The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지

The Usefulness of Electrogastrography on the Differential Diagnosis of Deficiency or Excess Condition in Patients with Functional Dyspepsia

기능성 소화불량증의 허실진단에 대한 위전조의 유용성

  • Ryu, Jong-Min (Department of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Lim, Jung-Hwa (Department of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Han, Sook-Young (Department of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Jang, Sun-Young (Department of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Hyun-Kyung (Department of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Lee, Joon-Suk (Department of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Kim, Jin-Sung (Department of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Ryu, Bong-Ha (Department of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Ryu, Ki-Won (Department of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Yoon, Sang-Hyub (Department of the 3rd Internal Medicine, College of Oriental Medicine, Kyung-Hee University)
  • 유종민 (경희대학교 한의과대학 비계내과 교실) ;
  • 임중화 (경희대학교 한의과대학 비계내과 교실) ;
  • 한숙영 (경희대학교 한의과대학 비계내과 교실) ;
  • 장선영 (경희대학교 한의과대학 비계내과 교실) ;
  • 김현경 (경희대학교 한의과대학 비계내과 교실) ;
  • 이준석 (경희대학교 한의과대학 비계내과 교실) ;
  • 김진성 (경희대학교 한의과대학 비계내과 교실) ;
  • 류봉하 (경희대학교 한의과대학 비계내과 교실) ;
  • 류기원 (경희대학교 한의과대학 비계내과 교실) ;
  • 윤상협 (경희대학교 한의과대학 비계내과 교실)
  • Published : 2004.12.30
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Abstract

Background & Object : The aim of this study was to investigate the usefulness of electrogastrography on differential diagnosis of deficiency or excess Condition in patients with functional dyspepsia Methods : Selected symptoms for diagnosis of deficiency and excess in functional dyspepsia have been reviewed in some literatures, notably within Oriental medicine, Donguibogam and Gogeumdoseojipseong-uibujeolrok. This is what was investigated in this study. 93 patients (male 32, female 61) were divided into three groups; Non-pain group, Pre-treatment pain group (chief complain was abdominal pain at the first medical examination), and Mid-treatment pain group(they had no pain at the time of first medical examination, but showed abdominal pain within two weeks). 10 healthy people participated as normal controls. Gastric motility were recorded and analyzed using electrogastrography during fasting and postprandial period. In assessment, effectiveness was divided into validity, sensitivity and specificity. Results : Epigastric pain reflected the tendency for excess condition in comprehensive diagnosis, which was linked with postprandial arrhythmia in electrogastrography(p=0.001). Postprandial arrhythmia detected abdominal pain with a validity of 78.6%, a sensitivity of 79.2%, and a specificity of 78%(p<0.001). Conclusions : Results 1Tom Postprandial arrhythmia in electrogastrography support that the index of excess condition in the comprehensive diagnosis of symptoms is useful for patients with functional dyspepsia.

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