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요추 추간판 탈출증 환자의 의·한의 협진 의료이용 현황 분석: 건강보험심사평가원 환자표본 데이터를 이용하여
고준혁 ( Jun-Hyuk Ko ),유지웅 ( Ji-Woong Yu ),서상우 ( Sang-Woo Seo ),서준원 ( Joon-Won Seo ),강준혁 ( Jun-Hyuk Kang ),김태오 ( Tae-Oh Kim ),조휘성 ( Whi-Sung Cho ),서연호 ( Yeon-Ho Seo ),안종현 ( Jong-Hyun Ahn ),이우주 ( Woo-Joo 한방재활의학과학회 2021 한방재활의학과학회지 Vol.31 No.4
Objectives Lumbar herniated intervertebral disc (L-HIVD) is common disease in which Western-Korean collaborative treatment is performed in Korea. This study aimed to analyze Western-Korean collaborative treatment utilization of Korean patients with L-HIVD using Health Insurance Review & Assessment Service’s Patients Sample Data. Methods This study used the Health Insurance Review & Assessment Service-National Patient Sample (HIRA-NPS) in 2018. Claim data of L-HIVD patients were extracted. The claim data were rebuilt with the operational concept of ‘episode of care’ and divided into Korean medicine episode group (KM), Western medicine episode group (WM) and collaborative treatment episode group (CT). General characteristics, medical expenses and healthcare utilization were analyzed. In addition, the difference of average visit day and average medical expenses between non-collaborative group (KM plus WM) and CT were analyzed by the propensity score matching method. Results A Total of 64,333 patients and 365,745 claims were extracted. The number of episodes of WM, KM and CT was 69,383 (92.97%), 3,903 (5.23%), and 1,341 (1.80%) respectively. The frequency of collaborative treatment episode was higher in women and the age of 50s. The most frequently described treatment in CT was acupuncture therapy. As a result of the propensity score matching, the number of visit days and medical expenses in the collaborative treatment group was higher than in the non-collaborative group. Conclusions The analysis of healthcare utilization of Korean-Western collaborative treatment may be used as basic data for establishing medical policies and systematic collaborative treatment model in the future. (J Korean Med Rehabil 2021;31(4):105-116)
치핵 제거술을 위한 안장 마취 시 발생한 저혈압 및 서맥
종요현 ( Yong Hyun Cho ),홍성기 ( Sung Gi Hong ),이동현 ( Dong Hyun Lee ),유지웅 ( Ji Woong Yu ),윤묘섭 ( My Sup Yun ),임형우 ( Hyung Woo Lim ),전성현 ( Sung Hyun Cheon ) 경희대학교 경희의료원 2010 慶熙醫學 Vol.26 No.2
Comparing with spinal anesthesia, saddle block anesthesia has little hemodynarnic effect and side effect. So saddle block anesthesia is widely practiced technique for simple anorectal area surgery. We experienced severe hypotension and bradycardia during saddle block anesthesia. And the patient was immediately treated and recovered without any adverseeffect. We report our clinical experience, including brief review of the relevant literature.