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스테로이드 사용(使用)으로 인(因)한 고혈당증(高血糖症)을 동반(同伴)한 대상포진후(帶狀疱疹後) 신경통(神經痛) 환자(患者)의 치험(治驗)
김영추,김해규,백승완,김성수,김인세,정규섭,Kim, Young-Choo,Kim, Hae-Kyu,Baik, Seong-Wan,Kim, Sung-Soo,Kim, Inn-Se,Chung, Kyoo-Sub 대한통증학회 1990 The Korean Journal of Pain Vol.3 No.1
대상포진후 신경통의 치료를 위하여 사용하였던 스테로이드로 인한 고혈당증을 동반한 환자를 치료한 결과를 다음과 같이 요약한다. 첫째, 통증치료실에서 흔히 쓰이는 약물 중에는 고혈당증을 유발하는 것이 많으므로 처치전에 고혈당이 영향을 주는 다른 질환의 유무를 확인하도록 한다. 둘째, 스테로이드 사용으로 인하여 발생되는 일시적인 고혈당중의 경우에는 스테로이드 사용 중단으로 회복이 가능하나 잠재되어 있던 당뇨병의 발현시는 지속적인 당뇨병의 치료를 필요로 한다. 셋째, low level laser therapy는 혈당치에 영향을 미치지 않는 통증치료법으로 유용하게 사용될 수 있다. There are many methods for treatment of post-herpetic neuralgia (PHN) and of these, epidural steroid or intralesional steroid injection is one of the most effective treatments. But there are some problems in the use of steroids. One of which is steroid-induced hyperglycemia. In that case, the treatment of PHN is very difficult and not so effective. So we used the low level laser therapy (LLLT), He-Ne and IR, for the treatment of post-herpetic neuralgia without any changes of blood glucose level. It seemed that LLLT was a very effective method for PHN without any systemic changes.
스테로이드 사용으로 인한 고혈탕증을 동반한 대장포진후 신경통 환자의 치험
김영추(Young Choo Kim),김해규(Hae Gyu Kim),백승완( 대한통증학회 1990 The Korean Journal of Pain Vol.3 No.1
There are many methods for treatment of post-herpetic neuralgia (PHN) and of these, epidural steroid or intralesional steroid injection is one of the most effective treatments. But there are some problems in the use of steroids. One of which is steroid-induced hyperglycemia. In that case, the treatment of PHN is very difficult and not so effective. So we used the low level laser therapy (LLLT), He-Ne and IR, for the treatment of post-herpetic neuralgia without any changes of blood glucose level. It seemed that LLLT was a very effective method for PHN without any systemic changes.
김영추(Young Choo Kim),김해규(Hae Gyu Kim),백승완( 대한통증학회 1991 The Korean Journal of Pain Vol.4 No.1
N/A There is a variety of therapeutic modality for herniated nucleus pulposus. Recently the low level laser has come into use for treatment for it. We treated two patients suffered from herni- ated nucleus pulposus of the central type of L3 , 4 level, with He-Ne, CO2 and Ga Al As laser simultaneously daily under hospitalization. In order to determine the efficacy of treatment, we used the visual analogue scale and its improvement rate. The results were as follows; Case I complained of gait disturbance, and hypoesthesia on the lateral side of the left lower leg, as and as low back pain. At the 15th day after treatment, VAS improvement rate was 40%, and the gait disturbance and hypoesthesia were markedly improved. 35th days after tratement, VAS improvement rate was 80%. Case II complained only of low back pain. At the 15th day after treatment, the VAS improve- ment rate was 68%, and at 20 days after treatment it was 84%. We sugsest that, using the low level laser for treatment of herniated nucleus pulposus in- creased the cartilage entrophism, and inhibitory effects of the inflammatory materials such as acid glycosaminoglycan by its anti-inflammatory and analgesic effects
기관내 삽관에 의한 혈압과 심박수 변화에 대한 Urapidil 의 효과
양희성,신창규,김영추,전석봉,임준구 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.31 No.4
Background: Urapidil is a new antihypertensive agent known to diminish total peripheral vascular resistance by postsynaptic a 1-adrenergic blockade and central sympatholytic activity. The purpose of this study was to determine its effectiveness and safety in preventing hemodynamic responses to endotracheal intubation under general anesthesia. Methods: Thirty normotensive, ASA physical status I patients for elective surgery were selected randomly. They were divided into three groups(Group 1: control group with saline, Group 2: urapidil 0.4 mg/kg, Group 3: urapidil 0.5 mg/kg, n=10 in each group). The drugs were injected 3 minutes before induction with thiopental sodium(4 mg/kg) and succinylcholine(1 mg/kg). Endotracheal intubation was performed 5 minutes after the drugs injection. After endotracheal intubation, vecuronium 0.1 mg/kg was injected and 50% nitrous oxide in oxygen and 2Vo1% enflurane were inhaled. We measured the blood pressure and the heart rate with noninvasive method at one minute interval for 5 minutes. Results: In group 3, no significant increase in systolic blood pressure after endotracheal intubation was noted(p$lt;0.05). Urapidil groups showed increase in heart rate at 1, 2 minutes after urapidil injection(p$lt;0.05) and did not blunt increase in heart rate after endotracheal intubation. The side effects of urapidil(hypotension, dizziness, headache and chest tightness) occured in a patient of group 3. Conclusions: We found that the blood pressure response was effectively controlled, but the change in heart rate was not controlled by urapidil 0.5 mg/kg injection before induction.
Morphine, Fentanyl 및 Bupivacaine 혼합 용액의 수막강내 투여에 의한 분만통 관리
이승용,신창규,김영추,전석봉 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.4
Background : Intrathecal fentanyl has been known to have rapid analgesic effect for the first stage of labor, but pruritus usually occurs, and respiratory depression can happen. The addition of bupivacaine during intrathecal analgesia has been known to have synergistic action with intrathecal opioids. We observed the efficacy of the intrathecal injection of morphine, fentanyl, and bupivacaine on labor parturients. Methods : 20 laboring patients were studied. Each patients received morphine 0.2 mg, bupivacaine 2.5 mg, and fentanyl 10 μg intrathecally. Analgesia was assessed using visual analogue scale (VAS) score as the time elapsed from the drug administration to the delivery. Side effects such as nausea, vomiting, pruritus, urinary retention, respiratory depression, and hypotension were evaluated. Results : The onset of analgesia was rapid (within 5 minutes) and VAS scores were significantly lower than pre-treatment value for 5 hours. The incidence of nausea or vomiting was 55% (11/20). Pruritus occrred 50% (10/20). The occurrence of urinary retention was 35% (7/20). Hypotension occurred 10% (2/20). No patient developed post dural-puncture headache, respiratory depression, fetal bradycardia, or motor weakness. More than 90% of the patients in this study said that they were satisfied with this analgesic procedure. Conclusions : Intrathecal injection of morphine 0.2 mg, fentanyl 10 μg, and bupivacaine 2.5 mg provided rapid and effective analgesia in labor patients. (Korean J Anesthesiol 1999; 37: 648∼655)
마취 유도제로서의 Midazolam 과 Thiopental 의 효과 비교
백승완,김해규,정규섭,김인세,김영추 대한마취과학회 1991 Korean Journal of Anesthesiology Vol.24 No.5
This study was undertken to estimate the induction time, hemodynamic responses and local venous complications after intravenous administration of the midazolam, the water-soluble benzodiazepine derivative, comparing with those of the thipental, as an induction agent. Sixty ASA Class I or II surgical patients were divided into two groups: I and II, and were given 5 mg/kg thiopental sodium and 0.15 mg/kg midazolam hydrochloride, respectively. The results obtained were as follows; 1) The induction timeQoss of palpebral reflex) of the group II(88.7±41.8 seconds)was longer than those of the group I (19.5±3.7 seeonds). 2) The magnitude of fall in the systolic blood presure, 1 and 2 minute after intravenous administration of the induction agents observed in the group II was smaller than those observed in the group I compared with the pre-induction valuea But other parameters did not change significantly compsred with the pre-induction values in both groups. 3) In five patients of the group I, they complained of pa on the injection, but no patient of the group II complained of it. There was no statistically significant difference in the incidence of the postoperative local venous complications on the injection sites such as thrombosis or phlebitis between both groups.