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허윤정,이상원,박정한,박순우,Heo, Youn-Jeong,Lee, Sang-Won,Park, Jung-Han,Park, Soon-Woo 대한예방의학회 2004 예방의학회지 Vol.37 No.3
Objectives : This study was performed to investigate the injury rates and risk factors for preschool children in Daegu city and Kyungpook province. Method : A questionnaire survey about medically attended injuries during the preschool period was performed in nine primary schools located in Daegu city, Pohang city and Goryung County. The overall injury rate was estimated using person-year. The causes and patterns of the injuries, and their risk factors were examined. Result : A total of 469 medically attended injuries were reported in 330 of the 959 study subjects during the preschool period. The overall annual injury rate was 7.5 per 100 children. The injury rate increased sharply during the period from infant (2.4) to 1 year of age (7.5), and the peak injury rate (9.2) was reported for 5 year olds. The most common causes of injuries were falling (36.0%), followed by being struck by an object (23.7%), and traffic accidents (14.1%). Among the traffic accidents, 72.8% occurred while playing on the road, riding a bicycle or roller-skating. A proportional hazard model showed that males (hazard ratio=1.49, p<0.001 compared with female) and the mother's higher education level (hazard ratio of college or higher= 1.51, p=0.013; high school=1.32, p=0.085 compared with those of middle school or lower) were significant risk factors of childhood injury. Conclusion : The results of this study suggested that efforts for children's safety should be made, especially from the toddler stage, and in male children. To develop a more specific childhood injury prevention program, a surveillance system for injuries should be established. Further study of the relationship between mother's occupation and injury rates is also needed.
원위부 위암에서 위절제술 후 위재건술식에 따른 잔위기능 및 영양 증상학적 삶의 질 비교
김성근,김영균,허윤정,송교영,김진조,진형민,김욱,박조현,박승만,임근우,김승남,전해명,Kim, Sung Geun,Kim, Young Kyun,Heo, Youn Jung,Song, Kyo Young,Kim, Jin Jo,Jin, Hyung Min,Kim, Wook,Park, Cho Hyun,Park, Seung Man,Lim, Keun Woo,Kim, Seun 대한위암학회 2007 대한위암학회지 Vol.7 No.1
목적: 하부 위암의 절제술 후 각각의 재건술에 따른 환자의 위배출시간과 영양상태, 덤핑 증후군의 발생정도를 비교하여 환자의 증상과 삶의 질을 개선하는 방법을 찾고자 하였다. 대상 및 방법: 1999년 6월부터 2002년 7월까지 원위부 위암으로 절제술을 시행한 환자 중 2003년 1월 한 달간 외래에서 술 후 6개월 이상 경과한 환자 122명을 대상으로 하였다. 위십이지장문합술을 받은 환자(이하 B-I군)는 51명, 위공장문합술을 받은 환자(이하 B-II군)는 71명이었다. 위배출검사는 동위원소 검사법을 이용하여 T1/2값을 얻어 비교하였고, 식사 횟수와 양, 체중감소 정도를 비교하였다. 수술 후 복부증상을 비교하였으며, 덤핑증후군은 Sigstad score를 측정하여 비교하였다. 결과: 수술 후 6개월의 T1/2값은 B-I군에서 지연되어 있었다($159.4{\pm}31.0min$). 12개월 후에는 B-I군의 위배출시간이 빨라져 B-I군과 B-II군 사이의 위배출 시간의 차이가 없어졌다. 식사 횟수는 각 군 간의 차이가 없었고 일회식사량은 수술 전과 비교해 보았을 때 6개월째는 각군간의 차이가 없었으나 12개월에는 B-I군이 B-II군에 비해 식사량이 많은 것으로 나타났다(P=0.038). 수술 후 체중은 B-I군이 B-II군에 비해 체중감소가 의미있게 적은 것으로 나타났다(P=0.023). Sigstad dumping score는 B-I군에서 6개월째에는 7.6점, 12개월째에는 3.4점으로 시간이 경과함에 따라 덤핑 증후군의 빈도가 감소하나 B-II군에서는 시간의 경과해도 덤핑 증후군의 빈도에는 유의한 차이가 없었다. 결론: 원위부 위암환자에서 근치적 수술이 가능한 한도에서는 Billroth I 술식이 체중감소가 적고, 복부 증상도 적게 나타났으며 덤핑증후군의 빈도도 낮아 환자의 삶의 질을 개선하는데 B-II 술식보다 유용한 술식으로 생각된다. Purpose: The proper reconstruction technique to use after a distal subtotal gastrectomy for a gastric carcinoma, there has been a subject for debated what is the proper reconstruction technique. The aim of this study was to compare the gastricemptying time and the quality of life following both B-I and B-II reconstructions after a distal gastrectomy for a gastric adenocarcinoma. Materials and Methods: We studied 122 patients who had undergone a distal gastrectomy for a gastric adenocarcinoma between June 1999 and July 2002 at our hospital. 51 patients underwent B-I group, and 71 patients underwent B-II group. To evaluate the gastric-emptying time, we analyzed the T1/2 time by means of radionuclide scintigraphy using a gamma camera after ingestion of an $^{99m}Tc$-tin-colloid steamed egg. The nutritional status was measured by the weight change. Postgastrectomy syndrome was evaluated using an abdominal symptoms survey. Dumping syndrome was measured using the Sigstad dumping score. Results: The gastric-emptying time was somewhat delayed in the B-I group after a 6 month period, but there was no difference after 12 months between the two groups. There was less weight loss in the B-I group than in the B-II group (P=0.023). Fewer abdominal symptoms were occurred in the B-I group than in the B-II group. Dumping syndrome occurred less frequently in the B-I group than in the B-II group (P=0.013). Conclusion: In our study, the Billroth I reconstruction led to less weight loss, a better nutritional status, and a better quality of life than the Billroth II reconstruction. We concluded that after a distal subtotal gastrectomy, the Billroth I reconstruction would be considered when the procedure is oncologically suitable.