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이동현,김재원,이상준,김재현,장태화,안상헌,장헌수,Lee, Dong-Hyeon,Kim, Jae-Won,Lee, Sang-Jun,Kim, Jae-Hyeon,Jang, Tae-Hwa,An, Sang-Heon,Jang, Heon-Su 대한치과마취과학회 2008 Journal of Dental Anesthesia and Pain Medicine Vol.8 No.2
Background: The purpose of this study was to compare the use of midazolam only with midazolam with fentanyl or propofol in IV sedation. Methods: 24 cases were divided to midazolam group (M group), midazolam + fentanyl group (MF group), midazolam + propofol group (MP group) and midazolam + fentanyl + propofol group (MFP group). In M group, 2 ml midazolam was injected at first, than at 2 minutes interval 1-2 ml injected continuously depending on the level of sedation. In MP, MFP groups, propofol was injected at the speed of 15-20 ml/hr by infusion pump. In this study, the sedation level was evaluated by using OAA/S scale. In each groups, the recovery time was measured until OAA/S scale score level was 5, and pre and postoperative blood pressure change was measured. Each group's data was statistically analyzed using one-way ANOVA. If significant statistical difference were observed, Dunnet test was performed, and control group was M group. Results: Pre and postoperative blood pressure change were not represent significant statistical difference in 4 groups (P value = 0.679 [systolic], P value = 0.206 [diastolic]). But recovery time were represent significant statistical difference (M group: 35.6, MF group: 32.5, MP group: 17.9, MFP group: 19.6 [P value = 0.002]). The result of Dunnet test on recovery time showed significant statistical difference on MF, MFP group when M group was control group. In MFP group, sedation was increased by using supplemental fentanyl, and postoperative pain control was dominant. Conclusion: To achieve the effect of anxiolysis, analgesia, amnesia effectively, and short recovery time, MFP group is mostly recommended.
Objectives : The purpose of this case is to report the improvement after treatment about a patient with cerebral infarction by Sa-Am's Ohaeng-acupuncture and Liuqi-acupuncture. Methods : We treated the patient with acupuncture therapy from 6th September 2004 to 15th November 2004 by reinforcing Dadun(Liv 1) Zusan Li(S36) Quchi(Li 11) and reducing Taibai(Sp 3) on the basis of Etiological Analysis and Differenciation of Endogenous Wind caused by Damp Phlegm and heat. Results .1. Right hemiplegia improved Gr. I to Gr.IV after acupuncture therapy. 2. we interpreted 'reinforcing Dadun(Liv 1) and reducing Taibai(SP 3)'as using Simjeonggyeok in conjunction with Simseunggyeok on the basis of Sa-Am's Ohaeng-acupuncture. 3. we interpreted 'reinforcing Dadun(Liv 1) and reducing Taibai(Sp 3)'as Excreting Dampness in Spleen on the basis of Liuqi-acupuncture. 4. we interpreted 'reinforcing Zusan Li(S 36) and Quchi(Li 11)'as Eliminating Wind-dampness and Menstrual Regulation.