회원학회

회원학회

번호 연구제목 연구자 연구기간 발표실적
내용
10 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
9 The Clinical Future of Reflux Esophagitis 이가영, 최태준, 이남훈, 최서형 2020-06 ~ 학회지
visiting a Korean medicine hospital.
Methods: We retrospectively reviewed the medical records of patients with an RE diagnosis who visited a Korean medicine
hospital from June 15, 2020, to April 15, 2021. We analyzed the clinical characteristics and the results of a symptoms questionnaire.
Results: Our sample included 1,151 patients (711 females). The median age was 58 years; the most common age bracket
was 60-69 years. A total of 837 patients (72.7%) presented with symptoms lasting more than one year, and 1,035 (89.9%) had
been prescribed medications for more than three months before visiting a Korean medicine hospital. Belching (77.6%) and acid
regurgitation (70.9%) were the most frequent symptoms, followed by epigastric pain (61.6%) and throat globus (58.5%).
Throat globus was the most bothersome symptom, and 72.4% of the patients experienced the symptom on more than five days
in the preceding two weeks. Patients with a longer symptom duration were older (p<0.01) and more likely to be overweight
(p=0.03). Patients experiencing symptoms for more than five years were more likely to report throat globus (p=0.02),
hoarseness (p<0.01), and coughing (p<0.01).
Conclusions: Most RE patients visiting a Korean medicine hospital were females in their sixties with chronic and refractory
RE. Atypical symptoms (belching, epigastric pain, and throat globus) were common. Throat globus was highly prevalent in
severe cases, suggesting that it warrants attention when treating RE patients.
8 담적증후군 환자의 압통역치와 위장관 및 임상증상 간의 관련성 노기환,최규호,최서형 2020-02 ~ 학회지
Objectives: This study aimed to characterize baseline clinical features of patients diagnosed with Damjeok Syndrome (DJS) and to evaluate the associations between upper abdominal pressure pain thresholds (PPT at CV12 and CV14) and symptom severity at admission.
Methods: This retrospective study analyzed 2,231 inpatients diagnosed with DJS at admission. Baseline characteristics, symptom intensities assessed by a 12-item visual analogue scale (VAS), and PPT values measured at CV12 and CV14 were collected from electronic medical records. Correlations between PPT and symptom VAS scores were examined using Pearson and Spearman methods.
Results: PPT values were obtained from patients and showed mean levels of 3.92 kg/cm² at CV12 and 4.80 kg/cm² at CV14. Symptom scores demonstrated moderate intensity across upper abdominal and systemic domains. Correlation analysis revealed weak but consistent negative associations between PPT and several symptoms, including epigastric discomfort, reflux, and chest discomfort, with similar patterns observed in both correlation methods.
Conclusions: In this large inpatient cohort, lower PPT values were modestly associated with greater symptom severity. While PPT alone does not fully account for the clinical presentation of DJS, it may serve as a supplementary indicator of upper abdominal sensitivity. These findings provide foundational evidence for refining diagnostic approaches and for future studies integrating objective and subjective measures in DJS.
KeyWords : Damjeok Syndrome; Pressure pain threshold; Visual analogue scale; Epigastric stiffness; Abdominal tenderness
7 위식도 역류질환 환자들의 한의 복합 치료 후 삶의 질 변화 이상현, 노기환, 최규호, 최서형 2019-8-17 ~ 학회지
1.위담한방병원 내원한 환자로 2019.8.17~2019.10.30까지 초진 환자 220명의 환자들 중에서 위식도 역류질환 관련 증상인 속쓰림, 역류, 연하곤란 등의 증상을 가지고 있으나 타 의료기관에서 위내시경 상 역류성 식도염을 진단받은 환자를 대상으로 치료 후 삶의 질 변화를 연구하였음.
2.220명 중 한달 간 개인사정으로 치료를 중단한 환자와 역류성 식도염 진단을 받고 내원하였더라도 GERD-HRQL 설문지 기준 상으로 속쓰림과 역류가 없다고 평가되는 환자 등을 제외한 최종 46명의 환자를 연구대상으로 선정함.
3.결론
-위식도 역류질환 환자들의 4주간 치료 후 GERD-HRQL 설문지 16문항(속쓰림6문항, 삼킴장애2문항, 역류 증상 6문항, 복용 약과 일상생활 영향 1문항) 응답 점수를 통해 증상 변화를 살펴보면, 속쓰림은 11.85土6.62에서 3.21土4.27 로 감소하였고,
역류는 11.50土6.10에서 3.33土3.94로 감소하였으며, 삼킴장애는 1.78土2.52에서 0.74土1.45로 감소하였음.
-복용 약에 따른 일상생활 불편감 정도는 1.09土1.35에서 0.42土0.87로 감소하였음.
-4가지 항목 종합하면 총 29.00土12.41에서 9.91土8.93으로 감소하였음.
목록