60세 이상 뇌경색환자에서 황태는 심혈관질환의 유용한 지표가 될 수 있는가? - 다기관임상연구
Can Yellow Fur on the Tongue be Useful as an Index of Cardiovascular Disease in Stroke Patients over 60 Years Old? - Multi Center Trial
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background & Objectives : Yellow fur on the tongue is known to be associated with prognosis of disease in oriental medicine. Higher ratios of low-density lipoprotein cholesterol(LDL) to high-density lipoprotein cholesterol(HDL) & total cholesterol (TC) to high-density lipoprotein cholesterol(HDL) are associated with a greater risk of cardiovascular disease. The aim of this study was to assess the relationship between cardiovascular disease index and yellow fur - oriental medical index - in stroke patients over 60 years old. Methods & Subjects : Among 802 of the recruited patients(434 male, 368 female), 340 were yellow fur group(209 male, 131 female). We assessed their general characteristics and risk factors. We compared the cardiovascular disease index between yellow fur and non-yellow fur groups by sex. Results : On the General Characteristics males have yellow fur more often than females. In cardiovascular disease index, the male yellow fur group showed higher ratios of TC/HDL(atherogenic index), (TC-HDL)/HDL, LDL/HDL and higher LDL and showed lower HDL than the non-yellow fur group. In female patients, there were no differences between the two groups about cardiovascular disease index. There were more patients diagnosed with Fire & Heat in the male yellow fur group, and Dampness & Phlegm in the male non-yellow fur group. The male yellow fur group eat fast food more than the non-yellow fur group. Conclusions : The results indicated that yellow fur may be associated with a high risk of cardiovascular disease. We can thus use yellow fur on the tongue as a cardiovascular disease index in male stroke patients over 60 years old.
Abstract
Background & Objectives : Yellow fur on the tongue is known to be associated with prognosis of disease in oriental medicine. Higher ratios of low-density lipoprotein cholesterol(LDL) to high-density lipoprotein cholesterol(HDL) & total cholesterol (TC) to high-density lipoprotein cholesterol(HDL) are associated with a greater risk of cardiovascular disease. The aim of this study was to assess the relationship between cardiovascular disease index and yellow fur - oriental medical index - in stroke patients over 60 years old. Methods & Subjects : Among 802 of the recruited patients(434 male, 368 female), 340 were yellow fur group(209 male, 131 female). We assessed their general characteristics and risk factors. We compared the cardiovascular disease index between yellow fur and non-yellow fur groups by sex. Results : On the General Characteristics males have yellow fur more often than females. In cardiovascular disease index, the male yellow fur group showed higher ratios of TC/HDL(atherogenic index), (TC-HDL)/HDL, LDL/HDL and higher LDL and showed lower HDL than the non-yellow fur group. In female patients, there were no differences between the two groups about cardiovascular disease index. There were more patients diagnosed with Fire & Heat in the male yellow fur group, and Dampness & Phlegm in the male non-yellow fur group. The male yellow fur group eat fast food more than the non-yellow fur group. Conclusions : The results indicated that yellow fur may be associated with a high risk of cardiovascular disease. We can thus use yellow fur on the tongue as a cardiovascular disease index in male stroke patients over 60 years old.
참고문헌 (28)
- 고영율, "한국인 성인 여성에서 요추 골밀도와 심혈관 위험인자와의 연관성", 대한내분비학회지, 21(6), pp.497~505 (2006), 대한내분비학회
- 편욱범, "심혈관 질환의 일차예방", 가정의학회지, 23(12), pp.1~1411 (2002), 대한가정의학회
- 문준식, "정상성인의 총 콜레스테롤", 고밀도 콜레스테롤 비와 연관된 요인, 2000, pp.21(2), 144~153
- Després JP, "HDL-cholesterol as a marker of coronary heart disease risk: the Québec cardiovascular study", Atherosclerosis, 153(2), pp.263~272 (2000)
- Tamada M, "Low-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio as a useful marker for early-stage carotid atherosclerosis", Metabolism, 59(5), pp.653~657 (2010)
- 김정은, "제2형 당뇨병환자에서 ApoB", ApoA-I Ratio와 대사증후군 및 대사증후군 각 요소와의 관계, 2009, pp.33(2), 143~154[DOI]
- 신윤진, "舌診의 진단적 의의에 대한 문헌고찰", 한방안이비인후피부과학회지, 20(3), pp.118~126 (2007), 대한한방안이비인후피부과학회
- 김희택, "사진중 설진에 대한 문헌적 고찰", 대한한방안이비인후피부과학회지, 7(1), pp.123~142 (1994)
- 김영석, "개정판 임상중풍학", pp.107~109 (2007), 도서출판 정담
- 박세욱, "중풍환자의 변증분형을 위한 설진에 관한 연구", 동의생리병리학회지, 22(1), pp.262~266 (2008), 대한동의병리학회
- 김근호, "설진 기기의 시스템 구성 및 진단 방법 개발", 한국한의학연구원논문집, 14(3), pp.89~95 (2008), 한국한의학연구원
- 최동준, "중풍환자의 설상변화와 운동기능향상의 관련성 연구", 대한한의학회지, 21(3), pp.113~118 (2000)
- 이인환, "급성기 중풍환자의 설진과 National Institute of Health Stroke Scale과의 상관성 연구 - 다기관 임상연구", 대한중풍학회지, 9(1), pp.1~7 (2008)
- 이원기, "직접 측정한 저밀도지단백 콜레스테롤과 계산한 저밀도지단백 콜레스테롤의 차이에 영향을 주는 요인", 임상검사와 정도관리, 30(2), pp.233~235 (2008)
- 박샛별, "대사증후군과 심혈관 위험인자의 관련성", 가정의학회지, 26(10), pp.20~26 (2005), 대한가정의학회
- Castelli WP, "Incidence of coronary heart disease and lipoprotein cholesterol levels. The Framingham Study", JAMA, 256(20), pp.2835~2838 (1986)
- Bruce Kinosiah, "Cholesterol and Coronary Heart Disease : Predicting Risks by Levels and Ratios", Ann Intern Med, 121, pp.641~647 (1994)
- 곽호경, "한국 성인 여성에서 연령에 따른 혈중 염증 표지자와심혈관계 질환 위험 요인에 대한 연구", 대한지역사회영양학회지, 14(4), pp.451~461 (2009), 대한지역사회영양학회
- 이전, "다차원 컬러벡터 기반 백태 및 황태 분류 판별함수 설계", 한국한의학연구원 논문집, 13(2), pp.47~52 (2007)
- 박종기, "설진의 원리와 의의에 관한 고찰", KIOMD, 2(1), pp.183~206 (1998)
- 박수경, "급성기 중풍 환자의 舌苔色에 따른 특성 비교", 대한한방내과학회지, 30(4), pp.806~812 (2009), 대한한방내과학회
- 최동준, "중풍초기환자의 설상분포와 변증의 유용성에 관한 임상고찰", 대한한의학회지, 20(2), pp.187~199 (1999)
- 민인규, "中風환자의 濕痰辨證과 대사증후군과의 관련성 연구", 대한한의학회지, 30(1), pp.109~119 (2009), 대한한의학회
- Rudolph. T, "Acute effects of various fast-food meals on vascular function and cardiovascular disease risk markers: the Hamburg Burger Trial", American Journal of Clinical Nutrition, 86(2), pp.334~340 (2007)
- 전국한의과대학 비계내과학교실, "비계내과학", pp.31~35 (2008), 군자출판사
- Jeongeuy park, "Pathophysiology of Atherosclerosis", Hanyang medical reviws, 26(2), pp.4~10 (2006)
- 구본권, "한국인 관동맥 질환에서의 염증반응의 역할", Korean Circulation Journal, 32(11), pp.988~995 (2002), 대한심장학회
- 대한신경과학회, "신경학", pp.529~534 (2007), 군자출판사
