http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
이두익(Doo Ik Lee),김동욱(Dong Ok Kim),김건식(Keon 대한통증학회 1999 The Korean Journal of Pain Vol.12 No.2
N/A Background: The goal of this study was to evaluate the effects of gabapentin on postherpetic neuralgia. Gabapentin is a known anti-seizure medication, whose cellular mechanism of action is not well under- stood, Unlike other anticonvulsant, gabapentin has the advantage of a low toxicity and favorable side effect profile. If has been recently recommended for use in treatment of neuropathic pain. Methods: Twelve patients with a diagnosis of postherpetic neuralgia were prescribed gabapentin after failure of routine therapeutic regimens. The dose of gabapentin ranged 300-1800 mg per day, in three divided doses. If initial dose was ineffective and no side effects were noted, the dosages was increased by 300 mg a day in divided doses, to the maximum level for 2 weeks. Patients were evaluated for anal- gesia using visual analogue scale (VAS) pain score (0; no pain, 10; worst possible pain) and possible side effects. Results: A significant decrease in pain scores with gabapentin were noted. There were several mild side effects such as dizziness, somnolence, dry mouth, constipation and facial edema, without need of special treatment. Conclusions: Gabapentin may be a useful adjunct for treating intractable postherpetic neuralgia with a minimal side effects.
사각근간 차단을 이용한 어깨 관절경수술에서 좌위에 따른 Bezold - Jarish 반사
이두익(Doo Ik Lee),원시권(Shi Gwen Won),김동우(Don 대한통증학회 1997 The Korean Journal of Pain Vol.10 No.2
N/A Background: We have noted a high incidence of vasovagal episodes associated with use of interscalene block(ISR) for shoulder arthroscopy in the sitting position. The purpose of this retrospective study is to alert the possibility of potentially dangerous vasovagal events, describe the characteristics of this problem, and propose therapeutic devices. Methods: Results 62 patients who underwent shoulder arthroscopy in the sitting position with ISB were retrospectively analyzed. Group 1, 10 patients experienced vasovagal events characterized by sudden hypotension and bradycardia. Remaining 52 patients, Group 2, did not experience these symptoms. All patient charts were reviewed for age, sex, side of surgery, premedication, preoperative fluid and intraoperative medications. Perioperative hemodynamic changes were also compared between the two groups. Results: Vasovagal events experienced in 16% of patients(10/62) and occurred 39+ 18 min after sitting position and 22+18 min after start of operation. Number of patients who receiving anticholinergics for premedication were significantly lower in Group 1 than Group 2(2/10 vs. 28/52, p<0.05). Conclusions: Bezold-Jarish reflex is a potential mechanism for sudden hypotension and bradycardia which can occur during shoulder arthroscopy in sitting position. Therefore anticholinergic pretreatment and meticulous monitoring during operation are recommended to prevent B-J reflex
뇌졸중 후 중추성 통증에 대한 통증관리가 재활에 미치는 효과
이두익(Doo Ik Lee),김건식(Keon Sik Kim),채호승(Ho Seung Chae),최도영(Do Young Choi),이재동(Jae Dong Lee),이윤호(Yun Ho Lee),박재경(Jae Kyung Park),김수영(Su Young Kim) 대한통증학회 2002 The Korean Journal of Pain Vol.15 No.1
N/A Background: Central poststroke pain (CPSP) can occur as a result of lesion or dysfunction of the brain from stroke and may cause many difficulties in social activities and daily life, especially in the rehabilitation program. In this study, we evaluate the clinical effectiveness of pain management for CPSP patients during their rehabilitation. Methods: Thirty patients who had suffered from CPSP, as diagnosed by their typical pain characteristics of central pain from stroke, were included in the stud. We investigated pain intensity through the visual analogue scale (VAS), and improvements of mobility and rehabilitation through for 3 weeks. Modalities of pain treatment were sympathetic nerve block, antidepressants, anticonvulsants and/or a-2 agonists. Results: VAS pain scores improved significantly (P < 0.05) from 7.9 ± 1.4 to 4.7 ± 1.6 with pain treatment. MBI and RS scores improved significantly (both, P < 0.05) from 61.4 ± 13.6 to 85.0 ± 13.9 and from 3.3 ± 0.7 to 2.5 ± 0.7, respectively, with pain treatment. Conclusions: The rehabilitation scores, MBI and RS, were improved significantly in conjunction with an improvement of VAS pain score. Furthermore, we active pain management of CPSP patients could facilitate their rehabilitation from stroke.