회원학회

회원학회

번호 연구제목 연구자 연구기간 발표실적
내용
12 기능성 소화불량의 복부경결 변화 연구 노기환, 최규호, 이상현, 노현민, 박서정, 최서형 2020.3.1 ~ 학회지
1. 위담한방병원에 2020.3.1~2020.11.20까지 입원한 환자 중 기질적인 소견이 발견되지 않으면서 6개월 이상 지속적인 상복부 팽만감과 조기 포만감, 상복부 쓰림이나 통증, 오심 및 트림 증상을 호소하는 기능성 소화불량 환자군 대상으로 복부경결 변화 연구
2. 기능성 소화불량의 진단 및 경과의 판단에 치료 전후 Algometer의 PPT값의 비교가 그 진단적 가치가 있는지 규명하고, 치료 전후 Algometer의 PPT와 증상개선과의 상관성 비교함.
3. 결론
-기능성 소화불량 환자군 73명에서 명치답답, 더부룩가스, 트림, 역류, 가슴답답, 숨참, 두근불안, 목이물감, 등통증, 두통, 어자러움의 11가지 증상 VAS 값은 유의성
있게 줄어듬.
-복부의 Algometer의 PPT값은 치료의 진행에 따라 점차적으로 유의미하게 커졌으며, 이는 환자의 증상 및 복부의 경직이 치료과정에 따라 줄어든다고 봄.
11 담적 증후군 환자의 복부경결 변화 연구 – Algometer를 이용한 하법(下法)이후의 경과관찰- 최규호,노기환,이상현,노현민 2020.05.11 ~ 학회지
OBJECTIVES: This research aims to explore the effectiveness of Pugation therapy in managing Phlegm Mass Syndrome by algometer.
METHODS: A study was conducted on 36 patients diagnosed with Phlegm Mass Syndrome at a Korean Medicine Hospitals from May 11, 2020, to December 30, 2021. Measurements were taken using an algometer at specific abdominal points (CV14, CV13, CV12, CV10, CV4, ST25, ST27) on the first day of hospitalization and after Pugation therapy 1day. Additionally, patient symptoms were assessed using the visual analog scale (VAS). Changes in algometer values and VAS scores post-treatment were analyzed using a paired t-test.
RESULTS: Post-treatment, a significant increase in algometer values was observed, indicating reduced abdominal stiffness(Lt. ST25 : 2.60±1.02 → 2.67±1.29). Concurrently, there was a notable decrease in the VAS scores, suggesting an alleviation of patient-reported symptoms(Epigastric discomfort : 5.33±2.94→2.05±2.16/ Feeling bloated : 5.64±3.47→2.66±2.11/ Burping : 4.71±2.88→2.81±2.42/ Reflux : 4.42±3.10→1.31±2.99/ Chest discomfort : 4.59±3.81→2.11±2.66/ Palpitation : 4.33±3.10→1.97±2.82/ Sorethroat : 4.66±3.27→2.93±3.22/ Breathing difficulty : 3.88±3.03→2.20±2.12/ Headache : 4.38±2.44→1.54±1.48/ Dizziness : 3.99±3.33→2.12±2.07/ Back pain : 4.67±2.28→2.85±1.10).
CONCLUSION: The study suggested the potential of Pugation therapy as a viable treatment option for Phlegm Mass Syndrome, marked by significant improvements in both abdominal rigidity and overall patient symptoms.
10 담적 증후군의 특성에 대한 임상적 확인 연구 노기환,최규호,이상현,노현민,최서형 2020.04.14 ~ 학회지
OBJECTIVES: This study aims to assess the clinical outcomes on the symptomatic characteristics of Damjeok syndrome.
METHODS: A total of 283 patients diagnosed with Damjeok syndrome were evaluated at two Korean Medicine hospitals from April 14, 2020, to October 21, 2023. Algometer pressure measurements were taken at the first point of pain complaint on the CV14, CV13, CV12, CV10, CV4, ST25, and ST27 points on the 1st and 14th days of hospitalization. Additionally, patient symptom severity was measured using the Visual Analog Scale (VAS) on these days. Changes in algometer readings and VAS scores were analyzed using repeated measures t-tests, and a correlation analysis was conducted to examine the relationship between the two.
RESULTS: The study found a significant increase in the threshold of algometer values among the 283 patients. Correspondingly, patient symptom VAS scores significantly decreased as treatment progressed. Notably, a negative correlation was observed between algometer values and patient symptom VAS scores.
CONCLUSION: AThe study suggested that the physical findings of abdominal stiffness, as indicated by algometer readings might be a predictor of symptom severity in the functional dyspepsia patients.
9 기능성 소화불량증 환자의 심하부 진단 정량화를 위한 임상연구 : 후향적 단면연구 노기환, 최규호, 노현민, 최서형 2020-2 ~ 학회지
Clinical Study of Epigastric Diagnosis in Indigestion : a retrospective
cross-sectional study
Gi-Hwan Rho1, Gyu-Ho Choi2, Hyeon-Min Noh2, Seo-Hyung Choi2
1Department of Internal Medicine, Weedahm Korean Medical Hospital
2Department of Internal Medicine, Gangnam Weedahm Korean Medical Hospital
Objectives: The purpose of this study to explore a surrogate method to quantify abdominal examination between of
epigastric discomfort (ED) and epigastric pain (EP) by using Algometer, High-voltage Operating A-current Treating
Apparatus (HOATA).
Methods: We investigated 146 patients with functional dyspepsia symptoms who admitted Weedahm Oriental Hospital
from February 4, 2020 to April 13, 2021. The patients was classified into ED group (n=127) and EP group (n=19)
according to consensus of clinicans by actual abdominal examinations. The pressure pain threshold (PPT) of the
algometer, the visual analog scale (VAS) of HOATA pain and patient symptoms VAS was measured on the 1st, 14th
day of hospitalization. The algometer PPT, HOATA VAS, and patient symptom VAS were performed by repeated
measures ANOVA to analyze the change after treatment. In addition, correlation analysis was performed to investigate
the correlation among HOATA VAS, patient symptom VAS and the algometer PPT.
Results: In 127 patients ED group and 19 patients with EP group, the PPT value of algometer was significantly
increased(ED : 3.7±1.2 → 4.6±1.4, EP : 1.4±0.4 → 3.5±2.0). HOATA VAS and patient symptom VAS also decreased
significantly in most cases as treatment progressed(Table 2). In the analysis of the correlation between the algometer
PPT and the HOATA VAS, the negative correlation was remarkable(ED-14th day : -0.213 on 1500V, -0.201 on
3000V / EP-1st day : -0.523 on 1500V, -0.485 on 2000V). In analyzing the correlation between the algometer PPT
and the patient symptom VAS, some negative correlations were remarkable(ED-1st day : -0.203 on epigastric
discomfort, -0.229 on feeling bloated, -0.190 on burping, -0.212 on breathing difficulty / EP-14th day : -0.475 on
feeling bloated).
Conclusions: The HOATA can serve as a complement to the algometer when setting the diagnostic and treatment
baseline for ED and EP.
Key Words : functional dyspepsia, abdominal examination, algometer, HOATA, epigastric diagnosis