[논문]방광 결석 제거 수술 대기 기간 중 호소한 야간뇨 및 회음부 불쾌감에 대한 복합 한약 치험 1례

배인후; 서유나; 이영선; 조기호; 문상관; 정우상; 권승원

doi:10.22246/jikm.2021.42.2.131

방광 결석 제거 수술 대기 기간 중 호소한 야간뇨 및 회음부 불쾌감에 대한 복합 한약 치험 1례
Case Report of Combined Herbal Medicine Treatment for Nocturia and Perineal Discomfort Before Bladder Calculi Removal Surgery 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.42 no.2, 2021년, pp.131 - 139

배인후 (경희대학교 대학원 임상한의학과) , 서유나 (경희대학교 대학원 임상한의학과) , 이영선 (경희대학교 대학원 임상한의학과) , 조기호 (경희대학교 대학원 임상한의학과) , 문상관 (경희대학교 대학원 임상한의학과) , 정우상 (경희대학교 대학원 임상한의학과) , 권승원 (경희대학교 대학원 임상한의학과)

Abstract ▼ AI-Helper

Background: Bladder calculi greater than 10 mm should be managed via surgical treatment, such as cystolithotomy or percutaneous removal. Because risk evaluation for underlying disease must precede operation, patients are medicated with uroselective alpha blockers or analgesics until the operation occurs. However, disagreement exists about the success of these treatments. Case report: We present a case of a male patient who was hospitalized for sequelae of internal cerebral hemorrhage with complaints of nocturia and perineal discomfort. Abdominal computed tomography showed large bladder calculi. However, because of suspected pheochromocytoma, immediate surgery could not be performed, so we treated him with Korean medicine for 27 days (Daesiho-tang for 27 days and Jakyakgamcho-tang was started at 14th day of treatment, treated till 27th day.) until a cystolithotomy could be performed. Nocturia and perineal discomfort improved after 9 days, and the patient stopped taking acetaminophen. Conclusion: The administration of Daesiho-tang and Jakyakgamcho-tang to a patient with bladder calculi successfully controlled symptoms of nocturia and perineal discomfort until cystolithotomy could be performed.

주제어

표/그림 (10)

표 Table 1. The Result of Inflammation
표 Table 2. The Result of Prostate-specific Antigen
그림 Fig. 1. Bladder calculi appeared on abdomen & pelvic computed tomography.
표 Table 3. The Result of Urinalysis
그림 Fig. 2. Timeline of admission.
표 Table 4. Herb Composition of Daesiho-tang
그림 Fig. 3. Nocturia frequency during admission. (a) starting point of Jakyakgamcho-tang (2.5.~), (b) starting point of Mirabegron & Tamsulosin (2.14.~).
표 Table 5. Herb Composition of Jakyakgamcho-tang
그림 Fig. 4. Average amount of nocturia during admission. (a) starting point of Jakyakgamcho-tang (2.5.~), (b) starting point of Mirabegron & Tamsulosin (2.14.~)
그림 Fig. 5. Change of NRS of perineal discomfort. (a) starting point of Jakyakgamcho-tang (2.5.~), (b) starting point of Mirabegron & Tamsulosin (2.14.~), (c) Acetaminopen discharging point (1.31.~)

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