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The correlation between average temperature & precipitation and Pattern Identification of the patients with stroke

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서론

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중풍환자의 변증(辨證)과 기온 및 강수여부와의 상관성에 관한 연구

마미진, 김보람, 김미경, 최동준, 한창호, 정승현, 신길조, 이원철*

동국대학교 한의과대학 한방내과학교실, 부산대학교 한의학전문대학원 한방내과*

The correlation between average temperature & precipitation and Pattern Identification of the patients with stroke

Mi-Jin Ma, Bo-Ram Kim, Mi-Kyung Kim, Dong-Jun Choi, Chang-Ho Han, Seung-Hyun Jung, Gil-Jo Shin, Won-Chul Lee*

Department of Koearn Internal Medicine, College of Oriental Medicine, Dongguk University Department of Korean Internal Medicine, Pusan National University School of Oriental Medicine*

Objectives : This study was to investigated the correlation between average temperature & precipitation and pattern identification of the patients with stroke.

Methods : 115 stroke patients within 30days of onset were registered during the study period. Pattern identification of stroke was classified into Fire and heat, Turbid phlegm and others. We took the mean of average temperature according to pattern identification and analyzed pattern identification into two groups according to climatological normal of average temperature in Seoul. We also analyzed pattern identification into two groups according to existence of precipitation.

Results : Heat and fire, and other type of pattern identification had high frequency when average temperature was higher than 12.2℃. And there was no correlation between precipitation and pattern identification of stroke.

Key Words : Stroke, Temperature, Precipitation, Pattern identification

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연구방법

1. 연구대상

2007 4 1 30

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2. 자료의 수집

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4. 통계 분석

Mean±SD(standard deviation)

Number(%) , One Way

ANOVA, Chi-square test

, p-value < 0.05 .

결과

2007 4 2008 3

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8.16~9.07 , 12.91~13.98

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Variables

Pattern identification

Total, n(%)

Fire and Heat Turbid phlegm Others

Age, y(Mean±SD) 64.93±11.07 65.25±12.61 67.84±12.51

Male, n(%, sex) 34 (48.6) 16 (22.9) 20 (28.6) 70 (60.9)

Female, n(%, sex) 12 (26.7) 16 (35.6) 17 (37.8) 45(39.1)

Total, n(%) 46 (40.0) 32 (27.8) 37(32.2) 115 (100)

n = number of subjects

% in parenthesis indicates the percentage of the row

Table 1. General Characteristics

Variables

Pattern identification (Mean±SD)

p-value

Fire and Heat Turbid phlegm Others

Onset day 12.00±11.07 9.07±11.93 13.16±10.05 p=0.276

1day before onset 12.11±10.02 8.72±11.84 12.91±9.81 p=0.220

2days before onset 12.08±10.23 8.47±11.99 13.13±9.47 p=0.163

3days before onset 11.63±10.17 8.16±11.62 13.43±9.60 p=0.110

4days before onset 12.27±10.20 8.18±11.65 13.31±9.36 p=0.103

5days before onset 12.73±10.15 8.70±11.96 13.66±9.49 p=0.120

6days before onset 12.23±10.21 8.88±11.80 13.98±9.50 p=0.128

7days before onset 12.36±10.23 8.96±11.82 13.52±9.76 p=0.184

Table 2. Average Temperature(℃) according to Pattern identification - 1

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Variables Pattern identification, n(%)

p-value

Fire and Heat Turbid phlegm Others

Onset day <12.2 22 (37.9) 21 (36.2) 15 (25.9) p=0.104

12.2 24 (42.1) 11 (19.3) 22 (38.6)

1day before onset <12.2 22 (39.3) 20 (35.7) 14 (25.0) p=0.122

12.2 24 (40.7) 12 (20.3) 23 (39.0)

2days before onset <12.2 24 (40.0) 21 (35.0) 15 (25.0) p=0.115

12.2 22 (40.0) 11 (20.0) 22 (40.0)

3days before onset <12.2 25 (40.3) 21 (33.9) 16 (25.8) p=0.177

12.2 21 (39.6) 11 (20.8) 21 (39.6)

4days before onset <12.2 21 (36.2) 20 (34.5) 17 (29.3) p=0.275

12.2 25 (43.9) 12 (21.1) 20 (35.1)

5days before onset <12.2 20 (37.0) 20 (37.0) 14 (25.9) p=0.102

12.2 26 (42.6) 12 (19.7) 23 (37.7)

6days before onset <12.2 21 (37.5) 21 (37.5) 14 (25.0) p=0.061

12.2 25 (42.4) 11 (18.6) 23 (39.0)

7days before onset <12.2 21 (38.2) 21 (38.2) 13 (23.6) p=0.038*

12.2 25 (41.7) 11 (18.3) 24 (40.0)

n = number of subjects

% in parenthesis indicates the percentage of the row

* = p < 0.05

Table 3. Average Temperature(℃) according to Pattern identification - 2

Precipitation Pattern identification, n(%)

p-value

Fire and Heat Turbid phlegm Others

Onset day O 11 (40.7) 9 (33.3) 7 (25.9) p=0.664

X 35 (39.8) 23 (26.1) 30 (34.1)

1day before onset O 15 (42.9) 10 (28.6) 10 (28.6) p=0.854

X 31 (38.8) 22 (27.5) 27 (33.8)

2days before onset O 13 (32.5) 9 (22.5) 18 (45.0) p=0.099

X 33 (44.0) 23 (30.7) 19 (25.3)

3days before onset O 14 (35.0) 14 (35.0) 12 (30.0) p=0.448

X 32 (42.7) 18 (24.0) 25 (33.3)

4days before onset O 16 (40.0) 13 (32.5) 11 (27.5) p=0.638

X 30 (40.0) 19 (25.3) 26 (34.7)

5days before onset O 12 (38.7) 10 (32.3) 9 (29.0) p=0.800

X 34 (40.5) 22 (26.2) 28 (33.3)

6days before onset O 11 (37.9) 10 (34.5) 8 (27.6) p=0.634

X 35 (40.7) 22 (25.6) 29 (33.7)

7days before onset O 15 (40.5) 11 (29.7) 11 (29.7) p=0.916

X 31 (39.7) 21 (26.9) 26 (33.3)

n = number of subjects

% in parenthesis indicates the percentage of the row

Precipitation : O is days with precipitation phenomenon, X is days without precipitation phenomenon

Table 4. The Correlation between Pattern identification and Precipitation

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고찰

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결론

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참고문헌

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6. Wang Y, Levi CR, Attia JR et al. Seasonal Variation in Stroke in the Hunter Region, Australia A 5-Year Hospital-Based Study, 1995- 2000. Stroke 2003;34(5):1144-50.

7. Myint PK, Vowler SL, Woodhouse PR et al.

Winter Excess in Hospital Admissions, In-Patient Mortality and Length of Acute Hospital Stay in Stroke: A Hospital Database Study over Six Seasonal Years in Norfolk, UK. Neuroepidemi- ology 2007;28(2):79 85.

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:4-6, 242-78.

12. . .

: . 1999:144-5.

13. . . : . 1999:1099.

수치

Table 2. Average Temperature(℃) according to Pattern identification - 1
Table 3. Average Temperature(℃) according to Pattern identification - 2

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