• 제목/요약/키워드: 과민성 장증후군

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과민성(過敏性) 장증후군(腸症候群)(설사형(泄瀉型)) 환자에 투여한 안신보비탕(安神補脾湯)의 임상적(臨床的) 검토(檢討) (Clinical Study on the Ansinbobitang for the Treatment of Irritable Bowel Syndrome)

  • 문석재;이형주
    • 한국한의학연구원논문집
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    • 제2권1호
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    • pp.327-336
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    • 1996
  • IBS(Irritable bowel syndrome) means disorder of intestinal motility. To increase the cure rate of IBS, we have observed and analysed 26 persons who have administered Ansinbobitang(安神補脾湯), Ansinbobitang(安神補脾湯) consists of herb medicines which have tranquilizational(安神), reinforcing the spleen(補脾), and tonifying the kidney's Yang(補腎陽) effects. From this study we obtained as follows. 1. 16 cases of IBS patients were male and 10 cases were female. Male of female ratio was 1 : 1.6, and the peak age in incidence of IBS was in End and 3rd decade. 2. Duration of IBS attack, the most frequence is $0{\sim}1$ year and $3{\sim}5$ years. 3. Seasonal distribution of IBS attack reveals the peak occurrence in autumn. 4. Duration of treatments, the most frequence is $2{\sim}3$ weeks. 5. Ansinbobitang(安神補脾湯) shows 88.5% of effective rate.

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과민성 장증후군 환자의 위장관 증상과 우울, 불안과의 상관관계 연구 (A Clinical Study on the Correlation between Gastrointestinal Symptoms, Depression, and Anxiety in Patients with Irritable Bowel Syndrome)

  • 허봉수;최서형;유영수
    • 대한한방내과학회지
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    • 제40권4호
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    • pp.629-636
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    • 2019
  • Objective: This study was designed to assess the correlation between gastrointestinal symptoms, depression, and anxiety in patients with irritable bowel syndrome (IBS). Method: New patients who visited the ${\bigcirc}{\bigcirc}$ Oriental Hospital completed standardized questionnaires. These consisted of questionnaires for IBS based on Rome III criteria, the Gastrointestinal Symptom Rating Scale (GSRS), the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI). Results: A total of 103 patients participated. Among them, IBS was observed in 42 patients. There was a weak correlation between GSRS and BDI, but it was not statistically significant. There was a statistically significant weak correlation between GSRS and BAI. The main symptom factors affecting BAI were borborygmus, increased flatus, sucking sensations in the epigastrium, and abdominal distension. Conclusion: There was a statistically significant correlation between gastrointestinal symptoms and anxiety in patients with irritable bowel syndrome.

설사형 과민성 장 증후군 남성 환자에게 사용되는 ramosetron 의 경제성 평가 (Economic Evaluation of Ramosetron in Male Patients with Diarrhea-predominant Irritable Bowel Syndrome in Korea)

  • 손현순;이태진;김선
    • 한국임상약학회지
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    • 제20권3호
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    • pp.268-277
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    • 2010
  • This study was conducted to analyze the cost-utility of ramosetron monotherapy, trimebutine monotherapy and trimebutine+loperamide combination therapy in male diarrhea-predominant patients with irritable bowel syndrome (IBS) in Korean healthcare setting. We constructed a decision-analytical model to estimate both total costs for each state of health and outcomes such as IBS-symptoms improvement for 3 and 6 months time horizon. Base analysis found that for ramosetron treatment with the price of KW910 for 5 ${\mu}g$ tablet, incremental cost effectiveness ratios (ICERs, cost per quality-adjusted life day) were KW85,000 and KW62,000 for 3 months and 6 months, respectively, compared with trimebutine. But ramosetron was a dominant strategy when compared with trimebutine+loperamide for both 3 months and 6 months. Sensitivity analyses showed robust results for drug acquisition costs till ramosetron price of KW950/tablet. In conclusion, ramosetron was a cost-effective regimen compared with trimebutine or trimebutine+loperamide from the societal perspective.

여대생의 과민성 장 증후군, 자아존중감, 우울, 신체적 건강에 관한 연구 (A Study of Irritable Bowel Syndrome, Self-esteem, Depression, and Physical Health in Female University Students)

  • 정덕유;박효정;김미영
    • 여성건강간호학회지
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    • 제14권4호
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    • pp.306-313
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    • 2008
  • Purpose: The purpose of study was to explore the frequency of irritable bowel syndrome(IBS) among female university students and identify self-esteem, depression, and physical health. Method: The secondary analysis was performed. A total 401 university female students were recruited from 1 university in Korea. IBS was diagnosed based on the Rome III criteria. The questionnaires included Rosenberg's self-esteem scale, Center for Epidemiological Studies-Depression(CESD) scale, and physical health questionnaire developed by Lee. The collected data was analyzed with SPSS Win 15.0 statistics program using frequencies, percentages, ANOVA, and the Pearson's correlations of the variables. Result: The frequency of IBS was 26.7% in students. All women had mixed constipation and diarrhea subtype of IBS. Compared to the women without IBS, those with IBS reported significantly lower scores on self-esteem and higher scores of CESD and on the physical health questionnaire. Conclusion: Nursing interventions targeting female students with IBS should be developed in order to reduce the depression and physical health problem and improve self-esteem.

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반하사심탕과 육군자탕가미로 호전된 과민성 장 증후군 환자의 한방 치험 1례 (A Case Report of Irritable Bowel Syndrome in a Patient that Improved with Banhasasim-tang and Yukgunja-tang-gami)

  • 길봉훈;박진서;조혜미;정다해;정윤경;원지영;김동원
    • 대한한방내과학회지
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    • 제41권5호
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    • pp.877-884
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    • 2020
  • The purpose of this study was to report the clinical effects of Korean medicine on a patient who suffered from Irritable Bowel Syndrome with diarrhea, abdominal pain, and anorexia for few months. The patient was treated with herbal medicine, acupuncture, and moxibustion in combination with Western medicine for 7 weeks. The clinical symptoms (diarrhea, abdominal pain, and anorexia) were improved after Korean medicine treatment. Therefore, this case is useful for describing Korean medicine treatment for Irritable Bowel Syndrome, and further case reports and studies will be needed in the future.

과민성 장 증후군의 추나 치료에 대한 체계적 문헌 고찰 (Chuna Manual Therapy for Irritable Bowel Syndrome; A Systematic Review)

  • 서하라;이혜윤;황만석
    • 척추신경추나의학회지
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    • 제11권2호
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    • pp.1-9
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    • 2016
  • Objectives: To evaluate the effectiveness of Chuna manual therapy for irritable bowel syndrome. Methods: The researcher conducted search across the 3 electronic databases (Pubmed, Wanfang data(included CAJ) and Oasis) to find all of randomized controlled clinical trials(RCTs) that used Chuna manual therapy for irritable bowel syndrome. Results: Eight RCTs met inclusion criteria. The meta-analysis showed positive results for the use of Chuna manual therapy in terms of the therapeutic effects or symptom score compared to west medication, herbal medication, acupucture and moxa treatment alone. Conclusions: The review found encouraging but limited evidence of Chuna manual therapy for irritable bowel syndrome. More highquality clinical trials research is needed on Chuna, manipulative therapy of irritable bowel syndrome.

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국내 여자 대학생에서 과민성 장증후군과 스트레스에 관한 연구 (A Study of Irritable Bowel Syndrome and Stress on Female College Students in Korea)

  • 신지은;김광준;방준석
    • 한국임상약학회지
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    • 제29권3호
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    • pp.156-165
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    • 2019
  • Objective: The purpose of this study was to provide a database for making better decisions of the treatment of the irritable bowel syndrome (IBS) patient, and for improving the recognition of IBS in the Korean society. Methods: The survey was conducted on 174 female college students in Korea from January 2017 to January 2018. Out of the total students surveyed, 160 questionnaires were analyzed after excluding 14 uncompleted questionnaires. Results: Based on the survey, the prevalence of IBS among female college students in Korea was found to be 13.8%. Statistically, the results proved that there were significant differences in the stress levels between the students with IBS and non-IBS diagnosed by ROME IV criteria. Students with IBS had higher stress levels than students without the ailment. Conclusions: Based on this study, stress management related treatment should be actively considered. Furthermore, it is necessary to develop more efficient and updated guidelines for the treatment of IBS and new patient care programs.

혈액투석을 실행중인 말기 신부전 환자의 식사관련 삶의 질(Diet-Related Quality of Life)과 식사요법 실천도, 건강관련 삶의 질 및 위장관 증상과의 관련성 연구 (Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis)

  • 이진주;김지명;김유리
    • Journal of Nutrition and Health
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    • 제46권2호
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    • pp.137-146
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    • 2013
  • 혈액투석 식사요법을 실천하고 있는 말기 신부전 환자들을 대상으로 식사관련 삶의 질을 측정하고 식사관련 삶의 질과 식사요법 실천정도, 건강관련 삶의 질, 위장관 증상과의 관계를 살펴본 결과는 다음과 같다. 1) 대상자들의 평균 연령은 53.0세, 남성의 비율이 58.4%, 운동을 하는 대상자는 55.4%, 흡연비율은 11.9%, 음주비율은 10.9%로 대체적으로 자기관리를 하고 있는 것으로 나타났으며, 대상자들의 66.3%가 영양교육 경험이 있었다. 합병증으로 당뇨가 38.6%, 고혈압이 32.7%이었고, 위장관 증상으로 대상자의 72.3%가 변비, 14.9%가 과민성 장 증후군인 것으로 나타났다. 2) 식사요법 실천정도는 55점 만점에 35.4점으로 나타났고, 식사요법 실천정도가 상승할수록 식사요법과 관련된 비용, 자기관리에 대한 만족감 영역의 삶의 질이 증가 (p < 0.05)하는 것으로 나타났다. 3) 식사관련 삶의 질은 건강관련 삶의 질과 여러 항목들과 양의 상관관계가 있는 것으로 나타났고 (p < 0.05, p < 0.01), 특히 만족감 영역, 정신적 영역에서의 관련성이 높은 것으로 나타났다 (p < 0.01). 4) 변비가 있는 대상자의 식사관련 삶의 질은 변비가 없는 대상자에 비해 맛, 편의성, 식사에 대한 부담감 영역의 식사관련 삶의 질이 유의적으로 낮았고 (p < 0.05), 과민성 장 증후군이 있는 대상자의 맛, 식사에 대한 부담감 영역 (p < 0.05)의 식사관련 삶의 질이 유의적으로 낮았다. 5) 대상자들의 식사관련 삶의 질에 영향을 미치는 변수들에 대한 다중회귀 분석 결과, 건강관련 삶의 질 (p < 0.05)과 변비 (p < 0.01)가 식사관련 삶의 질에 유의한 영향을 미치는 것으로 나타났다. 결론적으로, 식사요법을 실천중인 혈액투석 환자들은 식사요법 실천정도가 높았으나, 식사요법으로 인한 부담감이 크고 전반적인 건강영역의 삶의 질이 저하되어 있고, 더불어 위장관 증상에 따라 식사관련 삶의 질의 차이를 보였다. 따라서 영양교육 시에는 개개인의 식사관련 삶의 질, 식사요법 실천정도, 건강관련 삶의 질, 위장관 증상 등을 고려한 균형 있는 영양관리, 삶의 질 관리가 요구된다. 또한 식사 관련 삶의 질은 혈액투석 환자가 식사요법으로 인해 받는 사회적, 심리적 영향을 잘 반영할 수 있어 앞으로 영양교육이나 식사요법의 효과를 다각도로 평가하는데 있어서 좋은 도구로 사용 될 수 있을 것으로 기대된다.

하대정맥의 혈전증을 동반한 인지질항체 증후군의 수술적 치료 - 1예 보고 - (Inferior Vena Cava Thrombectomy in a Patient with Antiphospholipid Syndrome - A case report -)

  • 장재석;권오춘;이섭;김석
    • Journal of Chest Surgery
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    • 제42권3호
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    • pp.371-374
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    • 2009
  • 36세의 여자환자가 복부통증 및 하지부종소견을 주소로 내원하였다. 과거력상 자연유산의 경험이 있고 광과민성, 수관절 통증을 간헐적으로 호소하였으며, 입원당시 시행한 컴퓨터 단층촬영상 하대정맥에 혈전이 관찰되었으며, 혈액검사상 자가항체의 상승이 동반되어 인지질항체 증후군으로 진단되었다. 헤파린 및 이뇨제등의 약물치료를 유지하는 동안 폐동맥색전증이 관찰되어 혈전제거 술을 시행하였으며 현재 환자는 특별한 재발의 소견 없이 항응고요법을 시행하며 외래에서 추적관찰중이다.

설사형 과민성 장 증후군 치험례 (Clinical Study of Diarrhea-Type Irritable Bowel Syndrome Patient)

  • 윤종민;이민구;박세욱;이승언;김용정;유현희;이윤재;임은경;이인;문병순
    • 동의생리병리학회지
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    • 제18권6호
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    • pp.1913-1917
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    • 2004
  • This study was designed to report the clinical effects of oriental medical therapy on a patient whose irritable bowel syndrome did not improved under western medical therapy, Herbal medication, acupuncture and moxibustion therapy were applied to the patient for 12 days. The status and frequency of feces were checked and self-recognized symptoms (abdominal pain and bowel sounds) were checked to evaluate improvement. According to the above evaluation items, the treatment was beneficial. The status and frequency of feces became normal. Abdominal pain and bowel sounds ceased. The above results suggest that oriental medical therapy is beneficial for the patients with irritable bowel syndrome.