유산소 및 저항 복합 트레이닝이 중년 비만여성의 근력, 체지방, 최대산소섭취량 및 혈액성분에 미치는 효과

박금숙(Park Kum-Suk) 한국체육과학회 2009 한국체육과학회지 Vol.18 No.4

The aim of this study was to assess the effect of 12 weeks exercise on body composition(weight loss), V˙ O2max, lipids and lipoproteins in 40 adult obesity women. Also to investigate the cardiopulmonary function following improvement of lipids and lipoproteins response. Subjects were 48.93±7.71 years old. The height was 161.19±7.54㎝, weight was 59.80±8.07㎏. All subjects performed aerobic combined with resistance training for 50 minutes 3 times per week by treadmill, ergometer, and stepper. and weight training, stretching exercise together practiced for 30 minutes 3 times a week. After 12 weeks aerobic and weight training or stretching exercise. The main findings of this study summarized as follows: the changes of weight was reduced significantly(p<0.01), %body fat was reduced significantly(p<0.01). The blood total cholesterol, and TG were no significant differences. The cardiopulmonary function(VO₂max) indicated higher significantly(p<0.01) according to improvement of lipoproteins profile. Also comparisons of quadriceps and hamstring peak torques relative to body weight were significantly low(p<.05) in exercisers. In conclusion, The body weight, %body fat, blood lipoproteins, VO₂max and muscular strength were significantly following to 12 weeks aerobic and resistance training or stretching exercise for 80 minutes per session 3 times a week. The cardiopulmonary fitness also had significantly higher according to improvement of lipoproteins after 12 weeks exercise. Therefore regular aerobic and resistance training or stretching exercise should have positive effects on body composition, serum lipoproteins profile, cardiopulmonary function and muscular strength.

실험연구 : 토끼의 격리폐 모델에서 안지오텐신이 저산소성 폐혈관 수축에 미치는 영향

박금숙 ( Kum Suk Park ),안원식 ( Won Sik Ahn ),함병문 ( Byung Moon Ham ) 대한마취과학회 2003 Korean Journal of Anesthesiology Vol.45 No.4

임상연구 : 부인과 수술 후 오심 및 구토의 예방에 대한 Ramosetron과 Ondansetron의 효과 비교

유정희 ( Jung Hee Ryu ),박금숙 ( Kum Suk Park ),도상환 ( Sang Hwan Do ),서정훈 ( Jeong Hun Suh ),강매화 ( Mae Hwa Kang ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.5

Background: In this randomized, double-blinded study, we evaluated the efficacy of ramosetron and ondansetron for preventing postoperative nausea and vomiting (PONV) in gynecologic patients. Methods: Sixty patients undergoing total abdominal hysterectomy or myomectomy, ASA physical status I or II, aged 30-65 yr, received IV ramosetron 0.3 mg (group R) or ondansetron 4 mg (group O) at the end of surgery (n = 30 each). A standard general inhalational anesthesia and postoperative IV patient-controlled analgesia were used. At postoperative 3, 24 and 48 hours, we assessed pain score (VAS), incidence of PONV, rescue drug consumption, adverse events associated with study medications and overall satisfaction scores. Results: The incidence of PONV showed no difference between groups at each time points after surgery (overall incidence; 59% in group R, 69% in group O). There was no difference in the severity of nausea, pain score and analgesic drug usage. However, the consumption of rescue drug in the ramosetron group was markedly less than that of ondansetron group at postoperative 3 hrs (none vs. 8 patients). No clinically serious adverse events were observed in either of the groups. Overall satisfaction scores were also comparable in both groups (6.5 ± 3.0 vs. 6.2 ± 2.7). Conclusions: Prophylactic therapy with ramosetron is as effective and safe as conventional prophylactic therapy with ondansetron for preventing PONV in women undergoing general anesthesia for gynecologic surgery. Severity of PONV seems significantly less with ramosetron than with ondansetron in the early postoperative period. (Korean J Anesthesiol 2007; 52: 561~5)

증례보고 : 척수손상 산모에서 시행한 경막외진통

임경지 ( Kyoung Ji Lim ),박금숙 ( Kum Suk Park ),도상환 ( Sang Hwan Do ),이영선 ( Young Sun Lee ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.2

Autonomic dysreflexia is a syndrome of uninhibited sympathetic spinal reflexes in response to stimuli below the level of injury in the patients with high spinal lesions. During labor, it can cause uteroplacental vasoconstriction resulting in fetal distress or devastating maternal complications including retinal hemorrhage, cerebrovascular accident and hypertensive encephalopathy. Neuraxial blockade has proven to be an effective method to attenuate or prevent it. We present a case detailing the use of epidural analgesia in managing the delivery of a quadriplegic parturient with a history of autonomic dysreflexia. (Korean J Anesthesiol 2007; 53: 262~5)

간호대 학생과 일반대 학생이 지각하는 간호사 이미지

전은주,노영미,유순미,오수연,박금숙,Jeon, Eun-Ju,Noh, Young-Mi,Ryou, Soon-Mi,Oh, Su-Yeon,Park, Kum-Suk 대한한의정보학회 2015 大韓韓醫情報學會誌 Vol.21 No.2

Purpose: This study was conducted to investigate the perceived image of nurses on major and non-major students. Methods: The subjects were 120 nursing school students and 120 other university students in J province. The data was collected by using structured questionnaire. T-test, ANOVA were performed by SPSS/PC 20.0. Results: The score for image of nurses was as follows. special image($3.86{\pm}0.51$), traditional image($3.71{\pm}0.53$), individual image($3.53{\pm}0.85$), social image($3.43{\pm}0.58$), and grand mean($3.66{\pm}0.48$). Perceived image of nurses was significant difference between students of a major and non-major(t=6.390, p<.001). Conclusion: It is needed to monitoring of media for the improvement the perceived image of nurses and also nurses have to try to make an individual role model.

증례보고 : 주산기 심근병증 산모의 제왕절개술을 위한 척추- 경막외 병용 마취

박희연 ( Hee Yeon Park ),구의경 ( Eui Kyoung Goo ),도상환 ( Sang Hwan Do ),박금숙 ( Kum Suk Park ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.5

Peripartum cardiomyopathy (PPCM) is a rare form of cardiomyopathy associated with a significant morbidity and mortality. The anesthetic management of a Cesarean section in patients with PPCM has not been well defined. Herein, our experience of a 31-year-old multipara, with recurrent PPCM and congestive heart failure, who presented for an elective cesarean section, is reported. Combined spinal-epidural anesthesia was successfully employed as the anesthetic technique for the procedure. The intra-arterial blood pressure and central venous pressure were monitored throughout the procedure. In addition, the patient`s postoperative pain was markedly reduced with the use of epidural PCA. Combined spinal-epidural anesthesia is suggested to be a reliable technique, which provides minimal hemodynamic changes, and a lower failure rate than epidural anesthesia only, and is also highly effective with a low dose of local anesthetic drug. (Korean J Anesthesiol 2007; 52: 605~8)

증례보고 : 제7응고인자 결핍증 수술환자에서 재조합 활성화 제7인자의 임상 경험

김성환 ( Sung Hwan Kim ),임경지 ( Kyung Ji Lim ),윤승주 ( Seung Zhoo Yoon ),박금숙 ( Kum Suk Park ),도상환 ( Sang Hwan Do ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.5

A 33-yr old female patient with coagulation factor VII deficiency was scheduled for laparoscopic oophorectomy under the diagnosis of ovarian teratoma. Plasma concentration of factor VII of this patient was 9 IU/dl (normal range; 60-140 IU/dl) and the prothrombin time INR (International Normalization Ratio) was 1.79 (normal range; 0.8-1.2) on the day before the operation. Total 1,200μg (30μg/kg) of recombinant activated factor VII (rFVIIa) was administered just before the start of the laparoscopic procedure, which was accomplished safely without severe hemorrhage or other complications. Postoperative course was uneventful. In addition, this article provides the clinical implication of rFVIIa in terms of hemostasis management in hemophiliacs and surgical patients. (Korean J Anesthesiol 2007; 52: 609~11)

임상연구 : Propofol-Remifentanil 및 Propofol-Nitrous Oxide를 이용한 전신마취의 비교

서정훈 ( Jeong Hun Suh ),윤정연 ( Jung Yeon Yun ),박금숙 ( Kum Suk Park ),도상환 ( Sang Hwan Do ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.2

Background: Remifentanil is a novel, ultra-short acting opioid. This study was performed to compare the hemodynamic responses of remifentanil and nitrous oxide under propofol-based anesthesia during the intraoperative period. Methods: Forty patients undergoing gynecologic surgery were randomly allocated to either remifentanil (R group) or N2O group (N group). In the R group, remfentanil was continuously infused from the induction of anesthesia (0.5㎍/kg/min) to the end of surgery (0.1-0.5㎍/kg/min). In the N group, fentany1 (2㎍/kg) was injected intravenously and N2O was used thereafter. In both groups, target-concentration infusion of propofol was applied. We compared mean arterial pressure (MAP) and heart rate (HR) before and after tracheal intubation and during the rest of anesthetic time between the two groups. Postoperative parameters such as nausea/vomiting, consciousness level and pain at 2 and 24 hours were also compared. Results: The magnitude of MAP and HR after tracheal intubation were significantly smaller and more stable in the R group than in the N group. Hypertensive (systolic blood pressure> 140 mmHg) episodes were significantly less frequent in the R group (3.0%) than in the N group (12.4%) during the operation. R group showed less MAP (76 ± 12 mmHg) and HR (61 ± 10 bpm) compared with those of N group (86 ± 17 mmHg, 63 ± 8 bpm, P < 0.05 respectively). Other postoperative measures were comparable between the two groups. Conclusions: We conclude that the continuous infusion of remifentanil can provide more stable hemodynamic status than N2O without significant adverse effects, in propofol-based general anesthesia. (Korean J Anesthesiol 2006; 51: 151~6)

좌측 이중관 기관지튜브의 적절한 삽관깊이는 신장과 흉쇄유돌근의 길이와 상관관계가 있다

곽일용,오용석,박금숙,박재현 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.35 No.4

Background : When a double-lumen endotracheal tube (DLT) is used for one-lung ventilation, its position should be accurate. But only a few studies has been performed about how to predict the depth of insertion for DLT preoperatively. The purpose of this study is to investigate which physical measurements are correlated with the depth of insertion for left-sided DLT and how the depth of insertion for DLT can be explained with these physical measurements. Methods : After placing a 5 cm-high pillow under the patient's head, we intubated left-sided disposable DLT (BronchocathTM, Mallinckrodt medical Ltd, USA) in 65 adults. We tape-measured sternocleidomastoid muscle (SCM) length and sternal length. We positioned the proximal margin of the bronchial cuff of DLT just below carinal bifurcation through fiberoptic bronchoscope, and recorded the depth of insertion for DLT at the upper incisor level. Results : The depth of insertion for DLT was correlated with both height (y=3.96 0.15x, r2=0.51, p=0.0001) and SCM length (y=16.73 0.82x, r2=0.49, p=0.0001). Sternal length (r2=0.11, p=0.0081) was weakly correlated with the depth of insertion for DLT. The best regression model was depth of insertion for DLT (cm)=6.88 0.09 height (cm) 0.46 SCM length (cm). Conclusions : The depth of insertion for DLT is correlated with SCM length as well as height. So we may use them in predicting the depth of insertion for DLT. (Korean J Anesthesiol 1998; 35: 722∼726)

늑간신경통 환자에 대한 냉동신경파괴술

이상철,김진경,오완수,김성덕,박금숙 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.34 No.4

Cryoneurolysis to peripheral neuralgia has been tried in selected postoperative pain and chronic pain patient; post-thoracotomy pain, post-herniorrhapy pain and trigeminal neuralgia. Here we report first two cases those were effectively controlled by percutaneous cryoneurolysis. Intercostal neuralgia was confirmed by intercostal nerve block with 1% mepivacaine and then we applied cryoneurolysis. Those pains could be relieved for more than two or three months. We suggest that cryoneurolysis can be an useful, simple and safe neurolytic method to intercostal neuralgia in outpatient pain clinic. (Korean J Anesthesiol 1998; 34: 875∼878)