[논문]뇌실내출혈을 동반한 뇌내출혈로 인한 편측무시 증상을 호소하는 환자에게 자음건비탕, 침치료, 사지운동을 포함한 한의복합치료 증례 보고 1례

신주은; 강지윤; 김윤식; 설인찬; 유호룡

doi:10.22246/jikm.2023.44.2.87

뇌실내출혈을 동반한 뇌내출혈로 인한 편측무시 증상을 호소하는 환자에게 자음건비탕, 침치료, 사지운동을 포함한 한의복합치료 증례 보고 1례
Case Report: Complex Treatment Using Korean Medicine, Including Jaeumkunbi-tang, Acupuncture, and Limb Activation Exercises for a Patient Suffering Unilateral Neglect due to Intraventricular Hemorrhage Accompanied by Intraventricular Hemorrhage 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.44 no.2, 2023년, pp.87 - 96

신주은 (대전대학교 한의과대학 심계내과학교실) , 강지윤 (대전대학교 한의과대학 심계내과학교실) , 김윤식 (대전대학교 한의과대학 심계내과학교실) , 설인찬 (대전대학교 한의과대학 심계내과학교실) , 유호룡 (대전대학교 한의과대학 심계내과학교실)

Abstract ▼ AI-Helper

Objective: This study reports the effectiveness of the Korean medicine treatment of patients with intracerebral and intraventricular hemorrhages suffering unilateral neglect symptoms. Case presentation: The patient was treated using Korean medicine, including acupuncture, herbal medicine, moxibustion, and a limb activation exercise. We measured Unilateral Neglect Symptom progress with a numeric rating scale, Albert's test, Line bisection test, Clock drawing test, and Catherine Bergego Scale. After eight days of combined Korean medicine and rehabilitation exercise, the Unilateral Neglect Symptom intensity reduced from NRS 8 to 6. In addition, Albert's test score decreased from 2.5% to 0%. The Line bisection test score decreased from 19 mm to 12 mm, and the Clock drawing test score improved from 8 to 10. Last, the Catherine Bergego Scale decreased from 12 to 9. No adverse events were observed during treatment. Conclusion: This study suggested that a complex treatment including Jaeumkunbi-tang, acupuncture, moxibustion, and limb activation exercise can be effective for an intracerebral hemorrhage with intraventricular hemorrhage patient suffering from Unilateral Neglect Symptoms. Consequently, more research is needed in the future.

주제어

표/그림 (9)

그림 Fig. 1. Timeline of the patient's history.
그림 Fig. 2. 2023.01.23 brain CT (the day of the onset).
그림 Fig. 3. 2023.01.24 brain CT.
그림 Fig. 4. 2023.01.25 brain CT.
그림 Fig. 5. 2023.01.26 brain CT.
그림 Fig. 6. 2023.01.29 brain CT.
표 Table 1. Prescription of Herbal Medicine
표 Table 2. Western Medicine
그림 Fig. 7. NRS score of left side neglect symptom.

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