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      • 요통 환자에서 카이로프랙틱 수기치료와 경막_ 주사요법의 비교

        장재호,김정렬 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

        Objectives: To compare the pain patterns after applying chiropractic manipulation and epidural injection in back pain patients, and to investigate the pain-relieving effects of chiropractic manipulation. Materials and Methods: A follow-up observation has been made after applying chiropractic manipulation in 42 patients with back pain admitted through OPD, from March, 2004 to February, 2005. The patients were comprised of 16 cases of intervertebral disk herniation, 7 cases of spinal stenosis, 1 case of ankylosing spondylitis,18 cases of non-specific chronic back pain. Pain decrement levels were compared to those of another 42 patients who were admited in the some period, treated their back pain by epidural steroid injection, and the effects of chiropractic manipulation and epidural injection were observed. Results of this study was evaluated using Short-Form McGill Pain Questionnaire, Roland-Morris Questionnaire, and RAND-36 Questionnaire. Results: In the Short-Form McGill Pain Questionnaire, the Pain Relating Index in chiropractic manipulation was on average 11.9 before operation and on average 3.1 after operation, while the PRI in epidural injection recorded an average 11,8 before operation and 5.3 after operation. The Visual Analog Scale showed pain decrement from 62 to 1.9 in manipulation, and from 6.8 to 3J in epidural injection. The Present Pain Index decreased from 2.9 to 1.5 in manipulation, and from 2.4 to 1,5 in epidural injection. In the Roland-Morris Questionnaire, which questions the level of limitation in the daily living due to pain, the decrement of level on average from 8.8 to 4,0 in manipulation, while the decrement was from 10.5 to 4.1 in epidural injection. Conclusion: Chiropractic manipulation can be used extensively as a non-invasive method of treatment.

      • 정형외과 영역에서의 고압 산소 요법

        장재호,권영호,,김재도,손정환,박찬재,이영구 KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1

        Objectives : Hyperbaric oxygen(HBO) therapy has been used to treat CO poisoning and decompression sickness, and at now it contains domains of general surgery, plastic surgery, otorhinolaryngology. In orthopaedic field, it can also be used in many disorder through the effect of increasing oxygen tension of tissue, vasoconstriction and bacteriocidal effect. Authors attempted to evaluate the effect of hyperbaric oxygen therapy in the orthpaedic field. Methods : Authors have analyzed clinical outcome of total 79 cases (crushing injuries, flap surgeries, chronic osteomyelitis, diabetic foot, postoperative ischemic wound, atherosclerosis & Buergers' disease, infection wound, compartment syndrome) in orthpaedic field treated by hyperbaric oxygen therapy in Kosin Medical College Gospel Hospital from May, 1998 to December, 2005. Patients of crushing injuries, flap surgeries, chronic osteomyelitis, diabetic foot, postoperative ischemic wound, atherosclerosis & Buergers' disease, compartment syndrome received HBO therapy in 2.0 ATA per 80 minutes a day, and patients of infection wound received HBO therapy in 2.8 ATA per 104 minutes a day. Results : Crushing injuries, flap surgeries, chronic osteomyelitis, diabetic foot, postoperative ischemic wound, atherosclerosis & Buergers' disease, infection wound, compartment syndrome were treated by hyperbaric oxygen therapy and received averagely 11.5 times. Transient tinnitus was observed as a side effect in one case. Conclusion : Hyperbaric oxygen therapy can be applied to many cases of orthopaedic surgery, especially in ischemic change, swelling and infections as an adjuvant therapy, However it required double blind test with the control group to evaluate the objective outcome.

      • 麻黃附子細辛湯이 實驗運動의 心血管系에 미치는 影響

        張宰豪,金世吉 圓光大學校 韓醫學硏究所 1995 원광한의학 Vol.5 No.1

        The present experiments were designed to investigate the effects of Mahwangbuja-seshintang on the cardiovascular system by using the methods of measurement of blood pressure, Mg^2+ -Ca^2+ -ATPase activity of cardiac endoplasmic reticulum and digital inflared thermograph imaging analizer. In order to control the precise chemical and physical animal conditions, the experimental animals were supplied with calorie limited food. The results obtained were summarized as follows: 1. Mahwangbujaseshintang water extract increased the blood pressure and heart beat rate in the anesthetic rabbits. 2. Mahwangbujaseshintang seemed like to stimulate autonomous sympathetic nerve α and β receptors. 3. Mahwangbujaseshintang demonstrated the antihistamine effect by contracting the capillary, and thus it decreased the body surface temperature. 4. Mahwangbujaseshintang increased the blood pressure and heartrate by contracting the body surface capillaries. According to the above result's Mahwangbujaseshintang water extract has the curative effect on the heart disease and blood flow.

      • 요통 환자에서 카이로프랙틱 수기치료와 경막외 주사요법의 비교

        장재호,김정렬 KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1

        Objectives: To compare the pain patterns after applying chiropractic manipulation and epidural injection in back pain patients, and to investigate the pain-relieving effects of chiropractic manipulation. Materials and Methods: A follow-up observation has been made after applying chiropractic manipulation in 42 patients with back pain admitted through OPD, from March, 2004 to February, 2005. The patients were comprised of 16 cases of intervertebral disk herniation, 7 cases of spinal stenosis, 1 case of ankylosing spondylitis, 18 cases of non-specific chronic back pain. Pain decrement levels were compared to those of another 42 patients who were admited in the some period, treated their back pain by epidural steroid injection, and the effects of chiropractic manipulation and epidural injection were observed. Results of this study was evaluated using Short-Form McGill Pain Questionnaire, Roland-Morris Questionnaire, and RAND-36 Questionnaire. Results: In the Short-Form McGill Pain Questionnaire, the Pain Relating Index in chiropractic manipulation was on average 11.9 before operation and on average 3.1 after operation, while the PRI in epidural injection recorded an average 11.8 before operation and 5.3 after operation. The Visual Analog Scale showed pain decrement from 6.2 to 1.9 in manipulation, and from 6.8 to 3.1 in epidural injection. The present Pain Index decreased from 2.9 to 1.5 in manipulation, and from 2.4 to 1.5 in epidural injection. In the Roland-Morris Questionnaire, which questions the level of limitation in the daily living due to pain, the decrement of level on average from 8.8 to 4.0 in manipulation, while the decrement was from 10.5 to 4.1 in epidural injection. Conclusion: Chiropractic manipulation can be used extensively as a non-invasive method of treatment.

      • 요추 질환에서 경막외 주사요법과 선택적 척추신경근 차단술의 비교

        장재호,박필재 고신대학교 의학부 2004 高神大學校 醫學部 論文集 Vol.19 No.1

        Background : The purpose of this report is to compare the effects of recently often practiced epidural injection and selective nerve root block to treat buttock and radiating limb pain due to lumber spine disorder. Method : For this study we enrolled patients who were treated with epidural injection(121 cases) or selective nerve root block (26 cases) in our-patient department of orthopedic surgery in Kosin University Gospel Hospital for buttock pain and radiating pain on lower limbs caused by lumbar spine disorders from August 2002 to August 2003. Selected patients were grouped into two according to the injection method for observation. Visual analogue scales(VAS) of each patient were checked after thorough observation and traced four times, pre-injection, post injection in 1 month, post injection in 3 months, and final follow-up(mean : 6.3 months, range: 3-15 months), and compared results(7.7, 4.5, 5.0, 5.6) than epidural injection(7.6, 3.0, 3.4, 49) in VAS analysis at each follow-up intervals. There is statistical significancy by using the paired t-test (p<0.01). This study shows these complications: hypotension, transient motor weakness, dizziness, dyspnea, headache, fever, aggressive pain, palpitation, dura puncture. Conclusion : Selective nerve root block was discovered to be relatively more effective than epidural injection on reducing pain in lumbar spine disorders.

      • 정형외과 영역에서의 고압 산소 요법

        장재호,권영호,김재도,손정환,박찬재,이영구 고신대학교(의대) 고신대학교 의과대학 학술지 2006 고신대학교 의과대학 학술지 Vol.21 No.1

        Objectives : Hyperbaric oxygen(HBO) therapy has been used to treat CO poisoning and decompression sickness, and at now it contains domains of general surgery, plastic surgery,otorhinolaryngology. In orthopaedic field, it can also be used in many disorder through the effe功 of increasing oxygen tension of tissue, vasoconstriction and bacteriocidal effect. Authors attempted to evaluate the effect of hyperbaric oxygen therapy in the orthpaedic field. t Methods : Authors have analyzed clinical outcome of total 79 cases (crushing injuries, flap surgeries,chronic osteomyelitis, diabetic foot,postoperative ischemic wound, atherosclerosis & Buergers* * disease, infection wound, compartment syndrome) in orthpaedic field treated by hyperbaric oxygen therapy in Kosin Medical College Gospel Hospital from May,1998 to December, 2005. Patients of crushing injuries, flap surgeries,chronic osteomyelitis, diabetic foot, postoperative ischemic wound, atherosclerosis & Buergers' disease, compartment syndrome received HBO therapy in 2.0 ATA per 80 minutes a day, and patients of infection wound received HBO therapy in 2,8 ATA per 104 minutes a day. Results : Crushing injuries,flap surgeries, chronic osteomyelitis, diabetic foot,postoperative ischemic wound, atherosclerosis & Buergers' disease, infection wound, compartment syndrome were treated by hyperbaric oxygen therapy and received averagely 1L5 times. Transient tinnitus was observed as a side effect in one case. Conclusion : Hyperbaric oxygen therapy can be applied to many cases of orthopaedic surgery,especially in ischemic change, swelling and infections as an adjuvant therapy, However it required double blind test with the control group to evaluate the objective outcome.

      • 족관절 골절에 대한 임상적 고찰

        장재호,나중호,손정환,김재도,손성근 고신대학교 의학부 1987 高神大學校 醫學部 論文集 Vol.3 No.1

        Fifty-four-cases of the ankle fracture have been managed during the period from January 1982 to December 1985 in the department of Orthopaedic surgery, Kosin Medical College, Gospel Hospital. The obtained results, analyzed in clinical and radiological aspects, from this study were as follow. 1. The incidence was male predominant. The mean age was 39. 2. Of the 54 cases, the main cause of fracture was traffic accident, 21 cases (39%). 3. According to the classification of Lauge-Hansen, the pronation-external rotation type was the most common (38.9%). 4. Forth-one cases (76%) were treated by open reduction and others were managed by closed reduction. The mean period of cast immobilization after the open reduction was 8 weeks but the closed one was 10 weeks. 5. According to clinical and radiological assesment of the result, open reduction was better than the others. 6. To obtain the better result, it was essential to reduce the ankle joint anatomically. 7. Lauge-Hansen classification of the ankle fracture was useful in treatment and assessment for prognosis, but not always.

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