발표논문

제목 [뇌졸중] 급성기 뇌경색 환자의 변증-처방 일치 여부에 따른 임상증상의 변화와 기능호전도의 차이에 대한 연구 - 화열변증을 중심으로
급성기 뇌경색 환자의 변증-처방 일치 여부에 따른 임상증상의 변화와 기능호전도의 차이에 대한 연구 - 화열변증을 중심으로
Effect of herbal prescriptions in accordance with pattern identification in acute cerebral infarction patients - based on fire-heat pattern
저자 강동경희대병원 의료진 : 박정미(공동)
타기관 의료진 : 정우상(1저자), 문상관(공동), 현상호(교신저자)
저널명 Evidence-Based Complementary and Alternative Medicine 2015;517158
게재일 2015.09.15.
논문소개
-초록정리
Objectives : This study was conducted to verify the necessity of corresponding prescription to the diagnosed pattern in acute cerebral infarction patients.

Methods : We studied cerebral infarction patients hospitalized within 30 days after the ictus. Forty-four clinical indicators, Motricity Index (MI) score, Scandinavian Stroke Scale (SSS) score, and herbal prescriptions were checked twice, two weeks apart. The probability of each pattern was calculated based on the clinical indicators. Changes in MI score, SSS score, and the probability of fire-heat pattern were compared between the pattern-prescription correspondence group and the noncorrespondence group.

Results : Increments of MI score and SSS score in the correspondence group were significantly greater than those of the noncorrespondence group ( 𝑝 = 0 . 0 0 3 , 𝑝 = 0 . 0 0 1 ) while the baseline score of the two groups showed no significant difference. Probability of fire-heat pattern decreased significantly in the correspondence group ( 𝑝 = 0 . 0 1 3 ) while the noncorrespondence group showed no significant difference after the treatment.

Conclusion : Acute cerebral infarction patients who are diagnosed as fire-heat pattern showed better improvement in dysfunctions caused by the disease when they took the pattern corresponding prescriptions. This study provides evidence for the necessity and usefulness of pattern identification in Traditional Korean Medicine.
페이지 URL http://www.hindawi.com/journals/ecam/2015/517158/abs/

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