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강병갑(Byeongkab Kang),강경원(Kyungwon Kang),박세욱(Saewook Park),김보영(Boyoung Kim),김정철(Jeongchul Kim),고미미(Mimi go),설인찬(Inchan Seol),조현경(Hyunkyung Jo),이인(In Lee),최선미(Sunmi Choi) 한국한의학연구원 2007 한국한의학연구원논문집 Vol.13 No.2
The purpose of this study was to diagnosis that what patterns identification using the statistical method. Discriminant analysis using the medical specialist and resident pattern identification agree case in stroke patients within 1 month of onset. The agreement rate of dificiency of Gi(75%), heat-transformation(74%), dampphlegm syndrome(69%), deficiency of Eum(51 %) and syndrome of blood stagnation(43%) are respectively 0.75, 0.74, 0.69, 0.51 and 0.43 in medical specialist and using linear discriminant function pattern identification are same. The study of inspection, pulse feeling and palpitation will be continued to evaluate concordance rate. Discrimination model will be make to get higher Accuracy and prediction, it means becomes the help in pattern identification diagnosis objectivity and scientific.
강병갑(Byeongkab Kang),고호연(Hoyeon Go),강경원(Kyungwon Kang),박세욱(Saewook Park),김정철(Jeongchul Kim),고미미(Mimi Go),김보영(Boyoung Kim),설인찬(Inchan Seol),이인(In Lee),조현경(Hyunkyung Jo),최선미(Sunmi Choi) 한국한의학연구원 2007 한국한의학연구원논문집 Vol.13 No.2
Background and Purpose : The purpose of this study was to investigate that which symptoms are adequate indicator of the Dampness-Phlegm pattern in the stroke patients. Methods : In the time period Jul. 2005 to Sep. 2006, 136 patients with a first-ever stroke admitted in the department of Internal Medicine of Daejeon University Oriental Medical Hospital in Daejeon city, Wonkwang Oriental Medical Hospital in Iksan, JeonJu city were included. Patients were hospitalized within 3 months after the onset of stroke. Stroke patients had been interviewed by resident who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. Gi-deficiency patients was confirmed by medical specialist diagnosis, resident diagnosis, case report form analysis without a dissenting voice. Results : Dampness-Phlegm group included 37 case, Non Dampness-Phlegm group 45 case out of 136 patients. white tongue coating, slippery purse, yellowish complexion, enlarged tongue, swollen tongue were higher among Dampness-Phlegm group. Dampness-Phlegm and Non Dampness-Phlegm patients do not significantly differ in heavy sensation in the head, voice with sputum, teeth printed tongue, borborygmus, dizziness with nausea. Conclusions : This study was insufficiency because sample size is very small. More data from prospective cohort studies will help to Korean Standard Differentiation of the Symptoms and Signs for the Stroke.
강경원(Kang Kyungwon),강병갑(Kang Byunggab),차민호(Cga Minho),고미미(Go Mimi),박세욱(Park Saewook),방옥선(Bang Oaksun),조기호(Cho Kiho),김윤식(Kim Yoonsik),최선미(Sunmi Choi) 한국한의학연구원 2007 한국한의학연구원논문집 Vol.13 No.2
Background and Purpose : The purpose of this case-control study was to show the relationship between risk factors(past medical history, BMI, WHR, smoking, drinking), warning signs(dyscinesia, sightless, dysarthria, sensory disorder, numbness, blephalospasm, facial spasm, tension) and the incidence of stroke in korean adults. Methods : 455 stroke patients were enrolled as the case group and 180 non-stroke patients as control group from Oct. 2005 to Feb. 2006. Patients were hospitalized within 2 weeks after the onset of stroke. Obesity were defined as BMI≥25㎏/m2, WHR≥0.9 in male and WHR≥0.8 in female. Risk factors and warning signs were obtained from personal interview. The analysis of the data was done by chi-square test, Fisher's exact test and two-sample t-test. Results : The percentage of current smokers(or current drinkers) of case group is higher significantly than that of control group. The past medical history of risk factors were found to be transient ischemic attack(p=0.0698), facial palsy(p=0.406l), hypertension(p<0.0001), hyperlipidemia(p=0.l484), DM(p<0.0001), ischemic heart disease(p=0.0093). migraine(p=0.0014) and hypochondria(p=0.2370). WHR≥0.9 in male had a 6.696 (3.711-12.082) odds ratio, WHR≥0.8 in female had a 1.567 (0.659-3.726) odds ratio. BMI≥25㎏/m2 had a 2.017(1.263-3.222). The dyscinesia and sensory disorder of warning signs were found to be statistical difference between case and control group. Conclusions : According to the above results, it was found that smoking, drinking, BMI, WHR, hypertension, DM, ischemic heart disease, migraine affected to the incidence of stroke.