중풍환자의 구강건조증에 대한 생맥산의 효과 : 무작위배정 이중맹검 연구
Effect of Saengmaeg-san Extract on Xerostomia in Stroke Patients : A Double-Blind Randomized Controlled Study
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Objectives : The present study was made to evaluate the clinical effectiveness of Saengmaeg-san (生脈散) extract to treat xerostomia in stroke patients. Methods : The study design was a double-blind randomized controlled trial. Subjects were stroke patients with xerostomia. They were allocated to either the Saengmaeg-san (n=12) or placebo group (n=12). Saengmaeg-san extract or a placebo in similar opaque capsules was given three times a day for a week. The improvement of xerostomia was measured by the xerostomia-evaluating questionnaire, developed by the school of dentistry in Seoul National University, before baseline and one week later. Eleven of the Saengmaeg-san group and ten of the placebo group finished the trial and were analyzed. Paired samples t-test and Mann-Whitney test were applied to statistical analysis. Results : On three of the six questions, the Saengmaeg-san group improved significantly. On two of the six questions, the Saengmaeg-san group improved significantly more than the placebo group. On the other questions, the Saengmaeg-san group improved more than the placebo group, although significance was not reached. Conclusions : These results demonstrate that Saengmaeg-san extract is effective for treating xerostomia in stroke patients, and further studies should be conducted to provide more valuable information.
Abstract
Objectives : The present study was made to evaluate the clinical effectiveness of Saengmaeg-san (生脈散) extract to treat xerostomia in stroke patients. Methods : The study design was a double-blind randomized controlled trial. Subjects were stroke patients with xerostomia. They were allocated to either the Saengmaeg-san (n=12) or placebo group (n=12). Saengmaeg-san extract or a placebo in similar opaque capsules was given three times a day for a week. The improvement of xerostomia was measured by the xerostomia-evaluating questionnaire, developed by the school of dentistry in Seoul National University, before baseline and one week later. Eleven of the Saengmaeg-san group and ten of the placebo group finished the trial and were analyzed. Paired samples t-test and Mann-Whitney test were applied to statistical analysis. Results : On three of the six questions, the Saengmaeg-san group improved significantly. On two of the six questions, the Saengmaeg-san group improved significantly more than the placebo group. On the other questions, the Saengmaeg-san group improved more than the placebo group, although significance was not reached. Conclusions : These results demonstrate that Saengmaeg-san extract is effective for treating xerostomia in stroke patients, and further studies should be conducted to provide more valuable information.
참고문헌 (26)
- Fox PC, "Management of dry mouth", Dent Clin North Am, 41(4), pp.863~875 (1997)
- Billings RJ, "Xerostomia and associated factors in a community dwelling adults population", Community Dent Oral Epidemiol, 24, pp.312~316 (1996)
- 채병윤, "동의안이비인후과학", pp.444~461 (2011), 집문당
- 張介賓, "景岳全書(1624年 初刊)", pp.1220~1221 (2006), 한미의학
- Cassolato SF, "Xerotomia: Clinical aspects and treatment", Gerontology, 20, pp.64~77 (2003)
- Matear DW, "Associations between xerostomia and health status indicators in the elderly", J R Soc Promot Health, 126, pp.79~85 (2006)
- Turner MD, "Dry mouth and its effects on the oral health of elderly people", J Am Dent Assoc, 138, pp.155~205 (2007)
- 박명숙, "지역사회 노인의 구강건조증 정도 및 구강건강관련 삶의 질 영향요인", Journal of Korean Academy of Nursing, 40(5), pp.747~755 (2010), 한국간호과학회
- Kerr GD, "Xerostomia after acute stroke", Cerebrovasc Dis, 28(6), pp.624~626 (2009)
- 신재용, "방약합편해설", pp.27~28 (2005), 전통의학연구소
- 常靑, "實用中風防治手冊", pp.22~24 (1993), 中國中醫藥出版社
- Field EA, "Age and medication are significant risk factors for xerostomia in an English population, attending general dental practice", Gerontology, 18(1), pp.21~24 (2001)
- Guggenheimer J, "Xerotomia: Etiology, recognition and treatment", J Am Dent Assoc, 134(1), pp.61~69 (2003)
- Gonsalves WC, "Common oral conditions in older persons", Am Fam Physician, 78(7), pp.845~852 (2008)
- Nederfors T, "Xerostomia and Hyposalivation", Adv Dent Res, 14, pp.48~56 (2000)
- Söderling E, "Betaine-containing toothpaste relieves subjective symptoms of dry mouth", Acta Odontol Scand, 56(2), pp.65~69 (1998)
- 박준봉, "고령자의 구강건강 관리", 대한노년치의학회지, 1(1), pp.27~29 (2004)
- 두호경, "동의내경학", pp.489~ (2004), 교학사
- 許浚, "新對譯東醫寶鑑(1613年 初刊)", pp.402~681 (2007), 법인문화사
- 윤용갑, "동의방제와 처방해설", pp.168~ (2007), 의성당
- 전국한의과대학 본초학교수, "본초학", pp.531~533 (2000), 영림사
- Fox PC, "Subjective reports of xerostomia and objective measures of salivary gland performance", J Am Dent Assoc, 115, pp.581~584 (1987)
- Nederfors T, "Xerostomia: Prevalence and pharmacotherapy. With special reference to adrenoreceptor antagonists", Swed Dent J, 116, pp.1~70 (1996)
- Thomson WM, "The occurrence of xerostomia and salivary gland hypofunction in a population -based sample of older South Australians", Spec Care Dent, 19, pp.20~23 (1999)
- Pai S, "Development of a Visual Analog Scale questionnaire for subjective assessment of salivary dysfunction", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 91, pp.311~316 (2001)
- 이정윤, "구강건조증 증상 평가를 위한 설문지의 신뢰도에 관한 연구", 대한구강내과학회지, 30(4), pp.383~390 (2005), 대한안면통증∙구강내과학회
