• 제목/요약/키워드: Irritable bowel syndrome (IBS)

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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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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.

대학생의 과민성 장 증후군의 유병률과 영향요인 (Prevalence and Factors related to Irritable Bowel Syndrome in University Students)

  • 박진희;정영미;이혜진;서지영
    • 기본간호학회지
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    • 제25권4호
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    • pp.282-292
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    • 2018
  • Purpose: The purpose of this study was to identify the prevalence of irritable bowel syndrome and factors related to irritable bowel syndrome (IBS) in university students. Methods: A cross-sectional, descriptive study was conducted using a self-report structured questionnaire with 420 university students. Data collection was done during May and June, 2017. The data were analyzed using descriptive statistics, a t-test, $x^2$ test, and binary logistic regression analysis with IBM SPSS/WIN 22.0 program. Results: The prevalence for IBS was 24% among Korean university students. Family history of IBS (OR=2.98, 95% CI=1.32~6.70), history of stomach and intestinal disease (OR=2.24, 95% CI=1.36~3.77), sleep quality (OR=2.01, 95% CI=1.16~3.48), mild anxiety (OR=2.75, 95% CI=1.19~6.33) and more than moderate anxiety (OR=2.02, 95% CI=1.02~4.00) were found to be factors related to IBS. Conclusion: The prevalence of IBS was high among university students, and sleep quality and anxiety significantly influenced prevalence of IBS in these students. Therefore, interventions to decrease symptom of IBS must focus on management of sleep quality and anxiety.

남자 고등학생의 과민대장증후군 유병률, 증상 유형 및 위험요인 (Prevalence, Subtypes and Risk Factors of Irritable Bowel Syndrome among Male Adolescents)

  • 양윤이
    • 한국학교보건학회지
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    • 제32권1호
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    • pp.1-9
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    • 2019
  • Purpose: The purpose of this study was to identify the prevalence, subtypes and risk factors of Irritable Bowel Syndrome (IBS) among male adolescents. Methods: The survey was conducted on male adolescents (n=441) attending a high school. Rome IV criteria was used to diagnose IBS. Data on health promoting behaviors, psychological distress, sleep hygiene practices were collected using self-administered structured questionnaires. Results: The prevalence of IBS was 11.1% and the subtypes were mixed (77.5%), unclassified (10.2%), diarrhea-predominant (8.2%), and constipation-predominant (4.1%). Risk factors influencing IBS were sleeping time (Odds Ratio [OR]=1.00, 95% Confidence Interval [CI]: 0.99~1.00), anxiety, a subfactor under psychological distress (OR=1.12, 95% CI: 1.02~1.22), and arousal-related behaviors, a subfactor under sleep hygiene practices (OR=1.10, 95% CI: 1.03~1.17). Conclusion: Our findings indicated that IBS is a common problem in male adolescents. It is necessary to develop school-based intervention strategies addressing sleeping time, anxiety and arousal-related behaviors in order to prevent and improve IBS in male adolescents.

과민성 장 증후군의 증상 경감을 위한 비약물적 접근 고찰 (Non Pharmacological Approaches in the Irritable Bowel Syndrome)

  • 최명애;김금순;안경주;채영란;최정안;홍해숙;박미정;이경숙;신기수;정재심
    • Journal of Korean Biological Nursing Science
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    • 제7권2호
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    • pp.49-57
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    • 2005
  • There have been many trials of clinical efficacy of multi component and single component treatments for irritable bowel syndrome(IBS). We reviewed effects of non phamacological treatments in the IBS. Though the efficacy of multi-component approaches was unclear, several results suggest that cognitive behavioral therapy was effective in improving gastrointestinal symptoms of IBS. As a single component, cognitive therapy and relaxation with or without biofeedback could improve the symptoms and psychological health of IBS patients. Yoga, meditation, self-help information and hypnotherapy could be applicable to IBS.

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소음인(少陰人) 과민성 장 증후군 설사형 증례 1례 (A Case Report of Irritable Bowel Syndrome with Diarrhea Diagnosed as Soeunmin Type)

  • 김하리;정혜선;최정우;신희연;조승연;박성욱;고창남;박정미
    • 대한중풍순환신경학회지
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    • 제20권1호
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    • pp.53-64
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    • 2019
  • ■ Objectives The purpose of this case is to report the effectiveness of Korean medicine in the treatment of irritable bowel syndrome with diarrhea. ■ Methods The patient was diagnosed as a Soeumin, one of the 4 constitution types in Korean medicine, and treated with herbal medicine, Osuyubujaijung-tang and acupuncture treatment. The severity of symptom was assessed using daily defecation frequency, Numerical Rating Scale (NRS) of abdominal pain, Gastrointestinal Symptom Rating Scale (GSRS) score and Irritable Bowel Syndrome - Quality of Life (IBS-QOL) score. ■ Results After treatment, the defecation frequency was reduced from 6 to 2 times a day, and the severity of abdominal pain was reduced from NRS 6 to NRS 2. Also, GSRS score was decreased from 18 to 4 and IBS-QOL score was improved from 70.59 to 81.18. ■ Conclusion This study suggested that Korean medical treatment could be an effective option for treating irritable bowel syndrome with diarrhea.

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항생제 과민반응으로 인한 태음인 과민성대장증후군 환자 치험례 (Sasang Constitutional Treatment in a Taeeumin Patient with Irritable Bowel Syndrome(IBS) accompanied by Allergic Reaction to Antibiotics : A case study)

  • 한수지;유준상
    • 사상체질의학회지
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    • 제32권1호
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    • pp.50-57
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    • 2020
  • Objectives Allergic reaction to antibiotics is associated with increased use. And rate of Irritable Bowel Syndrome(IBS) is on the increase associated with stress, depression, anxiety, or previous intestinal problem. This case study reports significant improvement of patients with diarrhea accompanied by IBS who had suffered from allergic reaction to antibiotics after treatment with Sasang constitutional medicine. Methods This patient was diagnosed as Taeeumin type. Sasang constitutional medicine was taken by the patient, almost three times per day during treatment periods. We measured the degree of the main symptoms such as diarrhea, abdominal discomfort, insomnia, itching etc, using Visual Analogue Scale(VAS). Results The symptoms of diarrhea, abdominal discomfort, and insomnia were improved. VAS score was decreased from 4~5 to 0~1 for about two weeks. Conclusions This case shows that Sasang constitutional medicine treatment can contribute to improve main symptoms accompanied by IBS.

과민대장증후군 여대생을 위한 동기강화 자가관리 프로그램의 효과 (The Effects of a Motivation-Enhanced Self-Management Program for Female College Students with Irritable Bowel Syndrome)

  • 백주연;전상은
    • Journal of Korean Biological Nursing Science
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    • 제22권2호
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    • pp.148-156
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    • 2020
  • Purpose: The purpose of this study was to develop a motivation-enhanced self-management (MESM) intervention for irritable bowel syndrome (IBS) and to evaluate its effects on female college students with IBS. Methods: The program was constructed to reflect the conceptual framework of the self-determination theory including autonomous motivation enhancement strategy through the satisfaction of psychological needs. The experimental group (n= 24) participated in the all eight weekly MESM sessions, and the control group (n= 25) received one hour education of IBS. Primary outcome measures were the IBS symptom severity scale (IBS-SSS) and the IBS specific quality of life (IBS-QOL), and assessed at the baseline and at eight and 16 weeks after the allocation. Others were autonomous motivation, self-determined behavior, and psychological distress assessed at the baseline and at eight weeks. Results: The experimental group showed improvement in the IBS-SSS (p< .001) at 16 weeks compared to the control group. They showed markedly more improvement in the IBS QOL (p= .008), but the magnitude of this difference decreased at 16 weeks. The experimental group showed improvements in autonomous motivation (p= .035), self-determined behavior (p= .023), and psychological distress (p= .044) compared to the control group. Conclusion: Study results suggest that the MESM intervention for female college students may effectively improve the IBS-SSS and the QOL.

과민성장증후군 환자의 정전가미이진탕(正傳加味二陳湯) 투여(投與) 1례(例) (One Case of Irritable Bowel Syndrome Patient Treated With Jengjengamiyijin-tang (Zhengchuanjiaweierchen-tang))

  • 김회영;남효익;손현수;박상무
    • 대한한의학방제학회지
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    • 제15권2호
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    • pp.179-186
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    • 2007
  • The irritable bowel syndrome(IBS) is the most common gastrointestinal disorder in clinical practice and is characterized by abdominal pain associated with a chronic disturbance of defecation. The subject is a-69-year-old man who has abdominal pain, chronic diarrhea. anorexia. general weakness and has been diagnosed as irritable bowel syndrome. We diagnosed this patient as the Gastrointestinal Phlegm(食痰) and prescribed Jengjengamiyijin-tang (Zhengchuanjiaweierchen-tang). In the result, we had improvement of his symptoms.

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과민성 대장증후군 내원환자의 MMPI 군집분석 (MMPI of Out-Patients with Irritable Bowel Syndrome)

  • 박근영;조선미;정영기
    • 정신신체의학
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    • 제4권1호
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    • pp.54-63
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    • 1996
  • In this cluster analysis of out-patients with irritable bowel syndrome (IBS) we described the psychological features and personality patterns of these patients. The Minnesota Multiphasic Personality Inventory (MMPI) was administered to 29 IBS patients who received treatment in the gastroenterology department of Ajou University Hospital to produce individual profiles for each patient. The 29 profiles with 13 standard scales, 15 content scales and 11 personality scales were subjected to cluster analysis resulting in three clusters of the original sample. Titles used to describe the psychological features and personality patterns seen in the three clusters included : (1) depression and anxiety : (2) somatization and denial of affect ; (3) anger overcontrol. Future studies on the treatment of IBS patients may well consider these features, as IBS patients have different psychological patterns.

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