소아 외래환자에서 술전 전처치제 효과에 대한 임상적 관찰

신창규,김인세,진영준 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.4

Preoperative sedation of children is a difficult problem for the psychic trauma consequent to anticipation of sgery may be as a great hazard to the patient as his original disease. Until now, a numbar of sedatives have been used commonly for adequate sedation of pediatric patients, but ao method has been uriiversally accepted. Comparison of the efficacy and ssfety of ketamine HCI(2.5mg/kg), hydroxyzine HCI(2 mg/kg) and pentazocine(1mg/kg) for preoperative mediaction waa conducted in each 25 cases below 10 year old children for minor day out surgery. The obtained results were as follows; 1) Preoperative sedation effect was more better ketamine and hydroxyzine than pentazociae. 2) No clinically significant changes were observed in vital signs in hydroxyzine group. 3) Adverse reaction during induction of anesthesia was unremarkable in all groups, but bradycardia was occured in pentasocine group. 4) Recovery time was more longer in hydroxyzine group than in the other groups.

중국 탐방기

신창규 釜山醫師會 1994 釜山醫師會誌 Vol.30 No.11

심자상으로 인한 심정지 환자의 제세동기에 의한 회복례

신창규,정규섭,백효종 대한마취과학회 1981 Korean Journal of Anesthesiology Vol.14 No.1

Recently, there was improved cardiopulmonary resuscitation in parallel with development of electric defibrillator. This 18-year-old male arrived at our hospital emergency room in shock state about 1 hour after trauma. Cardiac arrest was occured at operating table. Promptly, open thoracotomy was performed under endotracheal intubation. There was found left ventricular laceration about 3㎝ in length, therefore primary closure of lacerated ventricle was done and open cardiac massage, too. But ventricular fibrillation was remained. Myocardial fibrillation was disappeared after operation of edfibrillator internally at 20 W/sec and 40 W/sec for 30 minutes. Thereafter, operation was finished successfuly. This patient was admitted in our hospital for 32 days and discharged.

치의원에서 근무하는 진료보조인력의 직무만족도에 관한 연구

신창규,정학균,임선아 朝鮮大學校 口腔生物學硏究所 2001 口腔生物學硏究 Vol.25 No.1

There may be many differences in the degree of recognition of dental clinics for the application of oral health care assistants. Therefore, it is required to study the job satisfaction of oral health care assistants who were working in dental clinics and apply the more advanced education to them. Data were obtained form 152 assistants servicing in 75 dental clinics in Kwangju. The results were as follows; 1. As for the degree of the job satisfaction in dental clinics, namely, the degree corresponded with expected work, it was shown that assistants generally expressed not so satisfied responses; 3.3% for very satisfied, 21.1% for a little satisfied, 49.3 % for so so, 25% for dissatisfied. 1.3% for never satisfied. 2. As for the degree of the satisfaction in the present dental clinics, it was shown that assistants generally expressed dissatisfied responses : 2.6% for very satisfied, 10.5% for a little satisfied. 48.0% for so so, 37.5% for dissatisfiled. 1.3% for never satisfied. 3. As for the degree of pride as assistants for medical examination and treatment, it was shown that ta response ratio for usually self-conceited is the most highest; 2.6% for very self-conceited. 12.6 for little sself-donceited, 449.0% for so so. 32.5 for seldome self-conceited. 3.3% for never self-conceited 4. from the result of comparing the job satisfaction with number of holidays. the more the number of holidays. The number of holidays, the higher the ratio of the job satisfaction. By this research, assistants generally didn't express positive responeses in the job satisfaction. Improvement of general work environment of from for assistants is considered to need to provide comfortable and qualitative service to patients in dental clinics.

치의원에서 근무하는 진료보조인력의 직무만족도에 관한 연구

신창규(Chang Kyu Shin),정학균(Hak Gyun Cheong),임선아(Sun A Lim) 조선대학교 구강생물학연구소 2001 Oral Biology Research (Oral Biol Res) Vol.25 No.1

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전원지역 초등학교 구강보건사업사례

김두현(Doo Hyun Kim),신창규(Chang Kyu Shin),김동기(Dong Kie Kim) 조선대학교 구강생물학연구소 2000 Oral Biology Research (Oral Biol Res) Vol.24 No.1

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Alcoholics 환자와 Alcohol Dehydrogenase

정태호,신창규,이종학,강병조 경북대학교 병원 1998 경북대학교병원의학연구소논문집 Vol.2 No.1

저자들은 만성알콜중독의 원인으로 음주자의 성격, 사회요인 등 여러가지 문제들이 게재되어 있지만 유전적 요인도 중요하리라고 생각되어 만성알콜중독자로 진단되어 국립부곡정신병원에 입원가료 중인 환자 30명을 대상으로 ADH2의 다형현상(polymorphism)을 조사하여 알콜중독자가 아닌 건강한 한국인의 유전자형과 비교한 결과 다음과 같은 결과를 얻었다. 만성알콜중독자 30명 중 ADH2-1/ADH2-1 형을 갖는 사람이 27명이었으며 ADH2-1/ADH2-2를 갖는 사람이 3명이었다. ADH2¹의 gene frequencies는 0.68이었으며 ADH²의 gene frequencies는 0.32로서 정상 한국인과 비교하여 유의한 차이가 없었다. This study was performed to know the gene polymorphism of alcoholic dehydrogenase(ADH)-2 in 30 Korean alcohol addicted patients who were admitted at Bugok National Mental Hospital. The results were as follows ADH-2/ADH2-1 type among 30 alcohol addicts were 27 and ADH2-1/ADH2-2 type were 3. Gene frequencies of ADH2-1 were 0.68 and gene frequencies of ADH2-2 were 0.32 These results were not different from the gene polymorphism of ADH2 in non-alcoholic Korean healthy adults.

기관내 삽관에 의한 혈압과 심박수 변화에 대한 Urapidil 의 효과

양희성,신창규,김영추,전석봉,임준구 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.31 No.4

Background: Urapidil is a new antihypertensive agent known to diminish total peripheral vascular resistance by postsynaptic a 1-adrenergic blockade and central sympatholytic activity. The purpose of this study was to determine its effectiveness and safety in preventing hemodynamic responses to endotracheal intubation under general anesthesia. Methods: Thirty normotensive, ASA physical status I patients for elective surgery were selected randomly. They were divided into three groups(Group 1: control group with saline, Group 2: urapidil 0.4 mg/kg, Group 3: urapidil 0.5 mg/kg, n=10 in each group). The drugs were injected 3 minutes before induction with thiopental sodium(4 mg/kg) and succinylcholine(1 mg/kg). Endotracheal intubation was performed 5 minutes after the drugs injection. After endotracheal intubation, vecuronium 0.1 mg/kg was injected and 50% nitrous oxide in oxygen and 2Vo1% enflurane were inhaled. We measured the blood pressure and the heart rate with noninvasive method at one minute interval for 5 minutes. Results: In group 3, no significant increase in systolic blood pressure after endotracheal intubation was noted(p$lt;0.05). Urapidil groups showed increase in heart rate at 1, 2 minutes after urapidil injection(p$lt;0.05) and did not blunt increase in heart rate after endotracheal intubation. The side effects of urapidil(hypotension, dizziness, headache and chest tightness) occured in a patient of group 3. Conclusions: We found that the blood pressure response was effectively controlled, but the change in heart rate was not controlled by urapidil 0.5 mg/kg injection before induction.

Morphine, Fentanyl 및 Bupivacaine 혼합 용액의 수막강내 투여에 의한 분만통 관리

이승용,신창규,김영추,전석봉 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.4

Background : Intrathecal fentanyl has been known to have rapid analgesic effect for the first stage of labor, but pruritus usually occurs, and respiratory depression can happen. The addition of bupivacaine during intrathecal analgesia has been known to have synergistic action with intrathecal opioids. We observed the efficacy of the intrathecal injection of morphine, fentanyl, and bupivacaine on labor parturients. Methods : 20 laboring patients were studied. Each patients received morphine 0.2 mg, bupivacaine 2.5 mg, and fentanyl 10 μg intrathecally. Analgesia was assessed using visual analogue scale (VAS) score as the time elapsed from the drug administration to the delivery. Side effects such as nausea, vomiting, pruritus, urinary retention, respiratory depression, and hypotension were evaluated. Results : The onset of analgesia was rapid (within 5 minutes) and VAS scores were significantly lower than pre-treatment value for 5 hours. The incidence of nausea or vomiting was 55% (11/20). Pruritus occrred 50% (10/20). The occurrence of urinary retention was 35% (7/20). Hypotension occurred 10% (2/20). No patient developed post dural-puncture headache, respiratory depression, fetal bradycardia, or motor weakness. More than 90% of the patients in this study said that they were satisfied with this analgesic procedure. Conclusions : Intrathecal injection of morphine 0.2 mg, fentanyl 10 μg, and bupivacaine 2.5 mg provided rapid and effective analgesia in labor patients. (Korean J Anesthesiol 1999; 37: 648∼655)

전원지역 초등학교 구강보건사업사례

김두현,신창규,김동기 朝鮮大學校 口腔生物學硏究所 2000 口腔生物學硏究 Vol.24 No.1

The purpose of this study was to develop the public basic data the elementary school incremental dental care program of the elementary school. The author had surveyed and supplied comprehensive dental care to the number of 38 children in the Yi-yang elementary school for 3 years. Thereafter, dental caries prevalence and treatment needs, the mean dental chair time per child, the number of children that a dentist can treat in a year and the cost were calculated and discussed. The obtained results were as follows; 1. The level of dental health was improved during 3 years. 2. The primary dental treatment needs were not changed during 3 years, while the secondary dental treatment needs were reduced after the second stage of the incremental dental care and tertiary needs were reduced markedly during 3 years. 3. The mean dental chair time per child was 49min 5sec in the stage of the initial dental care, 32min 15sec in the first stage, 13min 26sec in the second stage of the incremental dental care, respectively. 4. It was calculated that a dentist can treat 1,610 children in the stage of the initial dental care, 2,490 children in the first stage, 6,000 children in the second stage of in the incremental dental care respectively. 5. It was calculated that the mean dental treatment cost was 94,390 won in the stage of the initial dental care, 51,130 won in the first stage, 17,130 won in the second stage of the incremental dental care respectively.