Building on a rational plan of the clinical interchange between western medicine, sasang constitution medicine and oriental medicine: with the ischemic stroke patient outcomes research

Dr. Jong Ku Park et a1.
Korea

Background: This Study was done to compare the effects of the therapy for ischemic stroke among the three hospitals. Each of the three hospitals adopted their own policy of the therapy (Yonsei University Wonju Christian Hospital (YUWCH) adopted western therapy, Sangji University Oriental Hospital (SUOH) adopted Sasang Constitution Medicine therapy and Hana Oriental Hospital (HOH) adopted mixed (oriental and western) therapy).

Methods: Prospectively, from November 1997 to December 1998, 190 inpatients were recruited at the three hospitals. Information was gathered through interviews and examinations. Outcome variables were changes in neurologlc function, measured by modified NIH scale, stroke differential diagnosis modal score and patient's satisfaction score during the two weeks of admission.

Results: Degree of improvement in modified NIH scales was lowest in HOH though the differences ware not statistically significant. Stroke differential diagnosis model score was significantly improved in YUWCH than in other two hospitals. Patient's satisfaction score in HOH was significantly higher than those in other two hospitals.

Conclusions: Degree of improvement in oriental viewpoint by western therapy was higher than oriental or mixed therapy. Degree of improvement in western viewpoint were not significantly different among three kinds of therapy. Patient's satisfaction score by mixed therapy was highest among the three kinds of therapy.


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