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한의 복합 치료를 통해 보행 장애, 인지 장애, 배뇨 장애, 연하 장애에 개선을 보인 중대뇌동맥 폐색에 의한 뇌경색증 환자 1례에 대한 증례보고

A Case Report of Gait Disturbance, Cognitive Impairment, Dysuria, and Dysphagia in a Stroke Patient Treated with Traditional Korean Medical Treatment

대한한방내과학회지 2020년 41권 2호 p.204 ~ 212
김광호 ( Kim Kwang-Ho ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience

이영웅 ( Lee Young-Ung ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience
추홍민 ( Chu Hong-Min ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience
임현서 ( Lim Hyeon-Seo ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience
 ( Kim Cheol-Hyun ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience
이정연 ( Lee Jeong-Youn ) - Wonkwang University Jangheung Integrated Medical Center
이상관 ( Lee Sang-Kwan ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience
성강경 ( Sung Kang-Keyng ) - Wonkwang University College of Korean Medicine Department of Internal Medicine and Neuroscience

Abstract


This study aimed to investigate the effect of traditional Korean medical treatments on a stroke patient with gait disturbance, cognitive impairment, dysuria, and dysphagia. A 78-year-old female with chronic middle cerebral artery infarction had symptoms of gait disturbance, cognitive impairment, dysuria, and dysphagia. After being treated with Korean medicine therapies, including acupuncture and herbal medicine, the patient’s symptoms were significantly improved. During all the treatments, Indices including manual muscle test, functional ambulation category, functional independence measuring, mini-mental state examination-K, global deterioration scale, pelvic symmetry, functional ambulation profile used to evaluate her symptoms indicated improvement in her symptoms, without any side effects. Traditional Korean medical treatments, such as acupuncture and herbal medicine, can be considered to be effective therapies for a stoke patient who has symptoms of gait disturbance, cognitive impairment, dysuria, and dysphagia.

키워드

gait disturbance; cognitive impairment; dysuria; dysphagia
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