b.d. and clarithromycin 500㎎ b.d.) 7, 10 or 14 days regimen. Eradication of H. pylori was assessed by (13)^C-UBT 4 weeks after the completion of the completion of therapy. Results: 140 male and 115 female (mean age, 51.3) patients were enrolled. The overall eradication rate of H. pylori in each group was significantly higher in OAC 14 days regimen than OAC 7 and 10 days regimen (91.9% in OAC 14 days, 74.4% in OAC 7 days, and 80.2% in OAC 10 days, respectively, p$lt;0.05). Conclusions: The overall eradication rate of H. pylori was highest in OAC 14 days regimen in our study. We have found significant differences in eradication rates with previous reports, using CLO and histology, in Korea. Thus, further studies focusing on the treatment period may be warranted.