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KMID : 1003219990050010102
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Journal of Korean Oriental Chronic Disease
1999 Volume.5 No. 1 p.102 ~ p.122
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A Clinical Study of Chronic Sinusitis Byung Yoon Chae, O. M. D
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Abstract
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We studied 229 patients(male 135, female 9) who had visited Kyung-Hee oriental medical center with sinusitis from January 3, 1998 to December 31, 1998.
The results are as follows.
1. The age of average was 22 : male´s average was 20.45 age, minimum was 2 age, maximum was 72 age and female´s average was 24.32 age, minimum was 4 age, maximum was 69 age. under 9 age was 31.44%, 10∼19 age was 27.51%, so under 19 age was 58.95% and under 39 age the most with 82.53%.
2. In the age of onset, under 9 age was 48.03%(110 cases), 10∼19 age was 26.20%(60cases), so under 19 age was the most with 74.23%. Gul^2 between males and females were showed statically significant difference.(P<0.01)
3. In the distribution of season, spring is the most with 42.79% of patients, fall is 21.82%, summer is 19.21% and winter is 16.16%. there is no statically significant difference by F-test, T-test and Chi-test in the distribution of season.
4. In the duration of disease, maximum is 69 years, minimum is 4 years in female and maximum is 45 years, minimum is 1 month in male. under 5 years is 65.07%: male is 36.68%, female is 28.38%, 6∼10 years is 21.40%, under 10 years is 86.47%. There is no significant difference in the duration of disease.
5. In blood type, B type is the most with 31.38%, A type is 28.38%, O type is 13.97% and AB type is 10.92%. there is no significant difference in blood type.
6. In select of the preference food, patients who prefer cool food is the most with 48.47% (111 cases), warm food is 35.81%(82cases) and tepid food is 15.21(36cases). These were showed statically significant difference as compared select of the preference food with patients. (P<0.001 )
7. In the classification of sinusitis, maxillary sinusitis is 63.76%(146cases) : both maxillary sinusitis is 50.66%(116cases), Lt maxillary sinusitis is 7.42%(17cases), Rt maxillary sinusitis is 5.68%(13cases). Mucosal thickening of both maxillary sinus is 10.48%(24cases), maxillary sinus with one side mucosal thickening and sinusitis is 2.18%. retention cyst in maxillary sinus is 1.31%. patients who do not have sinusitis through a PNS series is 19.65%(45cases) and who have Chronic rhinitis are 22.27%.
8. Patients who have nasal Family History is 44.98%, : patients whose father have nasal disease is 15.72%, mother 16.16%, brother 4.48%, sun 4.37% and grandparents is 3.06%. patients who don´t have nasal family history is 55.02%.
9. Among the 103 patients (44.98%) who have Family History in nasal and respiratory disease, sinusitis is the most common with 19.21%, allergic rhinitis is 10.48%, chronic rhinitis is 10.04%, bronchitis is 3.06%,
10. In main symptoms, nasal obstruction is 96.07%, post nasal discharge 81.66%, mucosal rhinorrhea 52.84%, watery rhinorrhea 15.28%, headache 47%, sputum 46%. these were showed significant difference by T-test as compared total cases with males(p<0.01) but there were not females ones(P<0.87).
11. Patients who have no Past History is 55.02%. patients who have Past History is 44.98% : respiratory and bronchial disease is 15.28% each, others is 29.69%.
12. In the duration of medication, it took 1∼2 weeks in 19.65%, 3∼4 weeks in 22.92%, less than l month 41.92%, 5∼6 weeks in 15.28%, 7∼8weeks in 13.98%, 11 weeks or more in 22.27%, the longest duration of the treatment is 40 weeks, the shortest 1 week, the duration of the treatment in general is 2 weeks. but there were showed no significant difference between male and female.
13. In the frequency of acupuncture treatment, 37.56% applied to acupuncture 1∼3 times, 18.34% 4∼6 times, 13.10% 7∼9 times, 69% less than 9 times. the longest acupuncture time is 65 times, the shortest one, generally twice. but there were showed no clear difference as compared the total cases with male and female.
14. In the treatment prescription, twelve prescriptions and the rest there were in used the 3058 weeks with twelve prescriptions and the rest. among them, No.25 was most common with 19.25% in 588.8 weeks, No. 151 17.42% with 532.8 weeks, No,34 16.73% with 511.7 weeks, others 7.18% with 219.5 weeks.
15. From the investigation and comparison between control group and treatment group, we can see the significant effect in the treatment (P<0.001 , male P<0.005, female P<0.01).
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