구안와사(말초성 안면신경마비) 입원환자 100례에 대한 임상적 고찰 = Retrospective study on 100 cases of inpatients with facial paralysis

다국어 초록 (Multilingual Abstract)

Objectives : The purpose of this study is to make a survey on the oriental medical care and to enlarge the domain of oriental medical treatment concerning facial paralysis. Methods : From May 2008 to April 2009, a clinical study was done on 100 inpatients who were diagnosed and treated as facial nerve paralysis at Mok-dong Oriental Medicine Hospital, Dong-shin University Results : The result were as the following 1. The distribution of sex: male 35%, female 65%. The distribution of age was disclosed that fifty was the most in 22 cases(22%). 2. The distribution of the region of facial palsy: Lt 58%(male 23%, female 35%) Rt 41%(male 11%, female 30%) 3. In distribution of contributing frequence in month, June was the most in number(12%) and in season, spring, summer, winter were the same percentage(26%). 4. In distribution of cause, stress(34%), excessive labor(25%), unknown(22%) were investigated higher than other conditions. 5. The distribution of past history: hypertension 14%, diabetes mellitus 4%, both(hypertension, diabetes mellitus) 6% 6. The distribution of period before admission: within a week 80%, 1$\sim$2 week 8%, 3$\sim$4 week 6% in order. 7. The distribution of attended symptoms: mastoid pain 43 cases, dryness of eye 26 cases, tearing 22 cases, headache 12 cases, dizziness 9 cases in order. 8. Other offices patients visited before coming to this clinic: oriental clinic or hospital 35%, local clinic or hospital 29%, none 26%, both(oriental clinic & local clinic) 10%. 9. The distribution of House-Brackmann grade on admission: Gr III 38%, Gr IV 26%, Gr II 22%, Gr V 14% in order. 10. The distribution of House-Brackmann grade on discharge: Gr II 34%, Gr I 32%, Gr III 22%, Gr V 7%, Gr IV 5% in order.

참고문헌 (Reference)

1 김달호, "황제내경 영추" 의성당 452-, 2002

2 손인석, "환자 대조군 연구를 통한 입원치료가 구안와사에 미치는 영향" 대한침구학회 19 (19): 201-210, 2002

3 김정호, "특발성 구안와사로 입원한 환자에 대한 사상체질별 유형분석" 대한침구학회 24 (24): 19-28, 2007

4 장대천, "침구학대사전" 의성당 80-, 1992

5 백만기, "최신이비인후과학" 일문각 121-127, 1997

6 김세진, "첩대요법을 이용한 구안와사 치험례보고" 15 (15): 47-55, 2005

7 신선미, "임신 중 발생한 구안와사 환자 2례에 대한 임상보고" 대한한방부인과학회 21 (21): 258-268, 2008

8 대한이비인후과학회, "이비인후과학" 일조각 209-211, 2005

9 전국의과대학교수, "오늘의 진단 및 치료Ⅱ" 한우리 1096-, 2000

10 김종인, "안면신경평가기준에 따른 口眼？斜의 임상관찰" 대한침구학회 19 (19): 112-123, 2002

11 이도생, "신편침구치료학" 인민위생출판사 155-156, 1998

12 정보서, "신편침구대사전" 화하출판사 675-, 1995

13 진사택, "삼인방(권2)" 대련국풍출판사 8-, 1987

14 김지훈, "말초성 안면신경마비의 한양방 협진치료에 관한 임상적 연구" 대한한방안이비인후피부과학회 22 (22): 148-156, 2009

15 신예지, "말초성 안면마비 환자의 재발에 대한 임상적 고찰" 대한침구학회 26 (26): 29-38, 2009

16 김경집, "급성 벨마비의 임상적 분석" 대구가톨릭대대학원 11-, 2007

17 문효, "구안와사 환자의 삶의 질에 대한 연구" 대한한방안이비인후피부과학회 22 (22): 157-171, 2009

18 이연경, "구안와사 환자 72례에 대한 임상적 고찰" 15 (15): 1-12, 1998

19 박수은, "구안와사 환자 254명에 대한 임상적 고찰" 18 (18): 75-83, 2005

20 의학교육연수원, "가정의학" 서울대학교출판부 519-524, 2001

21 Williamson IG, "The clinical problem of Bell's palsy: is treatment with steroid effective?" 46 : 743-747, 1996

22 House JW, "Facial nervegrading system" 93 : 145-147, 1985

23 Watanabe S, "Effect of administration of high dose hydrocortison on Bell's palsy" 522 : 108-110, 1996

24 Ellis SL, "Bell's palsy in an older patient with uncontrolled hypertension due to medication momadherence" 33 (33): 1269-1273, 1999