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폐경후 여성에서 경구용 및 경피적 에스트로겐 호르몬 보충요법이 혈중 지질대사에 미치는 영향
차형수,노미정,김흥열 대한폐경학회 1999 대한폐경학회지 Vol.5 No.2
Objectives: Eestrogen replacement therapy is known to reduce the incidence of cardiovascular disease in postmenopausal women, and its beneficial effects is thought to be mediated in part by the favorable changes in serum lipoprotein levels. However, the route of estrogen administration commonly used was oral. Then this report demonstratcs the different influence of the two routes of administration on plasma lipids and lipoproteins in korean postmenopausal women. Materials and methods: Study subjects were women who are posthysterectomy state due to benign disease of uterus and postmenopausal state measuring by serum hormone test. During 12 months, estrogen therapy was used: oral estrogen(Premarin at the dose of 0.625mg per day, 75 patients) and trandermal estrogen( B -diol at the dose of 50ug per day 50 patients). Serum lipoprotein levels in fasting state were measured in all subjects at baseline and every 6 months throughout the 12 months and the values during treatment were compared with that of baseline. Results: The conjugated estrogen(Premarin) and transdermal patch(B-diol) increased significantly the serum HDL cholesterol levels throughout the study period. Also, serum LDL choleaterol levels decreased significantly in both groups. And serum total cholesterol levels decreased in both group but not significantly. Conclusions: As results of estrogen replacement therapy one year, the estrogens, administered by either oral or percutaneous route, maintain the long-term favorable effects on serum lipoprotein levels in postmenopausal women and there was no differaence of two groups. We think percutaneous estradio1 therapy is effective modality, because it mainteins therapeutic blood concenturation with lower daily doses than oral route.
3차 종합병원 가정의학과 외래환자의 타과 의뢰 내용분석
공은희,차형수 고신대학교 의학부 1999 高神大學校 醫學部 論文集 Vol.14 No.1-2
Background : More energetic activities of family physicians had been doing as the role and contents of medical care in department of family medicine have been enlarged since establishment of health care delivery system. The appropriate use of the referral process is an art that contributes to improved patient care when utilized properly by family physicians. We tried to obtain data for education of medicine and for establishment of family medicine as a specialized subject by analyzing the referral contents of ambulatory care in department of family medicine of university hospital. Methods : We review the medical record of the 9,432 patients who visited outpatient department of family medicine of Kosin university Gospel hospital from November, 1, 1997 to October, 31, 1998. Results : A total of 9,432 patients visit outpatient department of family medicine, from which 2,340 patients were referred without family doctors' diagnosis and treatment. The remainder 7,092 patients were gave medical treatment by family doctor, from which 590 patients were referred. So the rate of referral was 8.3%. The most common reason for referral was for diagnosis and treatment(50.8%), and then for only treatment(30.5%), request by patient(ll.0%). The most common reason for referral by doctors need was lump/mass of breast(7%), and then infectious hepatitis(6.2%), local swelling/mass(5.3%), cirrhosis/other liver disease(2.8%). The status of diagnostic process at the time of referral, diagnosis and no treatment was most common status(40.5%), and then objective problem(no diagnosis, no treatment)(30.8%), during treatment(7.1%), complication developed(0.5%). The 4 most common diagnoses after referral were infectious hepatitis(6.4%), fibrocystic disease of breast(3.6%), fibroadenoma of breast(3.2%), liver cirrhosis(2.7%). Conclusions : The rate of referral was 8.3%. The most common disease problem by International Classification of Primary Care (ICPC) was female genital system(24.7%), digestive system(23.7%), musculoskeletal system(l0.3%), respiratory system(9.0%). The most common reason for referral by doctors need was lump/mass of breast(7%), and then infectious hepatitis(6.2%), local swelling/mass(5.3%), cirrhosis/other liver disease(2.8%). The 4 most common diagnoses after referral were infectious hepatitis(6.4%), fibrocystic disease of breast (3.6%), fibroadenoma of breast (3.2%), liver cirrhosis ( 2.7%).