고령의 만성콩팥병 환자에서 발생한 초기 신경학적 악화가 동반된 후방순환뇌경색 치험 1례

• Published in: 대한한방내과학회지 Vol. 42; no. 5; pp. 727 - 737
• Main Authors: 김준석, 이유나, 안유민, 백경민, Kim, Jun-seok, Lee, Yoo-na, An, Yu-min, Baek, Kyung-min
• Format: Journal Article
• Language: Korean
• Published: 대한한방내과학회 01.10.2021
• Subjects: 한의학; Korean medicine; chornic kidney disease; posterior circulation cerebral infarction; early neurological deterioration; hemiparesis
• ISSN: 1226-9174
• DOI: 10.22246/jikm.2021.42.5.727

Objectives: This study investigated the effect of Korean medicine on an elderly patient with posterior circulation cerebral infarction, chronic kidney disease (CKD), and early neurological deterioration (END). Methods: The patient, who already had CKD, was treated with Korean medicine, comprising herbal medicine, acupuncture, moxa, and cupping combined with Western medicine (antiplatelet, diabetes) and physical therapy. A manual muscle test (MMT) and a modified Barthel index (MBI) were used to observe the treatment effects, and blood tests were performed to check estimated glomerular filtration rate (eGFR), creatinine and blood urea nitrogen (BUN), which represent renal function. Results: After the treatment, MMT, MBI, and renal function scores had increased. Conclusions: This study suggests that Korean medicine can effectively treat posterior circulation cerebral infarction with END in CKD, but further studies should be conducted.