이 연구는 저작근 통증 환자에게 Morphine을 주사하였을 때의 조절 효과를 확인하기 위해서 시행되었으며, 경희대학교 치과대학병원 구강내과에 내원한 환자 중 RDC/TMD로 근막통증으로 진단된 ...
http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
https://www.riss.kr/link?id=A101456809
고석호 (경희대학교) ; 강수경 (경희대학교) ; 어규식 (경희대학교) ; 김은철 (경희대학교) ; 홍정표 (경희대학교) ; 전양현 (경희대학교) ; Ko, Seok-Ho ; Kang, Soo-Kyung ; Auh, Q-Schick ; Kim, Eun-Cheol ; Hong, Jung-Pyo ; Chun, Yang-Hyun
2013
Korean
KCI등재
학술저널
161-174(14쪽)
1
0
상세조회0
다운로드국문 초록 (Abstract)
이 연구는 저작근 통증 환자에게 Morphine을 주사하였을 때의 조절 효과를 확인하기 위해서 시행되었으며, 경희대학교 치과대학병원 구강내과에 내원한 환자 중 RDC/TMD로 근막통증으로 진단된 ...
이 연구는 저작근 통증 환자에게 Morphine을 주사하였을 때의 조절 효과를 확인하기 위해서 시행되었으며, 경희대학교 치과대학병원 구강내과에 내원한 환자 중 RDC/TMD로 근막통증으로 진단된 환자들이 지원하였다. 실험군은 총 네 군으로 구성되었으며 saline 주사군, lidocaine 주사군, morphine 1.5mg 주사군, morphine 3.0 mg 주사군에 각각 10명씩 배정하였다. 통증부위에 주사 전, 주사 후 1시간, 24시간, 48시간에 각각 주관적인 통증 평가인 시각유추척도검사, 맥길통증설문지검사 그리고 통증부위표시검사와 객관적인 통증 평가인 압력통증역치검사와 압력통증한계검사를 실시하였다. 검사 후 평가된 자료를 통계 처리하여 다음과 같은 결과를 얻었다. 1. 주관적인 통증평가에서 morphine 3 mg 군은 48시간 후 통계학적으로 유의성 있는 효과가 있었다.(VAS: p<0.01, MGQ: p<0.001, PD: p<0.05) 2. 객관적인 통증평가에서 morphine 1.5 mg 군은 1시간 후 통계학적으로 유의성 있는 효과가 있었다.(PPT: p<0.01, PPTol: p<0.05) 3. 맥길통증설문지에서 lidocaine 군, morphine 1.5 mg 군 그리고 morphine 3 mg 군은 모두 처치 후 1시간부터 효과가 있었으나 상대적으로 morphine 3 mg 군에서 통계학적으로 유의성 있게 더 큰 효과가 있었다.(1h: p<0.01, 24h: p<0.01, 48h: p<0.001) 이상의 연구 결과로 저작근에 통증이 있는 환자에게 morphine 주사 시 주관적인 평가에서 48시간 후 통증 조절 효과가 있었고, morphine 3 mg이 더 효과가 있었으며, 향후 시간 연장에 따른 지속적인 추가 연구가 필요 할 것으로 생각된다.
다국어 초록 (Multilingual Abstract)
This study was designed to evaluate the pain control effect by morphine injection to masticatory muscle pain patients. Patients with masticatory muscle pain visited the Department of Oral Medicine, Kyung Hee University Dental Hospital were recruited t...
This study was designed to evaluate the pain control effect by morphine injection to masticatory muscle pain patients. Patients with masticatory muscle pain visited the Department of Oral Medicine, Kyung Hee University Dental Hospital were recruited to this study and diagnosed by RDC/TMD. Experimental group were divided into four group; saline injection group (n=10), lidocaine injection group (n=10), morphine 1.5 mg injection group (n=10) and morphine 3 mg injection group (n=10). Evaluation list was the subjective pain evaluation(visual analogue scale, Mc Gill pain questionnaire, pain drawing) and the objective pain evaluation(pressure pain threshold, pressure pain tolerance) and evaluation time was injection before, after 1 hour, 24 hour, 48 hour and then it was analyzed statistically. The results were as follows : 1. The subjective pain evaluation were significantly different statistically in morphine 3 mg group after 48 hour. (VAS: p<0.01, MGQ: p<0.001, PD: p<0.05) 2. The objective pain evaluation were significantly different statistically in morphine 1.5 mg group after 1 hour. (PPT: p<0.01, PPTol: p<0.05) 3. The morphine 3 mg group were more significantly different than lidocaine group and morphine 1.5 mg group statistically in the McGill pain questionnaire evaluation. (1h: p<0.01, 24h: p<0.01, 48h: p<0.001) Therefore, it was revealed that the morphine 3 mg injection was effective to pain control for masticatory muscle pain patients within 48 hours and more effect than lidocaine injection.
참고문헌 (Reference)
1 Mousa SA, "beta-Endorphincontaining memory-cells and mu-opioid receptors undergo transport to peripheral inflamed tissue" 115 : 71-78, 2001
2 Arvidsson U, "Wessendorf MW, Elde R. Distribution and targeting of a mu-opioid receptor (MOR1) in brain and spinal cord" 15 : 3328-3341, 1995
3 Ko MC, "The role of peripheral mu opioid receptors in the modulation of capsaicin-induced thermal nociception in rhesus monkeys" 286 : 150-156, 1998
4 Eisenberg E, "The peripheral antinociceptive effect of morphine in a rat model of facial pain" 72 : 519-525, 1996
5 Machelka H, "Targeting of opioid-producing leukocytes for pain control" 41 : 355-363, 2007
6 Lombardi AV Jr, "Soft tissue and intra-articular injection of bupivacaine, epinephrine and morphine has a beneficial effect after total knee arthroplasty" 428 : 125-130, 2004
7 Ro JY, "Role of soluble guanylatecyclase in the trigeminal subnucleus caudalis incapsaicin-induced muscle hypersensitivity" 1184 : 141-148, 2007
8 Nũnéz S, "Role of peripheral mu-opioid receptors in inflammatory orofacial muscle pain" 146 : 1346-1354, 2007
9 Mennicken F, "Phylogenetic changes in the expression of delta opioid receptors in spinal cord and dorsal root ganglia" 465 : 349-360, 2003
10 Rorarius M, "Peripherally administered sufentanil inhibits pain perception after postpartum tubal ligation" 79 : 83-88, 1999
1 Mousa SA, "beta-Endorphincontaining memory-cells and mu-opioid receptors undergo transport to peripheral inflamed tissue" 115 : 71-78, 2001
2 Arvidsson U, "Wessendorf MW, Elde R. Distribution and targeting of a mu-opioid receptor (MOR1) in brain and spinal cord" 15 : 3328-3341, 1995
3 Ko MC, "The role of peripheral mu opioid receptors in the modulation of capsaicin-induced thermal nociception in rhesus monkeys" 286 : 150-156, 1998
4 Eisenberg E, "The peripheral antinociceptive effect of morphine in a rat model of facial pain" 72 : 519-525, 1996
5 Machelka H, "Targeting of opioid-producing leukocytes for pain control" 41 : 355-363, 2007
6 Lombardi AV Jr, "Soft tissue and intra-articular injection of bupivacaine, epinephrine and morphine has a beneficial effect after total knee arthroplasty" 428 : 125-130, 2004
7 Ro JY, "Role of soluble guanylatecyclase in the trigeminal subnucleus caudalis incapsaicin-induced muscle hypersensitivity" 1184 : 141-148, 2007
8 Nũnéz S, "Role of peripheral mu-opioid receptors in inflammatory orofacial muscle pain" 146 : 1346-1354, 2007
9 Mennicken F, "Phylogenetic changes in the expression of delta opioid receptors in spinal cord and dorsal root ganglia" 465 : 349-360, 2003
10 Rorarius M, "Peripherally administered sufentanil inhibits pain perception after postpartum tubal ligation" 79 : 83-88, 1999
11 Tegeder I, "Peripheral opioid analgesia in experimental human pain models" 126 : 1092-1102, 2003
12 Likar R, "Peripheral morphine analgesia in dental surgery" 76 : 145-150, 1998
13 Houghton AK, "Peripheral morphine administration blocks the development of hyperalgesia and allodynia after bone damage in the rat" 89 : 190-201, 1998
14 Stein C, "Peripheral mechanisms of opioid analgesia" 76 : 182-191, 1993
15 Stein C, "Peripheral mechanisms of opioid analgesia" 9 : 3-8, 2009
16 DeGroot J, "Peripheral glutamate release in the hindpaw following low and high intensity sciatic stimulation" 11 : 497-502, 2000
17 Catheline G, "Peripheral component in the enhanced antinociceptive effect of systemic U-69,593, a kappa opioid receptor agonist in mononeuropathic rats" 357 : 171-178, 1998
18 Chun YH, "Peripheral AMPA receptors contribute to muscle nociception and c-fos activation" 62 : 97-104, 2008
19 Antonijevic I, "Perineurial defect and peripheral opioid analgesia in inflammation" 15 : 165-172, 1995
20 Stein C, "Opioids from immunocytes interact with receptors on sensory nerves to inhibit nociception in inflammation" 87 : 5935-5939, 1990
21 Coggeshall RE, "Opioid receptors on peripheral sensory axons" 764 : 126-132, 1997
22 Jessell TM, "Opiate analgesics inhibit substance Prelease from rat trigeminal nucleus" 268 : 549-551, 1977
23 Parpura V, "Neuroligand-evoked calcium-dependent release of excitatory amino acids from Schwann cells" 15 : 5831-5839, 1995
24 Piani D, "Murine brainmacrophages induce NMDA receptor mediated neurotoxicity in vitro by secreting glutamate" 133 : 159-162, 1991
25 Fields HL, "Multiple opiate receptor sites on primary afferent fibres" 284 : 351-353, 1980
26 Mansour A, "Mu, delta, and kappa opioid receptor mRNA expression in the rat CNS: an in situ hybridization study" 350 : 412-438, 1994
27 Truong W, "Mu opioid receptors and analgesia at the site of a peripheral nerve injury" 53 : 366-375, 2003
28 Grabowska-Gawel A, "Morphine or bupivacaine in controlling postoperative pain in patients subjected to knee joint arthroscopy" 5 (5): 758-762, 2003
29 Bakke M, "Morphine application to peripheral tissues modulates nociceptive jaw reflex" 9 : 3315-3319, 1998
30 Boogaerts J, "Mechanism of action and clinical use of opioids administered by the peripheral perineural route" 39 : 91-95, 1991
31 Lee JS, "Involvement of neuronal, inducible, and endothelia nitric oxide synthases in capsaicin-induced muscle hypersensitivity" 13 (13): 924-928, 2009
32 Duckett JW, "Intravesical morphine analgesia after bladder surgery" 157 : 1407-1409, 1997
33 Likar R, "Intraarticular morphine analgesia in chronic pain patients with osteoarthritis" 84 : 1313-1317, 1997
34 Arendt-Nielsen L, "Interactions between Glutamate and Capsaicin in Inducing Muscle Pain and Sensitization in Humans" 12 (12): 661-670, 2008
35 Hassan AH, "Inflammation of the rat paw enhances axonal transport of opioid receptors in the sciatic nerve and increases their density in the inflamed tissue" 55 : 185-195, 1993
36 Schäfer M, "Inflammation enhances peripheral mu-opioid analgesia, but not mu-opioid receptor transcription in dorsal root ganglia" 279 : 165-169, 1995
37 Rosendal L, "Increase in muscle nociceptive substances and anaerobic metabolism in patients with trapezius myalgia: microdialysis in rest and during exercise" 112 : 324-334, 2004
38 Alfredson H, "In vivo microdialysis and immunohistochemical analyses of tendon tissue demonstrated high amounts of free glutamate and glutamate NMDAR1 receptors, but no signs of inflammation, in Jumper's knee" 19 : 881-886, 2001
39 Dado RJ, "Immunofluorescent identification of a delta (delta)-opioid receptor on primary afferent nerve terminals" 5 : 341-344, 1993
40 Ro JY, "Hypertonic saline-induced muscle nociception and c-fos activation are partially mediated by peripheral NMDA receptors" 11 : 398-405, 2007
41 Przewlocki R, "Gene expression and localization of opioid peptides in immune cells of inflamed tissue: functional role in antinociception" 48 : 491-500, 1992
42 Ji RR, "Expression of mu-, delta-, and kappa-opioid receptor-like immunoreactivities in rat dorsal root ganglia after carrageenan-induced inflammation" 5 : 8156-8166, 1995
43 Chun YH, "Electrophysiological characterization of the rat trigeminal caudalis (Vc) neurons following intramuscular injection of capsaicin" 469 : 289-293, 2010
44 Likar R, "Efficacy of peripheral morphine analgesia in inflamed, noninflamed and perineural tissue of dental surgery patients" 21 : 330-337, 2001
45 Rosseland LA, "Effective pain relief from intra-articular saline with or without morphine 2 mg in patients with moderate-to-severe pain after knee arthroscopy: A randomized, double-blind controlled clinical study" 47 : 732-738, 2003
46 Castrillon EE, "Effect of peripheral NMDA receptor blockade with ketamine on chronic myofascial pain in temporomandibular disorder patients: a randomized, double-blinded, placebo-controlled trial" 22 (22): 122-130, 2008
47 Arima T, "Effect of capsaicin-evoked jaw-muscle pain on intramuscular blood-flow" 54 : 241-249, 2009
48 Minami M, "Double in situ hybridization study on coexistence of mu, delta and kappa OR mRNAs with preprotachykinin A mRNA in the rat dorsal root ganglia" 30 : 203-210, 1995
49 Wang K, "Capsaicininduced muscle pain alters the excitability of thehumanjaw-stretch reflex" 81 : 650-654, 2002
50 Arima T, "Capsaicininduced muscle hyperalgesia in the exercised and non-exercised human masseter muscle" 14 : 213-223, 2000
51 Modi M, "Buprenorphine with bupivacaine for intraoral nerve blocks to provide postoperative analgesia in outpatients after minor oral surgery" 67 (67): 2571-2576, 2009
52 Stein C, "Attacking pain at its source: new perspectives on opioids" 9 : 1003-1008, 2003
53 Ziegler CM, "Analgesic effects of intra-articular morphine in patients with temporomandibular joint disorders: a prospective, double-blind, placebo-controlled clinical trial" 68 (68): 622-627, 2010
54 Eisenach JC, "Analgesia from a peripherally active kappa-opioid receptor agonist in patients with chronic pancreatitis" 101 : 89-95, 2003
55 Lawand NB, "Amino acid release into the knee joint: key role in nociception and inflammation" 86 : 69-74, 2000
56 Ro JY, "Activation of TRPV1 and TRPA1 leads to muscle nociception and mechanical hyperalgesia" 144 : 270-277, 2009
Policresulen 오용에 의한 구강 궤양의 발병 증례 및 화학화상에 대한 고찰
학술지 이력
연월일 | 이력구분 | 이력상세 | 등재구분 |
---|---|---|---|
2026 | 평가예정 | 재인증평가 신청대상 (재인증) | |
2020-01-01 | 평가 | 등재학술지 유지 (재인증) | |
2017-01-01 | 평가 | 등재학술지 유지 (계속평가) | |
2014-03-19 | 학술지명변경 | 한글명 : 대한구강내과학회지 -> Journal of Oral Medicine and Pain외국어명 : Korean Journal of Oral Medicine -> Journal of Oral Medicine and Pain | |
2013-01-01 | 평가 | 등재 1차 FAIL (등재유지) | |
2010-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2008-01-24 | 학회명변경 | 한글명 : 대한구강내과학회 -> 대한안면통증∙구강내과학회영문명 : The Korean Academy Of Oral Medicine -> THE KOREAN ACADEMY OF OROFACIAL PAIN AND ORAL MEDICINE | |
2008-01-01 | 평가 | 등재학술지 유지 (등재유지) | |
2005-01-01 | 평가 | 등재학술지 선정 (등재후보2차) | |
2004-01-01 | 평가 | 등재후보 1차 PASS (등재후보1차) | |
2002-01-01 | 평가 | 등재후보학술지 선정 (신규평가) |
학술지 인용정보
기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
---|---|---|---|
2016 | 0.06 | 0.06 | 0.13 |
KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
0.15 | 0.17 | 0.243 | 0.07 |