대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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기능성소화불량 환자의 BMI에 따른 변증 유형 분포 및 다빈도 처방 분석 : 후향적 차트 리뷰

Distribution of Pattern Identification According to BMI in Functional Dyspepsia Patients and Analysis of Frequently Used Herbal Medicines: A Retrospective Chart Review

  • 윤채림 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 금창열 (경희대학교한방병원 위장소화내과) ;
  • 한아람 (경희대학교한방병원 위장소화내과) ;
  • 최수현 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 최수현 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 정다희 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 정해인 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 하나연 (경희대학교한방병원 위장소화내과) ;
  • 김진성 (경희대학교 대학원 한의과대학 비계내과학교실)
  • Chae-Rim Yoon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Chang-Yul Keum (Dept. of Digestive Diseases, Kyung Hee University Korean Medicine Hospital) ;
  • Aram Han (Dept. of Digestive Diseases, Kyung Hee University Korean Medicine Hospital) ;
  • Su-Hyun Choi (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Su-Hyun Choi (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Dahee Jeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Hae-in Jeong (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Na-Yeon Ha (Dept. of Digestive Diseases, Kyung Hee University Korean Medicine Hospital) ;
  • Jinsung Kim (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 투고 : 2023.08.23
  • 심사 : 2023.09.27
  • 발행 : 2023.09.30
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초록

Objectives: This study analyzed the clinical characteristics of patients with functional dyspepsia (FD) who received Korean medicine treatment. Methods: A retrospective chart review was conducted to investigate sociodemographic characteristics, clinical characteristics, and prescribed treatments. The clinical records of 192 patients who visited Kyung Hee University Korean Medicine Hospital for FD from May 1, 2022, to May 31, 2023, were analyzed. In addition, the distribution of pattern identification and symptom type according to body mass index (BMI), as well as prescription history, were analyzed. Results: As the degree of obesity increased, the proportion of Spleen-Qi deficiency pattern patients decreased (p=0.012), and the proportion of damp-phlegm pattern patients increased (p=0.000). Additionally, as the degree of obesity increased, the proportion of patients with excess differentiation increased (p=0.002). The PDS (Postprandial distress syndrome) symptom type was significantly more frequent in the underweight and normal groups than in the overweight and obese groups, and the EPS (Epigastric pain syndrome) symptom type was more frequent in the overweight and obese groups. Regardless of the type of pattern identification, the most frequently used prescriptions were Naesowhajung-tang, Hanshin Naeso-san, and Sojeokgunbi-hwan granule. Conclusion: This study analyzed the medical records of patients with FD to elucidate the use of Korean medicine treatments. Our study is meaningful in that we found that the distribution of pattern identification and symptom patterns are linked to the degree of obesity in FD patients and identified the tendency for herbal medicine treatments to be prescribed in clinical practice.

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참고문헌

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