- 뇌졸중후 중추성 통증에 대한 동서협진의 임상적 효율성 평가
- ㆍ 저자명
- 정병식,김건식,이두익,최도영,Cheong. Byung-Shik,Kim. Keon-Sik,Lee. Doo-Ik,Choi. Do-Young
- ㆍ 간행물명
- 大韓藥鍼學會誌
- ㆍ 권/호정보
- 2001년|4권 2호|pp.95-103 (9 pages)
- ㆍ 발행정보
- 대한약침학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Background : Central poststroke pain(CPSP) can occur as a result of lesion or dysfunction of the brain from stroke and may cause many difficulty in the social activities and daily life. In this study, we evaluate the clinical effectiveness of east-west medical management for CPSP through VAS(visual analogue scale), infrared themography, MBI(Moderfied Barthel Index) and Rankin scale. Methods : We treated thirty patients with oriental medical treatment method and western & oriental medical treatment method. Each group has fifteen patients of the CPSP. We evaluated their pain(characterizes tingling and burning sensation, aching, hyperalgesia, and allodynia) through VAS(visual analog scale) pain score, the skin temperature of pain site by infrared thermography and assessed their mobility & rehabilitation ability through MBI(Moderfied Barthel Index), Rankin scale before and after pain treatment. Results : The skin temperature of pain site was lower than non-pain site. The difference of skin temperature improved from $0.65{pm}0.45^{circ}C$ to $0.39{pm}0.25^{circ}C$ after oriental medical treatment and $0.68{pm}0.54^{circ}C$ to $0.27{pm}0.24^{circ}C$ after western & oriental medical treatment VAS scores improved from $7.9{pm}1.4$ to $4.7{pm}1.6$ after oriental medical treatment and $8.1{pm}1.3$ to $4.6{pm}1.2$ after western & oriental medical treatment. MBI scores improved from $61.40{pm}13.58$ to $85.00{pm}13.85$ after oriental medical treatment and $52.26{pm}13.52$ to $77.13{pm}12.04$ after western & oriental medical treatment. And Rankin scale scores improved from $3.33{pm}0.72$ to $2.46{pm}0.74$ after oriental medical treatment and $3.60{pm}0.82$ to $2.66{pm}0.81$ after western & oriental medical treatment Conclusion : The difference of skin temperature and Rankin scale scores more significantly improved after western & oriental medical treatment than oriental medical treatment. According to the results, we thought east-west medical management is very useful treatment for CPSP and rehabilitation of the patients with stroke.