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안옥주,강동완 朝鮮大學校 口腔生物學硏究所 1998 口腔生物學硏究 Vol.22 No.2
The purpose of this study was to investigate the vibration pattern of the TMJ sounds and occlusal sounds in subjects with TMJ noises by using computerized sound power-spectrum analyser (SonoPak, Bioresearch Inc., U.S.A.). For this study, 23 dental students who had complained of clicking sounds without any other symptoms of carniomandibular disorder and 11 patients with TMJ sounds and symptoms of carniomandibular disorder were selected. Vibration patterns of two experimental groups were compared to 20 subjects in control group with no signs or symptoms of craniomandibular disorders (including the absence of clinically detectable TMJ sounds). While the subjects of three groups performed metronome-guided maximum active mouth opening and closing, vibration signals of the TMJ sound and occlusal sound were detected by transducers. The total vibration energy, integral < 300㎐, integral > 300㎐, >300/<300㎐ ratio, peak amplitude, peak frequency, median frequency and velocity of the TMJ sounds and occlusal sounds were recorded by the SonoPAK for windows and BIO-EGN(Bioresearch Inc., U.S.A.). The following results were obtained : This results between three groups were analysed by SPSS program. 1. In the analysis of TMJ sounds, there was statistically significant difference between clicking and TMJ dysfunction patients group in total integral, integral <300㎐, integral> 300㎐, peak amplitude, peak frequency and med. frequency of mean value of vibration related-items(P<0.05). 2. In the analysis of TMJ sounds, there was statistically significant difference between normal and TMJ dysfunction patients group in total integral, integral <300㎐, integral> 300㎐, peak amplitude, peak frequency and med. frequency of mean value of vibration related-items(P<0.05). 3. In the analysis of sum of right & left occlusal sound, there was statistically significant difference between normal group and TMJ dysfunction patients group in mean value of total integral, integral <300㎐, integral> 300㎐ and peak amplitude(P<0.05). 4. In the analysis of difference of right & left occlusal sound, there was statistically significant difference between normal group and TMJ dysfunction patients group in mean value of total integral, integral <300㎐, integral> 300㎐ and peak amplitude(P<0.05).
임신 중 갑상선질환을 동반한 산모에서 갑상선기능 변화에 따른 주산기 예후
안옥주 ( Ock Ju Ahn ),김석영 ( Suk Young Kim ),전승욱 ( Seung Ook Jeon ),이경훈 ( Gyoung Hoon Lee ) 대한주산의학회 2006 Perinatology Vol.17 No.3
목적: 임신 중 갑상선 질환을 동반한 산모에서 갑상선 기능 변화에 따른 주산기 예후를 알아보고자 한다. 방법: 2001년 1월부터 2005년 10월까지 본 병원에서 분만하였던 42예의 갑상선질환을 동반한 임산부를 대상으로 하였으며 갑상선기능항진증은 22예, 갑상상선기능저하증은 20예였다. 갑상선기능질환을 동반한 임산부를 임신 중 치료 유무에 따라 임신 중 치료를 받은 군(이하 치료군)과 과거에 치료받아 완치되어 임신 중 치료를 받지 않은 군 (이하 완치군)으로 분류하여 갑상선 호르몬 변화에 따른 주산기 합병증을 분석하였다. 결과: 갑상선기능항진증의 임산부에서 완치군에 비해 치료군에서 상승된 T3, T4값과 저하된 TSH값을 나타내었으나 신생아에서는 두 군간에 호르몬 변화의 차이는 없었다. 갑상선 중독증을 가진 임산부에서 의미 있는 T3, T4, TSH 의 변화를 관찰할 수 있었으나 신생아에서는 오직 TSH만 현저한 감소를 나타내었다. 반면 갑상선기능저하증의 임산부는 비교적 정상 갑상선 호르몬 수치를 유지하였다. 결론: 갑상선 질환이 있는 여성에게 있어 임신전 초기에 진단하고 치료하면 주산기 합병증을 예방할 수 있으며 산과, 내과, 소아과의 협진을 통한 적극적인 관찰이 필요하리라 사료된다. Objective: The purpose of this study is to evaluate perinatal outcomes according to thyroid function in pregnant women with thyroid disease. Methods: The retrospective study was made by review of medical records of 42 pregnant women with thyroid disease (hyperthyroidism : 22 cases, hypothyroidism : 20 cases) who had delivered between Jan 2001 to Oct 2005. Clinical features and thyroid hormone levels were compared between the women who were managed during pregnancy (treating group) and not managed during pregnancy who had been cured (cured group). Results: In pregnant women with hyperthyroidism, treating group showed higher T3 and T4, lower TSH than cured group, but there was no difference in neonatal thyroid hormone levels between two groups. In the women with thyroid storm, all thyroid hormone levels were significantly different from those in women without thyroid storm, but in newborn of women with thyroid storm, only TSH level was significantly lower. In the pregnant women with hypothyroidism who were treated appropriate levothyroxine, almost women maintained euthyroid hormone levels during pregnancy. Conclusion: Early diagnosis and treatment for thyroid disease before pregnancy may prevent perinatal complications. Team approach of obstetrician, endocrinologist and neonatalogist may help for maternal and fetal well-being.
안옥주 ( An Og Ju ),전승욱 ( Jeon Seung Ug ),문영 ( Mun Yeong ),이종민 ( Lee Jong Min ),박찬용 ( Park Chan Yong ),정동해 ( Jeong Dong Hae ),이의돈 ( Lee Ui Don ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.5
Objective : The purpose of this study was to evaluate the appropriateness of diagnosis of the failure to progress (FTP) and accompanying emergency Cesarean section in university hospital and possibility of reducing emergency Cesarean section among these patients. Methods : Chart review of 680 patients who had underwent emergency Cesarean section with diagnosis of FTP between January 1996 and December 2002 at Hanyang University Medical Center was carried out for this study. Among patients who underwent normal vaginal delivery during the same period, 300 patients were randomly chosen for control group. Comparison between there two groups on maternal physical properties, management during delivery, birth weight and sex of babies were made. Also, differences of labor management among obstetrical staff were compared Results : Compared to the vaginal delivery group, FTP group patients showed older age (29.1 vs 27.7 yr) (p=0.000), shorter stature (158.4 vs 159.8 cm) (p=0.001), and heavier body weight (68.2 vs 65.7 kg( (p=0.000) suggesting unfavorable outcome Also, birth weight of the newborn infant was heavier compared to the normal delivery group (3350 vs 3181 g) (p=0.001). In addition, the frequency of PG E_2 use was higher (45% vs 35%) (p=0.001) and hours of oxytocin use was longer (6.3 vs 4.2 hr) (p=0.000) in FTP group. The distribution of delivery time in FTP group was around four or more hours in comparison to the normal delivery group in which the judgement was made that there was as inclination for sufficient effort for the purpose of a normal delivery. On one side, cervical dilatation was less than 3 cm, there were 44 people in a group with less than 70% effacement of cervix in which 40 of these people (excluding 4) were capable for a normal delivery with additional effort. Moreover, in the case of the failure to progress group, active labor management can decrease the rate of cesarean section to about 5.8% (46/680). Conclusion : The results of this study suggests the possibility that frequency of cesarean section could be reduced through the efforts of active labor management. However, there are a variety of factors leading to cesarean section that must be analyzed along with social and national support.