발표논문

제목 [뇌졸중] 중풍환자에 대한 한의학적 변증의 표준화를 위한 임상적 접근에 관한 연구
중풍환자에 대한 한의학적 변증의 표준화를 위한 임상적 접근에 관한 연구
Clinical approach to the standardization of oriental medical diagnostic pattern identification in stroke patients
저자 강동경희대병원 의료진 : 배형섭(공동), 박성욱(공동), 박정미(공동)
타기관 의료진 : 정우상(교신저자), 김한중(1저자), 문상관(공동)
저널명 Evidence-Based Complement and Alternative Medicine. 2011;768492
게재일 2010.09.19.
논문소개
-초록정리
In Korea, many stroke patients receive oriental medical care, in which pattern-identification plays a major role. Pattern-identification is Oriental Medicine's unique diagnostic system. This study attempted to standardize oriental medical pattern-identification for stroke patients. This was a community-based multicenter study that enrolled stroke patients within 30 days after their ictus. We assessed the patients' general characteristics and symptoms related to pattern-identification. Each patient's pattern was determined when two doctors had the same opinion. To determine which variables affect the pattern-identification, binary logistic regression analysis was used with the backward method. A total of 806 stroke patients were enrolled. Among 480 patients who were identified as having a certain pattern, 100 patients exhibited the Fire Heat Pattern, 210 patients the Phlegm Dampness Pattern, nine patients the Blood Stasis Pattern, 110 patients the Qi Deficiency Pattern, and 51 patients the Yin Deficiency Pattern. After the regression analysis, the predictive logistic equations for the Fire Heat, Phlegm Dampness, Qi Deficiency, and Yin Deficiency patterns were determined. The Blood Stasis Pattern was omitted because the sample size was too small. Predictive logistic equations were suggested for four of the patterns. These criteria would be useful in determining each stroke patient's pattern in clinics. However, further studies with large samples are necessary to validate and confirm these criteria.
페이지 URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2952328/

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