폐쇄성 수면무호흡증 환자에서 수면무호흡 정도, 수면 및 기분관련 척도, 수면중 활동도 간의 연관성

한규희,소민아,하지현,유승호,유재학,박두흠,Han, Kyu-Hee,Soh, Min-Ah,Ha, Jee-Hyun,Ryu, Seung-Ho,Yu, Jae-Hak,Park, Doo-Heum 대한수면의학회 2011 수면·정신생리 Vol.18 No.2

목 적 : 본 연구는 폐쇄성 수면무호흡증후군 환자에서 수면무호흡지수, 수면관련 척도, 기분관련 척도, 그리고 수면중 신체활동도 간의 연관성을 보고자 하였다. 방 법 : 폐쇄성 수면무호흡증후군을 보이는 122명(평균연령 $43{\pm}11$세)의 남자환자를 선정하였다. 폐쇄성 수면무호흡증후군 진단은 수면무호흡지수>5인 경우로 하였고, 수면무호흡지수의 평균은 $39.6{\pm}26.0$이였다. 수면관련척도로 Stan-ford Sleepiness Scale(SSS), Epworth Sleepiness Scale(E-SS), Pittsburg Sleep Quality Index(PSQI), Morningness-Ev-eningness Scale(MES)이 사용되었고, 기분관련척도로 Beck Depression Inventory(BDI), Beck Anxiety Inventory(BAI), State-Trait Anxiety Inventory(STAI) I, II, Profile of Mood States(POMS)가 사용되었다. 수면중 활동도를 측정하기 위해 양측 손목에 손목 액티그라프(wrist actigraphy, WATG)를 착용한 채 1일밤 야간수면다원검사(nocturnal polysom-nography, NPSG)를 시행하였다. WATG에서 산출된 지수는 총활동도(total activity score), 평균활동도(mean activity score) 및 분절지수(fragmentation index)였다. 수면무호흡지수, 수면 및 기분관련척도, 수면중 활동도 간의 상관관계를 분석하였다. 결 과 : ESS는 PSQI, BDI, BAI, STAI I, II와 각각 유의한 양의 상관관계를 보였다(p<0.01). SSS는 PSQI, BAI와 유의한 양의 상관관계를 보였다(p<0.05, p<0.01). BAI는 총활동도, 평균활동도 및 분절지수(fragmentation index)와 유의한 양의 상관관계를 보였다(p<0.05, p<0.01, p<0.05). 수면중 총활동도는 ESS, BAI와 각각 유의한 양의 상관관계를 보였다(p<0.05). 수면 분절지수는 ESS, PSQI, BAI와 유의한 양의 상관관계를 보였다(p<0.05, p<0.01, p<0.05). 수면무호흡지수는 수면 및 기분관련 척도와 유의한 상관관계를 보이지 않았다. 결 론 : 주간 졸리움을 호소하는 정도가 수면무호흡증의 심한 정도와 연관이 있기 보다는 오히려 야간수면 만족도, 우울 및 불안의 정도, 수면중 활동도와 더 연관성이 있었다. Objectives: This study aims to analyze the association between the severity of sleep apnea, sleep and mood related scales, and activity during sleep in obstructive sleep apnea syndrome (OSAS) patients. Methods: 176 drug-free male patients confirmed as OSAS (average age=$43{\pm}11$ years) were selected through nocturnal polysomnography (NPSG). OSAS was diagnosed with apnea-hypopnea index (AHI) >5, mean AHI was $39.6{\pm}26.0$. Sleep related scales were Stanford Sleepiness Scale (SSS), Epworth Sleepiness Scale (ESS), Pittsburg Sleep Quality Index (PSQI) and Morningness-Eveningness Scale (MES). Mood related scales were Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), State-Trait Anxiety Inventory (STAI) I, II and Profile of Mood States (POMS). NPSG was performed overnight with both wrist actigraphy (WATG). Parameters produced from WATG were total activity score, mean activity score and fragmentation index. We analyzed the correlation between each scale, AHI scored from NPSG and activity score analyzed from WATG. Results: ESS showed significant positive correlation with PSQI, BDI, BAI and STAI I, II, respectively (p<0.01). SSS showed significant positive correlation with PSQI and BAI (p<0.05, p<0.01). BAI showed significant positive correlation with total activity score, mean activity score and fragmentation index (p<0.05, p<0.01, p<0.05).Total activity score showed significant positive correlation with ESS and BAI, respectively (p<0.05). Fragmentation index showed significant positive correlation with ESS, PSQI and BAI (p<0.05, p<0.01, p<0.05). AHI, indicator of sleep apnea is showed no significant correlation with each sleep and mood related scale. Conclusion: The degree of daytime sleepiness tends to be associated with night sleep satisfaction, depression and anxiety, and the activity during sleep rather than the severity of sleep apnea.

두경부의 점막연관 림프조직에서 발생한 림프절외 변연부 B세포 림프종의 임상 양상 및 치료 결과에 대한 고찰

나윤찬(Yoon Chan Rah),한규희(Kyu-Hee Han),안수연(Soo-Youn An),권택균(Tack-Kyun Kwon),성명훈(Myung-Whun Sung),김광현(Kwang Hyun Kim),하정훈(J. Hun Hah) 대한두경부종양학회 2009 대한두경부 종양학회지 Vol.25 No.2

Objectives :Mucosa-associated lymphoid tissue(MALT) lymphoma of the head and neck region is relatively rare, but it has variable clinical and biological characteristics. Although there were few studies on this topic, there is still controversy regarding the best treatment. The authors retrospectively investigated the clinical courses and treatment results in 10 patients presenting with MALT-lymphoma in head and neck region except ocular adnexa. Material and Methods :Ten patients with a histologically verified diagnosis of the extranodal mar-ginal zone B cell lymphoma arising in thyroid glands(3), larynx(3), oral cavity(2), oropharynx(1), salivary glands(1) were analyzed. Results :Four patients were allocated to stage IE and another six patients to stage IIE according to the Ann Arbor staging system. Treatment consisted of local therapy(surgical resection and/or radiotherapy) in four patients and systemic chemotherapy with/without local therapy in six patients. Complete remission and partial remission were achieved in seven patients(70%) and two patients(20%), respectively. No recurrence or mortality was observed with a mean follow-up of 40.5 months. Conclusion :Patients with MALT-lymphomas of the head and neck region were potentially treated by local modality in localized disease state. However systemic chemotherapy was also effective even in localized disease state and was well tolerated by pa-tients. And strict staging and close long-term monitoring were recommended considering its indolent progression.

비개폐식 배관 전위측정용 터미널(T/B) 설계 및 활용방안 연구

전명훈(Myung Hoon, Jeon),한규희(Kyu Hee, Han) 한국가스학회 2021 한국가스학회 학술대회논문집 Vol.2021 No.11

정신분열병의 결핍증후군과 비결핍증후군에서 QEEG와 sLORETA를 이용한 비교연구

이상은,임선진,이미경,이재원,한규희,이종일,심민영,윤해주,신병학,Lee, Sang-Eun,Yim, Seon-Jin,Lee, Mi-Gyung,Lee, Jae-Won,Han, Kyu-Hee,Lee, Jong-Il,Sim, Min-Young,Yoon, Hai-Joo,Shin, Byoung-Hak 대한수면의학회 2010 수면·정신생리 Vol.17 No.2

목 적: 본 연구는 정신분열병의 결핍증후군과 비결핍증후군이 다른 생물학적 동등성을 가진 독립된 질환일 수 있다는 가설 아래 quantitative EEG와 standardized LORETA (sLORETA)를 이용한 전기생리학적인 방법을 통하여 생물학적 병인을 파악하고자 시도되었다. 방 법: 정신분열병 환자를 대상으로 42명의 뇌파를 비교 분석하였으며 그 중 결핍증후군 환자군은 남자 10명과 여자 11명이었고 비결핍증후군 환자군은 남자 12명, 여자 9명이었다. 주파수 대역은 delta(1.5~4 Hz), theta(4~8 Hz), alpha(8~12 Hz), low beta(12~15 Hz), high beta(15~30 Hz)의 5가지로 분할하였고 EEG LAB을 이용한 파워스펙트럼 분석 및 standardized sLORETA software package를 이용하여 신호원을 국소화 하였다. 결 과: 파워 스펙트럼 분석에서 결핍증후군 집단은 비결핍증후군과 비교하였을 때 전두엽, 두정엽 및 측두엽 영역에서 delta파와 theta파의 유의한 활성도 증가를 보였으며 뇌파 스펙트럼은 간편 정신상태 평정 척도 중 철퇴/지연과 적대/의심 항목의 임상적인 특징과 유의한 상관관계를 보였다. sLORETA분석 결과에서는 배측 전대상피질에서 결핍증후군에서 유의하게 delta파의 활성도가 증가되었다. 결 론: 결핍증후군은 비결핍증후군과는 연관된 뇌 영역이 다를 수 있으며 특히 전두엽 영역의 신경회로 이상이 일차적 음성증상에 영향을 줄 것으로 생각된다. Objectives: Deficit schizophrenia (DS) constitutes a disease separate from non-deficit schizophrenia (NDS). The aim of the current study was to compare the quantitative EEG and low resolution electromagnetic tomography (LORETA) imaging between DS and NDS. Methods: This study was performed by 32 channels EEG for 42 schizophrenia patients who we categorized into DS and NDS using proxy instrument deficit syndrome (PDS). We performed the absolute power spectral analyses for delta, theta, alpha, low beta and high beta activities. We compared power spectrum between two groups using Independent t-test. Partial correlation test was performed with clinical parameters. Standardized LORETA (sLORETA) was used for comparison of cortical activity, and statistical nonparametric mapping (SnPM) was applied for the statistical analysis. Results: DS showed significantly increased delta and theta absolute power in fontal and parietal region compared with NDS (p<0.05). Power spectrum showed significant correlation with 'anergia' and 'hostility/suspiciousness' subscale of brief psychiatric rating scale (BPRS)(p<0.05). sLORETA found out the source region (anterior cingulate cortex/limbic part) that delta activity was significantly increased in DS (p=0.042). Conclusions: DS showed different cortical activity compared with NDS. Our results may suggest QEEG and LORETA could be the marker in differentiating between DS and NDS.

갑상선 유두암의 외측 경부림프절 전이에 대한 수술 전 평가로서 CT의 역할

석준걸(Jungirl Seok),김형규(Hyung gu Kim),김윤중(Yoonjoong Kim),한규희(Kyu-Hee Han),안순현(Soon-Hyun Ahn) 대한두경부종양학회 2013 대한두경부 종양학회지 Vol.29 No.2

Background and Objectives:To assess the usefulness of computed tomography image before papillary thy-roid cancer surgery, focus on confirmation of lateral cervical lymph node metastasis not detected by ultrasonogra-phy. Material and Methods:From January 2008 to May 2009, total 150 patients who had undergone thyroid sur-gery and been confirmed papillary thyroid cancer pathologically were enrolled. They had taken neck computed tomography following the ultrasonography. Results:Computed tomography had found suspicious metastatic lat-eral neck lesion in 13 patients. After the image study, lateral neck lymph node dissection had been included in their surgical plan. Of these, only 7 cases were confirmed pathologically lateral neck lymph node metastasis(positive predictive value=0.54). Taken as whole 150 patients, additionally 4.7% of patients confirmed lateral neck lymph node metastasis by preoperative computed tomography. Conclusion:If preoperative ultrasonography was per-formed precisely, additional benefits that could be achieved by computed tomography were not much.

부적합한 항이뇨 홀몬분비를 동반한 Central Pontine Myelinolsis

한규희,이창수,문상희,박영규,조광호,강성귀 대한내과학회 1990 대한내과학회지 Vol.38 No.5

A 53 year-old man presenting with profound hyponatremia was admitted at Chonbuk National Hospital on October 1986. The serum and urine osmolality studies and clinical feature suggested the presence of inappropriate antidiuretic hormone secretion. The central pontine myelinolysis may suggested by computerized tomography in brain. This report is discussed the association between the electrolyte disturbance and central pontine myelinolysis.

同位元素 受容體 結合方法을 利用한 血淸內 抗精神病 藥物의 濃度 測定

韓圭熙,禹誠一 서울醫大 1991 精神醫學 Vol.16 No.4

Dopamine 遮斷劑와 刺戟劑 投與 後의 흰쥐 先條體 內의 Dopamine D₂ 受容體의 變性 回復

韓圭熙,禹誠一 서울醫大 1991 精神醫學 Vol.16 No.4

精神分裂症과 Prolactin

韓圭熙 서울대학교 의과대학 정신과학교실 1983 精神醫學報 Vol.7 No.1

Haloperidol 投與後의 白鼠 線條體內의 Dopamine 前後接合部位 受容體의 變動

韓圭熙,禹誠一 서울醫大 1990 精神醫學 Vol.15 No.4