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      • KCI등재

        소아기관지(小兒氣管支) 천식(喘息)의 임상적(臨床的) 고찰(考察 ) (제(第)II보(報))

        정규만,김덕곤,이동현,Jeong Gyu-Mann,Kim Deog-Gon,Lee Dong-Hyun 대한한방소아과학회 1986 대한한방소아과학회지 Vol.1 No.1

        During 34 months from October 1982 to July 1985, a clinical study was made on 217 cases of out-patients with pediatric bronchoarthma at Kyung-Hee University Oriental Hospital. ?The observed results were as follows; ?1. In the age of the patients ranged from six months to twelve years; they were almost under six years (73.1 %) The ratio of male to female was 3: 1. ?2. In case of the age to be attacked with bronchoarthma, the age 3 covered 43.9% (95 cases), and the ages of less than 6 years 86.3% (187 cases); and, especially, the age 2 - 3 covered the highest rate (18.4%; 40 cases) ?3. The contraction period of bronchoarthma was almost less than one year (70.1%; 152 cases); especially, less than one week covered the highest rate (22.1 %; 48 cases) ?4. In case of the contraction season; winter (December to February) had the highest rate (33.2%; 72 cases), and fall, spring and summer came after it. And 13 cases (6%) were attacked in all seasons. ?5. Of a day, the severe symptom was shown most frequently from 6 pm to midnight (31.3%; 68 cases), and next from midnight to 6 am (29.1%; 62 cases) ?6. The common symptoms of out-patients were productive cough (24.0%; 147 cases), easily-catch-cold (22.5%; 138 cases), dry cough (11.4%; 70 cases), and so on. ?7. In case of the history of the patients, upper respiratory infections covered 52.1 % (113 cases) bronchitis(29.0%; 63 cases), pneumonia(17.1%; 37 cases), and tonsilitis& pharyngitis(6.0%; ?13 cases): and allergic symptoms covered (42 cases: 19.3%) fetal fever & eczema (11.5%: 25 cases), and allergie Rhinitis (7.8%: 17 cases) ?8. The family of the patients were shown to have the history of bronchitis (21.6%; 47 cases), bronchoarthma (21.2%; 46 cases), and tuberculosis (16.6%; 36 cases) ?9. The factors of bronchoarthma were shown as upper respiratory infections (38.3%; 38 cases), cold weather (18.9%; 41 cases), and exercise (175%; 38 cases) ?10. Of the treatment periods of the patients, less than one month (69.2%; 150 cases) took the highest rate, in which less than a week was 33.2% (72 cases) and one or two weeks 15.2% (33 cases) ?11. The main prescriptions were kunpyunetang (79 cases; 17.0%), Agoayangyuegunpyuetang (73 cases; 15.7%) and Haepyoyangjintang (72 cases; 15.6%) ?12. In the results of treatment, 132 cases (60.9%) was improved; especially, subjective signs of 33 cases (15.2%) of them, was almost removed.

      • KCI등재

        인삼양위탕(人蔘養胃湯)이 위장관(胃腸管)에 미치는 영향(影響)

        이동현,김덕곤,정규만,Lee Dong-Hyun,Kim Deog-Gon,Jeong Gyu-Mann 대한한방소아과학회 1986 대한한방소아과학회지 Vol.1 No.1

        Although the Insamyangwee-Tang has been widely used in clinical purposes in the oriental medicine and its clinical efficiency is documented for the cases of gastritis, gastric ulcer and enteritis but the experimental study on these has not been undertaken. So,To investigate the clinical efficiency, of Insamyangwee-Tang and validate its oriental medical theory, these experiments were undertaken, by being compared with animal experiment. ?The following results were obtained. ?1. By effect of Insamyangwee-Tang on isolated ileum from mice, rats, rabbits and Guinea pigs, the motility of ileums was inhibited remarkably. ?2. By effect of Insamyangwee-Tang on motility of the small intestine in rabbits, the motility was inhibited remarkably too. ?3. Insamyangwee-Tang inhibited charcoal transport functions in the small intestine of mice. ?4. By effect of Insamyangwee-Tang on isolated duodenum from rats, the motility of duodenum was inhibited remarkably.?5. Gastric juice and pepsin secretion was decreased, anti-ulceration effect was recognized.

      • KCI등재후보

        일개 대학병원 건강검진 수진자를 대상으로 한 선종성 대장용종절제술 후 대장용종의 누적재발률

        황혜림(Hye-Lim Hwang),정우근(Woo-Geun Jung),김윤진(Yun-Jin Kim),이상엽(Sang-Yeoup Lee),조병만(Byung-Mann Cho),이유현(Yu-Hyeon Yi),조영혜(Young-Hye Cho),탁영진(Young-Jin Tak),정동욱(Dong-Wook Jeong),이정규(Jeong-Gyu Lee) 한국농촌의학 지역보건학회 2014 농촌의학·지역보건 Vol.39 No.3

        대장내시경을 이용한 대장암 선별검사가 증가하면서 발견된 용종의 절제와 추적검사가 점차 많아지고 있다. 하지만 국내에 대장용종절제 후 추적검사에 대한 연구가 부족한 실정이다. 이에 본 연구에서는 대장용종절제술 후 용종의 재발률을 알아보고 재발 위험 인자를 알아보고자 하였다. 이를 위하여 2000년 1월부터 2008년 3월까지 기간 동안에 용종절제술을 시행 받고 이후 추적검사를 시행 받은 147명의 환자를 대상으로 의무기록을 통한 후향적 분석을 시행하였다. 대장내시경검사를 통해 발견된 용종은 Kudo의 분류법으로 기술하였다. 추적 조사기간은 용종절제술과 이후 시행한 추적 대장내시경 검사와의 간격으로 정의하였다. 대상자 중 남자가 76.2%이었고, 환자의 평균 연령은 56.5 ± 8.1세이었다. 대상자의 용종절제 후 평균 추적기간은 24.9 ± 13.7(6 ? 65)개월이었다. 1년 누적재발률은 11.6%, 2년 누적재발률은 36.7%이고, 3년 누적재발률은 55.8%이었다. 용종의 개수에 따라 재발율이 유의한 차이를 보였다. 용종의 재발여부에 독립적인 영향을 미치는 인자로는 조직학적 형태가 의미있는 인자로 조사되었다. 본 연구 결과 대장의 선종성 용종의 3년 누적재발률이 55%를 넘는 것으로 관찰되므로 대장용종절제 후 추적 대장 내시경의 중요성이 강조되며 향후 대장용종절제술 후 재발에 대한 국내의 대규모 연구가 이루어져야 할 것으로 보인다. Objectives: Colonoscopy is a popular tool for screening for colon cancer throughout the world. The incidence of polypectomy and follow-up colonoscopy are persistently increasing but the studies about follow-up test after polypectomy are still lack of its domestic sources. This study is designed to look into the recurrence rate of colon polyps and risk factors after polypectomy. Methods: This is a retrospective study by reviewing medical charts of 147 patients who underwent polypectomy and follow-up colonoscopy from Jan. 2000 to Mar. 2008. The Kudo classification was used to describe the polyps found in the colonoscopy. The follow-up period was defined as the term between polypectomy and the first colonoscopy follow up. Results: Seventy six point two percent of the enrolled patient were male and the mean age was 56.5 ± 8.1. Mean follow-up period was 24.9 ± 13.7 (6 - 65) months. The cumulative recurrence rate of 1 year was 11.6%. The rate of 2 years was 36.7% and that of 3 years was 55.8%. The number of polyps was the factor which statistically showed significant relation of its recurrence rate. The histological morphology characteristic of polyps could be one independent factor which may be associated to the recurrence of polyps. Conclusions: The importance of colonoscopy follow up after polypectomy was clearly emphasized through the cumulative recurrence rate of 55.8%. Therefore, there is a need for more domestic studies with a large number of patients about the recurrence of polyps after polypectomy.

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