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KMID : 0377619830450030197
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Korean Jungang Medical Journal
1983 Volume.45 No. 3 p.197 ~ p.206
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Epidemiological Studies on the Cerebrovascular Accidents Due to Hypertension by Means of East-West Medicine
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鄭在赫/Cheong, Chae-Hyok
具本泓/張仁圭/崔栖영/柳東俊/Koo, Bon-Hong/Chang, In-Kyu/Choi, Seo-Yeong/Lew, Dong-Joon
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Abstract
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Epidemiological studies were done on the 162 hypertensive cerebrovascular accid-ents cases admitted in the affiliated Oriental Medicine School Hospital Kyung Hee University in 1983 and the following results were obtained.
1. The male to female ratio of the patients was 1. 3 : 1 and the age distribution frequency was as follows; fifties, forties, seventies and thirties(Table 2).
2. In the C.T.A., there were 119 cases of cerebral thrombosis(73.5%) and 45 cases of intracerebral hemorrhage (26.5%). The ratio was 2.8 : 1. In the former the male to female ratio was 1.3 : 1, in the latter it was 1.2 : 1(Table 3).
3. There were considerable numbers of recurrent cases as shown in Table 4. The first attack was noted in 125 cases(77.2%), the 2nd attack 30 cases(18.5%), the 3rd attack 6 cases(3.1%), 4th attack 1 case(0.6%). The male to female ratio was as follows. In the first attack it was 1. 3 : 1, in the 2nd attack 1.1 : 1, the 3rd attack 5.0: 1, the 4th attack was noted only in one male case.
4. The occupational frequency order was as follows(Table 5). Unemployed initi-ated with 45 cases(27.8%), home care 21 cases, Unspecified 19 cases, office worker, business men, farmers and public official etc.
5. The regional distribution was as follows(Table 6). Seoul city led with 102 cases (63. 0%) then it was followed by Kyung-Gi, Chung-Cheong, Kyung-Sang, Kang-Won and Jon-Ra province.
6. The systolic pressures at admission were disclosed as follows(Table 7). There were 42 cases(male 20 cases-12.3%, female 22 cases-13.6%) of systolic hypertens-ive over the WHO standard of 160mmHg, the mean value of systolic pressure was
145mmHg. The diastolic pressures at admission were shown as follows(Table 8). There were 92 cases(56.8 %) (male 48 cases-29.6%´ female 44 cases-27.2%) of diastolic hypertension over the WHO standard of 95mmHg, the mean value of diastolic pressure was 98mmHg.
7. The patient´s favors to salty food, animal fatty food, cigarettes and alcoholic beverage were examined (Table 9). Salty´ foods were favored by 78 cases(48.2%), animal fatty foods by 78 cases(48.2%), cigarettes by 64 cases(39.5%) and alcohol imbibers were noted in 77 cases(47.5%) as shown in table 9.
8. The family history of C. V.A and hypertension was studied (Table 10). In C. V.A there were 28 cases (17.3%) with parental history, 12 cases (7.4%) with siblings history and 7 cases (4.3%) with other relatives, and in hypertension there appeared 14 cases(8.6%) with parental history, 9 cases(5.6%) with sibling history and 6 cases(3.7%) with other relatives.
9. In the past history, hypertension led with 124 case s(76.5°%), then C.V.A 37 cases(22.9%) and diabetes mellitus 33 cases(20.4%)(Table 11). 10) In treatment the frequently used herbal recipes were Gamichungshimtang(), BoSimgunbitang( ), Kyuntongdudamtang( ) in 15% of the cerebral hemorrhage cases, respectively; Camichungshimtang( ) in 20% Yangkyeuksan(), Chowishungchumtang(), Yukmichihwangt-ang() in 6%, respectively, in cerebral thrombosis. The most frequently used acupuncture points in C. V. A were shown in Table 12. Taechung(), Habgok ( ), Joksamri(), Oekwan(), Chungjue( ), Jokimueb.(), Kokji(), Taebak() were frequency order used in C.V.A of both cerebral thrombosis and hemorrhage.
11. In admitted C.V.A patient care, it was stressed that the Oriental Medical Hospital plays important roles and, accordingly, the propriety of East-West medical cooperation was addressed.
12. Through classified disease distribution of admitted patients in the Oriental Medicine Hospital the epidemiological epitome of cerebrovascular accidents and other diseases was presented.
* East-West medicine denotes a methodology of approaching a creative medicine through cooperation between East-West medicines.
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