초음파 위배출 측정과 한의설문 간의 상관성 분석
Correlation Analysis between Gastric Emptying Measurement by Ultrasonography and Korean Medical Questionnaires
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objective: This study was designed to investigate the correlation between gastric emptying measurement by ultrasonography and the findings of various questionnaires of functional dyspepsia (FD) or in Korean medicine to explore the possibility of quantification of questionnaires. Methods: Eighty-eight patients (44 patients with FD and 44 healthy controls) were recruited from October 2016 to November 2017. Gastric emptying half-time (T1/2) was measured by ultrasonography at fasting, and at 0, 15, 30, 45, 60, 90, and 120 min after meals (apple juice, 500 ml, 224 kcal). The average half-time (average T1/2) was calculated by averaging all measured half-times. A visual analogue scale (VAS), food retention questionnaire (FRQ), damum questionnaire (DQ), cold and heat questionnaire (CHQ), deficiency and excess questionnaire (DEQ), spleen-qi deficiency questionnaire (SQDQ), Nepean dyspepsia index-Korean version (NDI-K), and quality of life of NDI (NDI-QoL) were filled out by all participants. Correlation between the average T1/2 and questionnaires were analyzed for 79 patients (37 patients with FD and 42 healthy controls) after excluding missing and erroneous data. Results: The FRQ, DEQ, SQDQ, NDI-K, and NDI-QoL scores, especially for some gastrointestinal symptoms and general weakness-related symptoms, showed statistically significant correlations with average T1/2. Conclusions: Our results suggest that gastric emptying measurement by ultrasonography may be a quantitative substitute method for some Korean medical questionnaires or for some dyspepsia-related and deficiency-related items among them. However, further studies using various measurements of gastric emptying will be needed.
Abstract
Objective: This study was designed to investigate the correlation between gastric emptying measurement by ultrasonography and the findings of various questionnaires of functional dyspepsia (FD) or in Korean medicine to explore the possibility of quantification of questionnaires. Methods: Eighty-eight patients (44 patients with FD and 44 healthy controls) were recruited from October 2016 to November 2017. Gastric emptying half-time (T1/2) was measured by ultrasonography at fasting, and at 0, 15, 30, 45, 60, 90, and 120 min after meals (apple juice, 500 ml, 224 kcal). The average half-time (average T1/2) was calculated by averaging all measured half-times. A visual analogue scale (VAS), food retention questionnaire (FRQ), damum questionnaire (DQ), cold and heat questionnaire (CHQ), deficiency and excess questionnaire (DEQ), spleen-qi deficiency questionnaire (SQDQ), Nepean dyspepsia index-Korean version (NDI-K), and quality of life of NDI (NDI-QoL) were filled out by all participants. Correlation between the average T1/2 and questionnaires were analyzed for 79 patients (37 patients with FD and 42 healthy controls) after excluding missing and erroneous data. Results: The FRQ, DEQ, SQDQ, NDI-K, and NDI-QoL scores, especially for some gastrointestinal symptoms and general weakness-related symptoms, showed statistically significant correlations with average T1/2. Conclusions: Our results suggest that gastric emptying measurement by ultrasonography may be a quantitative substitute method for some Korean medical questionnaires or for some dyspepsia-related and deficiency-related items among them. However, further studies using various measurements of gastric emptying will be needed.
참고문헌 (30)
- 신철민, "기능성 소화불량증의 진단 및 치료", 대한의사협회지, 59(4), pp.311~318 (2016), 대한의사협회[DOI]
- 박재명, "Functional Gastrointestinal Disorders Diagnosed by Rome III Questionnaire in Korea", Journal of Neurogastroenterology and Motility (JNM), 17(3), pp.279~286 (2011), 대한소화기 기능성질환∙운동학회
- Gentilcore D, "Measurements of gastric emptying of low-and high-nutrient liquids using 3D ultrasonography and scintigraphy in healthy subjects", Neurogastroenterol Motil, 18(12), pp.1062~1068 (2006)[DOI]
- Haruki Asano, "Prevalence of Gastric Motility Disorders in Patients with Functional Dyspepsia", Journal of Neurogastroenterology and Motility (JNM), 23(3), pp.392~399 (2017), 대한소화기 기능성질환∙운동학회[DOI]
- 오혜원, "脾氣虛證 진단평가도구 개발 연구", 대한한의학회지, 35(1), pp.157~170 (2014), 대한한의학회
- Pathology of Korean Medicine Textbook Compilation Committee, "Pathology of Korean Medicine", pp.411~414 (2008), han-ui munhwasa
- 백승환, "기능성 소화불량 환자에서 초음파로 측정한 위 배출능과 脾氣虛證 간의 상관성 분석", 대한한방내과학회지, 36(4), pp.527~546 (2015), 대한한방내과학회
- 남성욱, "기능성소화불량에서 胃氣虛證과 복부초음파로 측정한 위 배출능과의 상관성 분석", 대한한방내과학회지, 39(3), pp.405~425 (2018), 대한한방내과학회
- Van de Putte P, "Ultrasound assessment of gastric content and volume", British Journal of Anaesthesia, 113(1), pp.12~22 (2014)[DOI]
- Lee HW, "Ultrasonographic Gastric Emptying in Patients with Functional Dyspepsia", The Korean Journal of gastroenterology, 31(1), pp.1~8 (1998)
- 김증배, "기능성 소화불량증 변증도구 개발 연구", 동의생리병리학회지, 24(6), pp.1094~1098 (2010), 한의병리학회
- 최산호, "중풍 후 우울증의 변증안에 대한 전문가 델파이 조사", 동의생리병리학회지, 26(3), pp.367~375 (2012), 한의병리학회[DOI]
- Park YJ, "Development of a valid and reliable food retention questionnaire", European Journal of Integrative Medicine, 5(5), pp.432~437 (2013)[DOI]
- Park JS, "Development of Questionnaire for Damum Patternization", Journal of Korean institute of Oriental Medical Diagnostics, 10(1), pp.64~77 (2006)
- Talley NJ, "Development of a new dyspepsia impact scale : the Nepean Dyspepsia Index", Aliment Pharmacol Ther, 13(2), pp.225~235 (1999)[DOI]
- Lee SY, "Validation of the Nepean Dyspepsia Index-Korean version", Kor J Neurogastroenterol Motil, 9(suppl), pp.48~ (2003)
- Talley NJ, "Can Symptoms Discriminate Among Those With Delayed or Normal Gastric Emptying in Dysmotility-Like Dyspepsia?", The American Journal of Gastroenterology, 96(5), pp.1422~1428 (2001)[DOI]
- Talley NJ, "Functional dyspepsia, delayed gastric emptying, and impaired quality of life", Gut, 55(7), pp.933~939 (2006)[DOI]
- Kim SE, "Prevalence and Risk Factors of Functional Dyspepsia : A Nationwide Multicenter Prospective Study in Korea", J Clin Gastroenterol, 48(2), pp.e12~e18 (2014)[DOI]
- Stanghellini V, "Gastroduodenal Disorders", Gastroenterology, 150(6), pp.1380~1382 (2016)[DOI]
- Drossman DA, "The functional gastrointestinal disorders and the Rome III process", Gastroenterology, 130(5), pp.1377~1390 (2006)[DOI]
- Darwiche G, "Correlation Between Simultaneous Scintigraphic and Ultrasonographic Measurement of Gastric Emptying in Patients With Type 1 Diabetes Mellitus", J Ultrasound Med, 22(5), pp.459~466 (2003)[DOI]
- 김도영, "건강 성인에서 삼차원 초음파검사를 이용한 위배출시간 측정에 관한 연구", 대한소화기학회지, 44(2), pp.71~76 (2004), 대한소화기학회
- Sakurada M, "Gastric Emptying Time Measured by Simple Two-step Ultrasonographic Method in Diabetic Patients", Journal Japan Diab Soc, 28(6), pp.739~745 (1985)
- Kusunoki H, "Therapeutic efficacy of acotiamide in patients with functional dyspepsia based on enhanced postprandial gastric accommodation and emptying : randomized controlled study evaluation by real-time ultrasonography", Neurogastroenterol Motil, 24(6), pp.540~545 (2012)[DOI]
- Pedersen JF, "A Modified sonographic technique for assessment of gastric emptying of liquid", Acta Radiologica, 44(3), pp.340~342 (2003)[DOI]
- Ahluwalia NK, "Evlauation of human postprandial antral motor function using ultrasound", Am J Physiol, 266(3), pp.517~522 (1994)
- Tack J, "Role of impaired gastric accommodation to a meal in functional dyspepsia", Gastroenterology, 115(6), pp.1346~1352 (1998)[DOI]
- Zai H, "Investigation of Gastric Emptying Disorders in Patients with Functional Dyspepsia Reveals Impaired Inhibitory Gastric Emptying Regulation in the Early Postcibal Period", Digestion, 79(suppl 1), pp.13~18 (2009)[DOI]
- Kindt S, "Impaired gastric accommodation and its role in dyspepsia", Gut, 55(12), pp.1685~1691 (2006)[DOI]
