중풍 환자 변증과 기후 요소와의 상관성에 관한 연구

마미진,한창호,Ma, Mi-Jin,Han, Chang-Ho 대한한방내과학회 2009 大韓韓方內科學會誌 Vol.30 No.1

There are many reports about correlations between meteorological elements and stroke. In Oriental medicine, it is recognized that the weather affects the human body and diseases, but there are few studies about the correlation between meteorological elements and pattern identification of stroke. 105 stroke patients classified into fire-heat pattern or dampress-phlegm pattern were registered during the study period. We took the measurement of each meteorological element (atmospheric pressure, temperature, humidity, wind speed) according to pattern identification and analyzed pattern identification into two groups according to mean of each meteorological element during the study period. Mean temperature was higher with the heat-fire pattern than with the dampness-phlegm pattern. Heat-fire pattern also had higher frequency when temperature was higher than mean temperature. There was no correlation between atmospheric pressure, relative humidity, or wind speed and pattern identification.

초기 중풍 환자에 있어서 맥상(脈象)과 NIHSS과의 상관성 연구;다기관 임상연구

마미진,강아미,최동준,한창호,이원철,전찬용,조기호,최선미,Ma, Mi-Jin,Gang, A-Mi,Choi, Dong-Jun,Han, Chang-Ho,Lee, Won-Chul,Jun, Chan-Yong,Cho, Ki-Ho,Choi, Sun-Mi 대한한방내과학회 2007 大韓韓方內科學會誌 Vol.28 No.4

Objectives : This study investigated using National Institutes of Health Strokes Scale in acute and subacute stroke patients and evaluated relativity of pulse pattern to NIHSS. Methods : 104 acute and subacute stroke patients were selected from 4 oriental medical hospitals from April 2007 to May 2007. The patients were admitted to hospital within 1 month after stroke. Pulse feeling diagnosis was done by oriental medical doctor and classified into 7 subtypes. Results : There were significant results statistically between slow/rapid pulse and NIHSS score in the male group; in the female group, there were no significant results statistically but the results showed that slow pulse has lower NIHSS score than rapid pulse. Patients with surging pulse had lower NIHSS score than the other patients. Another pulse pattern had no relativity to NIHSS score.

중풍환자의 변증(辨證)과 기온 및 강수여부와의 상관성에 관한 연구

마미진,김보람,김미경,최동준,한창호,정승현,신길조,이원철,Ma, Mi-Jin,Kim, Bo-Ram,Kim, Mi-Kyung,Choi, Dong-Jun,Han, Chang-Ho,Jung, Seung-Hyun,Shin, Gil-Jo,Lee, Won-Chul 대한중풍순환신경학회 2008 대한중풍.순환신경학회지 Vol.9 No.1

Objectives : This study was to investigated the correlation between average temperature & precipitation and pattern identification of the patients with stroke. Methods : 115 stroke patients within 30days of onset were registered during the study period. Pattern identification of stroke was classified into Fire and heat, Turbid phlegm and others. We took the mean of average temperature according to pattern identification and analyzed pattern identification into two groups according to climatological normal of average temperature in Seoul. We also analyzed pattern identification into two groups according to existence of precipitation. Results : Heat and fire, and other type of pattern identification had high frequency when average temperature was higher than 12.2℃. And there was no correlation between precipitation and pattern identification of stroke.

중풍(中風)의 요일별(曜日別) 발생(發生)과 위험요인(危險要因)과의 상관성(相關性)에 관(關)한 연구(硏究)

김용형,최인영,마미진,강아미,최동준,한창호,이원철,전찬용,조기호,최선미,Kim, Yong-Hyung,Choi, In-Young,Ma, Mi-Jin,Gang, A-My,Choi, Dong-Jun,Han, Chang-Ho,Lee, Won-Chul,Jun, Chan-Yong,Cho, Ki-Ho,Choi, Sun-Mi 대한한방내과학회 2008 大韓韓方內科學會誌 Vol.29 No.1

Objective : This study was aimed to investigated the correlation between the stroke incidence by day of the week and risk factors in acute stroke patients. Methods : From October in 2005 to October in 2007, 673 acute stroke patients wereincluded. Patients were hospitalized within 14 days after the onset of stroke in DongGuk University International Hospital, Kyungwon University In-cheon Oriental Medical Hospital or the Department of Cardiovascular and Neurologic Diseases (Stroke Center), Kyung Hee University Oriental hospital. We investigated general characteristics, stroke types, age group, educational backgrounds, medical history, lifestyle (the impact of stress, exercise, smoking and drinking) and Sasang constitution according to the stroke incidence by day of the week. Results : After examining each participants with day of the week, the order of days by incidence was Monday, Wednesday, Sunday, Saturday, Tuesday, Thursday and Friday respectively. Monday and Tuesday showed the highest ratio. As the aspect of demographic data of subjects, the group under 55 years and from 55 years to 70 years showed the highest ratio on Monday. In the group between 25 years to 55 years, the ratio, by the classification of actual productive age, was statistically higheron Monday. In addition, the ratio showed statistically higherby educational background, from elementary school to high school and over high school. In regard tothe medical aspect, incidence of cerebral hemorrhage showed higher ratio on Sunday, and incidence of brain infarction was higheron Monday. However, there was no difference of the past history between the two groups. With regard tothe aspect of lifestyle of subjects, the group with huge stress before the incidence of stroke showed a higher ratio of stroke incidence on Monday. Participants who didn't exercise regularly and participants who didn't smoke or drink showed higher ratio of stroke incidence on Monday. However, this was not important statistically. In regard to the aspect of Sasang constitution, Soeumin showed the highest ratio of stroke incidence on Wednesday, Taeuminon Monday, and Soyangin on Saturday and Monday. Conclusion : According to these results, several cardiovascular risk factors affect stroke incidences on Monday. Further studies will be needed to help understand the correlation between stroke incidence by day of the week and risk factors in acute stroke patients.

급성기 중풍 환자의 사상체질별 분포와 식생활습관 간의 상관성에 대한 연구

김용형,최인영,마미진,강아미,최동준,한창호,이원철,전찬용,조기호,최선미,Kim, Yong-Hyung,Choi, In-Young,Ma, Mi-Jin,Gang, A-My,Choi, Dong-Jun,Han, Chang-Ho,Lee, Won-Chul,Jun, Chan-Yong,Cho, Ki-Ho,Choi, Sun-Mi 대한한방내과학회 2007 大韓韓方內科學會誌 Vol.28 No.4

Objective : This study investigated the relationship between diet and lifestyle and Sasang constitution (SC) in acute stroke patients. Methods : From October 2005 to March 2007, 379 acute stroke patients were included. Patients were hospitalized within 14 days after the onset of stroke at DongGuk University International Hospital, Kyungwon University In-cheon Oriental Medical Hospital or Department Cardiovascular and Neurologic Diseases (stroke center), Kyung Hee University Oriental hospital. We assessed the type of SC of acute stroke patients by Questionnaire for Sasang Constitution Classification II (QSCC II). We investigated general characteristics, stroke types, dietary preferences (meat, sea food, fast food, alcohol drinking, coffee and green tea drinking) and lifestyle (smoking, exercise) according to SC. Results : This study showed that out of the total patients, the proportion of So-yang to Tae-eum to So-eumwas equal to 2.6 to 2 to 1. Of note, this study showed a higher proportion in age of So-eum & weight of Tae-eum. The ratio of cerebral hemorrhage to cerebral infarction was 1 to 9. SVO, LAA, SUE are the 3 types of cerebral infarction classified by TOAST; SVO ranked the highest while SUE ranked the lowest in all constitutions. There were no significant differences between So-yang and Tae-eum in the aspect of the preference for meat, but the majority of So-eum displayed high preferences for seafood. In the aspect of alcohol drinking and smoking history, So-yang recorded significantly bigger proportion while So-eum & Tae-eum patients represented a bigger proportion than So-yangin the aspect of no exercise habits. Conclusion : According to the result above, we could observe the general disposition of various characteristic distributions according to SC of acute stroke patients. Also, we could observe a relationship between diet and lifestyle and Sasang constitution (SC) in acute stroke patients. Further studies will be needed to better understand the relationship between diet and lifestyle and Sasang constitution (SC) in acute stroke patients.