악안면골 골절에 관한 임상적 연구

정호균 중앙대학교 의과대학 의과학연구소 1988 中央醫大誌 Vol.13 No.4

This report was a retrospective study on maxillofacial bone fractures of Koreans. The study was based on a series 306 patients who had been treated for maxillofacial fractures as in-patient at Hospital of Medical college of Chung-Ang University during the pried of 1982 to 1987. The results obtained are as follows; 1. The ratio of Men to Women was 4.2:1, and the incidence of facial bone fractures increased continuously year after year. 2. The age frequency was highest in Tnd decade(38.3%), and age distribution of patient ranged from 4 years to 84 years. 3. Traffic accident(40.7%), fighting(28.5%) were the most common cause of maxillofacial bone fractures. 4. The frequent locations of maxillofacial fractures were nasal bone(49.4%) and followed by the mandible(22.2%), zygoma and zygomatic arch(16.6%) and maxilla(11.8%) in order. One location fractured in 88.1% and multiple locations were involved in 11.9%. 5. In 98 patients of mandible fractures, 85(86.7) had fractures only in mandible and 13(13.3%) had another facial bone fractures. The most frequent fracture site was Symphyseal area(37.4%) and simple fracture was the most frequent in type of fractures(43.9%). Teeth or alveolar bone trauma cases were 55.5% and close reduction with intermaxillary fixation was major method of treatment(43.9%) in mandible fractures. 6. In 52 patients of Maxillary fractures, 19(36.5%) had fractures only in maxilla and 33(63,5%) had another facial bone fractures. The most predominent fracture site was Le Fort Ⅱ(28.8%), and teeth or alveolar trauma occured in 25.0% and open reduction was major method of treatment(34.6%) in maxillary fractures. 7. In 73 patients of zygoma complex fractures, 41(56.2%) had fractures only in zygoma complex and 32(43.8%) had another facial bone fractures. The most frequent fracture site was zygoma(54.8%), and observation (47.9%) and open reduction(35.6% ) were major method of treatment in zygoma complex fractures. 8. In 218 patients of nasal bone fractures, 195(89.4%) had fractures only in nasal bone and 23(10.6%) had fractures on another facial bone. Closed reduction(55.5%) and observation(28.4%) were major methods of treatment. 9. In 386 patients of facial bone fractures, the most common associated injury with facial bone fractures was head(32.7%) and eye(20.4%) injures.

한국 재원 정신분열병환자의 사회경제적 특성에 관한 역학적 조사 : 일일 시정조사 Point Prevalence Study

정인원,김용식,이정균 大韓神經精神醫學會 1985 신경정신의학 Vol.24 No.1

1984년 2월 27일 현재 전국 정신과 병·의원의 입원환자를 대상으로 일일시정조사를 시행하였다. 자료분석 때까지 도착한 자료중 ICD-9의 진단기준에 의하여 정신질환의 범주에 속하는 2,895명을 1:1 쌍쌍대응법으로 분석하여 거주지별로 정신분열병군과 대조군간의 사회경제적 특성을 비교하였다. 분석결과는 다음과 같았다. 1. 정신분열병환자의 결혼상태는 두 지역 모두에서 독신이 많았고 odd ratio는 각각 5.33과 3.56이었다. 농ㆍ어촌의 정신분열병환자가 독신이 더 많았다. 2. 교육수준은 양 군에서 뚜렷한 차이는 없었다. 3. 직업은 도시의 정신분열병환자에서 무직이 많았고 odd ratio는 1.90이었다. 4. 경제수준은 도시의 정신분열병환자에서 낮은 층이 많았고 odd ratio는 1.65이었다. 5. 그외 가족구조와 종교, 부모의 결혼상태에서는 유의한 차이를 보이지 않았다. Aiming at suggestion the possible ways to improve psychiatric care, rehabilitation, and mental health services in Korea, this nation-wide hospital study was intended to explore the socioeconomical status of mental in-patients. This point prevalence study was conducted to patients who were in psychiatric wards at Feb. 27th. 1984 using mailing questionnaire. The number of hospitals and clinics answered was 88 and the patients, 3,300. Among them, we selected the 2,895 patients who were included in mental disorders (290-319) by ICD-9. Finally we compared the socioeconomical status between schizophrenia and non-schizophrenia in rural and urban area with the method of Fleiss. The results were as follows; 1. The relative proportions of single persons in schizophrenia were higher in both areas, and their odds ratios were 5.33 and 3.56, respectively. There were more single schizophrenics in rural than urban. 2. In educational levels, there were no significant differences between schizophrenia and control. 3. In urban area, the jobless persons were more in schizophrenia than control, and its odd ratio was 1.90. 4. The urban schizophrenics were significantly lower than the urban control in economical levels, and its odd ratio was 1.65. 5. About family structure, religion, and marital status of parents, there were no significant differences between schizophrenia and control.

만성신부전환자의 구강위생상태에 관한 역학적 조사연구

정호균,박주현,홍지원,강홍구 중앙대부설한국의과학연구소 1991 한국의과학 Vol.23 No.1

深呼吸의 자간에 對한 診斷的 價置

李定均 醫藥係社 1959 綜合 醫學 Vol.4 No.4

국민학교아동의 정서행동문제에 대한 생물·정신사회학적 연구 (Ⅰ) : Rutter의 아동행동평가표에 의한 국민학교아동의 정서행동문제조사 An Epidemiological Study of Emotional Behavioral Problems in Korean Elementary School Children by Rutter's Questionnaire

이정균,장경준,홍강의 대한소아·청소년정신의학회 1990 소아청소년정신의학 Vol.1 No.1

韓國人의 身體症狀에 關한 疫學的 硏究

李定均,崔鎭沃,韓辰熙 大韓神經精神醫學會 1986 신경정신의학 Vol.25 No.1

Despite of low prevalence rate of somatization disorder by 'DIS-Ⅲ Korean Version'(0.03% in Seoul. 0.2% in Rural area), many patients with somatic complaints have wanted psychiatric help. To explor the characteristics of somatic symptoms in general population the author, analysed 5,147 epidemiologic data of DIS-ⅢA Korean Version on somatization in detail(3,163 in Seoul and 1984 in rural area). The results were as follows. 1) Females had more somatic symptoms than males. The average numbers of symptoms were 1.75 in females and 0.72 in males. 2) The order age group had more symptoms than the younger age group. The average numbers of symptoms were 0.78 in age, 18-24, 1.14 in 25-44, and 1.60 in 45-65. 3) The average number of symptoms in rural area(1.52) was higher than that in Seoul(1.09). Especially, sickly, pain and cardiopulmonary symptoms were significantly higher in rural area. 4) The most frequent symptoms were headache, pain and cardiopulmonary symptoms had higher frequency relatively. 5) The proportion of the sujbect, havig 5 or more symptoms(risk group) was 6.8% of all population and that of higher risk group(having 10 or more symptoms) was 1.1% As the number of symptoms increased, female was more prevailing. 6) Comparing the education level between the risk group and fewer symptom group, the members of risk group had more low educational experience and those of fewer group had more high educational experience. 7) Comparing the occupational distribution between two groups, risk group was significantly prevailing in unemployer and had lower rate in clerical and related workers. 8) In risk group, sex difference of each symptoms was not revealed. The diference among three age groups was noticed in some symptom categories. In 'sickly' symptom, the older age group was significantly more prevailing than the younger age group. The symptoms of gastrointestinal and female-reproductive system had a tendency to decrease in older age group.

精神分裂病의 5年 追跡調査 : 後向性 硏究 Retrospective Study

李定均,金容植,崔珍淑 大韓神經精神醫學會 1987 신경정신의학 Vol.26 No.4

To explore the possible factors affecting the course of schizophrenia and to clarify some questions on the nature of schizophrenia, a structured retrospective study was carried out to 142 patients (male 74, female 68) discharged from psychiatric department of Seoul National University Hospital during July, 1st 1981 - June, 30th 1982. The study group consisted of 97 patients diagnosed as schizophrenia according to DSM-Ⅲ and 45 controls, who met the following screening criterias, i.e., ⅰ) between the ages of 16 and 65, ⅱ) no evidence of organic, drug related or alcoholdisorder, iii) psychotic symptoms not due to any other mental disorders, such as manic episode, or atypical psychosis, or factitious disorder, etc. The data at index discharge were obtained from clinical records and filled up by one of researchers. Five year follow-up assessment was performed by 4 trained medical students, blind to clinical records, from Jan, 20th through Feb, 28th 1987. Among them 78 patients (male 40, female 38) were able to be traced and successfully interviewed. The average duration of follow-up was 62.2±7.2months(mean±S.D.). To investigate the prognostic significance and specific relations between predictors and outcome variables, 49 predictor variables were chosen from clinical records and 18 outcome variables were selected and grouped by 5-outcome dimensions. Outcome variables were length of rehospitalization during follow-up period, rehospitalization during the last one year, quality of social contact during the last one year, deterioration of work performance during the last one year, severity of psychopathology during the last one year. Results demonstrated some differences between schizophrenia and control groups in clinical records and follow-up assessments. Schizophrenia group definitely showed poorer outcomes than control group. Correlations of individual predictor variables with outcome were calculated, although significant statistically (P<0.05) were modest in their magnitude. Multiple regression analysis of the presenting predictor variables to the outcome dimensions showed correlation .29 -.77, thus explaining statistically about 8-59% of the outcome variance in schziophrenia group. Among them some predictor variables, i.e, work performance during the last one year, social contacts during the last one year, etc, presented high correlations with these outcome variables. Intercorrelations among the 5 outcome dimensions for schizophrenia group were calculated, dimensions correlated each other to a minimal or moderate degrees. Among them social contact correlated highly with individual outcome dimensions.

韓國人의 M. M. P. I. 에 關한 硏究 : 各精神疾患의 M. M. P. I. The M. M. P. I. of Psychiatric Illness

李定均 大韓神經精神醫學會 1970 신경정신의학 Vol.9 No.1

Studies on the Standardized (revised) MMPI for Koreans were conducted on the psychiatric patients. The summary of the results was as follows. 1. Even though there were some elevated scores for the psychiatric patients compared with normal group, no significant differences were found in the validity scales. 2. The results of clinical scales were as follows: a) The hypochondrical neurosis, anxiety neurosis, simple schizophrenia and obsessive-compulsive (phobic) neurosis showed elevated scores in the Hs. scale. b) The depression of manic-depressive illness, hypochondrical neurosis, neurotic depression, schizo-affective depression, anxiety neurosis and pseudoneurotic schizophrenia showed elevated scores in the D.scale. c) The hysterical neurosis, obsessive-compulsive (phobic) neurosis, anxiety neurosis, hypochondrical neurosis, psychophysiologic disorder, neurotic depression, simple schizophrenia, latent and residual schizophrenia, pseudoneurotic schizophrenia and schizo-affective depression showed elevated scores in the Hy. scale. d) The personality disorder, behavior and character disorder, mania of manic-depressive illness and paranoid schizophrenia showed elevated scores in the Pd. scale. e) No significant differences were found in the Mf. scale. f) The paranoid schizophrenia, manic-depressive illness, schizo-affective and behavior and character disorder showed elevated scores in the Pa. scale. g) The obsessive-compulsive neurosis, anxiety neurosis, neurotic depression, pseudoneurotic schizophrenia, schizo-affective depression, hypochondrical neurosis and depression of manic-depressive illness showed elevated scores in the Pt. scale. h) Except latent and residual schizophronia among schizophrenia, brain syndrome, anxiety neurosis, ???? compulsive neurosis, neurotic depression ????? behavior and character disorder showed ????? scores in the Sc. scale. i) ?????? mania of manic-depressive illness, schizo-?????? mania and brain syndrome showed ???? scores in the Ma. scale. 3. ??????esults of research scales were as follows: a) ????? pseudoneurotic schizophrenia, neurotic ????ssion, schizo-affective depression, anxiety ????sis, hypochondrical neurosis and depression ????ic-depressive illness showed elevated scores ??? Si. scale. b) ????? latent and residual schizophrenia among ????ophrenia and psychophysiologic disorder ????ed elevated scores in the Es. scale. c) ????? neurotic depression, schizo-affective dep????, anxiety neurosis, depression of manic????sive illness, hypochondrical neurosis and ????neurotic schizophrenia showed elevated scores in the Anxiety Index. d) The hysterical neurosis, mania of manic-depressive illness and schzio-affective mania showed lowered scores in the Anxiety Index. e) The neurotic depression, hypochondrical neurosis, depression of manic-depressive illness, anxiety neurosis, pseudoneurotic schizophrenia, schizo-affective depression and obsessive-compulsive neurosis showed elevated scores in the Internalization Ratio. f) The mania of manic-depressive illness, schizo-affective mania and personality disorder showed lowered scores in the Internalization Ratio. 4. There were no significant differences in the profile pattern compared with the original MMPI in the korean psychiatric patients (Table 3,4). 5. From the results of the study, the Standardized (revised) MMPI for Koreans was regarded as useful in the clinical application for the psychiatric patients.

習慣性藥物中毒에 關한 硏究 : MMPI를 中心으로 The studies of MMPI

李定均 大韓神經精神醫學會 1970 신경정신의학 Vol.9 No.2

The author have studied the ecology and MMPI of habitual drug addicts, with 150 patients who had admited to Department of Neuro-Psychiatry, Seoul National University Hospital and other N-P clinics or hospitals from 1966 to June 1970. 1. F scale showed elevated score in the validity scales of MMPI. 2. No elevation of Hs., D., Hy., Mf, and Pt. scales were found in the clinical scales. 3. Pa. scale was the highest score in the clinical scales, and Pa., Sc. and Ma. scales were also elevated. 4. The score of Si. scale was slightly elevated, and Es., A.I. and I.R. were lowered score in the research scales. 5. The code of MMPI were as follows: male·····?? female····?? F-L/K 6. The adult patients were prominent in the age distribution and there was an increasing tendency in the teenager. 7. There was no significant meaning of educational background in the addicts and the most of them were over 3 years in the duration of habituation. 8. The addicts who had habituated from due to physical diseases were estimated about 72 percent. 9. The pure narcotic abusers were estimated about 31%, pure non-narcotic abusers were about 62%, and there was an increasing tendency of Amphetamine abusers. 10. The criminal occupation such as prostitute, pick-pocket, narcotic seller and so on were estimated about 40% and unemployment were about 10 percent. 11. The strong administrative control of non-narcotic habitual drugs as much as narcotics are suggested.

알코올중독 환자의 예후 예측에 관한 연구(Ⅰ) : 사회문화적 및 심리적 변인을 중심으로

이정균,성상경,전동환 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.4

Objects : The purpose of the study was to identify the prognosis-predicting indicators in alcoholics by the correlations between prognosis and sociocultural, psychological factors and drinking history. Methods : The subjects were composed of 50 alcoholics including 25 psychiatric inpatients(drinking group) and 25 alcoholics abstinent for 6 months or more after discharge(abstinent group). They were investigated with interview, questionnaire and review of their charts. Results : The results were as follows : 1) Abstinent group showed higher percentage of marriage and more stable martial status than drinking group. 2) Abstinent group got more stable employments before abstinence than drinking group. 3) Abstinent group had been admitted more voluntarily and had therapeutic participation, such as alcoholics anonymous or outpatient care, than drinking group after discharge. 4) Abstinent group had longer maximal length of abstinence than drinking group. Conclusions : With the above results, the authors think that social stability, attitude toward the treatment, therapeutic participation after discharge and maximal length of abstinence could be the important prognosis-predicting indicators for alcoholic.