인후부 이물감 호소에 따른 위식도역류질환 환자의 임상적 특징 비교
Comparison of the Clinical Characteristics of Patients with Gastroesophageal Reflux Disease According to Globus Sensation
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives: This study aimed to investigate the clinical characteristics of patients with gastroesophageal reflux disease (GERD) according to globus sensation (GS). Methods: We reviewed the clinical records of 29 GERD patients who visited the Department of Digestive Diseases of Kyung Hee University Korean Medicine Hospital from March 1, 2018 to February 28, 2019. The subjects were classified according to the presence of globus sensation, and the two groups were compared in terms of heart rate variability (HRV) and the Ryodoraku results. Results: In comparing the GERD with GS group (GS group) and the GERD without GS group (non-GS group), a significant difference was found in the duration of symptom and several HRV parameters. The duration of the symptom in the GS group was significantly longer than that in the non-GS group. The non-GS group showed a significantly higher value of total power and high frequency than the GS group. Conclusions: The results suggest a significant difference in the stress level between patients with GERD with GS and those without GS. When approaching patients with GERD without GS, their stress status should be considered.
Abstract
Objectives: This study aimed to investigate the clinical characteristics of patients with gastroesophageal reflux disease (GERD) according to globus sensation (GS). Methods: We reviewed the clinical records of 29 GERD patients who visited the Department of Digestive Diseases of Kyung Hee University Korean Medicine Hospital from March 1, 2018 to February 28, 2019. The subjects were classified according to the presence of globus sensation, and the two groups were compared in terms of heart rate variability (HRV) and the Ryodoraku results. Results: In comparing the GERD with GS group (GS group) and the GERD without GS group (non-GS group), a significant difference was found in the duration of symptom and several HRV parameters. The duration of the symptom in the GS group was significantly longer than that in the non-GS group. The non-GS group showed a significantly higher value of total power and high frequency than the GS group. Conclusions: The results suggest a significant difference in the stress level between patients with GERD with GS and those without GS. When approaching patients with GERD without GS, their stress status should be considered.
참고문헌 (16)
- 정혜경, "위식도역류질환 임상진료지침 개정안 2012", 대한소화기학회지, 60(4), pp.195~218 (2012), 대한소화기학회
- 한가진, "위식도역류질환 변증도구 개발 연구", 대한한방내과학회지, 36(2), pp.122~152 (2015), 대한한방내과학회
- Jeon SG, "Prevalence of gastroesophageal reflux in routine check-up subjects", Korean J Intern Med, 58(2), pp.145~151 (2000)
- Lee SH, "The Clinical Spectrum of Gastroesophagel Reflux Disease in Korea", Korean J of Gastrointestinal, 6(1), pp.1~10 (2000)
- Klauser AG, "Symptoms in gastro-oesophageal reflux disease", Lancet, 335(8683), pp.205~208 (1990)
- Vakil N, "The Montreal definition and classification of gastroesophageal reflux disease : a global evidence-based consensus", Am J Gastroenterol, 101(8), pp.1900~1920 (2006)
- 이경수, "위식도역류질환 진단 및 임상양상에 있어서 내시경, 24시간 식도 산도검사, Bernstein 검사의 역할 및 증상과의 관계", 대한내과학회지, 70(2), pp.145~156 (2006), 대한내과학회
- Yi SY, "Epidemiologic Study of Reflux Esophagitis in General Health Screening People", Korean J of Med, 46(4), pp.514~520 (1994)
- 김현영, "건강 검진자에서의 미란성 및 비미란성 위식도역류질환의 임상적 특성 및 위험인자", 대한내과학회지, 71(5), pp.491~500 (2006), 대한내과학회
- 황은영, "梅核氣로 인해 음식을 삼키지 못하는 전환장애 환아 치험 1례", 동의신경정신과학회지, 20(2), pp.197~206 (2009), 대한한방신경정신과학회
- Chon JS, "Assessment of Autonomic Nervous Function in Young Adults by Power Spectral Analysis of Heart Rate Variability", J Korean Acad Rehabil Med, 21(5), pp.923~935 (1997)
- Choi WS, "Heart Rate Variadility and the Measurement of Stress", Korean J of Stress Research, 13(2), pp.59~63 (2005)
- Yang DH, "Correlation between Pulse-respiration Ratio and Heart Rate Variability", J of Korea Institue Oriental medical diagnostics, 10(2), pp.104~120 (2006)
- Autonomicassessment report : A comprehensive heart rate variability analysis, "McCraty R", Institute of Heart Math, 1~42 (1996)
- 임대정, "HRV(Heart Rate Variability)를 통한 말초성 안면신경마비와 자율신경실조의 상관성 연구", Journal of Acupuncture Research, 22(6), pp.51~60 (2005), 대한침구의학회
- Um EJ, "Study of Correlation between Insomnia and Autonomic Nervous System Functions by analysis of Heart Rate Variability", J Int Korean Med, 30(110), pp.167~174 (2009)