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퇴행성 반월상 연골판 파열 환자의 한의학적 치료 효과와 Kellgren-Lawrence-grade, Body Mass Index의 상관성
이기언 ( Gi-eon Lee ),이건영 ( Geon-yeong Lee ),한시훈 ( Si-hoon Han ),김국범 ( Gook-beom Kim ),김효준 ( Hyo-jun Kim ),장재원 ( Jae-won Jang ),장영우 ( Youngwoo Jang ),조재흥 ( Jae-heung Cho ) 한방재활의학과학회 2018 한방재활의학과학회지 Vol.28 No.4
Objectives The aim of this study is to observe the effectiveness of complex Korean medicine treatment applied to the patients with degenerative meniscal tear and the correlation among clinical effectiveness, body mass index (BMI) and Kellgren-Lawrence grade (KL-grade). Methods The study participants were 38 patients who had been diagnosed with degenerative meniscal tear. Participants were classified by BMI, KL-grade and treated with acupuncture, electroacupuncture and pharmacopuncture. Clinical outcomes were assessed using Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index) and EuroQol-5 Dimension Index (EQ-5D Index). Results Both NRS and WOMAC scores were significantly reduced after treatment (p <0.001). The EQ-5D for assessing quality of life showed further improvement (p<0.05). A statistically significant correlation was observed between the BMI and NRS, EQ-5D. KL-grade was correlated with WOMAC. Conclusions These results show that complex Korean medicine treatment to the patient with degenerative meniscal tear may be effective as a conservative therapy. Further research is required to confirm the effectiveness of Korean medicine treatment. (J Korean Med Rehabil 2018;28(4):71-79)
한방 복합치료를 진행한 회전근개 파열 환자 치험 41예: 후향적 관찰 연구
이기언 ( Gi-eon Lee ),김영익 ( Young-ik Kim ),조경상 ( Kyeong-sang Jo ),한시훈 ( Si-hoon Han ),김민균 ( Min-kyun Kim ),민부기 ( Boo-ki Min ),허석원 ( Suk-won Huh ),임한빛 ( Han-bit Lim ),정연재 ( Yun-jae Jeong ) 한방재활의학과학회 2018 한방재활의학과학회지 Vol.28 No.4
Objectives The purpose of this study is to report the improvement of complex Korean Medicine treatment for patients with rotator cuff injuries and determine the clinical improvement by number of damaged lesion. Methods Forty-one patients who diagnosed with rotator cuff injury were included in the retrospective study. Patients were treated with acupuncture, electroacupuncture and pharmacopuncture. Clinical outcomes were assessed using Numeric Rating Scale (NRS), Shoulder Pain and Disablity Index (SPADI) and EuroQol-5 Dimension Index (EQ-5D Index). Results Both NRS and SPADI scores were significantly reduced after treatment (p<0.01), but EQ-5D for assessing quality of life and clinical improvement by number of damaged lesion were no significant improvement (p>0.05). Conclusions These results show that patients with rotator cuff injuries could gain improvement from complex Korean Medicine. Further research is required to confirm the effectiveness of Korean Medicine treatment. (J Korean Med Rehabil 2018;28(4):81-87)
KL-Grade의 정도와 슬관절 통증의 한의학적 치료 효과의 상관성 연구
이기언 ( Gi-eon Lee ),허석원 ( Suk-won Huh ),이현호 ( Hyun-ho Lee ),정성현 ( Seong-hyun Jeong ),조경상 ( Kyeong-sang Jo ),한시훈 ( Si-hoon Han ),최지훈 ( Ji-hoon Choi ),노지애 ( Ji-ae Roh ) 대한한의학회 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.3
Objectives The purpose of this study is to compare the effects between the KL-Grade and improvement of knee pain treated by Korean Medicine therapy. Methods 114 patients who received inpatient treatment from July 2014 to May 2017 in the Daejeon Jaseng of Korean Medicine Hospital were divided into 5 groups by the KL-Grade. All patients received a combination of treatment including acupunture, pharmacopunture, herbal medication. They were compared and analyzed on the basis of improvement between measuring Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index) as they were hospitalized and as they were discharged. The statistically significance was evaluated by SPSS 23.0 for windows. Results After treatment, KL-Grade 0 group`s Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index) improvement was 2.02±1.69, 7.50±9.67 and 0.11±0.15 respectively. KL-Grade 1 group`s improvement was 2.09±1.23, 11.75±13.99 and 0.12±0.13 respectively. KL-Grade 2 group`s improvement was 1.60±1.07 and 14.70±14.19 respectively. But In this group, EQ-5D Index has decreased by 0.01±0.10. KL-Grade 3 group`s improvement was 1.88±1.31, 7.81±13.35 and 0.13±0.20 respectively (p<0.034). In the case of KL-Grade 4, the population was not statistically significant (N=2) and therefore excluded from statistical significance. And there was no statistically significance between 4 group`s improvement after treatment (p>0.05). Conclusions The above study showed that Korean medicine treatments showed significant therapeutic effects on knee pain and degenerative knee joints, but there was no significant difference in the effectiveness of degenerative arthritis (KL-Grade). (J Korean Med Rehabil 2017;27(3):137-146)
모리스 블랑쇼의 문학 읽기 -문학 언어의 중의성 연구-
이기언 ( Lee Gi Eon ) 한국불어불문학회 2003 불어불문학연구 Vol.0 No.54
Qu`est-ce que la litte´rature? C`est la question que Maurice Blanchot, critique francais peut-e^tre le plus vu mais en fait invisible, n`a cesse´ de se poser depuis plus d`une cinquantaine d`anne´es et a` laquelle il a re´pondu de manie`re diverse dans tous ses e´crits cirtiques. L`une de ces re´ponses est : La litte´rature est le langage qui se fait ambigui¨te´. C`est a` partir de cette the`se bianchotienne que nous avons de´battu l`ambigui¨te´ du langage litte´raire qui est au centre de la re´flexion blanchotienne sur la litte´rature. D`abord, nous avons constate´ que l`oeuvre de fiction est une oeuvre de mauvaise foi, dans la mesure ou` elle est le produit de ce que Blanchot appelle dissimulation, le terme comprenant tromperie, tricherie, mystification. imposture, de´guisement.,etc., exerce´e par l`acte de cre´er, et ou` le monde fictif n`est pas un monde re´el, mais un monde ire´el, imaginaire, dont tous les e´ve`nements et tous les personnages appartiennent au mensonge d`une fiction, me^me s`ils tendent a` apparai^tre plus re´els que la re´alite´. Et nous avons e´galement constate´ que le moi dans l`oeuvre est moi-me^me devenu autre, me^me dans le cas du moi autobiographique, car il est cre´e´ par le fameux autre moi proustien et qu`il s`est d`abord supprime´ avant de renai^tre dans l`oeuvre du langage. Bref, l`oeuvre litte´riare est faite de langage, jamais innocent mais pluto^t responsable d`une dangereuse e´quivoque, pour reprendre l`expression de Gadamer. C`est ainsi que l`essentiel de ces pages est consacre´ au proble`me de l`ambigui¨te´ inhe´rente au langage aussi bien quotidien que litte´raire. Selon Blanchot, le langage est tanto^t transparent ou clair, tanto^t opaque ou obscur : il dissimule tout en re´ve´lant. De sorte que non seulement, chaque moment du langage peut devenir ambigu et dire autre chose qu`il ne dit, mais le sens ge´ne´ral du langage est incertain, dont on ne sait s`il exprime ou s`il repre´sente, s`il est une chose ou s`il la signifie. Le langage a un pouvoir de de´guiser au moins e´gal a` celui de de´voiler. De la` nai^t l`ambigui¨te´, cre´atrice de sens infiniment riche. Dans l`oeuvre litte´raire, elle est comme livre´e a` ses exce`s ; en d`autres mots, elle est aux prises avec elle-me^me. L`ambigui¨te´ est la` partout. Au terme de notre travail, aussi bien incomplet qu`insatisfait, laissant a` beaucoup de´sirer, nous sommes pourtant oblige´ d`avouer que me^me si nous avons pu montrer certains aspects de l`ambigui¨te´ du langage litte´raire, nous sommes loin de puiser et e´lairer toute sa force cre´atrice sans laquelle la litte´rature serait une cuisine fade et insipide. Il serait d`ailleurs honne^te de dire que tout travail sur la litte´rature est un travail interminable qui doit e^tre infiniment relance´. Mais nous pouvons au moins affirmer que durant tout notre parcours, nous avons e´te´ heureux de vivre intense´ment dans l`espace litte´raire blanchotienne. Peut-e^tre, un moment fugitif, avous-nous entrvu un secret de la litte´rature. Blanchot nous dit : L`ambigui¨te´ suppose un secret qui sans doute s`exprime en s`e´vanouissant, mais qui dans cet e´vanouissemennnt se laisse entrevoir comme ve´rite´ possible. L`ambigui¨te´ donc, est-elle le secret de la litte´rature?
만성적 경과관찰을 보이는 Guillain-Barré Syndrome 환자 1례
노지애,장재원,이기언,홍정수,김동진,Roh, Ji-ae,Jang, Jae-won,Lee, Gi-eon,Hong, Jung-soo,Kim, Dong-jin 대한한방내과학회 2018 大韓韓方內科學會誌 Vol.39 No.1
Objectives: This case study reports on one patient presenting atypical and chronic disorders after being diagnosed with $Guillain-Barr{\acute{e}}$ Syndrome (GBS). Methods: One patient was treated by Yeongseonjetong-eum-gami, Taklisodok-eum-gami, electroacupuncture, and physical therapy. Any improvement in symptoms was assessed by measuring changes in the motor grade of upper limb weakness, the numerical rating scale (NRS) of lower limb numbness, and GBS scores. Results: After 24 days of treatment, the patient's symptoms of GBS showed little improvement. Conclusions: Traditional Korean medical treatment appeared to be effective in reducing GBS symptoms, but more research is required to confirm these results. When treating GBS patients, the clinician should put effort into distinguishing GBS from other nervous disorders, such as acute onset Chronic Inflammatory Demyelinating Polyneuropathy (CIDP).
편타성 손상으로 인해 발생된 경부통의 한의학적 치료에 대한 국내 연구 동향
정성현,이현호,이기언,최지훈,김동후,이종하,Jeong, Seong-Hyun,Lee, Hyun-Ho,Lee, Gi-Eon,Choi, Ji-Hoon,Kim, Donghoo,Lee, Jong-Ha 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.4
Objectives We attempted to investigate the trends of Korean Medical treatments for neck pain caused by whiplash injury by analyzing domestic clinical studies. Methods We searched for studies listed on Korean electronic databases (KTKP, OASIS, RISS, KMbase, NDSL, KCI, and National Assembly Library). Clinical studies were chosen according to the inclusion criteria. Subsequently, we compared and analyzed the data. Results The search yielded 35 studies, of which there were 12 randomized controlled trials (RCTs), 15 non-randomized controlled trials (NRCTs), 6 case reports, and 2 before-after studies. Among these, 54.7% of participants were in the acute stage of the damage period. Pharmacopuncture was used the most in main treatment methods. Only 14.3% of studies mentioned approval by an institutional review board (IRB) and only 8.6% of studies considered side effects. Conclusions There is some evidence that Korean Medical treatment is effective for neck pain caused by whiplash injury. Since all studies, however, were exposed to the risk of bias. Therefore, future studies of a higher quality are required.
교통사고로 발생한 경추 골절 환자에 대한 한방복합치료 효과: 증례보고
한시훈 ( Si-hoon Han ),이기언 ( Gi-eon Lee ),조경상 ( Kyeong-sang Jo ),변다영 ( Da-young Byun ),오민석 ( Min-seok Oh ) 대한한의학회 한방재활의학과학회 2018 한방재활의학과학회지 Vol.28 No.2
The objective of this study is to report the effects of complex Korean Medicine treatment for 2 patients who had cervical spine fracture casued by traffic accident. We used acupuncture, pharmacopuncture, moxibustion and herbal medicine to treat patients with cervical spine fracture. We observed the changes of pain by Numeric Rating Scale(NRS), Neck Disability Index(NDI) and EuroQol-5 Dimension Index(EQ-5D Index). After complex Korean Medicine treatment, we found that neck pain was reduced and quality of life were improved by NRS, NDI and EQ-5D Index. Complex Korean Medicine could be effective for patients with cervical spine fracture caused by traffic accident. (J Korean Med Rehabil 2018;28(2):113-120)