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단일다발 및 이중다발 전방십자인대 재건술의 전향적 무작위적 비교 연구
박상은,임무준,Park, Sang-Eun,Lim, Moo-Joon 대한관절경학회 2010 대한관절경학회지 Vol.14 No.1
목적: 전방십자인대 재건술에 있어서 이중다발과 재건술과 단일다발 재건술의 임상적 결과 및 방사선학적 결과에 대한 전향적 연구를 수행하고자 하였다. 대상 및 방법: 연구는 편측 무릎의 전방십자인대 손상이 있는 56명의 환자군(group T)을 모집하여 27명은 이중다발 재건술군으로 배정하였으며(group D), 29명은 단일다발 재건술군으로 배정하였다(group S). 두 비교군 간의 임상적인 수술 결과는 최소 2년간의 추적 관찰 기간 내 Lysholm knee score, Tegner activity score, Lachman & pivot shift test와 영상 검사(슬관절 전후방 부하 X선 촬영검사)를 통하여 비교 분석하였다. 결과: 술후 2년 추적 관찰에서의 Lysholm knee score, Tegner activity score 수치에서, 두 비교군 사이에 유의한 임상적 차이를 보이지 않았다(p>0.05). Lachman test, pivot shift test와 영상 검사 결과상에서도 두 비교군 사이에 유의한 차이점이 밝혀지지 않았다(p>0.05). 결론: 이중다발 전방십자인대 재건술은 최소 2년간의 추적 관찰에서, 단일다발 재건술에 비해 임상적 결과나, 수술 후 영상 검사 상에서의 우월함을 보이지 못하였다. 이는 전방십자인대 손상 환자들에서 전내측 다발 재건술만으로도 우수한 임상적 결과가 나올 수 있음을 시사한다. Purpose: To evaluate and compare the postoperative knee stability and functional scores between single- and double- bundle anterior cruciate ligament (ACL) reconstruction at a minimum 2 years follow-up. Materials and Methods: 56 patients (group T) with ACL injury in one knee were recruited with 27 allocated to the double bundle ACL reconstruction group (group D) and 29 to the single bundle ACL reconstruction group (group S). Clinical outcomes including Lysholm knee scores, Tegner activity scores, Lachman and pivot shift test results, and radiographic stabilities were also compared between two groups. Results: Clinical outcomes including Lysholm knee and Tegner activity scores were similar in the two groups at 2 years follow-up. Furthermore, stability results of Lachman test, pivot shift test, and radiological findings failed to reveal any significant inter-group differences. Conclusion: Double bundle ACL reconstruction does not produce better in clinical outcomes and postoperative stabilities.
약침요법(藥鍼療法)을 통한 췌장암환자의 천등(천증) 치험(治險) 1례(例)
박상은,서상호,홍수현,김재연,신원탁,윤현민,홍상훈,Park, Sang-Eun,Seo, Sang-Ho,Hong, Su-Hyun,Kim, Jae-Yeon,Shin, Won-Tak,Youn, Hyoun-Min,Hong, Sang-Hoon 대한약침학회 2006 Journal of pharmacopuncture Vol.9 No.1
Objectives : This study planed to evaluate effect of oriental medicine therapy treatment method of dyspnea that happen from cancer of the pancreas patient who accompany Multiple metasis Methods : Patient complained dyspnoea during admission into dept. Of internal medicine, college of oriental medicine, Dong-eui Univ, was appealed patient treated by Oriental medicine therapy that is of use Herb Medication and Herbal -acupuncture Treatment being diagnosed in lung asthenia including deficiency of Eum and insufficiency of Gi of the lung(肺虛), the fire due to deficiency(虛火), and loving warfare of symptoms evaluated through VAS (visual analog scales). Results & Conclusion : Patient's difficulty in breathing symptoms took a favorable turn after treatment. This study means that Oriental medicine therapy that is difficulty in breathing symptoms that happen from patient surely has effectiveness.
박상은,Park, Sang Eun 대한한의학방제학회 2016 大韓韓醫學方劑學會誌 Vol.24 No.3
Objectives : Liver cancer usually appears in the setting of underlying liver disease. Liver transplantation has potentials to improve survival for patients with liver cancer. This case report was designed to assess the clinical effect of Korean medicine on liver transplant patient's cerebral infarction.Methods : We provided Chiganpung Granule(Chodeungsan) to a patient who was 58 year old man complained of cognitive impairment and dysarthria. We checked the change of symptoms(K-MMSE, Aphasia Rapid Test) and liver function test and kidney function test.Results : We observed that Chiganpung Granule(Chodeungsan) decreased cognitive impairment and dysarthria. Liver function test and Kidney function test was improved.Conclusions : From the above results, it is considered that Korean medicine treatments is effective on liver transplant patient's cerebral infarction.
퇴행성 골관절염 환자에서 시행한 근위 경골 절골술 후 대퇴골의 회전과 임상결과의 상관관계
박상은,문상원,Park, Sang Eun,Mun, Sang Won 대한정형외과스포츠의학회 2011 대한정형외과스포츠의학회지 Vol.10 No.2
이 연구의 목적은 근위 경골 절골술 후 대퇴골의 회전각도와 슬관절 운동범위 및 주관적 환자 만족도 사이의 상관 관계를 분석하는 것이다. 2004년 6월부터 2008년 8월까지 고위 경골 절골술을 시행한 15명의 원발성 골 관절염 환자들이 연구 대상으로 수술 전 후 슬관절 CT를 시행하였다. 9명은 여자였으며 6명은 남자였다. 수술 전 후 슬관절의 CT를 촬영하여 대퇴골 회전 각도(TEA (Fig. 1) 및 Akagi's line (Fig. 2)으로 측정)를 백분율로 환산하여 분석하였으며 수술 후 슬관절 운동 각도와 주관적 만족도(Lysholm)의 상관관계를 확인하였다. 통계적 기법은 Kendall's 및 Spearman's nonparameter correlation coefficient 로 검정하였다. 결과상 대퇴골회전 정도와 수술 후 슬관절의 운동 각도는 의미 있는 상관 관계가 없으며 대퇴골 회전 정도와 수술후 환자의 주관적 만족도와는 의미 있는 상관 관계가 있었다. 따라서 이런 점을 알고 수술적 계획을 세운다면 보다 좋은 임상결과를 얻을 수 있을 것이다. The purpose of this article is to examine correlation between femoral rotational angle and subjective satisfaction of high tibial osteotomy outcome of the range of motion of knee joint. The subjects were 15 patients (6 males, 9 females) with primary osteoarthritis undergoing high tibial osteotomy from June of 2004 to August of 2008. They were CT tested on the knee joint before and after high tibial osteotomy. TEA (Fig. 1) and Akagi's line (Fig. 2) are analyzed as percentages. The Kendall's and Spearman's nonparametric correlation coefficient were used for the statistical tests with 0.5 level of significance. The result reveals that femoral rotational angle correlates with not the range of motion of knee joint but subjective satisfaction of the patients. Therefore, this will enable patients and physicians to have better clinical outcome.
뇌졸중환자의 고지혈증에 대한 평진건비탕가감방의 임상적 효과
박상은,홍수현,권오순,서창운,민성순,홍상훈,Park, Sang-Eun,Hong, Su-Hyun,Kwon, O-Sun,Seo, Chang-Woon,Min, Sung-Soon,Hong, Sang-Hoon 대한한방내과학회 2006 大韓韓方內科學會誌 Vol.27 No.3
Objectives : This study was aimed at examining significant curative effects of Pyungjingunbitanggagam-bang on CVA(Cerebral Vascular Accident) patients with hyperlipidemia. Methods : The subjects in this study were sixteen patients admitted to Dong-Eui University Oriental Hospital who broke out with CVA from November 2004 through August 2005, with high total cholesterol (240mg/ dl above) or high TG (200mg/dl above). Before prescription. they were tested for total cholesterol, ALT. AST. BUN. and creatinine with fasting and were then prescribed the herbs(Pyungjingnnbitanggagam-bang) for 2 weeks. after which they were retested for total cholesterol. ALT. AST. BUN. and creatinine every 2 weeks. Conclusions : In the whole treatment group, hypertension & DM group. and cerebral infarction group.statistical significance of total cholesterol changes was recognized before and after the treatment.. Pyungjingunbitanggagam-bang decreased total cholesterol in HT. DM. and cerebral infarction groups. In the whole treatment. HT. and DM groups. statistical significance of TG changes was not recognized before and after the treatment. Hepatotoxicity and nephrotoxicity did not appeared when a stroke patient was given Pyungjingunbitanggagam-bang.