排便이 中風 患者의 血壓에 미치는 影響 = (The) Effect of Defecation on Blood Pressure in Stroke Patients

다국어 초록 (Multilingual Abstract)

Background : Patient, family, society and country are badly damaged by - stroke(CVA; Cerebrovascular Accident). To reduce sequelae and return rapidly to society, treatment in acute stage is very important. In many researches on purgation therapy(下法) used in acute stage of stroke, the changes of blood pressure, pulse and so on before and after purgation therapy were reported. But, the changes of human body according to the day elapsed after defecation were not reported. So it was needed to confirm the changes.
Methods : Seventy-six patients were researched. We observed forty-three patients at acute stroke and thirty-three patients at convalescent stroke. To confirm the importance of regular defecation in stroke patients, we analyzed blood pressure according to the day elapsed after defecation.
Results : The following result were obtained ;
1. In stroke group, compared with the day after defecation, the mean blood pressure of the third day after defecation increased. Particularly, in acute stroke group, increased most.
2. Especially, in stroke and acute stroke groups, compared with the second day after defecation, the mean systolic blood pressure of the third day after defecation increased significantly
3. In infarction group, compared with the day after defecation, the mean blood pressure of the third day after defecation increased. Particularly, in acute infarction group, increased most.
4. Especially, in infarction and acute infarction groups, compared with the second day after defecation, the mean systolic blood pressure of the third day after defecation increased significantly.
Conclusion : In stroke patients, regular defecation is important. So we think that purgation therapy(下法) is needed in stroke patients over the third day elapsed after defecation. We think that the bowel movement control in acute stroke patients is more important than convalescent stroke patients.

목차 (Table of Contents)

• 목차
• Ⅰ. 서론 = 1
• Ⅱ. 연구대상 및 방법 = 2
• 1. 연구대상 = 2
• 2. 연구방법 = 2
• 1) 대상군의 분류 = 2
• 2) 혈압 측정 = 3
• 3) 혈압 변화 분석 = 3
• 4) 통계 처리 = 4
• Ⅲ. 결과 = 5
• 1. 중풍군의 배변 경과일별 혈압 분포 = 5
• 2. 중풍군의 배변 경과일별 혈압의 변화 = 8
• 3. 뇌경색근의 배변 경과일별 혈압 분포 = 11
• 4. 뇌경색군의 배변 경과일별 혈압의 변화 = 14
• Ⅳ. 고찰 = 17
• Ⅴ. 결론 = 21
• 참고문헌 = 22
• Abstract = 29