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TOAST 분류에 의한 급성기 중풍(뇌중풍) 입원 환자 분석 (경원인천한방병원)
정기용,고호연,정승민,하유군,정희,최유경,김동우,한창호,조기호,박종형,전찬용,Jung, Ki-Yong,Go, Ho-Yeon,Jeong, Seung-Min,Hsia, Yu-Chun,Jung, Hee,Choi, You-Kyung,Kim, Dong-Woo,Han, Chang-Ho,Cho, Ki-Ho,Park, Jong-Hyung,Jun, Chan-Yong 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.4
Background and Purpose : The purpose of this study was to classify according to the TOAST classification (Trial of Org 10172 in Acute Stroke Treatment) acute stroke patients (first-ever stroke) treated at the Department of Internal Medicine of Kyungwon University In-cheon Oriental Medical Hospital. Methods : In the time period Oct. 2005 to Oct. 2006. 101 patients with a first-ever stroke admitted to the Department of Internal Medicine of Kyungwon University In-cheon Oriental Medical Hospital were included. Patients were hospitalized within 14 days after the onset of stroke. They had neurological deficits for a time more than 24 hours. We classified patients according to the original TOAST classification (Trial of Org 10172 in Acute Stroke Treatment) Results : The incidence in males was 54.4%, in females was 45.6%. Ischemic stroke (86.l%) was more common than hemorrhagic stroke (13.9%). The results of TOAST classification in this study were as follows: small-vessel occlusion, 72.4% large-artery atherosclerosis. 14.9 % cardioembolism, 4.6% stroke of other determined etiology, 4.6%: stroke of undetermined etiology, 3.5%. Patients in the small-vessel occlusion subgroup in this study were the most frequent. The result of this study is that Korean stroke registry is not in accordance with western medicine. Conclusions : The TOAST classification system is the most widely accepted tool to categorize stroke subtypes in western medicine, but in oriental medicine, it is not yet widely accepted. The authors suggest the general use of the TOAST classification to determine adequate management for stroke patients, to predict the prognosis and recurrence of stroke and to develop a Korean standard of stroke in oriental medicine.
안검경련(眼瞼痙攣)을 중풍 전조증상이라 할 수 있는가?
정기용,고호연,정승민,하유군,주재홍,정희,최유경,김동우,한창호,고성규,조기호,박종형,전찬용,Jung, Ki-yong,Go, Ho-yeon,Jeong, Seung-min,Hsia, Yu-chun,Jew, Jae-hong,Jung, Hee,Choi, You-kyung,Kim, Dong-woo,Han, Chang-ho,Ko, Seung-gyu,Cho, Ki-ho 대한중풍순환신경학회 2006 대한중풍.순환신경학회지 Vol.7 No.1
Objectives : The purposes of this study were to investigate that a blepharospasm means the presymptom of stroke based on the traditional hypothesis in the oriental medicine and to compare a blepharospasm with warning signs of stroke in the western medicine. Methods : In the time period Oct. 2005 to Oct. 2006, 409 patients with a first-ever stroke admitted in the department of Internal Medicine of Kyungwon University In-cheon Oriental Medical Hospital, Kyunghee University Oriental Medical Hospital, Dongguk Il-san Oriental Medical Hospital were included. Patients were hospitalized within 14 days after the onset of stroke. Stroke patients were interviewed by residents who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. A questionnaire was completed by a question-and-answer form between patients and residents after explanation details to patients and the agreement of patients. Results : Age, care of patients or grandson, diabetes mellitus, and smoking were higher among cerebral infarction group, while smoking was higher among hemorrhage group. Female, young age, hyperlipidemia, hypertension in the family history and fat body in waist-hip ratio were higher among patients undergoing the blepharospasm before stroke onset. And the incidence of blepharospasm was lower in patients who dislike the fast food. Finally, when we compared a blepharospasm with warning signs of stroke in the western medicine, the incidence of blepharospasm in this study were the most frequent. Conclusion : In this study, the incidence of blepharospasm in patients before stroke onset was more frequent than that of warning signs in the western medicine. But more data from prospective cohort studies should be collected to be accepted that the blepharospasm is the presymptom of stroke as like warning signs in the western medicine.
비특이적인 증상을 나타내는 허혈성(虛血性) 심질환(心疾患) 진단 2례
백종우,정기용,하유군,박종형,전찬용,최유경,Baik, Jong-Woo,Jung, Ki-Yong,Hsia, Yu-Chun,Park, Jong-Hyeong,Jeon, Chan-Yong,Choi, You-Kyung 대한한방내과학회 2008 大韓韓方內科學會誌 Vol.29 No.4
Objectives : Oriental medical doctors usually use the three-finger pulse diagnosis method to observe disease. Since it is difficult to diagnose ischemic heart disease (IHD) objectively by this diagnostic method, we performed the study to diagnose it as soon as possible by using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and electrocardiogram(ECG). Methods : Patients who had abdominal discomfort were observed by Yuk Bu Jung Wee Jin Mac(六部定位診脈) and we presumed they had heart disease and checked them with electrocardiogram(ECG). Results : We diagnosed it early by using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and electrocardiogram (ECG). Conclusions : The study suggests that it is easy to diagnose IHD early using Yuk Bu Jung Wee Jin Mac(六部定位診脈) and ECG. More data related to IHD is needed.