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부인과 수술 후 한방 조기 회복 치료를 받은 입원 환자에 대한 후향적 분석

Traditional Korea Medicine for Enhanced Recovery after Surgery(ERAS) in Inpatients after Gynecological Surgery : Retrospective Analysis

대한한방부인과학회지 2019년 32권 3호 p.142 ~ 161
김혜원 ( Kim Hae-Won ) - 대전대학교 한의과대학 부인과학교실

유정은 ( Yoo Jeong-Eun ) - 대전대학교 한의과대학 부인과학교실

Abstract


Objectives : The purpose of this study is to report the effect and safety of traditional Korean medicine(TKM) for enhanced recovery after surgery(ERAS) after gynecological surgery.

Method : The study is conducted by analyzing the medical records of the hospitalized patients in TKM hospital. Eighty-six patients were enrolled who received TKM for ERAS after gynecological surgery from January 2015 to April 2018. We performed statistical analysis by using SPSS ver. 25.0. To prove the effect and safety of TKM for ERAS, we analyzed symptoms and hemoglobin(Hb), AST, ALT, ALP and serum creatinine(Cr) with glomerular filtration rate(GFR). In addition, we checked other adverse reactions that the patients complained to prove the safety of TKM for ERAS.

Results : Among symptoms of pain, there was a statistically significant decrease in abdominal pain, lower back pain, and shoulder pain. Other symptoms showed statistically significant improvement in fatigue, abdominal tympanosis, operation-site discomfort, dizziness, urinary discomfort, throat discomfort, constipation, dyspepsia and colporrhagia. Anemia in both ferritin combination treatment group and herbal medicine only group showed significant improvement. There was no liver damage or renal damage by TKM.

Conclusions : The result has shown that TKM for ERAS after gynecological surgery is effective and safe. The further study of TKM for ERAS with more patients is needed.

키워드

Enhance Recovery After Surgery; Traditional Korean Medicication; Gynecological Surgery; Postoperative Symptom; Boheotang gagam
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