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지체 장애인의 베체트병 약물치료 중 발생한 구강 건조증 치험 1례

A Case of Xerostomia that Occurred during Behcet's Disease Drug Treatment of a Person with Physical Disability

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주제분류한의학

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Objectives : To report a case of drug-induced xerostomia treated with Integrative Korean Medicine Visiting Care Service of a Public Health Center. Methods : Home visit treatment and telemedicine were provided by public health doctor(Korean medicine doctor) for person with physical disability who were diagnosed with Behcet's Disease. Palmul-tang(PMT) soft extract was provided steadily 3 times a day for 6 months, and acupuncture, electro-acupuncture, and electro-moxibustion were provided irregularly 6 times for 6 months. Yin-deficiency questionnaire(YDQ), oral health impact profile-14(OHIP-14), oral pain visual analogue scale(VAS), and xerostomia inventory(XI) were used 3 times(baseline, intermediate and termination) to evaluate the changes. Results : YDQ decreased from 620 to 375, OHIP-14 decreased from 34 to 6, VAS decreased from 70 to 40, and XI decreased from 44 to 34. Four scales all gradually decreased. Conclusions : Integrative Korean Medicine Treatments in health insurance including PMT soft extract through home visit treatment can improve drug-induced xerostomia and Quality of life(QoL) of person with disabilities

Abstract

Objectives : To report a case of drug-induced xerostomia treated with Integrative Korean Medicine Visiting Care Service of a Public Health Center. Methods : Home visit treatment and telemedicine were provided by public health doctor(Korean medicine doctor) for person with physical disability who were diagnosed with Behcet's Disease. Palmul-tang(PMT) soft extract was provided steadily 3 times a day for 6 months, and acupuncture, electro-acupuncture, and electro-moxibustion were provided irregularly 6 times for 6 months. Yin-deficiency questionnaire(YDQ), oral health impact profile-14(OHIP-14), oral pain visual analogue scale(VAS), and xerostomia inventory(XI) were used 3 times(baseline, intermediate and termination) to evaluate the changes. Results : YDQ decreased from 620 to 375, OHIP-14 decreased from 34 to 6, VAS decreased from 70 to 40, and XI decreased from 44 to 34. Four scales all gradually decreased. Conclusions : Integrative Korean Medicine Treatments in health insurance including PMT soft extract through home visit treatment can improve drug-induced xerostomia and Quality of life(QoL) of person with disabilities

참고문헌 (22)

  1. Guggenheimer J, "Xerostomia : Etiology, recognition and treatment", The Journal of the American Dental Association, 134(1), pp.61~69 (2003)
  2. Villa A, "Diagnosis and management of xerostomia and hypo-salivation", Therapeutics and Clinical Risk Management, 11, pp.45~51 (2015)
  3. Devinsky O, "Dental health in persons with disability", Epilepsy & Behavior, 110, pp.1~6 (2020)
  4. Development of Visiting health care program for Korean Medicine for the disabled(Final report), "Song YK", Ministry of Health and Welfare, 54~111 (2018)
  5. A study on the evaluation of a pilot project by the General Physician for the Disabled, "Shin DW", Health Insurance Review & Assessment Service, 162~ (2019)
  6. 이상재, "陰虛證 측정도구의 개발 및 신뢰도 타당도 검정", 동의생리병리학회지, 18(2), pp.376~380 (2004), 한의병리학회
  7. 장승원, "구강건조증 환자에서 음허 측정 설문지 절단점 개발 및 진단능 평가", 대한한방내과학회지, 35(4), pp.483~497 (2014), 대한한방내과학회
  8. Bae KH, "Validation of the Korean version of the oral health impact profile among the Korean elderly", Community dentistry and oral epidemiology, 35(1), pp.73~79 (2007)
  9. Jennifer Lee, "Translation and Validation of a Korean Version of the Xerostomia Inventory in Patients with Primary Sjögren’s Syndrome", Journal of Korean Medical Science, 31(5), pp.724~728 (2016), 대한의학회
  10. Williamson A, "Pain : a review of three commonly used pain rating scales", Journal of Clinical Nursing, 14(7), pp.798~804 (2005)
  11. Atkinson TM, "The association between clinician-based common terminology criteria for adverse events(CTCAE)and patient-reported outcomes(PRO) : a systematic review", Support Care Cancer, 24(8), pp.3669~3676 (2016)
  12. Byungkwan Hwang, "Unmet Healthcare Needs in People with Disabilities: Comparison with the General Population in Korea", Annals of Rehabilitation Medicine, 35(5), pp.627~635 (2011), 대한재활의학회
  13. Lee MS, "Behcet`s Disease Intergrative Medicine Clinical Practice Guideline", pp.28~29 (2019), E-Tree Publishing
  14. 용석일, "한중일의 베체트병에 대한 한의약 임상연구 분석", 대한예방한의학회지, 18(1), pp.67~82 (2014), 대한예방한의학회
  15. Lim RJ, "Effects of herbal medicine for xerostomia in head and neck cancer patients : an observational study in a tertiary cancer hospital", Support Care Cancer, 27(9), pp.3491~3498 (2019)
  16. Dawidson I, "The influence of sensory stimulation(acupuncture)on the release of neuropeptides in the saliva of healthy subjects", Life Science, 63(8), pp.659~674 (1998)
  17. 김주연, "노인 구강건조증에 대한 음허 진단의 유용성 및 주관적 구강건조감의 영향요인 : 전향적 단면 조사 연구", 대한한의학회지, 34(3), pp.13~24 (2013), 대한한의학회
  18. National Survey of People with Disabilities in 2017, "Kim SH", Ministry of Health and Welfare, 245~246 (2017)
  19. 양미성, "보중익기탕 연조엑스 제제에 대한 환자 만족도 측정을 위한 예비연구", 대한한의학 방제학회지, 24(4), pp.301~309 (2016), 대한한의학방제학회[DOI]
  20. Filshie J, "Medical Acupuncture: A Western Scientific Approach", pp.164~166 (2016), Elsevier
  21. Li L, "The standardization of acupuncture treatment for radiationinduced xerostomia : A literature review", Chinese Journal of Integrative Medicine, 22(7), pp.549~554 (2016)
  22. Liu W, "Observation on therapeutic effect of acupuncture and moxibustion in 60 cases of Sjogren syndrome", Zhongguo Zhen Jiu, 25(2), pp.101~102 (2005)

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