당뇨병 환자에서 혈장 Thrombin-Antithrombin Ⅲ 및 Plasmin-α_2-Plasmin Inhibitor 복합체의 임상적 의의

김경욱,김은숙,정상수,윤수지,박우일,이준희,남수연,안철우,문병수,김경래,차봉수,송영득,임승길,이현철,허갑범 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.25 No.5

연구배경:당뇨병 환자에서 혈액응고 및 섬유소용해 체계의 이상경향이 있어 그 결과로 여러 혈관합병증의 발생위험이 높다는 사실은 널리 알려져 있다. 그 기전은 아직 확실히 밝혀지지 않았으나, 고혈당으로 인한 혈장 단백질들의 비효소성 당화작용이나 산화성 스트레스로 인한 유리 라티칼 작용으로 응고항진이나 섬유소용해 활성의 저하를 유발하는 것으로 생각되고 있다. 최근 응고 및 용해인자와 그 억제자의 복합체들의 증가가 이 상태를 비교적 예민하게 반영한다고 알려져 있다. 방법:본 연구에서는 당뇨병 환자 101명과 정상 대조군 20명에서 혈장내 thrombin­antithrombin complex(TAT)와 plasmin­α₂­plasmin inhibitor complex(PIC)를 측정하여 비교하고, 당뇨병 환자에서 미세혈관 합병증과 대혈관합병증의 유무에 따른 차이와, 이미 혈관 질환의 위험인자로 알려져 있는 인자들간의 상관성을 알아보고자 하였다. 결과:1. 환자의 분포를 살펴보면 혈관합병증이 있는 군은 85명, 혈관합병증이 없는 군은 16명이었고, 평균연령은 각각 57.9±14.1세, 49.9±16.6세로 혈관 합병증이 있는 군에서 더 나이가 많았고, 체질량지수는 23.2±3.4㎏/㎡, 24.1±3.4㎏/㎡로 두 군간 유의한 차이는 없었다. 또 두 군간의 혈압 및 HbA1c, 공복혈당 및 인슐린과 C­peptide, 총 콜레스테롤, 중성지방, HDL­콜레스테롤, Lp⒜는 유의한 차이가 없었고, 미세혈관합병증이 있는 군에서 당뇨병의 유병기간이 길었다. 2. TAT 및 PIC의 농도는 정상 대조군에서는 2.8±1.2 ng/mL, 240.4±69.7 ng/mL이었고, 당뇨병 환자군에서는 9.5±22.6 ng/mL, 472.2±258.7 ng/mL이었다. TAT와 PIC 모두 당뇨병 환자군에서 정상 대조군에 비해 유의하게 증가되어 있었고(p<0.001), TAT/PIC ratio는 두 군간 차이가 없었다. 3. 당뇨병 환자의 혈관합병증에 따른 TAT 및 PIC, fibrinogen 농도는 합병증이 없는 군은 각각 4.1±2.4ng/mL, 362.2±272.0ng/mL, 322.7±102.4mg/mL으로 PIC와 fibrinogen의 증가를 보였으나, 연령을 보정한 후에는 통계학적 유의성은 없었다. 또 대혈관 합병증군에서는 각각 6.0±4.9 ng/mL, 507.4±321.6 ng/mL, 427.1±194.7 mg/dL이었으며 미세·대혈관 합병증군에서는 10.4±6.4 ng/mL, 484.8±269.7 ng/mL, 388.4±132.4 mg/dL으로 TAT의 증가를 보였으나 역시 연령을 보정한 후에는 통계학적 유의성은 없었다. 4. 미세혈관합병증군에서 HbA1c(>8%)가 높은 군의 PIC 농도가 유의하게 높았고(p=0.049), 대혈관합병증군에서 HbA1c(>8%)가 높은 군의 총 콜레스테롤 농도가 유의하게 높았다(p=0.042). 5. 총 당뇨병 환자군에서 PIC는 fibrinogen과 HbA1c와 양의 상관관계를, BMI와 음의 상관관계를 보였으며(r=0.47, 0.31,-0.25), 혈관 합병증이 없는 당뇨병 환자군에서만 TAT는 HbA1c와 양의 상관관계를 보였다(r=0.67). 결론:이상의 결과에서 혈장 TAT 및 PIC 농도는 당뇨병 환자에서 정상 대조군에 비해 의미있게 증가되어 있었고, 당뇨병 환자군에서는 연령의 증가와 유병기간이 혈액응고항진 및 용해의 장애에 큰 역할을 함을 알 수 있었으며, 총 당뇨병 환자군에 PIC와 HbA1c와 양의 상관관계를, BMI와 음의 상관관계를 보였으며 혈관 합병증이 없는 당뇨병 환자군에서만 TAT는 HbA1c와 양의 상관관계를 보였다. 따라서 당뇨병 환자에서 혈액응고 및 용해의 장애가 동반되어 있다고 볼 수 있으며, 혈장 TAT 및 PIC는 혈관합병증으로의 진행을 예측하는 지표로서 유용하리라 생각된다. 또 혈당조절정도와 상관성이 있으므로 혈당조절후에 추적검사를 시행하여 합병증의 예방이 가능한지 추후 연구가 필요하리라 생각된다. Background : Abnormality of coagulation and fibrinolystic system is known as a predisposing factor of vascular complication in diabetes. Although the pathogenesis is not well known, non-enzymatic glycation reaction and the increase in production of free radicals due to an increased oxidative stress may be linked to the hypercoagulibility and hypofibrinolytic activity. As indices of abnormality in coagulation and firinolysis in peripheral blood, plasma thrombin-antithrombin Ⅲ complex (TAT) and plasmin-α_2-plasmin inhibitor complex (PIC) were measured. The purpose of this study was to clarify whether hypercoagulability exists in diabetic patients with or without vascular complication. Methods : In our study, we measured plasma thrombin-antithrombin Ⅲ compelx (TAT) and plasmin-α_2-plasmin inhibit or complex (PIC) in 101 diabetic subjects and 20 controls. Comparing TAT and PIC levels in diabetic microvascular complication group, diabetic macrovascular complication group and controls, we examined correlation between risk factors associated with diabetic vascular complication. Results : 1. The group with diabetic vascular complication was older than group without complication. There was no significant difference in BMI, blood pressure, HbA_ic, blood sugar level, insulin, C-peptide, serum creatinine, total cholesterol, triglyceride, HDL-cholesterol, Lp (a) between two groups. The group with diabetic microvascular complication had longer duration of diabetes. 2. Concentration of TAT and PIC were 2.8±1.2 ng/ mL, 240.4±69.7 ng/ mL in controls and 9.5±22.6 ng/ mL, 472.2±258.7 ng/ mL in diabetic patients, respectively. TAT and PIC were significantly higher in diabetic patients than in control (p<0.001). But TAT/PIC ratio was no significant difference between two groups. 3. In diabetic patients, concentration of TAT and PIC and fibrinogen were respectively 4.1±2.4 ng/ mL, 362.2±272.0 ng/ mL, 322.7±102.4 mg/ dL in group without vascular complication and 5.3±4.1 ng/ mL, 529.5±258.7 ng/ mL, 374.9±106.2 mg/ dL in group with microvascular complication, which group had increase in PIC and Fibrinogen but no significance after correction of age. Concentration of TAT and PIC and Fibrinogen were 60.±4.9 ng/ mL, 507.4±321.6 ng/ mL, 427.1±194.7 mg/ dL in macrovascular complication, and 10.4±6.7 mg/ mL, 484.8±269.7 ng/ mL, 388.4±132.4 mg/ dL in combined vascular complication which group showed increase of TAT but also had no significant increase after correction of age. 4. In diabetic microvascular complication patients, group of high HbA_1c (>8%) (p=0.049) had significant high PIC concentration. In diabetic macrovascular complication patients, group of high HbA_1c (>8%) (p=0.042) had significant high total cholesterol concentration. 5. In all diabetic patients, PIC was positively correlated with fibrinogen and HbA_1c and negatively correlated BMI (r=0.47, 0.31, -0.25). Only in daibetic patients without angiopathy, TAT was positively correlated with HbA_1c (r=0.67). Conclusion : In this study, plasma TAT and PIC concentration significantly increased in diabetic patients compared with controls, and PIC was increased in group with microvascular complication, TAT were increased in group with combined micro macrovascular complication. However, there was no significance relationship existed when correctinf for age. PIC was correlated with HbA_1c. TAT was correlated with HbA_1c only in the group without angiopathy. Abnormality of coagulation and fibrinolysis were combined in diabetes, plasma TAT and PIC can be used as an index of vascular complication. Also we found the correlation with the degree of the blood glucose control. Therefore we need follow up study for the possibility of prevention of vascular complication after controlling the blood glucose to age-matched patients (J Kor Diaabetes Asso 25:354~363, 2001).

기업의 지적자본 요소와 재무생산성

남명수,오우식 한국생산성학회 2003 生産性論集 Vol.17 No.2

Recently, many executives and managers pay a great deal attention to the importance of intellectual capital because it is expected to provide decision-makers with the sources for competitive advantage. The purpose of this study is to establish the framework for the management of intellectual capital and then to test relationships among intellectual capitals, firm market values and financial productivity. The empirical results are as follows. First, the regression model by intellectual capital factors represents statistical significance between market value and intellectual capital. Second, the positive relationship between the intellectual capital and market value shows a statistically significant result. Third, intellectual capital and financial productivity are positively related and statistically significant. The results also show that there is a positive and statistically significant relationship between financial productivity and market value.

일측폐환기 시 Propofol, Ketamine 및 Enflurane이 동맥혈 산소 분압과 이산화탄소 분압에 미치는 영향의 비교

우남식,이규창,김민정,김윤수 건국대학교 의과학연구소 1999 건국의과학학술지 Vol.9 No.-

The mechanism which normally affects distribution of blood flow through unventilated areas of the lung is hypoxic pulmonary vasoconstriction, this acts to divert the blood to well ventilated alveoli, resulting in a better retio of ventilation to perfusion. Several reports have focused attention to the reduction or abolition of this reflex in the unventilated lung by most volatile anesthetic agents used in clinical practice. This response was not abolished by the intravenous anesthetic agents. 30 patients undergoing elective thoracic surgery were stuided to evaluate the effect of a propofol(n=10), ketamine(n=10) and enflurane(m=10) on the changes in PaO₂ and in PaCO₂ as reflections of shunt and ventilation respectively during one lung anesthesia. We have demonstrated that in all cases a PaO₂ in excess of 105.3mmHg, 79.5mmHg, and 177mmHg were achived with propofol, ketamine and enflurane. In all cases a PaCO₂ was under the 36.8mmHg. We concluded that both propofol and enflurane were satisfactory anesthetics for one-lung anesthesia. and ketanine was not ideal for one-lung anesthesia in adult patients.

Saccharomyces cerevisiae에서 Trichoderma Endoglucanase의 발현과 분비

남수완,김병우,신동하,김재범,신지원,정대균,정춘수 동의대학교 기초과학연구소 1999 基礎科學硏究論文集 Vol.9 No.1

The endoglucanase gene, egl6, of Trichoderma sp. was connected with the yeast ADH1 promoter, and the resultant plasmid, pVT-C4, was introduced into three S. cerevisiae host strains (YNN27, 2805, and SEY2102). Among each 80 transformants, the cell growth and expression level of endoglucanase were compared in test-tube cultivation, and three respective transformants for each host cells showing the highest expression level and cell growth were selected. When three recombinant yeast cells were batchwise cultivated for 48 hr in flask, the total activities of endoglucanase expressed were about 1140 unit/1 with 2805/pVT-C4, 1020 unit/l with SEY2102/pVT-C4, and 590 unit/l with (YNN27/pVT-C4. Irrespective of host strain, about 80% of the expressed endoglucanase was detected in the extracellular medium. In addition, it was also found that the recombinant enzyme was secreted into the culture medium as two major forms of lightly and heavily glycosylated proteins.

mecA 양성 메티실린 내성 포도구균의 mec 조절유전자에 대한 분자역학적 연구 및 다양성 분석

우희연,이남용,맹성호,한승훈,인경수,김상욱,성승용,김익상,최명식 대한화학요법학회 2000 대한화학요법학회지 Vol.18 No.3

목적 : 병원 감염과 지역 감염의 원인균으로서의 중요성이 증가되고 있는 MRSA와 MRCNS의 메티실린 내성 관련 유전자에 대해 분자역학적인 조사를 시행하고 mec 조절유전자의 다양성을 분석하여 분자유전학적 연구와 감염 관리에 기본적 자료를 제공하고자 연구를 시행하였다. 방법 : 본 연구에서는 국내 동일 대학병원에서 분리된 mecA 양성 MRSA 78균주와 MRCNS 36균주를 대상으로 항균제 감수성 검사와 중합효소연쇄반응을 시행하여 표현형과 유전형의 분포를 알아보고 내성 정도와 유전형의 상관성을 분석하였다. 결론 : 최소억제농도를 측정하여 oxacillin 감수성 양상을 알아본 결과 총 90개의 MRSA 임상검체 중 3균주에서 감수성을 보였고, MRCNS 36균주는 모두 내성을 보였으며, 고도 내성을 보이는 균주일수록 다제내성을 보이고 있었다. 중합효소연쇄반응으로 mecA 유전자 유무를 분석하여 mecA 양성을 보인 MRSA 78균주와 MSCNS 36균주 만을 대상으로 mec 조절유전자에 대한 중합효소연쇄반응을 시행하여 유전형의 분포를 조사하였다. 그 결과 MRSA와 MRCNS 모두에서 mecA-Pr-mecA-mecR1-mecI형, mecA-Pr-mecA-mecR1형과 mecA-Pr-mecA-mecR-1의 5′말단형의 3가지 유전형이 공통적으로 관찰되었는데, 이외에 MRSA에서는 mecA-mecR1형, mecA-mecR1의 5′말단형이, MRCNS에서는 mecA-Pr-mecA형과 mecA형이 추가로 분리되었다. 유전형의 분포를 연도별로 분석한 결과 연도별로 우세한 유전형이 서로 다른 것을 알 수 있었다. 유전형과 내성 정도의 상관성을 분석한 결과, mecA-Pr-mecA-mecR1을 보유한 MRSA의 경우 mecA 억제유전자로 생각되는 mecI 유전자 유무에 관계없이 모두 고도 내성을 나타내어 mecI의 유무는 내성 정도와는 일정한 관련이 없었으나, MRSA와 MRCNS 모두에서 mecI와 동시에 mecR1의 3′말단이 결혼된 유전형이 저도 및 중등도 내성을 보이는 균주에서 유의하게 많이 관찰되어 mecI가 결손된 균주에서는 mecR1의 3′말단부위의 유무가 내성 정도의 결정에 중요한 역할을 할 것으로 생각하였다. 결론 : 국내에서 분리되는 메티실린 내성 포도구균의 유전형의 분포가 국외 분리주와 차이를 보이는 것으로 관찰되었다. 또한 기존의 보고와는 달리 메티실린 내성 정도와 유전형 사이에 유의한 연관성이 있는 것으로 관찰되어 mec조절유전자가 내성 발현 뿐만 아니라 내성 정도의 결정에 중요한 역할을 하는 것으로 관찰되었다. MRSA가 중요한 감염균임에도 불구하고 아직까지 MRSA의 내성기전에 대해 확실하게 규명되지 않아 치료가 더욱 어려워지고 있는 실정이므로 이에 대한 더욱 종합적인 연구와 동시에 발생과 확산을 막기 위한 노력이 필요할 것으로 생각된다. Background : High prevalence of methicillin resistance has been noticed in staphylococci which also have been recognized as important nosocomial and multi-drug resistant pathogens. In this study, we investigated the distribution of mec regulator genes and the presence of the mutation in mecIgene to reveal the resistance mechanism at molecular level. Methods : The isolates included 90 clinical isolates of MRSA, 36 MRCNS of which methicillin resistance were determined by disk diffusion test and isolated in a single hospital during 1996-1999. We performed microdilution MIC test for oxacillin resistance and Kirby-Bauer test for other antibiotics. Genotypes of mecA positive (determined by PCR) isolates (78 MRSA, 36 MRCNS) were investigated by PCR amplification of mec regulator genes such as 3' end and 5' end of mecR1. mecI, and Pr-mecA. Results : In MIC assay, all MRSA strains except 3 strains and all MRCNS strains showed oxacillin resistance. The level of resistance correlated to the multi-drug resistance. Seven genotypes were observed in mecA positive MRSA and MRCNS. Differences of predominant genotypes among years isolated and among species were observed. Deletions of the 3' end of mecR1 and the mecI were more frequently observed in the low- and borderline-level resistant MRSA and MRCNS (P(0.05). So the important role of 3' end of mecRI in determining resistance level was suggested. Conclusion : This study demonstrated that genomic distribution of methicillin-resistant staphylococci isolated in Korea was different from that of strains isolated in other countries. And important role of mec regulator genes for expression of methicillin resistance was suggested.

정신분열증 환자의 전기치료후 증상 변화와 혈장 Prolaction, ACTH, Cortisol치 변화에 관한 연구

남수용,우행원 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.4

The purpose of this study was to observe the changes in the levels of PRL, ACTH and cortisol and clinical symptoms after ECT of schizophrenic patients and to find out the correlations between the effect of ECT on hypothalamic-pituitary axis and clinical symptoms. The subjects were 15 inpatients who met DSM-Ⅲ-R diagnonsitic criteria for schizophrenia and ECT was applied to them 8 times. Venous blood was sampled 15 minutes before(preECT) and after(postECT) the 1st and 8th ECT. Plasma levels of PRL, ACTH and cortisol were measured by RIA. Clinical symptoms were assessed before 1st ECT and after the 8th ECT by BPRS. The results are as follows: 1) After the 8th ECT, BPRS scores, especially thinking disturbance and withdrawl/retardation were significantly decreased as compared to those before the 1st ECT(p<0.01). 2) Plasma levels of postECT PRL, ACTH and cortisol were significantly higher than preECT levels of the 1st and 8th ECT. 3) Plasma levels of preECT PRL at 8th ECT were significantly lower than the baseline levels(p<0.05). In conclusion, the changes in the levels of PRL, ACTH and cortisol after ECT were caused by the changes of activity of central neurotransmitters, result in the improvement of schizophrenic symptoms. In particular, repeated ECT were related to an increase in the activity of dopaminergic receptor, which can explain the effect of ECT on the improvement of negative symptoms in chronic schizophrenia.

자사주매입의 정보효과와 주주생산성의 관계

남명수,오우식 한국생산성학회 2001 生産性論集 Vol.15 No.3

This study examined the information effect of open market stock repurchase program on stock price in Korean Stock Exchange. The sample period is from 1996 to 2000. The result confirms that the information effect exists and is positive in KSE like NYSE. The anomalous phenomenon is found that even after stock repurchase announcement, the abnormal returns still exist for the long time. This means that the repurcase announcement informs the market of the underpricing of current stock and the stock repurchase program is used as a tool to increase the stock price. Such being the case, the cause of information effect of stock repurchase was explored. Our study shows that the firms with the high level of cash flows, the high portion of large shreholders and the high target repurchase ratios have the higher repurchase effect but the ex-ante profit forecastes have no effect on the stock repurchase program. Finally this study finds that the repurchase program is used to control the underpriced stock price, and also the wealth of shareholders is enlarged by the productivity of shareholders through the repurchase program.

직업적인 납 노출이 없는 일부 중년 한국인의 골중납량 및 혈중납량

김남수,최성우,김진호,함정오,박해윤,안규동,이병국 大韓産業醫學會 2007 대한직업환경의학회지 Vol.19 No.4

목적: 우리나라에서 납에 직업적으로 노출되지 않은 일부 중년 성인들의 골중납량과 혈중납량의 수준과 상호관련성을 알아보기 위하여 40세 이상 남자 86명 여자 51명 총 137명을 대상으로 본 연구를 시도하였다. 방법: 연구변수로 골중납량인 경골납량,혈중납량을 택하였다. 경골납량은 K-shell XRF를 이용하여 각 대상 자들을 30분간 측정하였고,혈중납량은 원자흡광광도계법으로 분석하였다. 결과: 총대상자 137명의 경골납량의 평균±표준편차는 3.49±4.99 μg/g이었으며, 남자와 여자는 각각 3.90± 4.88 μg/g 및 2.80±5.14 μg/g이었으나 양군 평균의 통계적 차이는 없었다. 한편 총대상자 137명의 혈중납량의 평균±표준편차는 3.70±1.35 μg/dl이었으며,남자와 여자는 각각 3.93±1.25 μg/dl 및 3.30±1.42 μg/dl이었으나 양군 평균의 통계적 차이는 없었다. 음주,흡연 및 BMI를 통제한 후 혈중납량을 종속변수로 한 중 회귀분석에서 연령은 양의 영향을 주는 변수로 나타났다. 여자대상자만을 대상으로 한 중 회귀분석에서 교란변수를 통제한 후 연령은 경골납량에 경계수준의 양의영향을 나타내었다. 결론: 40세 이상의 우리나라 중년성인의 경골납량의 평균±표준편차는 3.49±4.99 μg/g이었으며,혈중납량의 평균±표준편차는 3.70±1.35 μg/dl이었다 혈중납량은 연령과 성과 유의한 양의 관련성이 있었으나,골중납량은 여자에서만 연령과 경계수준의 유의한 관련을 나타냈다. Objectives: In order to investigate the level and the association between bone lead and blood lead levels of non-occupationally, lead-exposed Koreans, the authors studied the lead biomarkers of 137 middle aged Koreans (86 males and 51 females) older than whose age were above 40 years. Methods: The tibia lead level was selected as the bone lead indicator of cortical bone, and the blood lead level was also measured. The tibia lead level was measured by K-shell XRF with 30-minute measurement of each subjects. The blood lead level was analyzed by AAS method. Results: The mean (SD) of the tibia lead level of the 137 study subjects was 3.49 (4.99) ,㎍/g, and tended to be higher. The mean (SD) of tibia lead level in male subjects (was 3.90 (4.88) ㎍/g) and larger than in that of female subjects (2.80 (5.14) ㎍/g), but without no statistical significance was observed. The mean (SD) of blood lead level of all total subjects was 3.70 (1.35) ,㎍/dl, and tended to be higher. The mean (SD) of blood lead level in male subjects (was 3.93 (1.25) ㎍/dl) and larger than in that of female subjects (3.30 (1.42) ㎍/dl), but without no statistical significance was observed. In multiple regression analysis of blood lead levels after adjusting for covariates, age was a significant independent variable. A weak association of age with tibia lead in female subjects was also observed in multiple regression analysis. Conclusion: The mean (SD) of tibia and blood lead levels of middle aged Koreans whose ages were over 40 years old were 3.49 (4.99) ㎍/g and 3.70 (1.35) ㎍/dl, respectively. Age and sex were positive predictors of blood lead level in multiple regression analysis after controlling for the covariates. However, in multiple regression analysis whereas age was weakly association with tibia lead level only in female subjects in multiple regression analysis.

21C 신지식인 양성을 위한 Eng@internet 교육프로그램

강병우,조권수,이기정,이강노,홍남희 광주보건대학 2000 論文集 Vol.25 No.-

This study is an educational program chiefly designed for teaching all the students in Kwang-ju Health College English and internet at the same time, which was applied for the fourth field of a specializing program required by the Ministry of Education. The program is a knowledge enhancement one aimed at training men and women who will become the leaders with advanced knowledge for the 21st century. The International Education Cooperation Center established in the College will manage and supervise all the procedures, especially in developing curriculums and in training the students. There are three kinds of detailed courses in this program; the basic, the applied, and the one for qualifications. 1. The basic course, a grounding one for cultivating the men and women with advanced knowledge, consists of the education for practical use of a computer, internet English, and netiquette. This is a required course for the applied one, and the president in the college gives certification to the students who complete this course satisfactorily. 2. In the applied courses, there is the E-mail penpal--one that offers each student the opportunity to communicate with a native speaker, and the subject discussion course in which the students are able to exchange their ideas or thoughts at a time with multi-people with the same or similar interests or majors. The former is a required one for the latter. The students who complete this course satisfactorily the certified by the president at the college. 3. This course for the diversification of the student employment after graduation is classified into the six classes for the qualifications; the 1st and the 2nd grade data referer(or processor) throuhg internet, the specialized intelligence processor, the tourist guide, the 3rd grade English translater, and the simultaneous English interpretor. This course must be taken by the students who complete or are in the E-mail penpal or subject discussion course. To gain this, the programs offer various learning motivations; English speech, TOEIC, and English data referring contests, international exchange program, and so on. This program is expected to improve all the education at the college, especially curriculums and teaching methods, and have a mulitplier effect on various fields for other colleges, communities, and industries.

개구제한 치료에 있어서 Therabite ^�Jaw Motion Rehabilitation System^TM의 효과

김수남,이동근,배진오,우승철 원광대학교 생체재료·매식연구소 1996 원광생체재료·매식 Vol.4 No.3

In oral maxilofacial surgery, limited mouth opening (trismus) is a common symptom resulting from traumatic and postoperative conditions involving the muscles of mastication and their attachments. The limited mandibular function of trismus can result in impaired nutrition, speech, oral hygiene and lifestyle. In the head and neck cancer patient, these symptoms can occur at a time when nutrition, attitude and oral hygiene can be very important to comfort and recovery. Limited jaw mobility can make it difficult to introduce food into the mouth and interferes with the oral preparatory phase of swallowing. Therefore we have to treat the limited mouth opening with various method such as hot pack, muscle massage, muscle stretch with manual, tongue blade and therabite jaw motion rehabilitation system. This study has demonstrated the efficacy of therabite jaw motion rehabilitation for treatment of limited mouth opening in mandibular fracture, internal derangement of TMJ, deep facial infection patients. Ten patients complaining of limited mouth opening were treated by therabite jaw motion rehabilitation system. This treatment was found to be effective in reestablishing normal mouth opening within 4 week in postoperative. It is suggested that therabite jaw motion rehabilitation system is simple, non-invasive, inexpensive, and highly efficient procedure in patients with limited mouth opening.