[논문]중풍환자에 대한 일차 한의임상진료 가이드라인

한창호

[국내논문] 중풍환자에 대한 일차 한의임상진료 가이드라인
Clinical Practice Guideline of Korean Medicine for Stroke : Preliminary Guideline and Recommendation 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.33 no.4, 2012년, pp.347 - 366

한창호 (동국대학교 한의과대학 경주한방병원 내과, 중풍 한의임상진료지침개발 연구팀)

Abstract ▼ AI-Helper

The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice.

Keyword

질의응답

핵심어	질문	논문에서 추출한 답변
	진료가이드라인이란?	진료가이드라인이란 일반적인 상황에 대하여 과학적 근거가 있는 의료행위를 제시함으로써 의사(한의사)와 환자간의 의사결정에 도움을 주기 위한 목적으로 개발하는 것으로 의사(한의사)에게는 효과적이지 않거나 위험하거나 낭비적인 치료를 줄이고, 환자에게는 제공받는 서비스의 질과 예측성을 높이기 위하여 만들어 지는 것이다.
	중풍으로 인한 사망자는 1년에 몇명 정도로 추산할 수 있는가?	중풍(Stroke)은 전 세계적으로 가장 중요한 사망원인중 하나이며, 중풍으로 인한 사망자는 전 세계적으로 1년에 600만명 정도로 추산된다. 우리나라의 경우 중풍으로 인한 사망은 인구 10만명당 59.
	이미 여러 나라에서 뇌졸중 표준 진료지침을 만들어 의료의 질 향상과 표준 치료에 의한 적정성을 향상시고 있다면, 우리나라는 어떠한가?	이미 여러 나라에서 뇌졸중 표준 진료지침을 만들어 의료의 질 향상과 표준 치료에 의한 적정성을 향상시키고 있다. 우리나라에도 2009년 대한 뇌졸중학회와 대한 신경과학회에서 뇌졸중 진료지침이 발표되었으며, 재활의학과학회에서도<뇌졸중 재활치료를 위한 한국형 표준진료지침>을 발표하였다.

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