A Case Report of Quadriplegia Patients with Decubitus Ulcer

사지부전마비를 동반한 뇌경색 환자의 욕창 치험 1례

  • Kim, Ki-tae (Department of Internal Medicine, College of Oriental Medicine, Semyung University) ;
  • Jung, Jinhwa (Department of Occupational Therapy, Semyung University)
  • 김기태 (세명대학교 한의과대학 내과학교실) ;
  • 정진화 (세명대학교 작업치료학과)
  • Received : 2015.12.02
  • Accepted : 2015.12.19
  • Published : 2015.12.31

Abstract

Objectives The purpose of this report is to represent decubitus ulcer(pressure sore) improved by carbon arc and oriental medicine. Methods Patients with decubitus ulcer were treated with carbon arc, acupuncture, herbal medicine and simple dressing. Laser was irradiated at ulcer site once a day for 5 hour, using cored carbon number 3000,3002. Simple dressing with wound cleansing was performed to prevent reinfection. Herbal medicine and acupuncture treatment were applied to improve patients' general condition. Ulcer sizes and aspects were carefully checked by one week. Results Sizes of the decubitus ulcer decreased. Stage of ulcer was improved from stage 3 to stage 2. These results show that carbon arc may play a role in treating the decubitus ulcer with oriental medicine.

Keywords

References

  1. 박승하. 욕창(압박궤양)의 관리와 치료. 대한 의사협회지 2002; 45(9): 1121-1128.
  2. 허영란, 문성호, 최중길. 욕창에 대한 치험1례 보고. 대한 본초학회지 2000; 15(2): 111-112.
  3. 임해원, 윤창준, 김종화. 탄소봉 종합가시광선 치료를 통한 욕창 치료 임상보고 1례. 한방내과학회지 2011; spr(1): 203-207.
  4. Sanchez S, Eamegodool S, Conway H. Surgical treatment of decubitus ulcers in paraplegics. Plast Reconstr Surg 1969; 43: 25. https://doi.org/10.1097/00006534-196901000-00005
  5. 대한성형외과학회. 표준성형외과학. 서울: 군자출판사 1999: 65-72, 453-462.
  6. 박창식, 허찬영. 욕창의 치료와 예방. Korean Med Assoc 2015; 58(9): 786-794. https://doi.org/10.5124/jkma.2015.58.9.786
  7. 조성은, 이현, 홍서진, 강재희. 침치료와 Light Enitting Diode 광선치료를 병행한 욕창 치료 2례. 대한침구의학회지 2015; 32(3): 211-220. https://doi.org/10.13045/acupunct.2015053
  8. Enwemeka CS. Laser biostimulation of healing wounds: specitic effects and mechanism of action. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY 1988; 9(10): 333-338. https://doi.org/10.2519/jospt.1988.9.10.333
  9. 장호탁, 서형식. 저단계 레이저 치료의 한방안이 비인후피부과 활용에 대한 논문 경향 분석. 한방안이비인후피부과학회지 2013; 26(1): 63-74. https://doi.org/10.6114/jkood.2013.26.1.063
  10. Mester E, Mester AF, N.Master A. The biomedical effects of laser application. Lasers Surg Med 1985; 5(1): 31-9. https://doi.org/10.1002/lsm.1900050105
  11. Young SR, Dyson M. Efficacay of ultra sound and light therapy in tissue repair. Ned Tijdschr Fysioth 1991; 101: 20-23.
  12. 권영달 등. 한방 재활의학.한방재활의학과학회. 군자출판사. 2003, 349-350.
  13. 신승우, 정석희, 이종수, 신현대, 김성수. 탄소봉을 이용한 종합가시광선의 파장 및 탄소봉의 성분 분석. 한방재활의학과학회지 2001; 11(2): 173-188.
  14. Jan Tuner, Lars Hode. 레이저치료학. 정담. 2006, 45-78.
  15. 송재철, 이종수, 정석희, 김성수, 신현대. 탄소봉을 이용한 종합가시광선이 흰쥐의 피부창상 치유에 미치는 영향. 한방재활의학과학회지 2002; 12(2): 101-31.