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요통 치료를 위한 경막외강내 스테로이드 투여의 장기 효과
최 훈(Huhn Choe),황정한(Chung Han Whang),이준례(Ju 대한통증학회 1998 The Korean Journal of Pain Vol.11 No.2
N/A Background: Epidural steroid therapy has been well-established for the treatment of sciatica and low back pain. Disappointing results following surgical decompression or discectomy have led to wide trials of corticosteroids injected either systemically or into the intraspinally. Although epidural steroid is known to be very effective in the treatment of the patients with low back pain, few data showed the therapeutic duration of epidural steroid. Methods: We studied 120 patients who were treated with epidural steroid for the treatment of low back pain or sciatica or both. We retrospectively analysed the duration of analgesia, number of injections per each session, and complications. Results: The duration of analgesia ranged from 17 days to 300 days, and the mean duration was 73.7 ±70.5 (SD) days. The mean number of injections per each session was 1.8±1.3 (range: 1 to 12). There were no significant complications with epidural steroid injections. Conclusions: One to three epidural steroid injections at one week interval leads more than two months of pain relief without significant complications.
최 훈(Huhn Choe),한영진(Young Jin Han) 대한통증학회 1990 The Korean Journal of Pain Vol.3 No.2
N/A Postherpetic neuralgia (PHN) causes intractable pain which disturbs sleep and daily life. Numerous drugs and treatment strategies have been introduced for the management of PHN. However, no single regimen has proved to be effective. I analysed 38 patients with PHN. Amitriptyline, a tricyclic antidepressant and chlorpromazine were most commonly prescribed. Stellate ganglion blocks for the head and neck pain and epidural blocks for the rest part of the body were most frequently given. Triamcinolone acetate was administered epidurally in most of the cases or by iontophoresis on the affected skin area in two cases. Complications were related to the technique of the nerve block and the side effects of drugs administered. Repeated nerve blocks with tricyclic antidepressant and steroid therapy were thought to be the most effective for the treatment of postherpetic pain.
최 훈(Huhn Choe),김동찬(Dong Chan Kim) 대한통증학회 1990 The Korean Journal of Pain Vol.3 No.1
N/A Fifty-one cases of acute herpes zoster infection were analyzed to search for the most effective management strategy of the disease, including pain relief and decreasing the incidence of postherpetic neuralgia. Anti-viral treatment was not included. Analgesics and nerve blocks, such as stellate ganglion block or epidural block, were helpful. Corticosteroid was administered in most of the cases either systemically or epidurally or both. Epidural administration of local anesthetic in combination with corticosteroid seemed to have certain advantages of excellent pain relief as a result of sympa- thetic blockade and regional plus systemic anti-inflammatory effects of the steroid, although this was not proved by definite statistical evidence.
최 훈(Huhn Choe),한영진(Young Jin Han) 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2
A fourty-year-old housewife was admitted to the Department of Ear, Nose, and Throat from the emergency room, because of severe vertigo associated with positional changes of the head. Hallpike maneuver produced typical patterns of bilateral nystagmus consistent with benign paroxysmal positional vertigo(BPPV), and further geotropic rotatory nystagmus with position- al change of the head in each direction. Direction of nystagmus reversed when the patient was repositioned upright. Particle repositioning maneuver was administered to her left ear but failed to relieve the se- vere dizziness associated with the head turning to the right. She was then referred to the pain clinic where we determined, right stellate ganglion block (SGB), as the course of treatment. During the next month the patient received 27 SGB treatments and the patient was almost eompletely healed. It is unusual for the BPPV to occur bilaterally therefore reference concerning the effective- ness of SGB for the treatment of BPPV was difficult to obtain. In conclusion we would like to report the successful treatment of BPPV with SGB.
최 훈(Huhn Choe),한영진(Young Jin Han),고성훈(Seon 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
Facial nerve palsy is not an uncommon disease encountered at the department of otolaryngology or pain clinic. It usually occurs following viral infection(Bells palsy, BP), However, it is rare to develop bilaterally, and that not simultaneously. We experienced a rare case of bilateral facial nerve palsy. Patient first experienced left side paralysis, then right side paralysis approximately two months later. We treated the patient with serial bilateral stellate ganglion blocks(SGB), When left side paralysis improved, we performed unilatertal SGB for right side paralysis. Patient was also treated with intermittent electro-acupuncture stimulations, to right side first, then left side. Four months of treatment provided good results. This may be the first case, in Korea, of facial nerve paralysis bilaterally within a certain interval, treated with serial SGB and electro-acupuncture stimulation. However, the etiology of this bilateral BP was not fully confirmed as being a cause of viral origin.
최 계 훈 (Gye-Hun Choi) 대구보건대학 2008 대구보건대학 論文集 Vol.28 No.-
This is a research I have conducted about the possible employment of dispensing optician. Based on the research I have made, there is a big demand on dispensing optician position in an ophthalmic clinic. The survey was made from month of May until July, 2008 in all ophthalmic clinics within the area of Daegu and Gyeongsangbuk-do. Currently, there are about 40 places in Korea which has Ophthalmic Optics Department and about 2000 students graduate every year. In entire Korea, there are about 8,000 optical shop(eyeshop.) Within Daegu and Gyeongsangbuk-do, there are about 9 places that have Ophthalmic Optics Department. About 560 graduating dispensing optician are from Daegu and Gyeongsangbuk-do area. As a result, the demand of optical shop(eyeshop) within Daegu and Gyeongsangbuk-do area is very much needed. Each optical shop(eyeshop) in Korea needs to have about 25% dispensing optician and 56% is needed in Daegu and Gyeongsangbuk-do area which is higher in demand. I therefore conclude that based on my survey, dispensing opticians are demanding 13 places (72%) to have ophthalmic clinics out of 18 places.
폐쇄성 혈관 질환의 치료를 위한 Bier Block 중에발생한 Prostaglandin E1의 혈관외 유출
최 훈(Huhn Choe),이용태(Yong Tae Lee),김동찬(Dong 대한통증학회 1994 The Korean Journal of Pain Vol.7 No.2
Prostaglandin El(PGEl) is a potent vasodilator and is a useful drug for the treatment of oc- clusive peripheral vascular disease. It has been used systemically via intravenous route or re- gionally via intraarterial route. We tried intravenous regional administration of PGEl for the treatment of a patient with occlusive arterial disease involving left fingers. During the l3th in- jection, the patient complained of severe pain at the injection site during the drug administration. Thereafter, the patient developed painful and severe swelling with blebs on his left hand. Systemic antibiotics were given together with stellate ganglion block of the affected left side. PGE1 was substituted to reserpine, which is subcutaneously injectable, for the second term treatment.