| 재발된 뇌졸중에 관한 임상적고찰 |
| 김경선1, 김행진1, 김용진1, 전홍열1, 홍석1, 김종석2, 강화정1 |
1동신대학교 한의과대학 심계내과학교실
2동신대학교 부속한방병원 방사선과 |
| The Clinical Study of recurrent stroke |
| Kyung-Sun Kim1, Haeng-Jin Kim1, Yong-Jin Kim1, Hong-Youl Jeon1, Suk Hong1, Jong-Suk Kim2, Hwa-Jeong Kang1 |
1Department of 2nd internal Medicine, College of Oriental Medicine, Dongshin University.
2Department of radiology, Dongshin University Oriental Medicine Hospital, Gwangju, Korea. |
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Received: August 24, 2002, Accepted: October 14, 2002, Published online: December 30, 2002. |
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| ABSTRACT |
Objectives:
The purpose of this study was to set up the systematic management and prevention of stroke for the eventual prognosis. Clinical data for the past four years were analyzed for the appropriate treatment references.
Methods :
A total of 126 patients who showed a recurrent stroke were hospitalized at Dongshin University Oriental Medical School between January of 1997 to March of 2001. Patients were classified by some attributions such as age, sex frequency, the interval of reattacked CVA, reattacked season, monthly frequency, the past medical history, changes of symptoms were for the descriptive analysis. Then, they were verified for the statistical signficance(p<0.05) by the chi-square and ANOVA.
Results:
There was a 50% of recurrency rate among patients in their 60s and 70s, the highest occurrence in male and female, respectively. Between 31.87 ±4.27 months as the average recurrent period, there was a significant difference (p < 0.05) between different gender. The highest recurrence was seen in May and October. As a past medical history, high blood pressure was the top among several symptoms with no differences in the recurrented region, symptoms and recurrented type when compared with the first occurrence. The recurred type showed a significant influence on prognosis after treatment.
Conclusion:
We concluded that the recurring stroke was most frequent within 6 months with high relapsed rate in autumn and spring. The prognosis was not bright when recurrented type was the cerebral embolism. It needs to be closely examined the difference of the recurrence factor and the prognosis though further researches of the hospitalization, progress after being discharged from a hospital. The optimal approaching method for the prevention of stroke need to be studied . |
| Key words:
Recurrent stroke, Clinical study |
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