[논문]전방순환 뇌경색의 중재적 재관류 치료 이후 출혈 변환으로 의식 및 인지장애를 동반한 편마비환자의 한방치험 1례

김채은; 강지현; 김서현; 김준석; 백경민

doi:10.22246/jikm.2022.43.6.1274

전방순환 뇌경색의 중재적 재관류 치료 이후 출혈 변환으로 의식 및 인지장애를 동반한 편마비환자의 한방치험 1례
The Effect of Korean Medicine Treatment for Hemorrhagic Transformation after Interventional Reperfusion Therapy of an Anterior Circulation Infarction in a Patient with Hemiplegia and Conscious and Cognitive Disorders: A Case Report 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.43 no.6, 2022년, pp.1274 - 1288

김채은 (대구한의대학교 부속 대구한방병원 심계내과학교실) , 강지현 (대구한의대학교 부속 대구한방병원 심계내과학교실) , 김서현 (대구한의대학교 부속 대구한방병원 심계내과학교실) , 김준석 (대구한의대학교 부속 대구한방병원 심계내과학교실) , 백경민 (대구한의대학교 부속 대구한방병원 심계내과학교실)

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Objectives: The study investigated the effect of Korean medicine treatment on a hemiplegic patient with conscious and cognitive disorders due to hemorrhagic transformation after interventional reperfusion therapy of anterior circulation infarction. Case presentation: The patient was treated with acupuncture, moxibustion, cupping, and herbal medicine in combination with Western medicine and physical therapy. The effects on clinical symptoms were evaluated using the Manual Muscle Test (MMT), Glasgow Coma Scale (GCS), Korean Mini-Mental State Examination (K-MMSE), Korean Nursing Delirium Screening Scale (Korean Nu-DESC), and Modified Bathel Index (MBI). After the treatment, the MMT grade increased from Gr.0-1 to Gr.0-3, the GCS score increased from 10 to 15, the K-MMSE score increased from 8 to 15, the Korean Nu-DESC score decreased from 3 to 1, night delirium disappeared, and the MBI score increased from 13 to 26. Conclusions: Complex Korean medicine treatments were effective for improving the clinical symptoms of hemorrhagic transformation after interventional reperfusion therapy for anterior circulation infarction in a patient with hemiplegia and conscious and cognitive disorders. However, further studies are needed.

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표/그림 (9)

그림 Fig. 1. (A) Images of brain MRI (2022.02.23.-2022.02.24.). *Rt. : right, †MCA : middle cerebral artery
그림 Fig. 1. (B) Images of brain MRA (2022.02.23.-2022.02.24.). *MCA : middle cerebral artery, †ACA : anterior cerebral artery, ‡ICA : internal carotid artery
그림 Fig. 2. Images of brain CT (2022.03.11.-2022.04.01.). (A)-(C) : Progression of Rt. frontal lobe hemorrhage in right infarction
표 Table 1. Abnormal Result of Laboratory Test (2022.04.18)
표 Table 2. Herbal Medicine
그림 Fig. 3. Timeline of treatment and rehabilitation exercise. *MCA : middle cerebral artery, †ACA : anterior cerebral artery, ‡ICA : internal carotid artery, §PTA : percutaneous transluminal angioplasty, ∥END : early neurological deterioration, ¶ spc : after dinner, **hs : before bedtime
표 Table 3. Western Medication
표 Table 4. The Change of Left Hemiplegia (MMT* Grade, MBI†Score)
표 Table 5. The Change of Conscious and Cognitive Level

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