위기허증으로 진단된 소화불량 환자의 임상적 특징; 위전도 검사를 중심으로
Clinical Features of Electrogastrogram in Dyspeptic Patients with Stomach Qi Deficiency
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초록
Objectives: This study investigated the cutaneous electrogastrogram (EGG) and other clinical characteristics of dyspeptic patients who have been diagnosed with Stomach Qi Deficiency (SQD) using the Scale for Stomach Qi Deficiency (SSQD). Methods: This study reviewed the clinical records of 38 patients with dyspepsia who were evaluated with SSQD and EGG at the Department of Digestive Diseases of Kyung Hee University Korean Medicine Hospital in Seoul, Korea from November 1, 2019 to February 29, 2020. We evaluated the EGG and other clinical characteristics of the SQD patients to determine if there was an association between the SSQD scores and the EGG. Results: In terms of the EGG, the SQD patients showed no significant increase in the percentage of normal slow wave after a meal and a slightly decreased power ratio at Channel 1 and Channel 2. We also found an association between the SSQD scores and the EGG parameters at Channel 1 and Channel 3. The average Ryodoraku score of the patients was 33.00±14.90 (μA). In the Heart Rate Variability (HRV) test, the average Total Power (TP) and Low Frequency/High Frequency (LF/HF)) ratio was 1356.60±1336.41(ms2) and 1.68±2.25, respectively. Conclusions: The results of this study suggest that clinicians can use Electrogastrography to enhance accuracy when diagnosing the SQD pattern.
Abstract
Objectives: This study investigated the cutaneous electrogastrogram (EGG) and other clinical characteristics of dyspeptic patients who have been diagnosed with Stomach Qi Deficiency (SQD) using the Scale for Stomach Qi Deficiency (SSQD). Methods: This study reviewed the clinical records of 38 patients with dyspepsia who were evaluated with SSQD and EGG at the Department of Digestive Diseases of Kyung Hee University Korean Medicine Hospital in Seoul, Korea from November 1, 2019 to February 29, 2020. We evaluated the EGG and other clinical characteristics of the SQD patients to determine if there was an association between the SSQD scores and the EGG. Results: In terms of the EGG, the SQD patients showed no significant increase in the percentage of normal slow wave after a meal and a slightly decreased power ratio at Channel 1 and Channel 2. We also found an association between the SSQD scores and the EGG parameters at Channel 1 and Channel 3. The average Ryodoraku score of the patients was 33.00±14.90 (μA). In the Heart Rate Variability (HRV) test, the average Total Power (TP) and Low Frequency/High Frequency (LF/HF)) ratio was 1356.60±1336.41(ms2) and 1.68±2.25, respectively. Conclusions: The results of this study suggest that clinicians can use Electrogastrography to enhance accuracy when diagnosing the SQD pattern.
참고문헌 (20)
- Committee of Digestive Diseases, National Korean Medicine College, "Gastroenterology", pp.67~69 (2009), Koonja publisher
- Lee JH, "Development and validation of a new pattern identification scale for Stomach Qi Deficiency", European Journal of Integrative Medicine, 17, pp.56~63 (2018)
- Haa SY, "A review on Recent Study of Electrogastrography - for Oriental Medical Application", Journal of the Korea Institute of Oriental Medical Diagnostics, 10(2), pp.5~66 (2006)
- Haa SY, "A study on the characteristics of electrogastrography according to the heat-cold patternization", Journal of the Korea Institute of Oriental Medical Diagnostics, 12(1), pp.131~141 (2008)
- Ryu JM, "The Usefulness of Electrogastrography on the Differential Diagnosis of Deficiency or Excess Condition in Patients with Functional Dyspepsia", The Journal of Korean Oriental Internal Medicine, 25(4), pp.346~355 (2004)
- 정하덕, "기능성 소화불량증 환자의 辨證證候에 의한 건강상태와 위 운동성의 상관성에 대한 연구 (氣血水 辨證과 위전도 지표를 중심으로)", 대한한방내과학회지, 25(4), pp.158~166 (2004), 대한한방내과학회
- Kim SH, "Co-relation between Questionnaire for Buzhongyiqi-Tang and Electrogastrography", Journal of Korean Institute of Oriental Medical Diagnostics, 13(2), pp.34~44 (2009)
- 남성욱, "기능성소화불량에서 胃氣虛證과 복부초음파로 측정한 위 배출능과의 상관성 분석", 대한한방내과학회지, 39(3), pp.405~425 (2018), 대한한방내과학회
- Jieyun Yin, "Electrogastrography: Methodology, Validation and Applications", Journal of Neurogastroenterology and Motility (JNM), 19(1), pp.5~17 (2013), 대한소화기 기능성질환∙운동학회
- Koch KL, "Effect of barium meals on gastric electromechanical activity in man. A fluoroscopic-electrogastrographic study", Dig Dis Sci, 32(11), pp.1217~1222 (1987)
- Kim SW, "Clinical Correlation between Scintigraphic Measurement of Gastric Emptying and Electrogastrography in Dysmotility Like Functional Dyspepsia", Korean Journal of Gastroenterology, 37(4), pp.240~246 (2001)
- Parkman HP, "Electrogastrography : a document prepared by the gastric section of the American Motility Society Clinical GI Motility Testing Task Force", Neurogastroenterol Motil, 15(2), pp.89~102 (2003)
- Department of Physiology, "Oriental Medical Physiology", pp.258~262 (2008), Jipmoondang publisher
- Park YI, "The Changes of Electrogastrographic Findings and Gastric Fullness before and after Rice Soup in Patients with Dysmotility–like Functional Dyspepsia", The Korean journal of gastroenterology, 32(6), pp.709~716 (1998)
- Choi IT, "Effect of Meal on Electrogastrogram", Korean Journal of Internal Medicine, 43(4), pp.527~532 (1988)
- Sha W, "Rhythmic and spatial abnormalities of gastric slow waves in patients with functional dyspepsia", Journal of Clinical Gastroenterology, 43(2), pp.123~129 (2009)
- 김유승, "기능성 소화불량증 환자에서 침구 처치 후 다채널 위전도 소견의 변화", 동의생리병리학회지, 24(1), pp.152~157 (2010), 한의병리학회
- 백소영, "인후부 이물감 호소에 따른 위식도역류질환 환자의 임상적 특징 비교", 대한한방내과학회지, 40(3), pp.287~294 (2019), 대한한방내과학회[DOI]
- 임대정, "HRV(Heart Rate Variability)를 통한 말초성 안면신경마비와 자율신경실조의 상관성 연구", Journal of Acupuncture Research, 22(6), pp.51~60 (2005), 대한침구의학회
- Choi WS, "Heart Rate Variability and the Measurement of Stress", Korean J of Stress Research, 13(2), pp.59~63 (2005)
