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간경변증 환자에서 24 시간 심박동수변이를 이용한 자율신경 장애 측정
김철우(Chul Woo Kim),권재구(Jae Goo Kwon),채민수(Min Su Chae),안혜숙(Hye Sook Ahn),조영중(Young Jung Cho),이창원(Chang Won Lee),장덕환(Duk Whan Jang),이무용(Moo Yong Rhee),김학산(Hak San Kim),이홍순(Hong Soon Lee),유수웅(Soo Woong Yo 대한내과학회 1997 대한내과학회지 Vol.53 No.3
N/A Objective: Heart rate variability(HRV) is helpful to diagnosis autonomic disturbance and sympathetic-parasympathetic imbalance in patients with myocardial infarction and diabetes mellitus. Patients with liver cirrhosis demonstrate reduced blood pressure despite increased heart rate and increased cardiac output, indicating a fall in peripheral vascular resistance. Autonomic disturbance may contribute to this phenomenon. The aim of the present study is to evaluate the degree of autonomic disturbance and the circadian rhythm of autonomic nervous system by estimating HRV with 24 hour-Holter recorder, Methods : 24 hour-HRV with Del Mar Avionics 563 Holter recorder and cardiovascular reflex tests were carried out on 32 patients with liver cirrhosis and 20 control subjects. We evaluated the presence of autonomic disturbance, and assessed quantitatively the autonomic disturbance. Results: 1) Among cardiovascular reflex tests, Valsalva test, standing test and deep breathing test were showed a significantly decreased response in liver cirrhosis compared with control groups. 2) The standard deviation of 24hours average R-R intervals were showed a significantly decrease in liver cirrhosis than control groups(P<0.0001). The HRV of low frequency(LF. P<.D.001), high frequency(HF, P<0.0001) and total power spectral density (P<0.0001) in liver cirrhosis were statistically lower than control. 3) The LF/HF ratio of patients with liver cirrhosis was showed higher than control at night Conclusion: Non-invasive assessment of 24 hour-HRV has a few advantages in the diagnosis and degree of autonomic disturbance, evaluation of diurnal variation of autonomic tone.
비수술적 방법으로 완전소실된 특발성 후복막 섬유증 1예
안혜숙,우승일,정안철,조은경,서창인,이봉화,손진희 대한내과학회 1997 대한내과학회지 Vol.53 No.3S
특발성 후복막 섬유증은 요관박리술 등 수술적 방법이 일차작 치료법이었으나, 스테로이드 투여가 수술적 방법을 대체할 수 있을 것으로 생각된다. 저자들은 특발성 후복막 섬유증으로 입원한 68세 여자에서 스테로이드 투여후 후복막 종물이 소실된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Idiopathic retroperitoneal fibrosis is a chronic inflammatory process due to unknown causes, leading to deposition of the dense sclerotic plaques in the midline, which may obstruct or restrict the movement or the flow of the adjacent organs. It is characterized by nonspecific constitutional symptoms such as nausea, anorexia, constipation, abdominal pain, mild fever and low back pain. It is common in fifth and sixth decades and more predominent in male than in female. It is diagnosed by the imaging findings of IVP, sonogram, CT and MR] with the clinical manifestation and is confirmed by the biopsy of retroperitoneal mass. The mainstay of treatment has been ureterolysis and surgical treatment or often steroid administration. We report a case of idiopathic retroperitoneal fibrosis with regression after steroid administeration without surgical management.
김인옥,안혜숙 대한가정학회 2003 Human Ecology Research(HER) Vol.41 No.3
This study was examined about consciousness and actual service, functions of ancestral rite in modem society. In order to study, the questionnaies for 401 university students were used and personal interviews with 14 as 7 female, 7 male. Data were analyzed using the SAS programs. The main results of this study were as follows: The mals's conscilusness and actual service was significant higher than female's about the traditional ancestral rite. The religion was affected significant variable in ancestral rite. when the family hold many performs and students are participate in ancestral rite many times, they are positive about traditional ancestral rite. On the functions of ancestral rite the students thought the ancestral rite influenced family members and relatives to promote mutual family membership.