악안면골 골절에 관한 임상적 연구

정호균 중앙대학교 의과대학 의과학연구소 1988 中央醫大誌 Vol.13 No.4

This report was a retrospective study on maxillofacial bone fractures of Koreans. The study was based on a series 306 patients who had been treated for maxillofacial fractures as in-patient at Hospital of Medical college of Chung-Ang University during the pried of 1982 to 1987. The results obtained are as follows; 1. The ratio of Men to Women was 4.2:1, and the incidence of facial bone fractures increased continuously year after year. 2. The age frequency was highest in Tnd decade(38.3%), and age distribution of patient ranged from 4 years to 84 years. 3. Traffic accident(40.7%), fighting(28.5%) were the most common cause of maxillofacial bone fractures. 4. The frequent locations of maxillofacial fractures were nasal bone(49.4%) and followed by the mandible(22.2%), zygoma and zygomatic arch(16.6%) and maxilla(11.8%) in order. One location fractured in 88.1% and multiple locations were involved in 11.9%. 5. In 98 patients of mandible fractures, 85(86.7) had fractures only in mandible and 13(13.3%) had another facial bone fractures. The most frequent fracture site was Symphyseal area(37.4%) and simple fracture was the most frequent in type of fractures(43.9%). Teeth or alveolar bone trauma cases were 55.5% and close reduction with intermaxillary fixation was major method of treatment(43.9%) in mandible fractures. 6. In 52 patients of Maxillary fractures, 19(36.5%) had fractures only in maxilla and 33(63,5%) had another facial bone fractures. The most predominent fracture site was Le Fort Ⅱ(28.8%), and teeth or alveolar trauma occured in 25.0% and open reduction was major method of treatment(34.6%) in maxillary fractures. 7. In 73 patients of zygoma complex fractures, 41(56.2%) had fractures only in zygoma complex and 32(43.8%) had another facial bone fractures. The most frequent fracture site was zygoma(54.8%), and observation (47.9%) and open reduction(35.6% ) were major method of treatment in zygoma complex fractures. 8. In 218 patients of nasal bone fractures, 195(89.4%) had fractures only in nasal bone and 23(10.6%) had fractures on another facial bone. Closed reduction(55.5%) and observation(28.4%) were major methods of treatment. 9. In 386 patients of facial bone fractures, the most common associated injury with facial bone fractures was head(32.7%) and eye(20.4%) injures.

한국 재원 정신분열병환자의 사회경제적 특성에 관한 역학적 조사 : 일일 시정조사 Point Prevalence Study

정인원,김용식,이정균 大韓神經精神醫學會 1985 신경정신의학 Vol.24 No.1

1984년 2월 27일 현재 전국 정신과 병·의원의 입원환자를 대상으로 일일시정조사를 시행하였다. 자료분석 때까지 도착한 자료중 ICD-9의 진단기준에 의하여 정신질환의 범주에 속하는 2,895명을 1:1 쌍쌍대응법으로 분석하여 거주지별로 정신분열병군과 대조군간의 사회경제적 특성을 비교하였다. 분석결과는 다음과 같았다. 1. 정신분열병환자의 결혼상태는 두 지역 모두에서 독신이 많았고 odd ratio는 각각 5.33과 3.56이었다. 농ㆍ어촌의 정신분열병환자가 독신이 더 많았다. 2. 교육수준은 양 군에서 뚜렷한 차이는 없었다. 3. 직업은 도시의 정신분열병환자에서 무직이 많았고 odd ratio는 1.90이었다. 4. 경제수준은 도시의 정신분열병환자에서 낮은 층이 많았고 odd ratio는 1.65이었다. 5. 그외 가족구조와 종교, 부모의 결혼상태에서는 유의한 차이를 보이지 않았다. Aiming at suggestion the possible ways to improve psychiatric care, rehabilitation, and mental health services in Korea, this nation-wide hospital study was intended to explore the socioeconomical status of mental in-patients. This point prevalence study was conducted to patients who were in psychiatric wards at Feb. 27th. 1984 using mailing questionnaire. The number of hospitals and clinics answered was 88 and the patients, 3,300. Among them, we selected the 2,895 patients who were included in mental disorders (290-319) by ICD-9. Finally we compared the socioeconomical status between schizophrenia and non-schizophrenia in rural and urban area with the method of Fleiss. The results were as follows; 1. The relative proportions of single persons in schizophrenia were higher in both areas, and their odds ratios were 5.33 and 3.56, respectively. There were more single schizophrenics in rural than urban. 2. In educational levels, there were no significant differences between schizophrenia and control. 3. In urban area, the jobless persons were more in schizophrenia than control, and its odd ratio was 1.90. 4. The urban schizophrenics were significantly lower than the urban control in economical levels, and its odd ratio was 1.65. 5. About family structure, religion, and marital status of parents, there were no significant differences between schizophrenia and control.

만성신부전환자의 구강위생상태에 관한 역학적 조사연구

정호균,박주현,홍지원,강홍구 중앙대부설한국의과학연구소 1991 한국의과학 Vol.23 No.1

韓國人의 MMPI에 關한 硏究 : 第5編 : 精管手術者의 MMPI Article 5 : MMPI of Voluntary Sterilization(Vasectomy)

李定均 大韓神經精神醫學會 1966 신경정신의학 Vol.5 No.1

Studies on the standardized (revised) MMPI for Koreans were conducted on the vasectomy cases who have had problems after vasectomy and compared with normal cases. The following conclusions were obtained. 1. The differences between the vasectomy group and normal group in validity scales are as follows: a. No significant difference in the scale. b. The F scale is much higher in the vasectomy group than the normals. c. The K scale is higher in the normals than the vasectomy group. 2. Score of the vasectomy group is higher than the normals in the all clinical scales, except Mf scale. 3. The vasectomy group tend to present exaggerate their own deficiencies, also have a tendency to be overly honest or self-criticism. 4. The Si scale is the highest score and also Hs., D Pt. and Hy., showed high score in the clinical scales. The lowest score are Pd. and Ma. scales. 5. The vasectomy group showed depressed, tense, indecisive, unhappy, worries a great deal, introverted, anxiety, obsessive-compulsive tendency, marked loss of initiativeness and efficiency, and generally dependent compared with the normals. 6. An Anxiety Index and An Internalization Ratio are both higher in the vasectomy group than normals that means the vasectomy group have more anxiety and also have a tendency to internlize their difficulties under the stress rather than act out compared with normals. 7. We have to consider that psychiatric study(including personality test) should be done before the vasectomy, so could avoid neurotic person who might have problems after vasectomy.

習慣性藥物中毒에 關한 硏究 : MMPI를 中心으로 The studies of MMPI

李定均 大韓神經精神醫學會 1970 신경정신의학 Vol.9 No.2

The author have studied the ecology and MMPI of habitual drug addicts, with 150 patients who had admited to Department of Neuro-Psychiatry, Seoul National University Hospital and other N-P clinics or hospitals from 1966 to June 1970. 1. F scale showed elevated score in the validity scales of MMPI. 2. No elevation of Hs., D., Hy., Mf, and Pt. scales were found in the clinical scales. 3. Pa. scale was the highest score in the clinical scales, and Pa., Sc. and Ma. scales were also elevated. 4. The score of Si. scale was slightly elevated, and Es., A.I. and I.R. were lowered score in the research scales. 5. The code of MMPI were as follows: male·····?? female····?? F-L/K 6. The adult patients were prominent in the age distribution and there was an increasing tendency in the teenager. 7. There was no significant meaning of educational background in the addicts and the most of them were over 3 years in the duration of habituation. 8. The addicts who had habituated from due to physical diseases were estimated about 72 percent. 9. The pure narcotic abusers were estimated about 31%, pure non-narcotic abusers were about 62%, and there was an increasing tendency of Amphetamine abusers. 10. The criminal occupation such as prostitute, pick-pocket, narcotic seller and so on were estimated about 40% and unemployment were about 10 percent. 11. The strong administrative control of non-narcotic habitual drugs as much as narcotics are suggested.

국민학교아동의 정서행동문제에 대한 생물·정신사회학적 연구 (Ⅰ) : Rutter의 아동행동평가표에 의한 국민학교아동의 정서행동문제조사 An Epidemiological Study of Emotional Behavioral Problems in Korean Elementary School Children by Rutter's Questionnaire

이정균,장경준,홍강의 대한소아·청소년정신의학회 1990 소아청소년정신의학 Vol.1 No.1

韓國 精神障碍의 疫學的 調査硏究(Ⅷ) : Generalized Anxiety Disorder 汎不安障碍

李定均,卞永贊 大韓神經精神醫學會 1987 신경정신의학 Vol.26 No.1

In order to study generalized anxiety disorder, this epidemiological survey was performed, using DIS-Ⅲ (Diagnostic Interview Schedule, version Ⅲ) Korean version by lay interviewers. Subjects were selected according to multistage cluster sampling mothod together with simple ramdom sampling and 2,865 respondents in Seoul and 1,439 in overall rural area completed the study. The results were as follows : 1) The lifetime prevalence rate was 3.40%. 2) The lifetime prevalence rate was nearly triplicated by point prevalence rate. 3) There was a tendency that prevalence rate became increased along with age and time period. 4) As for sex, prevalence rate was significantly higher in women than in men. 5) The mean age of onset of symptoms was 32.4 years. 6) The mean duration of symptoms was 74.1 weeks.

韓國 精神障碍의 疫學的 調査 硏究(XIII) : Prevalence of Obsessive-Compulsive Disorder 强迫障碍의 有病率

李定均 大韓神經精神醫學會 1994 신경정신의학 Vol.33 No.1

過去의 韓國 精神障碍의 疫學的 硏究는 모두 問題點이 많아서 그 信賴度는 낮은 것이어서 著者는 이런 問題點을 補充하여 서울을 비롯하여 시골의 20個 地域을 무작위 선정하여 美國 國立精神保健院(NIMH)에서 개발한 DIS-III로부터 標準化한 韓國版 DIS-III를 面接道具로 하여 韓國最初로 제대로된 精神障碍의 疫學的 調査硏究를 全國에 걸쳐 施行하였고, 이를 美國, 푸엘토리코, 카나다, 獨逸, 뉴질랜드, 타이완의 6個國과 비교 考察하여 다음과 같은 結果를 얻었다. 1) 韓國 强迫障碍의 平生有病率은 2.15%이며, 서울은 2.29%, 시골 地域은 1.90%로 서울이 시골보다 높다. 2) 性別로 보면 男性이 2.03%, 女性이 2.37%이며, 서울은 남성 2.21%, 여성 2.38%, 시골은 男性 1.78%, 여성 2.00%로서 女性이 男性보다 높은 경향을 보였다. 3) 年齡群으로 보면 18~24세群은 2.54%, 25~44세群은 2.19%, 45~66세群은 1.77%로서 18~24세群이 높았다. 4) 韓國을 비롯한 7個國에서 平生有病率과 年間有病率은 푸엘토리코에서 2.5%로서 가장 높았고 타이완이 0.7%로서 가장 낮았다. 年間有病率도 비슷하고 푸엘토리코가 1.8%로서 가장 높고 韓國과 뉴질랜드는 1.1%였다. 5) 發病年齡은 20代 後半에서 30代 初半이고 가장 낮은 곳은 카나다의 21.9세에서 가장 낮고 푸엘토리코는 35.5세였다. 6) 性別로는 독일을 제외하고 女性에서 높았고, 뉴질랜드는 3.4%로서 가장 높다. 女性 對 男性의 此는 韓國 및 푸엘토리코에서 1.2, 카나다 1.3, 美國 1.6, 타이완 1.8이다. 7) 强迫障碍에서 obsession 또는 compulsion의 症狀을 가진 것을 비교해보면 美國, 카나다, 푸엘토리코 및 뉴질랜드는 obsession만 가진 것이 더 많고, 韓國은 compulsion이 더 많으며 獨逸과 타이완은 兩者가 비슷하다. 8) 독일은 obsession과 compulsion을 모두 가진 것이 가장 많아서 57%이고 나머지 國家는 13~26%이며, 푸엘토리코는 35%이다. 9) 强迫障碍의 Comorbidily에서 major depression과 모든 不安障碍를 가진 것이 다른 障碍에 비해서 더 많다. 또 모든 不安障碍가 major depression보다 더 많다. 그러나 독일의 結果는 그 反對의 소견을 보였다. A nationwide epidemiological of mental disorders including obsessive-compulsive disorder in Korea using DIS-Ⅲ Korean version was conducted in the Capital City of Korea(Seoul) and 20 rural areas and the results were compared with those of 6 other countries. The results were as follows: 1) The lifetime prevalence rate of obsessive-compulsive disorder was 2.14%, 2.29% in seoul and 1.90% in rural areas. 2) As for sex, the lifetime prevalence rate was higher in females, than in males, 2.03% in male and 2.38% in female. 3) The most prevalent age group was 18-24yrs. old group(2.45%). 4) The lifetime prevalence rates of OCD of seven countries(Korea, USA, Canada, Puero Rico, New Zealand, Germany and Taiwan) were remarkably consistent across the cross-national sites. Most of the sites fall within the range of 1.9%(Korea) to 2.5% (Puerto Rico). The annual rate of OCD was also fairly consistent across sites, ranging from 1.8%(Puerto Rico) to 1.1%(Korea and New Zealand). 5) Mean age of onset of OCD was in the mid-to late twenties to early thirties, with the earliest mean age at Canada(21.9yrs) and the latest at Puerto Rico(35.5 years). 6) The lifetime rate by sex, was generally higher in females as compared to males, except for Germany where males had a higher rate than females. In New Zealand, females had the highest rate among all of the females(3.4%) and in Germany males had the highest rate among all of the males(2.5%). The female to male ratios were consistent for Korea(1.2), Puerto Rico(1.2), Canada(1.3), USA(1.6) and Taiwan(1.8). 7) Proportion of persons with only obsession, only compulsion and both were also compared. In USA, Canada, Puerto Rico and New Zealand there was a larger proportion of persons with only obsession as compared to only compulsion. In Germany and Taiwan the proportion were equal and in Korea there was a higher proportion of persons with compulsion only, just the opposite trend seen in most of the other sites. 8) Germany had the highest proportion of persons with both obsessions and compulsions. Most of the countries fall within the 13% to 26% range, with Puerto Rico slightly higher. 9) Comorbidity with major depression and any anxiety disorders(panic disorder or any phobia) in persons with and without OCD for the cross-national sites were compared. Persons with OCD were at a risk substantially greater than chance of also having comorbid major depression or any anxiety disorders as compared to persons without OCD across all sites, even though the comorbidity rates and the magnitude of risk vary by sites. The proportion of persons with OCD and any anxiety disorder were higher than that proportion with major depression. Persons with OCD at Munich(Germany) seemed to have higher proportion with major depression and anxiety disorder and are at greater risk than persons without OCD compared to the other sites.

韓國人의 M.M.P.I.에 關한 硏究 : 精神分裂症의 M.M.P.I. The M.M.P.I. of Schizophrenia

李定均 大韓神經精神醫學會 1969 신경정신의학 Vol.8 No.2

Studies on the Standardized(revised) MMPI for Koreans were conducted on each sub-type of schizophrenic patients. The summary of the results was as follows. 1. The differences between the schizophrenic group and normal group in the validity scales were as follows: a. No significant differences were found in the L and K scales. b. The F scale was elevated. 2. The results of the clinical scales were as follows: a. The pseudoneurotic schizophrenia, simple schizophrenia, latent and residual schizophrenia and schizoaffective depression showed elevated scores in the Hs. scale being compared with the normal group. b. The schizo-affective depression and pseudoneurotic schizophrenia showed elevated scores in the D. scale. c. The pseudoneurotic schizophenia, latent and residual schizophrenia and simple schizophrenia showed elevated scores in the Hy. scale. d. No significant differences were found in the Pd. and Mf. scales. e. The paranoid schizophrenia score was elevated in the Pa. scale. f. The pseudoneurotic schizophrenia and schizoaffective depression showed elevated scores in the pt. scale. g. Except latent and residual schizophrenia, all the schizophrenia showed elevated scores in the Sc. scale. h. The schizo-affective mania score was elevated in the Ma. scale. 3. The results of the research scales were as follows: a. The pseudoneurotic schizophrenia showed elevated score and the schizo-affective mania showed lowered score in the Si. scale being compared with the normal group. b. The most prominent score in the Es. scale was observed in the latent and residual schizophrenia. c. The pseudoneurotic schizophrenia and paranoid schizophrenia showed elevated scores in the Anxiety Index(AI). d. The schizo-affective depression, pseudoneurotic schizophronia and simple schizophrenia showed elevated scores in the Internalization Ratio(IR). 4. There were no significant differences in the profile patterns compared with the original MMPI in each sub-type of schizophrenia. 5. From the results of the study, the Standardized (revised) MMPI for Koreans was regarded as useful in the clinical application for the schizophrenic patients.

深呼吸의 자간에 對한 診斷的 價置

李定均 醫藥係社 1959 綜合 醫學 Vol.4 No.4