본문 바로가기
KERD
논문KCI 등재

기능성 소화불량 환자에서 설태후박 및 흉늑각 측정의 진단적 가치

Diagnostic Values of Tongue Coating Thickness and Sterno-costal Angle in Functional Dyspepsia

1

조회

0

다운로드

12

인용

0

참고문헌

키워드

주제분류한의학

초록

Objectives : The aims of this study were to evaluate the diagnostic values of tongue coating thickness and sterno-costal angle as the quantitative diagnostic indicators in functional dyspepsia. Methods : We surveyed 60 functional dyspepsia patients recruited by the clinical trial, ‘Clinical Trial for Evaluation on Availability of tongue diagnosis system (CTS-1000) : a Pilot study'. The patients were classified into three groups according to Rome Ⅲ criteria for functional dyspepsia, and categorized into five groups according to Instrument of pattern identification for functional dyspepsia. Nepean dyspepsia index-Korean version (NDI-K) score, tongue coating thickness (percentage of tongue coating by tongue diagnosis system (CTS-1000), and weight of tongue coating by microbalance), sterno-costal angle, duration of illness and body mass index (BMI) were investigated. Results : Among the 5 types by instrument of pattern identification for functional dyspepsia, a significant difference of percentage of tongue coating was found. Percentage of tongue coating and weight of tongue coating showed significant correlation with total NDI-K score. Sterno-costal angle showed strong positive correlation with BMI and also showed significant difference between the non-overweight (BMI<23, n=32) and overweight (BMI≥23, n=28) groups. Conclusions : Tongue coating thickness showed its potential as a new quantitative diagnostic indicator of functional dyspepsia. Further studies on the sterno-costal angle are anticipated to evaluate its potential as a new quantitative diagnostic indicator.

Abstract

Objectives : The aims of this study were to evaluate the diagnostic values of tongue coating thickness and sterno-costal angle as the quantitative diagnostic indicators in functional dyspepsia. Methods : We surveyed 60 functional dyspepsia patients recruited by the clinical trial, ‘Clinical Trial for Evaluation on Availability of tongue diagnosis system (CTS-1000) : a Pilot study'. The patients were classified into three groups according to Rome Ⅲ criteria for functional dyspepsia, and categorized into five groups according to Instrument of pattern identification for functional dyspepsia. Nepean dyspepsia index-Korean version (NDI-K) score, tongue coating thickness (percentage of tongue coating by tongue diagnosis system (CTS-1000), and weight of tongue coating by microbalance), sterno-costal angle, duration of illness and body mass index (BMI) were investigated. Results : Among the 5 types by instrument of pattern identification for functional dyspepsia, a significant difference of percentage of tongue coating was found. Percentage of tongue coating and weight of tongue coating showed significant correlation with total NDI-K score. Sterno-costal angle showed strong positive correlation with BMI and also showed significant difference between the non-overweight (BMI<23, n=32) and overweight (BMI≥23, n=28) groups. Conclusions : Tongue coating thickness showed its potential as a new quantitative diagnostic indicator of functional dyspepsia. Further studies on the sterno-costal angle are anticipated to evaluate its potential as a new quantitative diagnostic indicator.

참고문헌 (35)

  1. 김종수, "3차 의료기관의 소화기 전문의에게 의뢰된 기능서 위장질환의 양상", Journal of Neurogastroenterology and Motility (JNM), 10(2), pp.111~117 (2004), 대한소화기 기능성질환∙운동학회
  2. 최명규, "기능성 소화불량증의 정의 및 역학", 대한소화관운동학회 학술집담회, 6, pp.235~240 (2000)
  3. Yang SY, "Prevalence of gastro-esophageal reflux disease symptoms and uninvestigated dyspepsia in Korea: a population-based study", Dig Dis Sci, 53(1), pp.188~193 (2008)
  4. Lee WC, "The problems of cooperative medical system of Oriental and Western medicine and their solutions", J Korean Oriental Med, 20(2), pp.3~11 (1999)
  5. 김증배, "기능성 소화불량증 변증도구 개발 연구", 동의생리병리학회지, 24(6), pp.1094~1098 (2010), 대한동의병리학회
  6. 박양춘, "기능성 소화불량증에 대한 침치료의 효과 : 무작위배정 대조군 연구", 대한침구의학회지, 24(1), pp.1~12 (2007), 대한침구의학회
  7. Jeon WH, "Oriental Medical Treatment Can Improve Quality of life in Patients with Functional Dyspepsia", Korean J Orient Int Med, 22(3), pp.361~366 (2001)
  8. 유종민, "한방치료가 기능성 소화불량증 환자의 위전도 소견에 미치는 효과", 대한한방내과학회지, 26(2), pp.360~368 (2005), 대한한방내과학회
  9. 김현경, "기능성 소화불량증 환자의 피로도에 대한 체표 교감신경 활성 및 심혈관 반응의 연계성(양도락과 맥진검사의 진단적 가치)", 대한한방내과학회지, 26(2), pp.390~397 (2005), 대한한방내과학회
  10. 이현주, "복진의 임상 적용을 위한 정량적 진단지표 개발 : 예비 연구", 석사, 한의학과 내과학전공, pp.2013
  11. 김광중, "한방진단방법에 대한 임상적 설정방향연구", 동의생리병리학회지, 20(1), pp.245~256 (2006), 대한동의병리학회
  12. 홍원식, "정교 황제내경", pp.245~ (1981), 동양의학연구원
  13. 揚力, "中醫疾病豫測學", pp.250~264 (2001), 법인문화사
  14. 정혜경, "기능성 소화불량증의 진단: 배제진단 vs. 절대진단", 대한내과학회지, 78(2), pp.163~169 (2010), 대한내과학회
  15. Talley NJ, "Development of a new dyspepsia impact scale: the Nepean Dyspepsia Index", Aliment Pharmacol Ther, 13, pp.225~235 (1999)
  16. Talley NJ, "Validity of a new quality of life scale for functional dyspepsia: a United States multicenter trial of the Nepean Dyspepsia Index", Am J Gastroenterol, 94, pp.2390~2397 (1999)
  17. Talley NJ, "Quality of life in functional dyspepsia: responsiveness of the Nepean Dyspepsia Index and development of a new 10-item short form", Aliment Pharmacol Ther, 15, pp.207~216 (2001)
  18. Lee SY, "Validation of the Nepean Dyspepsia Index- Korean version", Kor J Neruogastroenterol Motil, 9(suppl), pp.48S~ (2003)
  19. Yaegaki K, "Volatile sulfur compounds in mouth air from clinically healthy subjects and patients with periodontal disease", J Periodontal Res, 27, pp.233~238 (1992)
  20. Talley NJ, "Dyspepsia and dyspepsia subgroups: a population-based study", Gastroenterology, 102, pp.1259~1268 (1992)
  21. Jones R, "Prevalence of symptoms of dyspepsia in the community", BMJ, 298, pp.30~32 (1989)
  22. Lieberman D, "Endoscopic evaluation of patients with dyspepsia: results from the national endoscopic data repository", Gastroenterology, 127, pp.1067~1075 (2004)
  23. 강지선, "중풍 환자의 습담 설진과 고지혈증의 연관성에 관한 연구", 대한한의진단학회지, 13(2), pp.24~33 (2009)
  24. 김근호, "설진의 과거와 미래 전망", 전자공학회지, 37(7), pp.62~71 (2010)
  25. 김근호, "설진 기기의 시스템 구성 및 진단 방법 개발", 한국한의학연구원논문집, 14(3), pp.89~95 (2008), 한국한의학연구원
  26. 김빛나라, "설진에 대한 국내의 연구동향", 한의학연구소 논문집, 21(1), pp.143~150 (2012), 한의학연구소[DOI]
  27. 이내민, "중국설진대전", pp.249~ (1995), 원출판사
  28. 손지희, "설진의 표준화를 위한 제언 : 설태 후박의 진단기준을 중심으로", 대한한방내과학회지, 33(1), pp.1~13 (2012), 대한한방내과학회[DOI]
  29. 최명희, "심하부 복진 소견과 연관된 상한론, 금궤요략 수재 약물, 처방의 응용에 관한 연구", 동의생리병리학회지, 20(6), pp.1375~1387 (2006), 대한동의병리학회
  30. 이종호, "복진의 발생과정과 방법에 관한 문헌적 연구", 대한한의진단학회지, 4(1), pp.69~81 (2000)
  31. 조기호, "한방의 복진법에 관하여-한의학에서의 복진법 도입에 대한 접근시도", 대한한방내과학회지, 18(1), pp.86~96 (1997)
  32. 이용철, "腹部 望診에 관한 생리적 연구", 동의생리병리학회지, 18(2), pp.349~354 (2004), 대한동의병리학회
  33. 이재철, "東醫壽世保元 경험방에 근거한 사상체질별 복진의 문헌연구", 동의생리병리학회지, 26(2), pp.141~146 (2012), 대한동의병리학회[DOI]
  34. 김종채, "四象體質診斷表 및 望診, 舌診에 관한 硏究", 사상체질의학회지, 19(3), pp.156~175 (2007), 사상체질의학회
  35. 조유경, "기능성 소화불량증의 삶의 질에 대한 모사프리드의 효과", 대한소화기학회지, 43(3), pp.160~167 (2004), 대한소화기학회

관련 논문AI추천

이 간행물의 다른 논문 (8건)