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배영현,전재윤,임수진,이종환,김해솔,김호선,송주현,염승철,김문휘,Bae, Young-Hyeon,Jeon, Jae-Yoon,Lim, Su-Jin,Lee, Chong-Hwan,Kim, Hae-Sol,Kim, Ho-Sun,Song, Ju-Hyun,Yeom, Seung-Chul,Kim, Moon-Hwi 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.2
Objectives : The purpose of this study is to evaluate the clinical application of Muscle Relaxation Pharmacopuncture for Fibromyalgia. Methods : We examined 2 patients with Fibromyalgia who admitted Jaseng Korean Medicine Hospital. The patients were treated by Korean Medicine treatment and Muscle Relaxation Pharmacopuncture. These cases were assessed by Numerical Rating Scale (NRS), American College of Rheumatology Preliminary Diagnostic Criteria(ACR), ROM(Range of Movement) and Special Test. Results : In this study, the patient's pain was controlled and NRS, Widespread Pain Index(WPI), Symptom Severity(SS) scale score were decreased. ROM and Special Test were also improved. Conclusions : Muscle Relaxation Pharmacopuncture with Korean Medicine treatment for Fibromyalgia was proved to be helpful to the pain relief and function recovery, but more studies are needed to investigate the effectiveness of Muscle Relaxation Pharmacopuncture.
빙정호,전재윤,정세화,황경균,박창주,서광석,김현정,염광원,심광섭,Bing, Jung-Ho,Jeon, Jae-Yoon,Jung, Se-Hwa,Hwang, Kyung-Gyun,Park, Chang-Joo,Seo, Kwang-Suk,Kim, Hyun-Jeong,Yum, Kwang-Won,Shim, Kwang-Sup 대한치과마취과학회 2007 Journal of Dental Anesthesia and Pain Medicine Vol.7 No.2
Background: Dental disabilities mean the poor cooperation for dental treatment because of patient's inherent disability, severe fear and anxiety, and communication problem. Sedation and general anesthesia are usually used for behavioral control in dentally disabled patients. In particular, sedation (conscious and deep) can help them to tolerate the proper dental treatment effectively and safely. Methods: From March 2002 to September 2007, total 35 sedation were carried out in 33 patients (male : female = 20 : 13) with dental disabilities at Seoul National University Dental Hospital and Hanyang University Medical Center. Patients' dental charts and sedation records were retrospectively reviewed. Results: Tooth extraction (19 cases) was the most common dental treatment performed under intravenous sedation (30 cases). Occasionally, inhalation sedation using Sevoflurane 1-2% was adapted (5 cases). Deep sedation (28 cases) was carried out using midazolam 2-3 mg bolus injection and propofol infusion via TCI (4.2 ${\pm}$ 0.9 mg/kg/h), and conscious sedation (7 cases) was carried out using midazolam bolus onlywithout severe complications. The duration of dental treatment was 25.5 ${\pm}$ 12.3 min and that of sedation was 43.2 ${\pm}$ 9.7 min. Conclusion: Sedation for dentally disabledpatients should be selected for effective behavioral control in conjunction with general anesthesia, considering the duration and pain-evoking potentials of dental treatment, the type and severity of patients' disabilities, and the experience of dental anesthesiologists altogether.
요추 추간판 탈출증과 대퇴 비구 충돌 증후군 진단 받은 환자를 대상으로 시행한 고관절 부위 봉약침 치료 및 한방 보존적 치료 치험 1례
김해솔,이종환,전재윤,임수진,배영현,김호선,송주현,김문휘,조창영,정유화,Kim, Hae-Sol,Lee, Chong-Hwan,Jeon, Jae-Yoon,Lim, Su-Jin,Bae, Young-Hyeon,Kim, Ho-Sun,Song, Ju-Hyun,Kim, Moon-Hwi,Cho, Changyoung,Jung, You-Hwa 척추신경추나의학회 2014 척추신경추나의학회지 Vol.9 No.2
Objectives : The Purpose of this study is to investigate the clinical application of Bee venom pharmacopuncture and conservative treatment for lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement. Methods : Patient is hospitalized at Dept. of Oriental Internal Medicine, Jaseng Oriental Medicine Hospital, diagnosed as lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement and treated by Bee venom pharmacopuncture, herbal medicine, acupuncture and moxibustion. This study was measured by NRS(Numerical Rating Scale), ODI and EQ-5D. Results : After Bee venom pharmacopuncture and conservative oriental medical treatment, the patient's pain was controlled and NRS score was decreased. ODI and EQ-5D also were improved. Conclusions : As seen in this one case, Oriental conservative treatment and Bee venom pharmacopuncture have a positive effect to control pain with lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement.
요통과 하지방사통을 호소하는 요추 추간판 탈출증 환자의 전침 치료 효과 연구
임수진,박상원,이준석,이슬지,김기원,남지환,이민정,전재윤,송주현,Lim, Su-Jin,Park, Sang-Won,Lee, Jun-Suk,Lee, Seul-Ji,Kim, Kie-Won,Nam, Ji-Hwan,Lee, Min-Jung,Jeon, Jae-Yoon,Song, Ju-Hyun 척추신경추나의학회 2012 척추신경추나의학회지 Vol.7 No.2
Objectives : The purpose of this study was to evaluate the effect of electro-acupuncture treatment for low back pain and radicular pain in patients diagnosed with Lumbar HIVD. Methods : This clinical study was carried out on 92 patients with low back pain and radicular pain diagnosed with HIVD, who had been admitted from Mar. 2011 to Dec. 2011. 60 patients were divided into two groups, group A and group B, of 46 patients each. Group A was treated with electro-acupuncture treatment and general acupuncture treatment twice per day for more than 2 weeks. Group B was treated with general acupuncture treatment twice per day for more than 2 weeks. Verbal numerical rating scale(VNRS) and Oswestry disability index(ODI) were used to evaluated the effectiveness of the Oriental medical treatment. Results : In both two groups, VNRS, ODI, patient's condition grade decreased significantly in ststistics as treatment was perfomed. Between the two groups there was no significant difference in the VNRS, patient's condition grade. But there was significant difference in the ODI. Conclusions : These results suggest that both electro-acupuncture and general acupuncture were effective in reducing low back pain and radicular pain caused by HIVD. More systematic clinical stuty on electro-acupuncture is needed.
증례보고 : 보존적 치료를 통한 연골무형성증을 가진 요통 환자
이종환,박상원,변장훈,김해솔,임수진,전재윤,김기원,남지환,이민정,송주현,Lee, Chong-Hwan,Park, Sang-Won,Byun, Jang-Hoon,Kim, Hae-Sol,Lim, Su-Jin,Jeon, Jae-Yoon,Kim, Kie-Won,Nam, Ji-Hwan,Lee, Min-Jung,Song, Ju-Hyun 척추신경추나의학회 2013 척추신경추나의학회지 Vol.8 No.2
Objectives : The purpose of this study is to investigate the efficacy of conservative treatment on Achondroplasia patient who has low back pain with radiation. Methods : The patient was treated by conservative treatment including acupuncture, pharmaco acupuncture, chu-na manipulation, herbal medicine. Numeric rating scale(NRS), Oswestry disability index(ODI) were used to evaluate pain reduction. Physical examination also used to compare with admission state and discharge state. Results : After 1 month admission treatment, NRS decreased 9 to 6, ODI dcreased 56 to 42, ROM improved as normal person. Conclusions : It was efficient that Achondroplasia patient who has low back pain with radiation treated as conservative treatment including acupuncture, pharmaco acupuncture, chu-na manipulation, herbal medicine. But It was just one case and treatments were carried out in Integrative Package. So further studies are required to compare that which treatment is efficient.
치과 치료를 위한 외래 정주진정 법에 대한 다기관 후향적 임상연구
정세화,백상현,노현기,강나라,임재중,이병하,전재윤,황경균,심광섭,박창주,Jung, Se-Hwa,Baik, Sang-Hyun,Roh, Hyun-Ki,Kang, Na-Ra,Im, Jae-Jung,Lee, Byung-Ha,Jeon, Jae-Yoon,Hwang, Kyung-Gyun,Shim, Kwang-Sup,Park, Chang-Joo 대한악안면성형재건외과학회 2009 Maxillofacial Plastic Reconstructive Surgery Vol.31 No.5
Purpose : On outpatient facilities, our sedation protocol focuses on the intermittent bolus injections of midazolam intravenously, according to patient's and operator's needs during the dental treatment. This multicenter retrospective study was aimed to prove the efficiency and safety of our sedation protocol. Patients and Methods : In three centers using the same outpatient sedation protocol for dental treatment (Division of Oral and Maxillofacial Surgery/Department of Dentistry in Hanyang University Medical Center, S-plant Dental Hospital. and Grand Oral and Maxillofacial Surgery), total 937 patients had various dental treatments under intravenous conscious sedations with independent patient monitoring from March 2006 to March 2009. By reviewing charts, we analyzed the results of sedation and dental treatment, retrospectively. Results : Our sedation protocol had no severe postoperative complications requiring admission. while showing good compatibility with almost all dental treatments, with acceptable satisfaction of both patients and operators. Conclusion : We assure that our sedation protocol can be used efficiently and safely on routine outpatient basis. We also hope that this study will provide the concrete concepts to common dental practitioners, who desire to perform sedation for dental treatment.
급성 식도정맥류 출혈 환자에서 Somatostatin과 Vasopressin의 치료효과 비교 : A Prospective Randomized Trial
최병현,문병수,문영명,한광협,전재윤,이관식,정정일,김동기,백용한,이천균 대한간학회 2000 Clinical and Molecular Hepatology(대한간학회지) Vol.6 No.4
Background/Aims: Although endoscopic band ligation or injection sclerotherapy are the current standard therapies for bleeding esophageal varices, the best method for initial control is unclear. The aim of this prospective study was to compare the efficacy and toxicity of somatostatin and vasopressin in the management of esophageal variceal hemorrhage. Methods: From March, 1997 to September, 1998, 28 consecutive cirrhotic patients admitted to the Yonsei Medical Center because of active variceal bleeding were included in this trial. The patients were randomized to receive either somatostatin (15 patients) or vasopressin (13 patients) for 48 hours. Results: There were no significant differences between the two treatment groups in relation to Child's classification, amount of bleeding before randomization and units of blood transfused during therapy. Initial control of bleeding was achieved in 13 (86.7%) patients receiving somatostatin and in 10 (76.9%) of those treated with vasopressin. However, two patients in the somatostatin group and two in the vasopressin group bled again during treatment. Therefore complete control of bleeding during the 48 hours of therapy was achieved in 11 (73.4%) patients treated with somatostatin and in eight (61.5%) of those receiving vasopressin. Differences were observed in complications associated with each therapy. Vasopressin produced complications in four patients (chest pain in two, hypertension in one and hyponatremia-induced seizure in one) while somatostatin produced minor complication in one patient. Conclusions: This study suggests that somatostatin is efficacious in controlling acute hemorrhage from esophageal varices and has a lower risk of adverse effects than vasopressin.(Korean J hepatol 2000;6;468-473)
간세포암종 진단에 있어서 자동화 분석기로 측정한 AFP - L3 와 PIVKA - 2 의 임상적 유용성
박영수,김철,김현숙,한재용,송건훈,전재윤,문영명,백용한,이관식,전태주,이현웅,박정엽,정재연,한광엽,이경률 대한간학회 2001 Clinical and Molecular Hepatology(대한간학회지) Vol.7 No.4
Background / Aims : Prothrombin induced by Vitamin K Antagonist-Ⅱ(PIVKA-Ⅱ)and alpha-fetoprotein(AFP)subtype reacting with Lens Culinaris Agglutinin(AFP-L3)are known as specific tumor markers for HCC. Recently a more sensitive ELA method for PIVKA-Ⅱand an automatic analyzer with Liquid Phase Binding Assay method(LBA method)for AFP-L3 have been developed. The aim of this study was to evaluate the feasibility of PIVKA-Ⅱ and AFP-L3 measured by newly developed methods as complementary tumor markers to AFP in the diagnosis of HCC. Methods : The serum concentration of AFP, PIVKA-Ⅱ, and a fraction of AFP-L3 were determined from 188 patients with HCC and 118 patients with various liver diseases including tumors of the liver. AFP was measured by EIA, PIVKA-Ⅱ by sensitive EIA, and AFP-L3 by the LBA method with LiBASys Auto-analyzer. The cutoff values for AFP, PIVKA-Ⅱ, AND AFP-L3 WERE 400ng/mL, 40 Mau/mL, AND 15%, respectively. Results : The sensitivity and specificity of serum PIVKA-Ⅱwere 69.2% and 76.5%, respectively. Sixty-two(51.2%) of 121 patients with HCC, in which AFP was less than 400ng/mL were PIVKA-Ⅱ positive. The specificity and specificity of serum AFP-L3 were 48.8% and 90.8%, respectively. When AFP-L3 was used in combination with PIVKA-Ⅱ,31(46.3%) of the 67 patients with small less than 3cm HCC were positive for at least one of these markers. Conclusion : PIVKA-Ⅱ measures by sensitive EIA may be useful for the diagnosis of HCC with low AFP level. AFP-L3 and PIVKA-Ⅱ may improve the detection rate of small HCCs less than 3cm.
TNM Stage IVa의 진행성 간암에서 간동맥내 항암제 주입약제에 따른 치료성적과 예후인자
안상훈,한광협,윤영훈,김명환,송건훈,이관식,전재윤,문영명,이도연,이종태 대한간학회 2000 Clinical and Molecular Hepatology(대한간학회지) Vol.6 No.4
Background/Aims: The study proposed to evaluate the efficacy of anticancer drugs of intraarterial chemoinfusion and investigate prognostic factors influencing survival. Methods: A total of 127 patients diagnosed as having advanced hepatocellular carcinoma(HCC) of same stage (TNM stage IVa) from 1996 to 1998 were examined. Two intraarterial infusion chemotherapeutic regimens were employed: Adriamycin(Group I) and Cisplatin(Group II). Results: Overall survival was significantly diffrent(10.0 vs 5.7months) and favored Group I. By the univariate analysis, significant prognostic factors included: age, portal vein thrombosis(PVT), size($gt;5cm) and type of tumor, response rate (size & -fetoprotein) at 3 months after therapy, level of albumin, alkaline phosphatase, and total bilirubin. After repeated therapy, Group I showed better survival (14.0 vs 7.9 months), but there was no statistical difference in survival rate between two groups in the case of large size, PVT, and diffuse type. Conclusion: Group I showed better survival than Group II in advanced HCC of TNM stage IVa. But, considering prognostic factors, there was no significant difference in survival rate between two groups except small size or nodular type of HCC. TNM classification of stage IVa should be reconsidered to include prognostic factors influencing survival rate such as PVT, size and type of HCC.(Korean J hepatol 2000;6;456-467)