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급성 말초성 안면신경마비 환자의 안면신경 손상 정도에 영향을 미치는 요인에 대한 후향적 연구: 근전도검사를 이용하여
김필군,성원석,구본혁,유희경,석경환,이주현,김민정,박연철,서병관,백용현,박동석,Kim, Pil Kun,Sung, Won Suk,Goo, Bon Hyuk,Ryu, Hee Kyung,Suk, Kyung Hwan,Lee, Ju Hyeon,Kim, Min Jeong,Park, Yeon Cheol,Seo, Byung Kwan,Baek, Yong Hyeon,Park, 대한침구의학회 2013 대한침구의학회지 Vol.30 No.5
Objectives : This research was conducted to investigate the factors that affect the level of facial nerve damage. Methods : From October 2009 to September 2013, the total number of 581 patients of Bell's palsy and Ramsay-Hunt syndrome visited Facial Palsy Center in Kyung Hee University Hospital at Gangdong for Traditional Korean and Western combined medical treatment. Of these, 453 patients of peripheral facial nerve palsy were selected for the research. After reviewing the medical records that have details of age, gender, diagnosis(Bell's palsy and Ramsay-Hunt syndrome), onset, underlying diseases(DM, HTN), and HbAlc value, the analysis on the influence factors on the level of facial nerve damage was drew out. Results : The axonal loss rate of oris branch and nasal branch were significantly higher than the axonal loss rate of frontal branch and oculi branch. In addition, the frequency of becoming a major damaged branch was also high in the oris branch nasal branch. The factors by month, weather, smoking, and alcohol did not influence EMG axonal loss rate. Male rather than female and patient with Rasmay-Hut syndrome rather than Bell's palsy had a higher axonal loss rate in all branches. Of those, front of branch of male was remarkably higher than female. Patient with DM as P/H had high axonal loss rate in all branches. Patient with HTN as P/H had high axonal loss rate in all branches except for oris branches. Patients with DM and HTN group had significantly higher value from the average of axonal loss rate than patients who are only with HTN and without DM/HTN. DM alone group had significantly higher value than patients who are without DM/HTN. However, HTN alone was not significantly high. By analysing HbAlc of the patients who were hospitalised regardless DM, axonal loss rate was high in the order of DM group, preDM group, normal group. Nevertheless, only DM group showed higher axonal rate statistically than normal group. Considering DM and HbA1c value, the patients can be divided into 4 different groups of hkDM, lkDM, hfDM and nDM. By analysing those groups, the average damaged value of the groups with diagnosis followed by treatment(lkDM, hkDM) were higher than the average rate of hfDM and statistically higher than the rate of the nDM. Conclusions : The influential factors of increasing the level of EMG damage are male(only for the frontal branch), age above sixties, HTN, DM, and HbAlc value above 6.5. Besides, the negligible factors are month, season, diagnosis, alcohol, and smoking. Further research including clinical prognosis should be conducted.
한방 복합치료를 2년간 시행한 시신경척수염 증례 보고 1례
윤진영(Jin-Young Yoon),이창희(Chang-Hee Lee),김정현(Jeong-Hyon Kim),심성은(Sung-Eun Shim),김준연(Jun-Yeon Kim),김하나(Ha-Na Kim),황지민(Ji-Min Hwang),구본혁(Bon-Hyuk Goo),김정현(Jung-Hyun Kim),박연철(Yeon-Cheol Park),남상수(Sang-Soo 임상약침학회 2019 대한면역약침학회지 Vol.7 No.1
Objectives : To report a case of patient with neuromyelitis optica who treated with Korean Medicine treatment for 2years Methods : The patients with neuromyelitis optica was treated with acupuncture, pharmacopuncture, Bee venom, electroacupuncture, moxibustion and herbal medicine for 2 years. Expanded Disability Status Scale(EDSS), sensory, motor grade, and visual acuity were checked to measure the outcome. Results : EDSS, sensory, motor grade and visual acuity of the patient improved. The symptoms briefly deteriorated due to the recurrence in June 2018 but did not leave sequelae. Conclusions : The patient with neuromyelitis optica was treated for 2 years with Korean Medicine and the treatment was effective relieving the symptoms of the patient.