[논문]뇌경색 후 발생한 자율신경 장애에 대해 심박변이도로 살펴본 분심기음의 효과 증례보고 1례

김준석; 강지현; 김서현; 김채은; 김나연; 장우석

doi:10.22246/jikm.2023.44.1.66

뇌경색 후 발생한 자율신경 장애에 대해 심박변이도로 살펴본 분심기음의 효과 증례보고 1례
A Case Report on the Use of Heart Rate Variability and the Treatment Effect of Bunshimgi-eum on Autonomic Dysfunction After Cerebral Infarction 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.44 no.1, 2023년, pp.66 - 76

김준석 (대구한의대학교 부속 대구한방병원 심계내과학교실) , 강지현 (대구한의대학교 부속 대구한방병원 심계내과학교실) , 김서현 (대구한의대학교 부속 대구한방병원 심계내과학교실) , 김채은 (대구한의대학교 부속 대구한방병원 심계내과학교실) , 김나연 (대구한의대학교 부속 대구한방병원 간계내과학교실) , 장우석 (대구한의대학교 부속 대구한방병원 심계내과학교실)

Abstract ▼ AI-Helper

Background: The aim of this study is to investigate the use of heart rate variability on a stroke patient with autonomic dysfunction and the effectiveness of Bunshimgi-eum. Case report: The patient showed autonomic dysfunction, including chest discomfort, 煩燥 (sweating, anxiety, insomnia, nausea, lightheadedness), and abdomen discomfort (dyspepsia, heartburn) after ischemic stroke. She was treated with a herbal medicine (Bunshimgi-eum) through complex Korean medicine treatment. The effect was evaluated using heart rate variability (HRV), Mini-Mental State Examination-DS (MMSE-DS), mean pulse rate, and subjective percentage of symptoms. After treatment, the HRV score, MMSE-DS score, and subjective percentage of symptoms improved, and the pulse rate decreased from the upper boundary value. Discussion: The results suggest that HRV may be useful in evaluating stroke patients with autonomic dysfunction and that Bunshimgi-eum is suitable for treatment.

주제어

표/그림 (9)

그림 Fig. 1. Diffusion weighted images of brain MRI (2022.04.05.).
그림 Fig. 2. Images of brain MRA (2022.04.05.) & TFCA (2022.05.13.).
표 Table 1. Composition of Herbal Medicine (Bunshimgi-eum)
표 Table 2. Adjustment of Bunshimgi-eum
표 Table 3. The Component of Western Medicine (Per Os Medication)
그림 Fig. 3. Change in average pulse rate.
표 Table 4. Change of Heart Rate Variability before and after Treatment
그림 Fig. 4. Timeline of treatment and scales.
표 Table 5. Improvement of Symptoms

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