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하유군,정기용,고호연,정승민,정희,고미미,강미숙,최유경,김동우,한창호,조기호,박종형,고성규,전찬용,Hsia, Yu-Chun,Jung, Ki-Yong,Go, Ho-Yeon,Jung, Seung-Min,Jung, Hee,Ko, Mi-Mi,Kang, Mi-Suk,Choi, You-Kyung,Kim, Dong-Woo,Han, Chang-Ho,Cho, Ki-Ho,P 대한한방내과학회 2007 大韓韓方內科學會誌 Vol.28 No.1
Background and Purpose : This study was to survey complication according to the TOAST classification and Sasangconstitution in first-ever AICD (acute ischemic cerebrovascular disease) patients. Methods : From 1 Oct. 2005 to 31 Oct. 2006. 97 patients with a first-ever stroke were included in the study. patients were hospitalized within 14 days after the onset of stroke at Kyungwon University Incheon Oriental Hospital. We recorded patient's complications according to the standard operation procedure of 'A stroke study for standardization and science on Korean Medicine' Results : Complications were recorded in 23 cases (24%). The most common complication was upper respiration infection in 11 cases (11%). No statistical significance was shown between complications of AICD and Sasangconstitutions, but complications rate of LAA was higher than SVO in AICD patients (odds ratio 4.17 95% CI 1.127${\sim}$7.307). Conclusions : To acquire more concrete data on this theme. we need further and larger scale research.
Angiotensin-Converting Enzyme Inhibitor(ACE Inhibitor)에 의해 유발된 안면부 맥관부종(angioedema) 치험례
하유군,정기용,백종우,김동우,박종형,전찬용,최유경,Hsia, Yu-Chun,Jung, Ki-Yong,Baik, Jong-Woo,Kim, Dong-Woo,Park, Jong-Hyung,Jun, Chan-Yong,Choi, You-Kyung 대한한방내과학회 2007 大韓韓方內科學會誌 Vol.28 No.2
Angioedema is a localized transient swelling of sudden onset that can occur in the face, lips, tongue, hand, feet, respiratory system and gastrointestinal system. Angioedema is classified as allergy, hereditary, idiopathic or induced by medication as like aspirin, nonsteroidal anti-inflammatory agents, opiates, antibiotics, and angiotensin-converting enzyme. Angiotensin-converting enzyme inhibitors are widely prescribed for hypertension and heart failure. This drug is commonly associated with angioedema which may be potentially life threatening. We experienced a case of angioedema induced by ACE inhibitor (angiotensin-converting enzyme inhibitor) in a 74-year-old patient who took ACE inhibitor to control hypertension during hospitalization. We thought the angioedema in the face had relation to myenzhong (面腫, mienjong) in oriental medicine. Weiling-tang (Wiryung-tang) was effective for angioedema in the face. As a result the symptoms disappeared rapidly. After 6 days, the patient's symptoms had notably improved.
급성기 뇌중풍환자의 비만 및 복부비만과의 임상적 제특징 분석
하유군,정기용,고호연,정희,백종우,여현수,고미미,최유경,김동우,한창호,조기호,방옥선,박종형,고성규,전찬용,Hsia, Yu-Chun,Jung, Ki-Yong,Go, Ho-Yeon,Jung, Hee,Baik, Jong-Woo,Yeo, Hyun-Soo,Ko, Mi-Mi,Choi, You-Kyung,Kim, Dong-Woo,Han, Chang-Ho,Cho, Ki- 대한한방내과학회 2008 大韓韓方內科學會誌 Vol.29 No.1
Background and Purpose : This study was to assess characteristics in acute stroke patients according to obesity and abdominal obesity. Methods : From1 Oct. 2005 to 31 Jul. 2007, 629 patients with a stroke were included. Patients were hospitalized within 30 days after the onset of stroke at Kyungwon University Incheon Oriental Hospital, DongGuk University International Hospital and Department of Cardiovascular and Neurologic Disease (Stroke Center), or Kyung Hee University Oriental Hospital. We investigated general characteristics preferences according to general obesity and abdominal obesity. Results : 629 acute stroke patients were included in the final analysis. Male, young age, hypertension, heart disease in the family history, hypertension in the past history, care of invalids or grandchildren and Taeumin in the Sasang constitution were higher among obese patients. Male, transient ischemic attack in the past history, smoker and Soyangin in the Sasangconstitution were higher among patients with abdominal obesity. The incidence of abdominal obesity corresponded to lower education level. Conclusions : In our study, we observed the general disposition of various characteristic distributions according to obesity and abdominal obesity in acute stroke patients.
급성기와 회복기 중풍 환자의 변증 유형의 상관관계 연구
백종우,하유군,여현수,박종형,최유경,고호연,조기호,고성규,한창호,방옥선,전찬용,Baik, Jong-Woo,Hsia, Yu-Chun,Yeo, Hyeon-Su,Park, Jong-Hyung,Choi, You-Kyung,Ko, Ho-Yeon,Cho, Ki-Ho,Ko, Seung-Gyu,Han, Chang-Ho,Bang, Ok-Sun,Jun, Chan-Yong 대한중풍순환신경학회 2008 대한중풍.순환신경학회지 Vol.9 No.1
Objectives : This study was done to investigate the relationship of differentiation of the patten identification in stroke patients between acute and convalescent stage. Methods : In the time of period Apr. 1st 2007 to Sep. 29th 2008, 903 patients with stroke admitted in the department of Internal Medicine of Kyungwon University Oriental Medical Hospital, Kyunghee University Oriental Medical Hospital, Dongguk University Oriental Medical Hospital were included. Patients were hospitalized within a month after the onset of stroke. Stroke patients were interviewed by doctors who studied standard operation procedures. A questionnaire was completed by a question-and-answer form between patients and doctors after explanation details to patients and the agreement of patients. Results : The frequency of fire-heat patten was the highest in acute stage of stroke and the one of deficiency of Yin group was the highest in convalescent stage of stroke. This result doesn't have statistical significance. (p<0.05) Conclusions : In this study, we found the relationship of differentiation of the patten identification in stroke patients between acute and convalescent stage. Further, we have concluded that this difference should be considered in the management for stroke patients.
급성기 중풍 환자의 음주 여부와 습담 변증의 상관관계 연구
여현수,이시형,하유군,정기용,백종우,최유경,김동우,박종형,조기호,고성규,한창호,방옥선,전찬용,Yeo, Hyeon-su,Rhee, See-hyung,Hsia, Yu-chun,Jung, Ki-yong,Baik, Jong-woo,Choi, You-kyung,Kim, Dong-woo,Park, Jong-hyung,Cho, Ki-ho,Ko, Seung-gyu,Han 대한중풍순환신경학회 2007 대한중풍.순환신경학회지 Vol.8 No.1
Objectives : This study was done to investigate the relationship of drinking and Dampness-Phlegm pattern in acute stroke patients. Methods : In the time of period Mar. 2007 to Jun. 2007, 103 patients with stroke admitted in the department of Internal Medicine of Kyungwon University Seoul Oriental Medical Hospital, Kyungwon University Incheon Oriental Medical Hospital, Kyunghee University Oriental Medical Hospital, Dongguk Il-san Oriental Medical Hospital were included. Patients were hospitalized within a month after the onset of stroke. Stroke patients were interviewed by residents who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. A questionnaire was completed by a question-and-answer form between patients and residents after explanation details to patients and the agreement of patients. Results : Drinking subjects have tendency of Dampness-Phlegm Pattern(p=0.096), but don't have statistical significance(p<0.05). Conclusions : In this study, we found the relationship of drinking and Dampness-Phlegm Pattern. To acquire more concrete conclusion on this theme, we need more research.
흰쥐의 간손상(肝損傷)에 대한 가미유간탕(加味愈肝湯)의 간(肝) 보호효과(保護效果)
정희,고호연,하유군,여현수,백종우,고성규,박종형,전찬용,강재춘,Jung, Hee,Go, Ho-Yeon,Hsia, Yu-Chun,Yeo, Hyun-Soo,Baik, Jong-Woo,Ko, Seung-Gyu,Park, Jong-Hyung,Jun, Chan-Yong,Kang, Jea-Chun 대한한방내과학회 2008 大韓韓方內科學會誌 Vol.29 No.1
In order to investigate the protective effects of Gami Yugan-tang on liver damage in rats induced by $CCl_{4}$ and d-galactosamine, the serum transaminase(ALT & AST), alkaline phosphatase(ALP), lactic dehydrogenase(LDH), superoxide dismutase(SOD), catalase, glutathione S-transferase(GST), glutathione peroxidase(GPX) for enzyme activities, and lipid peroxidation were measured. All animals were divided into 4 groups: normal group (untreated), control group (treated with 0.9% saline solution), sample I group (treated with 740mg/kg Gami Yugan-tang), and sample II group (treated with 1,480mg/kg Gami Yugan-tang). The results were as follows : 1. The results of liver damage in rats induced by $CCl_4$ : The protective effects of ALT were displayed in sample I and sample II, and AST, ALP, LDH, SOD, catalase, GST, GPX, and lipid peroxidation were noted in sample II group. It showed slight necrosis of hepatic cell and pathologic changes, for example, inflammatory cells infiltration were improved in sample II group compared to the control group. 2. The results of liver damage in rats induced by d-galactosamine : The inhibitory effects of AST, ALT, LDH, and ALP activities were noted in both sample I and sample II groups. The findings from this experiment suggests that Gami Yugan-tang has protective effects against liver damage in rats induced by $CCl_{4}$ and d-galactosamine.
비특이적인 증상을 나타내는 허혈성(虛血性) 심질환(心疾患) 진단 2례
백종우,정기용,하유군,박종형,전찬용,최유경,Baik, Jong-Woo,Jung, Ki-Yong,Hsia, Yu-Chun,Park, Jong-Hyeong,Jeon, Chan-Yong,Choi, You-Kyung 대한한방내과학회 2008 大韓韓方內科學會誌 Vol.29 No.4
Objectives : Oriental medical doctors usually use the three-finger pulse diagnosis method to observe disease. Since it is difficult to diagnose ischemic heart disease (IHD) objectively by this diagnostic method, we performed the study to diagnose it as soon as possible by using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and electrocardiogram(ECG). Methods : Patients who had abdominal discomfort were observed by Yuk Bu Jung Wee Jin Mac(六部定位診脈) and we presumed they had heart disease and checked them with electrocardiogram(ECG). Results : We diagnosed it early by using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and electrocardiogram (ECG). Conclusions : The study suggests that it is easy to diagnose IHD early using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and ECG. More data related to IHD is needed.
급성기 중풍 환자의 사상체질과 안면피부에 관한 상관성 분석
여현수,이시형,하유군,정기용,백종우,최유경,김동우,박종형,조기호,고성규,한창호,방옥선,전찬용,Yeo, Hyeon-su,Rhee, See-hyung,Hsia, Yu-chun,Jung, Ki-yong,Baik, Jong-woo,Choi, You-kyung,Kim, Dong-woo,Park, Jong-hyung,Cho, Ki-ho,Ko, Seung-gyu,Han 대한중풍순환신경학회 2007 대한중풍.순환신경학회지 Vol.8 No.1
Objectives : This study was done to investigate the relationship between Sasang constitution and the facial skin in acute stroke patients Methods : In the time of period Mar. 2007 to Jun. 2007, 103 patients with stroke admitted in the department of Internal Medicine of Kyungwon University Seoul Oriental Medical Hospital, Kyungwon University Incheon Oriental Medical Hospital, Kyunghee University Oriental Medical Hospital, Dongguk Il-san Oriental Medical Hospital were included. We assessed the type of Sasang constitution, and the type of Sasang constitution of 51 patients were confirmed. We investigated general characteristics, stroke type and the relationship between Sasang constitution and the facial skin. Results : The color of face have no significant differences by Sasang constitution. But So-yang have blue and purple colored lips than So-eum and Tae-eum have. Conclusions : In this study, we found the relationship between Sasang constitution and the facial skin in acute stroke patients. But it seems necessary to investigate more cases to concrete conclusion on this theme.