회원학회

회원학회

번호 연구제목 연구자 연구기간 발표실적
내용
30 만성 위장관 질환 환자의 성별에 따른 위장관 증상 양상 비교 연구: 후향적 분석 나병조, 최서형, 송연우 2024-10 ~ 학회지
Objectives: This study aimed to investigate sex differences in the severity of ten specific gastrointestinal (GI) symptoms among patients with chronic gastrointestinal disorders. By analyzing clinical data, we intended to identify sex-specific symptom patterns to provide insights for personalized Korean Medicine treatment.
Methods: A total of 151 chronic patients (44 males, 107 females) with chronic GI disease were included. Demographic data and medical history were collected using a standardized questionnaire. The severity of ten GI symptoms—dyspepsia, epigastric discomfort, acute indigestion (upset stomach), bloating/gas, belching, heartburn, reflux, nausea, vomiting, and abdominal pain—was evaluated using a structured questionnaire. Independent t-tests were performed to compare the mean symptom scores between male and female groups. Statistical significance was set at p < 0.05.
Results: Female patients showed significantly higher symptom scores in four categories compared to males: epigastric discomfort (p=0.005), abdominal pain (p=0.008), dyspepsia (p=0.028), and vomiting (p=0.036). Notably, symptoms related to pain perception and gastric dysmotility were more severe in females. However, there were no statistically significant differences between sexes in the remaining six symptoms: acute indigestion, bloating/gas, belching, heartburn, reflux, and nausea.
Conclusions: Female patients with chronic gastrointestinal disorders tend to experience more severe symptoms associated with visceral hypersensitivity and delayed gastric emptying, such as epigastric discomfort, abdominal pain, and dyspepsia. Conversely, symptoms related to reflux or general indigestion showed no significant sex differences. These findings suggest that a sex-specific therapeutic approach is necessary when managing patients with chronic gastrointestinal disorders in clinical practice.
29 만성 위장관 질환 환자의 위장관 증상과 주관적 기억장애의 연관성 연구 나병조, 최서형, 이수민 2024-01 ~ 학회지
The Relationship between Gastrointestinal Symptoms and Subjective Memory
Impairment in Chronic Gastrointestinal Patients
ByoungJo Na*, SeoHyung Choi, Sumin Lee
Department of Internal Medicine, Gangnamweedahm Korean Medical Hospital
Objectives: The purpose of this study was to determine whether gastrointestina(GI) symptoms and the subjective
memory impairment of chronic GI disease patients were related.
Methods: 125 chronic GI patients were involved. A standardized questionnaire asking about demographics, past
medical history, gastrointestinal symptoms, and subjective memory complaints questionnaire(SMCQ) was used to
interview the 125 patients. Gas, dyspepsia, epigastric bloating, belching, upset stomach, abdominal pain, regurgitation,
heartburn, nausea and vomiting are 10 examples of GI symptoms.
Results: GI symptoms like dyspepsia, gas, belching, heartburn, regurgitation, nausea, vomiting, and abdominal pain
significantly impacted subjective memory impairment. There were statistically significant connections between the
total SMCQ scores and the sum of GI symptoms, nausea, gas, belching,, and heartburn..
Conclusions: We discovered statistically significant associations between the subjective memory impairment of
chronic GI disease patients and their GI symptoms. To clarify the primary etiology linking GI symptoms to subjective
memory impairment, more research will be needed.
Key Words : gastrointestinal symptoms, subjective memory impairment, subjective memory complaints
questionnaire, multiple logistic regression
28 극심한 잔변감과 두통, 불안을 호소하는 배변장애형 변비환자 담적치료 1례 증례보고 허봉수 2023.07 ~ 학회지
Objectives: The aim of this case report was to investigate the effect of a phlegmmass therapy on a patient with defecatory disorder.
Methods: A 79-year-old male patient was treated with a phlegmmass therapy including herbal medication, physical therapies, and acupuncture for about three months. Clinical progression was investigated using phlegmmass questionnaire and abdomen palpation.
Results: After three months of the phlegmmass therapy, abdominal stiffness decreased significantly and constipation, a sense of residual change, headache and anxiety were almost disappeared.
Conclusions: We observed potential relationship between defecatory disorder and phlegmmass therapy, which need to be evaluated for more patients in future.
27 담적의 진단요소 및 증후군으로서의 가치에 대한 문헌고찰 임윤서, 노기환, 최규호, 이상현, 최서형 2023.05 ~ 학회지
1. 2009년 최서형의 저서(밥통대반란)에서 담적병이 위장이 굳어지는 새로운 위장병이라고 처음 소개되며 ‘담적’이라는 용어가 한의학계 및 대중들에게 널리 알려진 계기가 됨. 담적에 대한 대중들의 관심도를 인터넷 상의 키워드 검색량 조회 도구(https://manage.searchad.naver.com/) 를 통해 간접적으로 확인해보았을 때, 2023년 5월 한 달간 담적병이 15,040회, 담적이 6,860회 검색되었고, 기능성 소화불량은 3,410회, 기능성 위장장애는 1,810회 검색됨. 이에 국내 문헌들을 검색함.
2.2명의 연구자가 독립적으로 검색한 문헌을 총 4명의 연구자가 담(痰)과 적(積)이 분리되어 해석되는 경우와 담적의 성상, 부위, 증상, 맥상 및 설상, 식습관 및 생활습관의 5가지 진단적 요소에 대한 내용이 포함되지 않은 문헌을 제외하는 과정을 거쳐 최종적으로 의서 414-44) 종과 논문 50편45-94)으로 구성된 91개
의 문헌을 선정함.
3.결론 : 담적의 형태와 성질을 종합적으로 분석한 결과, 담적은 기본적으로 점액성의 끈끈한 성질을 지녀 한 곳에 머물러 굳어져 덩어리나 단단한 씨앗과 같은 형태
를 이루는데, 유주하는 특성도 있어 형성된 담적이 흘러서 다른 부위로 이동함을 알 수 있었음. 담적은 소화기계 증상을 가장 많이 유발하며, 위를 중심으로 하는 복부의 경결이라는 이학적 소견을 보이는 증상과 징후의 조합에 해당하는 증후군의 병태를 가지고 있음.
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