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한방병원에 내원한 산후병 환자의 특성 및 증상에 대한 분석
황영식 ( Young-sikhwang ),박남춘 ( Nam-chunpark ),이진욱 ( Jin-wooklee ),양혜린 ( He-rynnyang ),박승혁 ( Seung-hyeokpark ),황덕상 ( Deok-sanghwang ),이진무 ( Jin-moolee ),이창훈 ( Chang-hoonlee ),장준복 ( Jun-bockjang ) 대한한방부인과학회 2018 大韓韓方婦人科學會誌 Vol.31 No.3
Objectives: The purpose of this study was to analyze the current characteristics of outpatients with postpartum disease and provide a treatment instruction in the clinical field. Methods : To analyze characteristics of outpatients with postpartum disease, We searched medical records from January 1, 2015 to December 31, 2017 using Z34 (Supervision of normal pregnancy), O94 (Sequelae of complication of pregnancy), U327 (産後風)and 388 postpartum patients were analyzed. Results: 1. The general characteristics of the subjects are as follows. The average age was 33.73±3.62 years old, 356 (91.75%) patients are full term pregnancy, 201 (5l.81%) patients are first delivery, 79 (20.36%) patients had past history of abortion and 63 (16.24%) patients had past history of gynecologic disease. 2. The most subjects visited in April (10.31%). The mean duration from delivery date to visiting date was 131.5±214.6 days. The mean number of visits after the initial visit was 1.91+1.7. 3. The characteristics related with pregnancy and delivery are as follows. The number of subjects taken assisted reproductive technology was 19 (4.9%) and suffering from gestational disease was 28 (7.22%). The mean body weight difference between full term pregnancy and visiting date was -8.24±3.57 kg. The number of subjects discharging lochia on visiting date was 167 (43.04%) and breastfeeding was 262 (67.53%). 4. The most chief complaint was arthralgia in 217 (55.93%) followed by general weakness, ccld sensation, edema, sweating disorder, dizziness, lower abdominal pain, digestion disorder, heat sensation, defecation disorder and urination disorder. 5. The most accompanied symptom was arthralgia in 322 (82.99%), followed by sleep disorder, cold sensation, general weakness, sweating disorder, defecation disorder, edema, dizziness, digestion disorder, urination disorder, lower abdominal pain and heat sensation. 6. A total of 356 subjects were taken herbal medicine. The most prescribed herbal medicine to subjects was Gunggijohyeol-eum-gmibang (29.59%). Conclusions: These results could be helpful to diagnose and treat postpartum patients in Korean gynecologic clinical fields.
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