http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
남상구 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3
Background: The Intramuscular stimulation (IMS) is used for the diagnosis and treatment of myofascial pain syndrome (MPS) and other chronic pain. The infrared thermography has been used for the objective evaluation about the patiect's pain intensite. The tissue damage induced by IMS is continued two weeks and thermography is limited during self-recovering period. We investigated the thermographic recovery time to normal rage after IMS in human subjects. Methods: We studied twenty healthy human subjets. The IMS was performed without any information about thermographic finding. The differences of temprerature between left and right side at before, just after, 1~7days after IMS (ΔT^(pre, ΔT^(post) ,ΔT1~7) were obtained from thermographic image. The data were analyzed with paired t-test. Results:The difference of temperature between left and right side at just after(ΔT^(pre). Conclusions:It was concluded that the diagnostic infrared themography to confire effeciveness of IMS should not be performed during 5 days after IMS.
수술 후 통증 자가조절을 시행하는 부인과 환자에서 예방적으로 투여한 Ondansetron의 항오심 및 항구토효과
김용익,김순임,김선종,남상구 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.6
Background : Postoperative nausea and vomiting remain troublesome problems, especially in women receiving the opioid analgesics. This study was performed to assess the antiemetic efficacy of ondansetron in patients using an intravenous patient-controlled analgesia (IV-PCA) after gynecologic surgery. Methods : In this randomized placebo-controlled study, forty healthy gynecologic surgical patients received ondansetron 4 mg or placebo at the end of surgery. Patients in the recovery room received fentanyl by PCA which provided a bolus dose of 20μg, a lockout time of 6 minutes, and a basal infusion of 20μg/hr. We assessed the occurrence of nausea, vomiting, and the need for rescue antiemetics during the first 24 hours after operation. Results : During the first 24 hr after operation, 40% of patients experienced no nausea or vomiting in the ondansetron group compared to 30% of patients in the placebo group. There was no significant difference in the incidence of nausea between groups (70% in placebo group vs 60in ondansetron group). However, ondansetron reduced the incidence of vomiting from 50% to 15%, and the need for rescue antiemetics significantly from 25% to 0% (P< 0.05). Conclusions : Ondansetron in a dose of 4 mg does not prevent postoperative nausea during the first 24 hours after operation when used with fetanyl PCA. However, ondansetron significantly reduces the chance of postoperative vomiting and rescue antiemetics. (Korean J Anesthesiol 1999; 37: 1089∼1094)