The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
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A Study about Correlation between Hot Flush and Pulse Wave Velocity(PWV)/Ankle-Brachial Index(ABI) in the Climacteric Women

갱년기 여성의 안면홍조와 맥파 전달 속도(PWV) 및 상완 발목 지수(ABI)의 상관성에 관한 연구

  • 김은경 (경희대학교 한의과대학 부인과학교실) ;
  • 황덕상 (경희대학교 한의과대학 부인과학교실) ;
  • 조정훈 (경희대학교 한의과대학 부인과학교실) ;
  • 장준복 (경희대학교 한의과대학 부인과학교실) ;
  • 이진무 (경희대학교 한의과대학 부인과학교실) ;
  • 이창훈 (경희대학교 한의과대학 부인과학교실) ;
  • 이경섭 (경희대학교 한의과대학 부인과학교실)
  • Received : 2010.01.28
  • Accepted : 2010.02.10
  • Published : 2010.02.28
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Abstract

Purpose: This study was performed to observe the correlation between Hot flush and pulse wave velocity(PWV), ankle brachial index(ABI) in the Climacteric women. Methods: We studied 63 climacteric women visiting OO hospital from 8th January 2007 to 22nd April 2009. The subjects were categorized in two groups, the hot flush group(37) and normal group(26). For the study, the subjects were selected by excluding the patients who receive treatment affect hot flush or have disease affect arterial states. We assessed PWV and ABI of two groups by Oscillometric method using VS-1000(Form PWV/ABI; Fukuda Denshi, Co., Ltd., Japan). From these results, we studied the correlation between hot flush and PWV/ABI by Wilcoxon Mann Whitney Test. Results: 1. It is shown that hot flush group was no significant correlation with normal group. There is no significant factor among R-PWV, L-PWV, R-ABI, L-ABI. However, L-ABI have shown relatively higher correlation with comparison to the other factors.(p-value<0.05) 2. R-PWV, L-PWV significantly increased in menopause group than in premenopause group though there is no relation to the hot flush. (p-value<0.01) Conclusion: Though the results showed no correlations between Hot flush and PWV/ABI in the Climacteric women, L-ABI showed relatively higher correlation with hot flush than others. R-PWV, L-PWV showed significant correlation between premenopause and menopause.

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References

  1. 대한산부인과학회. 부인과학. 서울:현대의학서적사. 1987:40-5, 63-8, 852-71.
  2. 한의부인과학 편찬위원회. 한의부인과학(상). 서울:정담출판사. 2001:218-34.
  3. Berek JS. Novak's Gynecology, 12th. William&Wilkins. 1996:981-1003.
  4. 대한산부인과학회. 부인과학 제4판. 서울:고려의학. 2007:565-56.
  5. Heather GM, Li RM. Measuring Hot Flushes: Summary of a National Institutes of Health Workshop. Mayo Clinic Proceedings. 2004;79(6):777. https://doi.org/10.4065/79.6.777
  6. Stearns V et al. Hot flushes. Lancet. 2002;360:1851-61. https://doi.org/10.1016/S0140-6736(02)11774-0
  7. 유한기. 안면홍조 및 발한; 최신병리기전, 진단 및 처치. 대한폐경회지. 1996;2(2):132-46.
  8. 김동일, 윤상호, 안흥엽. 안면홍조의 치료 효과 예후 인자로서의 SA2000E로 측정된 혈관노화진행도에 관한 연구. 대한한방부인과학회지. 2008;21(1):168-78.
  9. Zaydun G et al. Menopause is an independent factor augmenting the age-related increase in arterial stiffness in the early postmenopausal phase. Atherosclerosis. 2006;184:137-42. https://doi.org/10.1016/j.atherosclerosis.2005.03.043
  10. O'neal et al. A cross-sectional study of effects of type 2 diabetes and other cardiovascular risk factor on structure and function of nonstenotic arteries of lower limb. Diabetes care. 2003;26:199-205. https://doi.org/10.2337/diacare.26.1.199
  11. Kezhu S et al. The relation of pulse wave velocity by oscillometric and toonometric methods and clinical appliocation atudies. Jpn. J. Appl physiol. 2002;32:81-6.
  12. 김일곤. 아시아인의 동맥맥파속도에 의한 혈관탄성의 분석. 한국스포츠리서치. 2007;18(6):433-42.
  13. 박명원 등. Pulse wave velocity ankle brachial index와 담음의 연관성에 관한 연구. 한국한의학연구원논문집. 2004;10(2):73-8.
  14. 이성우 등. 제2형 당뇨병 환자의 상완-발목 맥파 속도에 영향을 미치는 인자. 대한내분비학회지. 2008;23(4):253-9.
  15. 이종호, 황보연, 남상남. 본태성고혈압 완자의 트레드밀 운동 후 혈압과 혈관탄성의 변화. 한국체육학회지. 2004;43(2):511-20.
  16. 김영권. 대사증후군 및 그 구성요소가 맥파속도에 미치는 영향. 대한내과학회. 2005;68(2):140-8.
  17. Park SU et al. Chunghyul-Dan(Qingxie-Dan) Improves Arterial Stiffness in Patients with Increased baPWV. Am. J. Chinese Medicine. 2006;34(4):553-63. https://doi.org/10.1142/S0192415X06004090
  18. 김경수, 유동열. 갱년기 장애에 대한 문헌적 고찰. 대전대학교 한의학연구원 논문집. 2004;13(1):109-28.
  19. 홍원식. 정교황제내경소문. 서울:동양의학연구원. 1985:11-3.
  20. 신헌활. 문답식 부인소아과학. 서울:성보사. 1992:145-6.
  21. 유한기. 안면홍조 및 발한 최신병리기전 진단 및 처치. 대한폐경학회지. 1996;2(2):132-46.
  22. McKinlay SM, Jeffery M. The menopausal syndrome. Br J Prev Soc Med. 1974;28(2):108-15.
  23. Neumayer CH et al. Efficacy and safety of thoracoscopic sympathicotomy for hyperhydrosis of the upper limb. Result of 734 sympathicotomies. Ann Chir Gynaecol. 2001;90:195-9.
  24. Drummond PD. The effect of adrenergic blockade on blushing and facial flushing. Psychophysiology. 1997;34:163-8. https://doi.org/10.1111/j.1469-8986.1997.tb02127.x
  25. 박종훈. 고혈압이 조절 안 되는 원인과 대책. 대한내과학회지. 2009;76(4):398-401.
  26. Pitt B. The role of beta adrenergic blocking agents in preventing sudden cardiac death. Circulation. 1992;85(1):1107-11.
  27. Takahashi K et al. Impact of menopause on the augmentation of arterial stiffness with aging. Gynecologic and obstetric investigation. 2005;60:162-6. https://doi.org/10.1159/000086570
  28. Smith H et al. Comparative Effects of Aging in Men and Women on the Properties of the Arterial Tree. J. American college of Cardiology. 2001;37(5):1374-80. https://doi.org/10.1016/S0735-1097(01)01166-4
  29. Appt SE. Usefulness of the monkey model to investigate the role of soy in postmenopausal women's health. J-ILAR. 2003;45(2):200-11.
  30. Kubo R et al. Simple oscillometric techniqe for determining new indices of arterial distensibility. Hypertens Res. 2002;25:351-8. https://doi.org/10.1291/hypres.25.351
  31. Cortez-cooper MY, Supak JA, Tanaka H. A new device for autometic measurements of arterial stiffness and ankle-brachial index. Am J Cardiaol. 2003;91:1519-22. https://doi.org/10.1016/S0002-9149(03)00416-8
  32. Akira Y et al. Validity, reproducibility and clinical significance of noninvasive brachial-ankle pulse wave velocity measurement. Hypertens Res. 2002;25:359-64. https://doi.org/10.1291/hypres.25.359
  33. Molnar GW. Body temperatures during menopausal hot flushes. J Appl Physiol. 2001;19:4280-90.
  34. Meldrum DR et al. Elavations in skin temperature of the finger as an objective index of postmenopausal hot flushes:standardization of the technique. Am J Obstet Gynecol. 1979;135:713-7. https://doi.org/10.1016/0002-9378(79)90380-6
  35. Tataryn IV et al. Objective techniques for the assessment of postmenopausal hot flushes. Obstet Gynecol. 1981;57:340-4.
  36. Carpenter JS es al. Feasibility and psychometrics of an ambulatory hot flash monitoring device. Menopause. 1999;6:209-15. https://doi.org/10.1097/00042192-199906030-00006
  37. Kronenberg F. Hot flushes: Epidemiology and physiology. Ann NY Sci. 1990;592:52-86. https://doi.org/10.1111/j.1749-6632.1990.tb30316.x
  38. Feldman BM, Voda AM, Gronseth E. The prevalence of hot flash and associated variables among perimenopausal women. Res Nurs Health. 1985;8:261-8. https://doi.org/10.1002/nur.4770080308
  39. Berg G et al. Climacteric symptoms among women aged 60-62 min Linkopin. Sweden, 1986. Maturitas. 1988;10:193-9. https://doi.org/10.1016/0378-5122(88)90022-9
  40. Erik Y, Meldrum DR, Judd HL. Estrogen levels in post menopausal women with hot flushes. Obstet Gynecol. 1982;59:403-7.
  41. McKinlay SM, Jeffery M. The menopausal syndrome. Br J Prev Soc Med. 1974;28(2):108-15.
  42. Avis NE et al. Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups. Soc Sci Med. 2001;52(3):345-56. https://doi.org/10.1016/S0277-9536(00)00147-7
  43. 김동일 등. 안면홍조에 대한 임상시험 참가자의 증상 발현 양상에 관한 연구. 대한한방부인과학회지. 2006;19(4):205-15.

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