[논문]보행장애를 호소하는 말기 다계통 위축증 환자 한의 치험 1례

황예채; 이혜진; 최정우; 전규리; 박성욱; 박정미; 고창남; 조승연

보행장애를 호소하는 말기 다계통 위축증 환자 한의 치험 1례
A Case of Korean Medical Treatment on Advanced-Stage Multiple System Atrophy with Gait Disturbance 원문보기

대한중풍·순환신경학회지 = The journal of the society of stroke on korean medicine, v.22 no.1, 2021년, pp.31 - 44

황예채 (경희대학교 대학원 한방순환신경내과학교실) , 이혜진 (경희대학교 대학원 한방순환신경내과학교실) , 최정우 (강동경희대학교한방병원 뇌신경센터 한방내과) , 전규리 (경희대학교 대학원 한방순환신경내과학교실) , 박성욱 (경희대학교 대학원 한방순환신경내과학교실) , 박정미 (경희대학교 대학원 한방순환신경내과학교실) , 고창남 (경희대학교 대학원 한방순환신경내과학교실) , 조승연 (경희대학교 대학원 한방순환신경내과학교실)

Abstract ▼ AI-Helper

The purpose of this case report is to describe the effectiveness of Korean medicine in the treatment of gait disturbance in advanced stage multiple system atrophy-cerebellar type (MSA-C). This inpatient was treated with herbal medicine, acupuncture, pharmaco-acupuncture, moxibustion, cupping, and chuna therapy. The gait disturbance was assessed by Unified Multiple System Atrophy Rating Scale(UMSARS), Tinnetti test, and 16m walking spatial features. After treatment, UMSARS Part I score was enhanced, decreasing from 29 to 24, Part II score from 34 to 18. Tinetti test score increased from 7 to 20. Gait stride length increased and width decreased. This study suggests that Korean medical treatment could be an effective treatment for delaying the progress of gait disturbance in advanced-stage MSA-C patients.

주제어

표/그림 (12)

그림 Table 1. Western Medication History(mg/day)
그림 Fig. 1. Brain MRI at OO Hospital, atrophy in cerebellum
그림 Fig. 2. C-spine X-ray
표 Table 2. Urine Sediment Exam and Analysis
표 Table 3. Jihwangbaekho-tang Gamibang Herbal Medication
표 Table 4. Yanggyeoksanhwa-tang Gamibang Herbal Medication
표 Table 5. Gojineumja(Guzhenyinzi) Gamibang Herbal Medication
표 Table 6. Bogolgongjin-dan Herbal Medication (계속)
표 Table 6. (계속) Bogolgongjin-dan Herbal Medication
표 Table 7. Changes of UMSARS* Part I and Part II (계속)
그림 Fig. 3. Changes of UMSARS* Part I, II score *UMSARS : Unified Multiple System Atrophy Rating Scale
그림 Fig. 4. Changes of Tinetti test score

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