노인 구강건조증 환자들의 설태 양상에 관한 고찰
Study on Tongue Coating Patterns of the Xerostomia in the Elderly Patients
5
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
ObjectivesThe aim of this study is to analyze the characteristics of the tongue coating pattern in the elderly patients withxerostomia. MethodsNinety-six elderly patients with xerostomia were recruited by advertisement and they visited the oral diseasesclinics at Kyung Hee University Korean Medicine Hospital and Kyung Hee University Hospital at Gangdongfrom November, 2011 to August, 2013. After signifying the assent, the subjects who passed screening wereenrolled this study. The subjects were evaluated on their clinical characteristics of xerostomia using visualanalogue scale for xerostomia, dry mouth questionnaire, unstimulated salivary flow rate. In addition, Yin-deficiencyquestionnaire was used to evaluate the Yin-deficiency state and Winkel tongue coating index and Digital Tongueimagin system were used to measure the tongue coating of patients. ResultsThe proportion of women was higher than that of men, and there were few smokers in this study population. This population had chronic and relatively severe xerostomia symptoms. Also, thin coating pattern was showedin this elderly patients with xerostomia and this result was regarded to the influence of Yin-deficiency. The thincoating patten was observed in the group with higher Yin-deficiency score. There was no difference in tonguecoating between the hyposalivation and normosalivation group. ConclusionIn the elderly patients with xerostomia, Yin-deficiency is might be considered as one of the main cause ofxerostomia. Hence, it is thought that this patients showed the thin coating pattern. This results could be usedin diagnosis and treatment for the elderly patients with xerostomia in traditional Korean medicine.
Abstract
ObjectivesThe aim of this study is to analyze the characteristics of the tongue coating pattern in the elderly patients withxerostomia. MethodsNinety-six elderly patients with xerostomia were recruited by advertisement and they visited the oral diseasesclinics at Kyung Hee University Korean Medicine Hospital and Kyung Hee University Hospital at Gangdongfrom November, 2011 to August, 2013. After signifying the assent, the subjects who passed screening wereenrolled this study. The subjects were evaluated on their clinical characteristics of xerostomia using visualanalogue scale for xerostomia, dry mouth questionnaire, unstimulated salivary flow rate. In addition, Yin-deficiencyquestionnaire was used to evaluate the Yin-deficiency state and Winkel tongue coating index and Digital Tongueimagin system were used to measure the tongue coating of patients. ResultsThe proportion of women was higher than that of men, and there were few smokers in this study population. This population had chronic and relatively severe xerostomia symptoms. Also, thin coating pattern was showedin this elderly patients with xerostomia and this result was regarded to the influence of Yin-deficiency. The thincoating patten was observed in the group with higher Yin-deficiency score. There was no difference in tonguecoating between the hyposalivation and normosalivation group. ConclusionIn the elderly patients with xerostomia, Yin-deficiency is might be considered as one of the main cause ofxerostomia. Hence, it is thought that this patients showed the thin coating pattern. This results could be usedin diagnosis and treatment for the elderly patients with xerostomia in traditional Korean medicine.
참고문헌 (43)
- Fox PC, "Xerostomia: evaluation of a symptom with increasing significance", J Am Dent Assoc, 110, pp.519~525 (1985)
- Billings RJ, "Xerostomia and associated factors in a cmmunity-dwelling adults population", Community Dent Oral Epidemiol, 24, pp.312~316 (1996)
- Ship JA, "Diagnosing, managing, and preventing salivary gland disorders", Oral Dis, 8, pp.77~89 (2002)
- Cassolato SF, "Xerostomia: clinical aspects and treatment", Gerodontology, 20, pp.64~77 (2003)
- Turner MD, "Dry mouth and its effect on the oral health of elderly people", J Am Dent Assoc, 138, pp.15~20 (2007)
- Hopcraft MS, "Xerostomia: An update for clinicians", Aust Dent J, 55, pp.238~244 (2010)
- Screebny LM, "Xerostomia (Dry Mouth). In The Salivary System", pp.179~202 (1988), Boca Raton, CRC Press
- Österberg T, "Salivary flow, saliva pH and buffering capacity in 70-yearold man and woman", J Oral Rehabil, 11, pp.157~170 (1984)
- Screebny LM, "A Reference Guide to Drugs and Dry Mouth", Gerodontology, 5, pp.75~99 (1986)
- Manthorpe R, "Sjöogrens Syndrome", Allergy, 36, pp.139~153 (1981)
- Neville BW, "Oral and maxillofacial pathology", pp.322~361 (1995), W.B. Saunders
- Fox PC, "Management of dry mouth", Dent Clin North Am, 41, pp.863~875 (1997)
- Little JW, "Dental management of the medically compromised patient", pp.516~545 (1997), Mosby-Year Book
- 中华人民共和国卫生部药政局, "中药新药临床 研究指导原则", pp.388~ (1993)
- 段龙光, "枸杞子治老年夜间口干证", pp.3~ (1989), 新中医
- 梁怡, "老年口腔干燥症中药治疗168例 临床观察", 中国保健营养, 6, pp.1532~ (2013)
- 秦伟霞, "刘伟. 知柏地黄丸治疗老年口 干症", 家庭科技, 7, pp.23~ (2001)
- 宋金玲, "清热养阴益气方治疗老年口干症78 例", 陕西中医, 7, pp.847~848 (2011)
- 이상재, "陰虛證 측정도구의 개발 및 신뢰도 타당도 검정", 동의생리병리학회지, 18(2), pp.376~380 (2004), 대한동의병리학회
- 최승훈, "한방병리학" (1997), 일중사
- 이봉교, "한방진단학", pp.70~91 (1986), 성보사
- 최은지, "백태중 후태 및 박태 분류판별함수설계", 한국한의학연구원논문집, 13, pp.119~124 (2007)
- Winkel EG, "Clinical effects of a new mouthrinse containing chlorhexidine, cetylpyridunium chloride and zinc-lactate on oral halitosis. A dual-center, double-blind placebocontrolled study", J Clin Periodontol, 30, pp.300~306 (2003)
- 어윤혜, "표리한열의 설 특성에 관한 정량적 연구", 대한한의학회지, 27(2), pp.134~144 (2006), 대한한의학회
- 손지희, "설진의 표준화를 위한 제언 : 설태 후박의 진단기준을 중심으로", 대한한방내과학회지, 33(1), pp.1~13 (2012), 대한한방내과학회
- Kim J, "Development of differential criteria on tongue coating thickness in tongue diagnosis", Complement Ther Med, 20, pp.316~322 (2012)
- Kim J, "Availability of tongue diagnosis system for assessing tongue coating thickness in Patients with functional dyspepsia", Evid Based Complement Alternat Med, pp.348272~ (2013)
- Maria MM, "Sjögren’'s syndrome of the oral cavity. Review and update", Med Oral Patol Oral Cir Bucal, 14, pp.325~330 (2009)
- Johnstone PA, "Acupuncture for pilocarpine-resistant xerostomia following radiotherapy for head and neck malignancies", Int J Radiat Oncol Biol Phys, 50, pp.353~357 (2001)
- Ramos-Casals M, "Treatment of primary sjögren syndrome: A systematic review", JAMA, 304, pp.452~460 (2010)
- Jae-Woo Park, "Effects of Korean Red Ginseng on Dry Mouth: A Randomized, Double- Blind, Placebo-Controlled Trial", Journal of Ginseng Research, 34(3), pp.183~191 (2010), 고려인삼학회
- 이정윤, "구강건조증 증상 평가를 위한 설문지의 신뢰도에 관한 연구", Journal of Oral Medicine and Pain, 30(4), pp.383~390 (2005), 대한안면통증∙구강내과학회
- Navazesh M, "A comparison of whole mouth resting and stimulated salivary measurement procedures", J Dent Res, 61, pp.1158~1162 (1982)
- Levine RS, "Saliva: 3. Xerostomia--aetiology and management", Dent Update, 16, pp.197~201 (1989)
- Longman LP, "Salivary gland hypofunction in elderly patients attending a xerostomia clinic", Gerodontology, 12, pp.67~72 (1995)
- Longman LP, "Oral and non-oral signs and symptoms in patients with salivary gland hypofunction", Postgrad. Med. J, 73, pp.93~97 (1997)
- 김주연, "노인 구강건조증에 대한 음허 진단의 유용성 및 주관적 구강건조감의 영향요인 : 전향적 단면 조사 연구", 대한한의학회지, 34(3), pp.13~24 (2013), 대한한의학회
- 허준, "동의보감" (2004), 남산당
- 채병윤, "동의안이비인후과학", pp.461~462 (2011), 집문당
- 최선미, "한의진단명과 진단요건의 표준화연구Ⅲ", 한국한의학연구원논문집, 3, pp.41~65 (1997)
- Screebny LM, "Saliva: its role in health and disease", Int Dent J, 42, pp.291~304 (1992)
- Kojima K, "Clinical studies on the coated tongue", Jpn J Oral Maxillofac Surg, 31, pp.45~64 (1985)
- Hinode D, "Relationship between tongue coating and secretory-immunoglobulin A level in saliva obtained from patients complaining of oral malodor", J Clin Periodontol, 30, pp.1017~1023 (2003)