일개 한방병원에 위장관 증상을 주소로 내원한 외래환자의 사상의학적 특성에 관한 고찰
The Analysis on Clinical Characteristics of Out-Patients with Gastrointestinal Symptoms in a Korean Medicine Hospital
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives The aim of this study was to make an analysis of clinical characteristics and status of Sasang constitutional medicine of patients with gastrointestinal symptoms who visited a Korean medicine hospital. Methods We studied 287 patients with gastrointestinal symptoms who visited a Korean medicine hospital from March 1, 2010 to February 30, 2012. We retrospectively collected medical history and characteristics of subjects using data of EMR (electronic medical record). Results The proportion of female was higher than male. Most patients was suffered from chronic gastrointestinal disorder. And they were not under western medicine treatment.Among the 287 patients, 139 persons (48.43%) were Soyangin, 88 persons (30.66%) Taeeumin and 60 persons Soeumin (20.91%). The proportion of Soyangin was higher than other Sasang types. In the distribution of prescription according Sasang Constitutional Medicine symptomatology, the proportion of exterior disease's prescription was higher than interior disease in Soyangin (93.53%). And the proportion of interior disease's prescription was higher than exterior disease in Taeeumin (75.86%) and Soeumin (95.00%). The majority of disease were Gyolhyung-symptom (51.54%) and Mangeum-syndrome (46.15%) of exterior disease in Soyangin, Dry-febrile symptom (73.56%) of interior disease in Taeeumin, and Taeeum-syndrome (95.00%) of interior disease in Soeumin. Conclusions By analyzing on clinical characteristics and distribution of Sasang Constitutional Medicine symptomatology could contribute to the development of guideline for treatment of gastrointestinal disease of Sasang Constitutional Medicine.
Abstract
Objectives The aim of this study was to make an analysis of clinical characteristics and status of Sasang constitutional medicine of patients with gastrointestinal symptoms who visited a Korean medicine hospital. Methods We studied 287 patients with gastrointestinal symptoms who visited a Korean medicine hospital from March 1, 2010 to February 30, 2012. We retrospectively collected medical history and characteristics of subjects using data of EMR (electronic medical record). Results The proportion of female was higher than male. Most patients was suffered from chronic gastrointestinal disorder. And they were not under western medicine treatment.Among the 287 patients, 139 persons (48.43%) were Soyangin, 88 persons (30.66%) Taeeumin and 60 persons Soeumin (20.91%). The proportion of Soyangin was higher than other Sasang types. In the distribution of prescription according Sasang Constitutional Medicine symptomatology, the proportion of exterior disease's prescription was higher than interior disease in Soyangin (93.53%). And the proportion of interior disease's prescription was higher than exterior disease in Taeeumin (75.86%) and Soeumin (95.00%). The majority of disease were Gyolhyung-symptom (51.54%) and Mangeum-syndrome (46.15%) of exterior disease in Soyangin, Dry-febrile symptom (73.56%) of interior disease in Taeeumin, and Taeeum-syndrome (95.00%) of interior disease in Soeumin. Conclusions By analyzing on clinical characteristics and distribution of Sasang Constitutional Medicine symptomatology could contribute to the development of guideline for treatment of gastrointestinal disease of Sasang Constitutional Medicine.
참고문헌 (18)
- Kim JR, "Gastrointestinal disorders", pp.1064~ (2005), Ilchokak
- Drossman DA, "U.S. Householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact", Dig Dis Sci, 38, pp.1569~1580 (1993)
- 김종수, "3차 의료기관의 소화기 전문의에게 의뢰된 기능서 위장질환의 양상", Journal of Neurogastroenterology and Motility (JNM), 10(2), pp.111~117 (2004), 대한소화기 기능성질환∙운동학회
- 정혜경, "우리나라 소화기질환 환자의 질병비용 추계", 대한소화기학회지, 58(6), pp.323~331 (2011), 대한소화기학회
- Thompson WG, "Functional gastrointestinal disorders in Canada", Dig Dis Sci, 47, pp.225~235 (2002)
- Health Insurance Review and Assessment Service, "National health insurance statistical yearbook in 2007", ~
- 장은수, "사상체질 처방 활용 현황 및 유효 질환 조사", 사상체질의학회지, 23(1), pp.87~97 (2011), 사상체질의학회
- 김병주, "위장관 질환의 연구전략수립을 위한 최근 5년간 한의약논문의 체계적 고찰", 동의생리병리학회지, 23(6), pp.1273~1281 (2009), 한의병리학회
- 나병조, "소화기 증상을 주소로 내원한 외래환자 991명에 대한 위장관 증상 및 동반 증상 분석", 대한한의학회지, 33(1), pp.107~120 (2012), 대한한의학회
- 지삼룡, "기능성 소화불량증 치료에 관한 임상진료지침", 대한소화기학회지, 57(2), pp.67~81 (2011), 대한소화기학회
- 이미숙, "Digestive system-related pathophysiological symptoms of Sasang typology: Systematic review", Integrative Medicine Research, 2(2), pp.39~48 (2013), 한국한의학연구원[DOI]
- 백태현, "소화불량증 환자와 사상체질과의 상관성에 관한 연구", 대한한방내과학회지, 25(3), pp.492~496 (2004), 대한한방내과학회
- Lee JH, "A Case Report on the Distribution of Sasang Costitution in Dyspepsia Patients who had Undergone Upper Gastrointestinal Endoscopy", Korean J. Orient. Int. Med, 25(4-2), pp.337~345 (2004)
- Lee JH, "The autonomic nervous function and the yin-yang constitutional characteristics of the patients with functional gastrointestinal disorders", Journal of Korean Neuropsychiatric Association, 38(4), pp.723~737 (1999)
- 홍해진, "일개 한의원에 내원한 소화불량 환자의 사상인 분포에 관한 연구", 사상체질의학회지, 23(2), pp.230~239 (2011), 사상체질의학회
- Kim EY, "A clinical study on the Sasang constitution and obesity", J of Sasang Constitut Med, 16, pp.100~111 (2004)
- Lee JM, "Dongeuisusebowon" (1992), Yeogang
- Lee JM, "Dongeuisusebowon Sasangchobonkwon" (2003), Jipmoondang