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      • KCI등재
      • SCOPUSKCI등재

        d-Tubocurarine 의 Succinylcholine 으로 인한 안압상승 억제 효과

        이춘희,김종학 대한마취과학회 1983 Korean Journal of Anesthesiology Vol.16 No.3

        The effect of prior administration of d-tubocurarine on the increased intraocular pressure associated with the use of succinylcholine was studied in 30 randomely selected human subjects, who did not have cardiopulmonary or ocular disease preoperatively. Intraocular pressures were measured with Schiotz tonometer. The major findings of this study were as follows: 1) When succinylcholine was given alone, a rise from 15.5mmHg to 18.OmmHg (16.1%) was seen(p$lt;0.05). 2) When d-tubocurarine, 3mg, was given three minutes prior to the administration of succylchin oline, 15 healthy human subjects had no significant increase in intraocular pressure(p$gt;0.05). 3) Intrsocular pressure were significantly increased in both groups after endotracheal intubation, but the d-tubocurarine precurarization group had minimal pressure compured to the succinylcholine alonegroup(p$lt;0.05). An intraocular pressure increase was inhibited in the d-tubocurarine precurarization group. This simple, convenient method prevents the increased intraocular pressure associated with the use of succinylcholine.

      • SCOPUSKCI등재

        노인 환자의 하지수술을 위한 척추마취시 0.5% 등비중 Bupivacaine 과 0.5% 고비중 Bupivacaine 의 효과 비교 : Comparision of Isobaric 0.3% Bupivacaine and Hyperbaric 0.5% Bupivacaine

        이춘희,예상희,한종인 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.38 No.2

        Background : The purpose of this study is to compare the clinical effects of isobaric 0.5% bupivacaine 8 mg and hyperbaric 0.5% bupivacaine 8 mg on sensory and motor block in aged patients under- going spinal anesthesia. Methods : Thirty patients, aged 65 years or more, undergoing orthopedic surgical operation of the lower extremities were randomly assigned to two groups for spinal anesthesia. In the isobaric group (n =15), isobaric 0.5% bupivacaine 8 mg was administered and in the hyperbaric group (n=15), hyperbaric 0.5% bupivacaine 8 mg was administered. We measured the maximal sensory level, the time to maximal sensory block, the duration of sensory block, the time to complete motor block, degree of motor block and hemodynamic variables every 2 minutes for 10 minutes in lateral decubitus position and then every 5 minutes for 20 minutes in supine position after spinal anesthesia. Results : The maximal sensory block level and the duration of sensory block were not significantly different between the two groups. The time to maximal sensory block was significantly shorter in the hyperbaric group than in the is obaric group in both lower extremities. The time to complete motor block was significantly longer in the hyperbaric group than in the isobaric group in the nondependent extremity. Conclusions : These results suggest that isobaric 0.5% bupivacaine 8 mg for spinal anestheisa is more suitable for orthopedic operations requiring rapid and complete motor block than hyperbaric 0.5% bupivacaine 8 mg and that it can be performed in lateral decubitus position with the operating site up. (Korean J Anesthesiol 2000; 38: 314~321)

      • KCI등재

        골관절염 환자의 수면문제를 해결하기 위한 인지행동중재의 효과: 메타분석

        이춘희 인문사회 21 2018 인문사회 21 Vol.9 No.6

        This study was conducted to provide basic data for the development of cognitive behavioral intervention in a meta analysis of the effects of cognitive behavioral intervention to solve sleep problems in osteoarthritis patients. As a research method, we used R version 3.5.1 program to grasp the effect size of literature through domestic and foreign literature search. As a result, a total of 476 documents were retrieved and 4 studies were finally analyzed according to the selection criteria. The results showed that the overall effect size of cognitive behavioral interventions on sleep problems in patients with osteoarthritis was moderate at -0.57 (95% CI:-1.01 to -0.13). The results of this study proved the effectiveness of cognitive-behavioral interventions to improve the sleep problems of osteoarthritis patients, although the number of studies included in the meta analysis was small. 본 연구는 골관절염 환자의 수면문제를 해결하기 위해 인지행동중재의 효과를 메타분석한 연구로 인지행동중재 개발을 위한 기초자료를 제공하기 위해 수행되었다. 연구방법으로는 국내외 문헌검색을 통해 문헌들의 효과크기를 파악하기 위한 R version 3.5.1프로그램을 이용하였다. 그 결과 총 476편의 문헌이 검색되었고 선정기준에 따라 4편의 연구가 최종 분석되었다. 분석결과로는 골관절염 환자에게 수면문제에 대한 인지행동중재의 전체 효과크기가 -0.57(95% CI:-1.01∼-0.13)로 중간정도의 효과를 나타냈다. 본 연구의 결과는 메타분석에 포함된 연구의 수가 적기는 하나 골관절염 환자의 수면 문제를 개선하기 위한 인지행동중재에 효과를 입증하였고 임상적 근거를 마련하였다.

      • SCOPUSKCI등재

        지속적 폐활량 측정기를 이용한 전신마취하 기복과 체위가 환기에 미치는 영향

        이춘희,정락경 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.36 No.1

        Background : To evaluate the effects of pneumoperitoneum and posture on total respiratory compliance, peak inspiratory airway pressure and inspiratory minute ventilation during laparoscopic pneumoperitoneum and pelviscopic surgery we monitored continuously with continuous spirometry. Methods : 20 patients were anesthetized and paralyzed, tracheally intubated and mechanically ventilated at te rate of 12/min and at a tidal volume of 10 ml/kg. Measurements were made before surgery, just before insufflation and 5, 10, 20, 30, 60 min after insufflation under position changed (10o reverse Trendelenburg position in laparoscopic cholecystectomy; group C, 10o Trendelenburg and lithotomy position in pelviscopic surgery; group P), and 5, 10 min after deflation under horizontal position. Compliance, peak inspiratory airway pressure and inspiratory minute volume were monitored continuously with side stream spirometry. Results : Compliance of respiratory system decreased 39.8% and 39.1%, peak inspiratory pressure increased 43.5% and 61.3%, inspiratory minute volume decreased 10.9% and 9.1% under pneumoperitoneum in group C and group P. Conclusion : Increased intrabdominal pressure and posture during laparoscopic cholecystectomy and pelviscopic surgery cause significant decreased respiratory compliance and inspiratory minute volume and a significant increased airway pressure. On-line monitoring of respiratory volume, pressure and compliance may be helpful during general anesthesia to avoid the potential harmful effects of increased airway pressure occurring with increased intra-abdominal pressure. (Korean J Anesthesiol 1999; 36: 33∼40)

      • KCI등재

        담헌 홍대용의 상대주의적 사유에 관한 고찰 - 「의산문답」을 중심으로-

        이춘희 범한철학회 2015 汎韓哲學 Vol.76 No.1

        담헌 홍대용(1731~1783)은 「의산문답」에서 ‘상대주의적 사유’방식을 도입하여 ‘인간중심’, ‘지구중심’, ‘중국중심’이라는 절대주의적 사고와 가치를 부정하는 논리의 토대를 돈독히 구축하였다. 담헌이 ‘상대주의적 사유’방식을 통해 ‘절대주의적 사유’방식을 부정하는데 사용한 철학적 방법론은 ‘이천시물의 관점’이었다. ‘이천시물’이라는 객관적 관점을 통해 담헌은 오랫동안 전근대 동아시아적 사유의 전통적인 특성으로 간주되어 온 ‘인간중심’. ‘지구중심’. ‘중국중심’의 주관적 관점을 과감하게 해체해 버린다. 본고는 「의산문답」을 중심으로 상대주의적 사유방식에 따라서 전개되는 이 글의 논리 체계를 고찰해봄으로써, 절대주의적 사유를 부정하기 위해 담헌이 제시한 ‘인물균론’. ‘우주무한론’. ‘화이일야론’에 담긴 철학적 함의 역시 함께 규명해 보는 것을 목표로 한다. Damheon Hong, Dae-Yong(湛軒 洪大容, Silhak scholar of the late Joseon Dynasty, 1731~1783)by introducing a 「Uisanmundap(醫山問答)」in the ‘Relativistic thought(相對主義的 思惟)’method, Human-center(人間中心), Earth-center(地球中心), were constructed strongly the logic of the foundation, which deny the Absolutism thought(絶對主義的 思惟 否定)and value of China center(中國中心). Damheon by attempting to discuss the logical expansion surface of the article along the mating principle reasons method mainly, philosophical methodology that was used to deny the Absolutism thought system in the Relativistic thought system was a ‘point of view Yichunsimul(以天視物 觀點)'. Damheon, from an objective point of view of 'Yichunsimul' for a long time, it has been regarded as the traditional characteristics of East Asia reasons human-center, Earth-center, he would have boldly ‘dismantling the subjective point of view(主觀的觀點 解體)’of the China-centric. This paper, the 「Uisanmundap」by attempting to discuss the logical expansion surface of the article along the mating principle reasons method mainly, Damheon presented to deny absolutist grounds ‘the sameness theory of human beings and other Living things(人物均論)’, ‘Universe infinite theory(宇宙無限論)’, he aims try to investigate also philosophical implications(哲學的 涵義)that have been put in the ‘the sameness theory of China and other countries(華夷一也論)'together.

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