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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한구강악안면외과학회 대한구강악안면외과학회지 대한구강악안면외과학회지 제30권 제6호
발행연도
2004.1
수록면
504 - 508 (5page)

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초록· 키워드

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Surgical process of oral and maxillofacial area as well as dental treatment are stressful situations to the patients. It is well known that serum level of stress hormones including adrenocorticotropic hormone(ACTH) and cortisol increase when the body is exposed to stress. However, there have been few studies on demographic and clinical factors related with stress. Therefore, the purpose of this study was to supply data to cope with stress more comprehensively and efficiently by analyzing the effect of factors related with stress in addition to surgical procedure. Prospective cohort study method was selected. Serum levels of ACTH and cortisol were measured by sampling bloods pre-operatively and post-operatively from 45 patients who had been operated at the Bundang Jesaeng Hospital department of oral and maxillofacial surgery. To evaluate factors associated with stress, patients were classified according to gender, age, method of payment(insurance or self), experiences of operation, kind of operations(expected operations or unexpected operations). Relative risk was calculated to assess relationships between changes of serum level of ACTH and cortisol and factors related with stress, whereas Chi-square analysis was executed to evaluate statistical significance. With regard to serum level of ACTH, relative risk was 1.3 in the group of the patients who were less than 40 years old. With regard to serum level of cortisol, relative risk was 1.8 for women compared with men, 1.4 in the group of the patients who were less than 40 years old and 1.6 in the group of the patients who had not experienced any other operations. In addition to surgical procedure, factors related with stress included gender, age, method of payments, experiences of operation and kind of operations. Therefore, we should provide comprehensive schemes to reduce stress of the patients going through oral and maxillofacial surgery.
#stress #adrenocorticotropic hormone #cortisol

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참고문헌 (19)

참고문헌 신청
/ / ACTH levels in plasma in preoperative and surgical stressed patients J Clin Invest 1985 : 14 ~ 21 google schola / / Depression of cellular immunity after major injury Arch Surg 1986 : 1000 ~ 1005 google schola / / Episodic 24-hour cortisol secretory patterns in patients awaiting elective cardiac surgery J Clin Endocrinol Metab 1976 : 273 ~ 283 google schola / / Immunodepression after major surgery in normal patients Surgery 1975 : 363 ~ 372 google schola / / Inhibition of the adrenocorticotropin response to surgery in humans interaction between dexamethasone and fentanyl J Clin Endocrinol Metab 1987 : 295 ~ 298 google schola

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