한방병원 응급실에 내원한 소아 환자에 관한 임상적 고찰 = A Clinical Study of the Pediatric Patients Who Had Visited the Emergency Room (ER) at the Oriental Medical Hospital

다국어 초록 (Multilingual Abstract)

Objectives By analyzing data of the pediatric patients who had visited the emergency room of the oriental medical hospital, we can understand their characteristics and diseases. The purpose of this study was to introduce the excellence of the Oriental medicine, to develop various treatments, and to revitalize pediatric emergency care at the oriental medical hospital. Methods The study was composed of 334 pediatric patients who had visited the emergency room of the ${\bigcirc}{\bigcirc}$ university oriental hospital from January 2011 to December 2013. Results 1. It has showed that between 7 to 12 years old patients (27.8%) were the most common age populations. 2. The number of pediatric patients was increased during February. According to the weekly distribution data, the number of pediatric patients who had visited on Sunday was the highest (28.7%). Also, the number of pediatric patients who had visited the ER between 21 to 24 hours (29.0%) was the highest. 3. The two major reasons for inpatient hospitalization were digestive and nerve-related symptoms. Nerve-related symptoms were the most common in infants while digestive symptoms were the most common in other child development stages. 4. The duration of time interval from the onset of symptoms to the ER visit was most commonly within 6 hours (50.3%). An acupuncture and herbal medication treatment (70.1%) were the most common medical treatments. The majority of the pediatric patients (95.5%) were discharged after their medical treatments. Conclusions A serious acute illness was not the most common reason for the ER visit among the pediatric patients. The most common disease states that have preferred to be treated with the oriental medicine were dyspepsia, crying, facial palsy, and ankle sprain. We have to introduce the excellence of the oriental medicine. We also need to try developing other treatments such as magnetic acupuncture, aromatherapy, and revitalizing pediatric emergency care at the oriental medical hospital.

참고문헌 (Reference)

1 소형진, "한의과대학 부속 한방병원 한방응급실 내원환자에 대한 임상적 분석" 대한한의학회 28 (28): 197-206, 2007

2 이유진, "한방병원 응급실에 내원한 소아 환자에 관한 임상적 고찰" 대한한방소아과학회 24 (24): 1-15, 2010

3 정호석, "한방병원 응급실에 내원한 근골격계 환자 1,472명에 대한 임상적 분석" 대한침구의학회 27 (27): 97-104, 2010

4 윤다래, "일개 한방병원 한방응급실 내원환자에 대한 임상적 분석" 대한한방내과학회 33 (33): 188-196, 2012

5 김신정, "응급실 방문 환아의 중증도" 한국아동간호학회 7 (7): 191-202, 2001

6 이정한, "소아응급진료실 분리운영 후 적절성의 평가" 대한응급의학회 14 (14): 366-370, 2003

7 곽병곤, "소아응급실에 내원한 발열 환아에 대한 연구 분석" 대한소아과학회 49 (49): 839-844, 2006

8 윤혜진, "모 한방병원 응급실에 내원한 소아 환자에 대한 임상적 연구" 대한한방소아과학회 21 (21): 35-50, 2007

9 최은영, "모 한방병원 소아과 외래 환자의 주소증에 대한 연구 (’01-’04년)" 대한한방소아과학회 19 (19): 197-213, 2005

10 Lee KW, "pyeonjuhaeseok Hwangjaenaegyeong Yeongchu" Yeogang publishing Co 109-138, 2000

11 Cha H, "Utilization patterns of pediatric emergency room" 32 (32): 897-913, 1989

12 Ahn JR, "The statistical study of 2, 485 patients visited oriental medical hospital emergency room" 12 (12): 1-10, 2002

13 Park SC, "The statistical study of 1, 278 patients visited oriental medical hospital emergency room" 12 (12): 173-186, 2002

14 Jeon HJ, "The statistical studies on the pedriatic patients of emergency medical center of a university hospital" Yonsei Univ 2007

15 Lee KH, "Statistical studies on pediatric emergency room patients" 27 (27): 1-17, 1984

16 Kim WS, "Statistical studies on pediatric emergency room patients" 34 (34): 7-15, 1991

17 Moon KD, "Stastical studies on pediatric emergency room patients" 36 (36): 1732-1739, 1993

18 Kim JH, "Pattern of pediatric patients` use emergency room and outpatient department in secondary hospital" 27 : 87-95, 2006

19 Robert MK, "Nelson textbook of pediatrics" Saunders Elsevier 1-, 2007

20 Galhong, "Juhubigeubbang" Inminwisaeng publishing Co 1-43, 1956

21 Park CK, "Hwangjaenaegyeong Somun" Zipmoondang 567-579, 2005

22 Kim KB, "Hanbangsoacheongsonyeonuihak" Ui Sung Dang publishing Co 11-39, 2010

23 Kim JB, "Geumgueyoryak" Hanuimunhwasa 607-, 2003

24 Ahn DH, "Current status of pediatric patients emergency room" 413 : 690-719, 1994

25 Park JH, "Clinical analysis of the pediatric patients visiting emergency center" 7 (7): 354-362, 1996

26 Won DH, "A study of the standard of crud drugs and a medicine prepared from crude drugs" 22 : 383-398, 1985

27 Song IS, "A study of the chief complaints of pediatric outpatients" 16 (16): 69-81, 2002

28 Kang MS, "A clinical study on the pediatric patients who visited emergency room of oriental medical hospital" 17 (17): 117-129, 2003

29 Kim SJ, "A clinical study of the pediatric patients visiting emergency center" 5 (5): 97-106, 1999

30 Kim BG., "A Study on the patients who visited in emergency room of oriental medical hospital" Daejeon Univ 2004