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KERD
논문KCI 등재

위식도역류질환 변증도구 개발 연구

evelopment of a Standard Tool for Pattern Identification of Gastroesophageal Reflux Disease (GERD)

이준희|박재우|임정태|김진성|이나라|한가진
대한한방내과학회 (The Society Of Korean Oriental Internal Medicine)|2015.06|대한한방내과학회지 (The Journal of Korean Oriental Internal Medicine)|제36권 제2호|pp. 122-152

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키워드

diagnosispattern identificationgastroesophageal reflux disease (GERD)PIGERD
주제분류한의학

초록

Objectives: This study was designed to develop a standard tool for pattern identification of gastroesophageal reflux disease (GERD) patients. Methods: Korean and Chinese literature was selected that mentioned pattern identification of GERD. We gathered the pattern identification and their symptoms and a Chinese medical doctor proficient in Korean translated the Chinese characters into Korean. A Korean linguist then confirmed the translation results to develop a draft of the standard tool for pattern identification of gastroesophageal reflux disease (PIGERD). The final PIGERD was developed after assessment by an expert committee composed of professors from the Korean Medicine University, using the following items: inclusion of the pattern identification and its symptoms, importance of items, and validity of translation. Results: Six pattern identifications and 94 symptoms were selected from 45 references and translated into Korean. Four pattern identifications [pattern/syndrome of liver qi invading the stomach (肝胃不和), spleen-stomach weakness (脾胃虛弱), spleen-stomach dampness-heat (脾胃濕熱), and stomach yin deficiency (胃陰不足)] and 49 symptoms were then selected through the Delphi method by the expert committee. The final standard PIGERD tool was completed after the assessment of translation validity and reflection of individual opinions by the expert committee. This tool consists of 40 items including tongue and pulse diagnosis. The weighted value was also computed from assessment of the importance of items. Conclusions: We developed a standard tool for pattern identification of gastroesophageal reflux disease (PIGERD) to clarify the pattern identification of patients with gastroesophageal reflux disease for standardized diagnosis.

Abstract

Objectives: This study was designed to develop a standard tool for pattern identification of gastroesophageal reflux disease (GERD) patients. Methods: Korean and Chinese literature was selected that mentioned pattern identification of GERD. We gathered the pattern identification and their symptoms and a Chinese medical doctor proficient in Korean translated the Chinese characters into Korean. A Korean linguist then confirmed the translation results to develop a draft of the standard tool for pattern identification of gastroesophageal reflux disease (PIGERD). The final PIGERD was developed after assessment by an expert committee composed of professors from the Korean Medicine University, using the following items: inclusion of the pattern identification and its symptoms, importance of items, and validity of translation. Results: Six pattern identifications and 94 symptoms were selected from 45 references and translated into Korean. Four pattern identifications [pattern/syndrome of liver qi invading the stomach (肝胃不和), spleen-stomach weakness (脾胃虛弱), spleen-stomach dampness-heat (脾胃濕熱), and stomach yin deficiency (胃陰不足)] and 49 symptoms were then selected through the Delphi method by the expert committee. The final standard PIGERD tool was completed after the assessment of translation validity and reflection of individual opinions by the expert committee. This tool consists of 40 items including tongue and pulse diagnosis. The weighted value was also computed from assessment of the importance of items. Conclusions: We developed a standard tool for pattern identification of gastroesophageal reflux disease (PIGERD) to clarify the pattern identification of patients with gastroesophageal reflux disease for standardized diagnosis.

참고문헌 (64)

  1. 정혜경, "위식도역류질환 임상진료지침 개정안 2012", 대한소화기학회지, 60(4), pp.195~218 (2012), 대한소화기학회
  2. Cho YS, "Prevalence and clinical spectrum of gastroesophageal reflux: a population-based study in Asan-si, Korea", Am J Gastroenterol, 100(4), pp.747~753 (2005)
  3. Dent J, "An evidence-based appraisal of reflux disease management-the Genval Workshop Report", Gut, 44(Suppl 2), pp.1S~16S (1999)
  4. 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)
  5. Becher A, "Systematic review: the association between symptomatic response to proton pump inhibitors and health-related quality of life in patients with gastrooesophageal reflux disease", Aliment Pharmacol Ther, 34(6), pp.618~627 (2011)
  6. Kulig M, "Quality of life in relation to symptoms in patients with gastrooesophageal reflux disease - an analysis based on the ProGERD initiative", Aliment Pharmacol Ther, 18(8), pp.767~776 (2003)
  7. Sjoland H, "Improvement in quality of life and exercise capacity after coronary bypass surgery", Arch Intern Med, 156(3), pp.265~271 (1996)
  8. Dimenas E, "Methodological aspects of evaluation of Quality of Life in upper gastrointestinal diseases", Scand J Gastroenterol, 199(suppl), pp.S18~S21 (1993)
  9. Donnellan C, "Medical treatments for the maintenance therapy of reflux oesophagitis and endoscopic negative reflux disease", Cochrane Database Syst Rev, pp.CD003245~ (2005)
  10. Hayden C, "Usage of supplemental alternative medicine by community-based patients with gastroesophageal reflux disease(GERD)", Dig Dis Sci, 47(1), pp.1~8 (2002)
  11. Dickman R, "Clinical trial:acupuncture vs. doubling the proton pump inhibitor dose in refractory heartburn", Aliment Pharmacol Ther, 26(10), pp.1333~1344 (2007)
  12. 김희준, "역류성식도염 유발 흰쥐에 대한 二陳湯加味方의 효과", 대한한방내과학회지, 31(1), pp.128~141 (2010), 대한한방내과학회
  13. 백동기, "역류성식도염 환자 1례에 관한 증례보고", 동의생리병리학회지, 18(6), pp.1933~1937 (2004), 한의병리학회
  14. 변준섭, "감모변증도구 개발에 관한 예비 연구", 동의생리병리학회지, 23(6), pp.1226~1233 (2009), 한의병리학회
  15. Zhu X, "Relationship between TCM Syndrome Types of Gastroesophageal Reflux Disease and 24-Hour pH Value plus Bilirubin Measurements in the Esophagus", Journal of Traditional Chinese Medicine, 47(2), pp.128~130 (2006)
  16. Wang XZ, "Clinical effect of TCM syndrome differentiation and treatment on radiation esophagitis", Journal of Beijing University of Traditional Chinese Medicine(Clinical Medicine), 14(1), pp.16~18 (2007)
  17. 赵拴来, "反流性食管炎的X线检查与中医辩证治疗", 中国社区医师, 9(10), pp.82~ (2007)
  18. 袁兵, "胃食管反流病的辨证论治", 26(9), pp.79~ (2008)
  19. Liu SN, "Evaluation Study on the Life Quality of Gastroesophageal Reflux Disease Patients", Chinese Journal of Information on Traditional Chinese Medicine, 16(11), pp.18~20 (2009)
  20. Li L, "Clinical Observation of 58 Cases of Chest Pain Associated with Gastroesophageal Reflux Disease", Liaoning Journal of Traditional Chinese Medicine, 36(2), pp.220~222 (2009)
  21. Li Z, "Study on Chinese Medical Syndromes of Gastro-Esophageal Reflux Disease", Chinese Journal of Basic Medicine in Traditional Chinese Medicine, 16(3), pp.223~235 (2010)
  22. 王反修, "中医证型辩证治疗胃食管反流病疗效探讨", 中国现代药物应用, 4(15), pp.42~43 (2010)
  23. Wang XW, "Professor Wei Pin Kang’s Experience of Treatment of Gastroes ophageal Reflux Disease", Journal of Yunnan University of Traditional Chinese Medicine, 33(5), pp.50~51 (2010)
  24. Ma XY, "Analysis of treatment for gastro-esophagitis reflux disease according to the traditional Chinese medical theory of liver and spleen", Global Traditional Chinese Medicine, 4(5), pp.351~353 (2011)
  25. Zhou H, "Chinese and western medicine treatment of refractory GERD", Global Traditional Chinese Medicine, 4(1), pp.16~19 (2011)
  26. 刁迎梅, "中医分型辨治胃食管反流病临床探微", 航空航天医学杂志, 22(5), pp.639~640 (2011)
  27. Wang WJ, "Study on TCM syndromes of refl ux esophagitis", China Journal of Traditional Chinese Medicine and Pharmacy, 26(7), pp.1515~1518 (2011)
  28. Zhuge L, "Cinical Study of Gastro Esophageal Reflux Disease Based on Differentiation of Syndromes", China Journal of Chinese Medicine, 26(152), pp.88~89 (2011)
  29. 杜昕, "袁红霞辨证分型治疗反流性食管炎86例", 辽宁中医杂志, 38(1), pp.111~112 (2011)
  30. 王培香, "中医辨证治疗胃食管反流病疗效分析", 光明中医, 26(3), pp.508~509 (2011)
  31. 陶可胜, "胃食管反流病的中医辨证治疗", 中国社区医师, 5(23) (2011)
  32. Sun J, "Clinical characteristics of patients with reflux esophagitis exhibiting gallbladder heat attacking the stomach or stagnant heat of the liver and stomach syndrome", Journal of Chinese Integrative Medicine, 9(7), pp.732~736 (2011)
  33. 唐伟召, "浅析胃食管反流病的中医辨证", 中国实用医药, 6(24), pp.225~226 (2011)
  34. Cheng TM, "The Clinical Dialectical Comprehend of Four cases of Reflux Esophagitis", Journal of Chengdu University of Traditional Chinese Medicine, 34(3), pp.15~17 (2011)
  35. Zhang H, "Clinical Observation of TCM Syndrome Differentiation Treat Reflux Esophagitis for 30Cases", Guangming Journal of Chinese Medicine, 26(9), pp.1811~1812 (2011)
  36. 倪立群, "中医辨证治疗非糜烂性胃食管反流病临床效果观察", 吉林医学, 32(36), pp.7785~ (2011)
  37. 张双全, "胃食管反流病的中医证型辩证治疗分析", 中国实用医药, 7(29), pp.181~182 (2012)
  38. Zhang Y, "Observation of clinical effect of the treatment for 66 cases of reflux esophagitis with TCM syndrome differentiation", China Medical Herald, 9(14), pp.114~115 (2012)
  39. Huang Y, "Clinical Effects of Treatment Based on Syndrome Differentiation for Gastroesophageal Reflux Disease", Acta Universitatis Traditionis Medicalis Sinensis Pharmacologiaeque Shanghai, 26(3), pp.37~40 (2012)
  40. 刘水, "胃食管反流病的中医分型辨证治疗分析", 光明中医, 27(7), pp.1370~1371 (2012)
  41. 李雷, "辨证治疗胃食管反流病46例", 浙江中医杂志, 47(10), pp.721~722 (2012)
  42. 黄石标, "中医证型辩证施治胃食管反流病的临床观察", 中国医疗前沿, 8(10), pp.27~ (2013)
  43. Wang X, "Clinical Research of Chinese Medicine Treatment in Gastroesophageal Reflux Disease", Journal of Liaoning University of Traditional Chinese Medicine, 15(10), pp.133~135 (2013)
  44. 桂茜茹, "中医药治疗反流性食管炎研究进展", 江西中医药, 44(362), pp.72~75 (2013)
  45. 李艳波, "胃食管反流病型胃痛的中医辨证分型及诊治分析", 陕西中医, 34(6), pp.692~694 (2013)
  46. 熊上中, "胃食管反流病中医辨证治疗的临床分析", 中国医药指南, 11(20), pp.297~298 (2013)
  47. Du X, "Main Points of Reflux Esophagitis Based on Syndrome Differentiation", Journal of Liaoning University of Traditional Chinese Medicine, 15(10), pp.126~127 (2013)
  48. Liu L, "Clinical research on treatment of gastroesophageal reflux disease according to syndrome differentiation", Chinese Journal of Basic Medicine in Traditional Chinese Medicine, 19(10), pp.1151~1155 (2013)
  49. 王朝霞, "反流性食管炎的中医辨证护理", 光明中医, 11, pp.2399~ (2013)
  50. 魏红霞, "中医辨证分型治疗反流性食管炎", 河南中医, 34(2), pp.308~309 (2014)
  51. 国家中医药管理局专业技术资格考试专家委员会, "中医内科学" (2006), 中国中医药出版社
  52. 尤松鑫, "简明中医内科学(汉英对照)(Concise traditional Chinese internal medicine(Chinese-English))" (2004), 江苏科学技术出版社
  53. Wang Y, "Internal medicine of traditional Chinese medicine" (2002), Publishing House of Shanghai University of Traditional Chinese Medicine
  54. 王永炎, "中醫內科學" (2001), 人民衛生出版社
  55. Tian D, "Traditional Chinese internal medicine" (2000), Academy Press
  56. 朱文鋒, "中醫診斷學" (1999), 人民衛生出版社
  57. 南京中医药大学, "中医诊断学(Diagnostics of traditional Chinese medicine)" (2004), 上海中医大学出版社
  58. 전국한의과대학비계내과학교실, "비계내과학", pp.317~318 (2009), 군자출판사
  59. 최가영, "역류성 식도염의 변증과 처방에 관한 문헌적 고찰 - 중국 논문 중심으로 -", 대한한방내과학회지, 32(1), pp.75~86 (2011), 대한한방내과학회
  60. 전국한의과대학 병리학교실, "한방병리학", pp.172~ (2012), 한의문화사
  61. 오혜원, "脾氣虛證 진단평가도구 개발 연구", 대한한의학회지, 35(1), pp.157~170 (2014), 대한한의학회
  62. 김증배, "기능성 소화불량증 변증도구 개발 연구", 동의생리병리학회지, 24(6), pp.1094~1098 (2010), 한의병리학회
  63. 임현주, "화병변증도구 개발 연구", 동의생리병리학회지, 22(5), pp.1071~1077 (2008), 한의병리학회
  64. 이은희, "우울증 변증도구 개발을 위한 기초연구", 동의신경정신과학회지, 24(4), pp.435~450 (2013), 대한한방신경정신과학회

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