http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
급성관상동맥증후군(ACS) 환자에서 유산소운동과 스타틴 약물이 혈중지질과 hsCRP에 미치는 영향
김영주 ( Young Joo Kim ),김철 ( Chul Kim ),안재기 ( Jae Ki Ahn ),방인걸 ( In Keol Bang ),이건주 ( Kun Joo Rhee ),김병옥 ( Byung Ok Kim ),이병권 ( Byoung Kwon Lee ),고충원 ( Choong Won Goh ),변영섭 ( Young Sup Byun ),신영오 ( Youn 한국스포츠정책과학원(구 한국스포츠개발원) 2005 체육과학연구 Vol.16 No.4
본 연구는 급성관상동맥증후군(Acute coronary syndrome; ACS) 환자에 대한 유산소운동과 스타틴약물 요법이 혈중지질과 hsCRP에 미치는 영향을 알아보고자 시행되었다. 연구대상자는 관상동맥증후군으로 입원하여 약물처방 및 경피적 관상동맥 중재술(Percutaneous coronary intervention; PCI)을 받고 운동 프로그램에 의뢰된 환자들로서, 실험군은 스타틴요법과 운동요법을 병행한 병행요법군(n=15)과 운동요법만 시행한 운동요법군(n=14) 그리고 스타틴요법만 시행한 약물요법군(n=8)으로 구성되었다. 실험기간은 병원 내에서 감독 하에 실시한 유산소운동 기간 6주와 자가운동 기간 8주의 총 14주 이었으며 실험기간 동안 지속적인 위험인자 관리 및 운동에 대한 상담을 실시하였다. 실험 전후에 혈중지질(TC, TG, LDL-C, HDL-C) 및 high-sensitivity C-reactive protein(CRP)과 그 밖에 체질량지수(body mass index, BMI), 최대산소섭취량(VO2max) 변화를 확인하기 위하여 연구대상자들에게 실험기간 전후에 각각 채혈, 인체계측, 운동부하검사를 실시하였다. 연구결과 얻어진 자료는 윈도우용 SPSS/PC+version 11.0 통계패키지를 이용하여 처리하였다. 염증반응 지표인 hsCRP를 포함한 혈중지질, BMI, VO2max 변인들의 기간별 집단별 차이를 알아보고자 반복측정에 의한 이원배치 분산분석을 실시하였고, 사후검증으로 t-test와 Bonferroni`s 검정을 적용하였다. 연구 결과는 다음과 같다. 실험 전후에 있어서, 병행요법군에서 HDL-C, hsCRP 수치가 유의하게 증가(p<.05), 감소(p<.01)되었고, VO2max 또한 유의하게 향상되었다(p<.01). 운동요법군에서도 HDL-C 수치가 유의하게 증가되었으며(p<.05), VO2max가 유의하게 향상되었으나(p<.05), 약물요법군에서는 혈중지질을 비롯해 hsCRP, BMI, VO2max 모두에서 의미 있는 차이가 나타나지 않았다. 이상의 결과로 보아, 운동요법과 스타틴요법의 병행요법이 향후 심혈관 질환자의 재발 방지에 긍정적인 효과가 있을 것으로 사료된다. This study was designed to evaluate the effect of aerobic exercise and statin therapy on blood lipids and high-sensitivity C-reactive protein (hsCRP) in patients who had undergone successful percutaneous coronary intervention (PCI). Thirty seven male and female patients were studied. All subjects consist of three groups; 1) treated with statin and exercise (SE, n=15), 2) treated only with exercise (EO, n=14), 3) treated only with statin (SO, n=8). All patients were received medication once daily (aspirin and clopidogrel with or without statin) and completely performed supervised aerobic exercise for 6 weeks and home exercise program for 8 weeks. Instruction for diet and exercise was given continuously during experiment. Laboratory measurement includes serum lipids (TC, TG, HDL-C, LDL-C), hsCRP and body mass index (BMI). Cardiopulmonary capacity (VO2max) was assessed by symptom-limited exercise test. All measurements were performed at baseline and after 14 weeks. The results were as follows. In SE, HDL-C (p<.05) and VO2max (p<.01) were significantly improved, and hsCRP (p<.01) was significantly deceased after therapy. And also, HDL-C (p<.05) and VO2max (p<.05) in EO were significantly improved. But there was no alteration of blood lipids, hsCRP, BMI and VO2max in SO. These findings suggested that combination of exercise and statin therapy was the best rehabilitation in patients treated PCI.
관상동맥질환 환자 , 운동선수 및 정상 대조군에서 혈청지질 및 Apolipoproteins 에 대한 연구
박정의(Jeong Euy Park),김우주(Woo Joo Kim),최인석(In Suok Choi),김대원(Dae Won Kim),이갑노(Kap No Lee),김성수(Sung Soo Kim),유원상(Won Sang Yoo),최석구(Suck Koo Choi),이건주(Kun Joo Rhee),서순규(Soon Kyu Suh),이영(Young Lee),고영박(You 대한내과학회 1991 대한내과학회지 Vol.40 No.5
To investigate the usefulness of serum lipids and apolipoproteins as indices of risk factors for coronary artery disease (CAD) and to know the effects of regular exercise on the serum lipids and apolipoproteins, we measured the serum lipids and apolipoproteins in the patients with coronary artery disease, athletes and normal control persons. The study subjects included 67 patients with CAD (57. 8±11.2yr), 22 athletes (21.5±2.1yr) and 62 normal control persons (34.3±11.4yr). 1) In the patients with CAD the serum total cholesterol (TC) was 177. 2±38.5 mg/dl and the HDL-cholesterol (HDL-C) was 39.0±11.2mg/dl. In the normal control persons TC was 162.5±33.5 mg/dl and HDL-C was 42.4±12.6mg/dl, which were not significantly different from the values of CAD patients. 2) The serum apolipopratein A (Apo-A) was significantly lower (201.9±39.6mg/dl, p<0.05), and the apolipoprotein B (Apo-B) was significantly higher (132.3±29.7 mg/dl, p<0.05) in the patients with CAD, compared with normal control persons (age over 40 years; Apo-A: 246.3±39.9 mg/dl, Apo-B: 117.9±26.4 mg/dl). 3) The TC/HDL-C ratio and Apo B/A ratio were significantly higher (4.9±1.6, 0.67±0.17, p<0.005 for TC/HDL-C ratio and p<0.05 for Apo B/A ratio) in the CAD patients compared with normal control persons (age over 40 years; 3.6±1.1, 0.49±0.10). 4) The TC/HDL-C ratio ≥4.0 and Apo B/A ratio ≥0.55 were the good discriminating criteria separating the CAD patients from the normal control persons. 5) In the athletes, the serum triglyceride (TG) was significantly lower (65.7±20.7mg/dl, p<0.001), and the HDL-C was significantly higher (57.8±11.2 mg/dl, p<0.001) compared with normal control persons (age under 30 years; TG; 119.8±94.3 mg/dl, HDL-C: 44.6±11.0mg/dl). The Apo-A, Apo-B, TC/HDL-C ratio and Apo B/A ratio were all significantly lower (p<0.01) compared with those in the normal control persons. 6) Among the athletes, the HDL-C was highest and the TG was lowest in the swimmers compared with fencing players and wrestlers. The Apo B/A ratio and TC/HD1-C ratio were better discriminating indices of risk factors for CAD compared with individual lipids or apolipoprotein values. The Apo-A and Apo-B were considered to be good indices of risks for CAD. The athletes had lowest risks for CAD.
고혈압 환자의 순응도에 관한 연구 - 의사 개입의 성과 -
유원상(Won Sang Yoo),최석구(Suck Koo Choi),이건주(Kun Joo Rhee),이광재(Kwang Jae Yi),노승현(Seung Hyun Noh) 대한내과학회 1989 대한내과학회지 Vol.36 No.2
N/A Compliances of one hundred patients with essential hypertension treated with usual care were compared with those of another one hundred hypertensives with intervention care simply provided by the physician in charge. The results were as follows: 1) The cumulative dropout rate in the usual care group decreased by 9%, 15% and 13% in 6, 9 and 12 months respectively. 2) The intervention care involved a shorter waiting time, longer consultation time, supportive care with sympathy, educational booklets and positive follow-up by telephone and mails. 3) In the intervention care group 56% of the dropouts were because of the provider, 27% were due to the patient and 17% were because of socioeconomic ceasons. In conclusion, patient compliance will certainly be improved by positive intervention by the physician in charge, escalation of medical insurance and the personal efforts of the patient.
高血壓, 腦血管障碍, 糖尿病에 대한 Kallidinogenase (Kallina^ⓡ)의 臨床 效果
金仁煥,李健周,李英九,劉元相 인제대학교 1983 仁濟醫學 Vol.4 No.1
高血壓, 腦血管障碍, 糖尿病 환자 32명에게 kallidinogenase (kallinaR)를 1日 60ku, 4-12週間 經口投與한 바 四肢冷感, 視力障碍, 耳鳴, 異常感覺 등 自覺症狀이 約 63%에서 改善되었다. Thirty two patients with hypertension, cerebrovascular accident and diabetes mellitus were administered kallidinogenase (kallinaR) for 4-12 weeks. The results were as follows: 1.Significant improvement were noted in some subjective symptoms: Coldness of extremities (83%), blurred vision (80%), tinnitus, paresthesia, slurring of speech (72-75%), dizzines (60%), headache (50%) and weakness (40%). 2.Hypotensive effect were evident, although not significant statistically. 3.No untoward reaction except mild gastrointestinal symptoms were noted.
김굉식,이건주,김철수,이영구,강영석 인제대학교 1982 仁濟醫學 Vol.3 No.4
혈액형의 후천적 변화는 백혈병을 포함한 여러 질환에서 보고가 있었다. 저자들은 급성 골수성 백혈병 환자 일례에서 일신적인 A항원의 소실을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. A 28 years old woman with acute myelogenous leukemia received many units of blood during remission induction period, and her blood was typed as group "O". However, when her leukemia went into remission, her blood group was turned out to be "A". This case illustrates temporary loss of red cell blood group "A" antigen in acute myelogenous leukemia.