중풍환자의 기허변증지표에 관한 연구

고호연(Go Hoyeon),강경원(Kang Kyungwon),강병갑(Kang Byunggab),고미미(Go Mimi),김보영(Kim Boyoung),문진석(Moon Jinseok),차민호(Cha Minho),설인찬(Seol Inchan),이인(Lee In),조현경(Jo Hyunkyung),최선미(Choi Sunmi) 한국한의학연구원 2006 한국한의학연구원논문집 Vol.12 No.3

Background and Purpose The purpose of this study was to confirm that what symptoms are adequated indicator in the Gi-Deficiency patients. Methods In the time period July. 2005 to Sep. 2006, 136 patients with a first-ever stroke admitted in the department of Internal Medicine of Daejeon University Oriental Medical Hospital in Daejeon city, Wonkwang Oriental Medical Hospital in Iksan, Jeonju city were included. Patients were hospitalized within 3 months after the onset of stroke. Stroke patients had been interviewed by resident who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. Gi-deficiency patients was confirmed by medical specialist diagnosis, resident diagnosis, case report form analysis without a dissenting voice. Results Gi deficiency group included 23 case, Non Gi deficiency group 47 case out of 136 patients. Fatigue, weakness purse, somnolence, low voice, difficulty of uprise, pale face, pale tongue were higher among Gi deficiency group. Gi deficiency and Non Gi deficiency patients do not significantly differ in white coating tongue, light-red tongue, poor appetite, frequent sweating, teeth printed tongue. Conclusions This study was insufficiency because sample size is very small. More data from prospective cohort studies will help to Korean Standard Differentiation of the Symptoms and Signs for the Stroke.

한국한의학연구원 논문집에 사용된 통계기법의 평가

강경원(Kang Kyungwon),강병갑(Kang Byunggab),고미미(Go Mimi),신선화(Shin Sunhwa),최선미(Choi Sunmi) 한국한의학연구원 2007 한국한의학연구원논문집 Vol.13 No.2

Background and Purpose : The purpose of this study was done to investigate what kinds of statistical techniques have been used to analyze data from oriental medicine research. Methods : 135 original articles which used statistical techniques in their data analysis were selected from the articles published in The Journal of Korea Institute of Oriental Medicine(JKIOM) between 1995 to 2007. Results : Among 135 articles, 59 articles used descriptive statistics while 76 articles used inferential statistics for data analysis. For that 76 articles. two-sample t-test(33 articles), analysis of variance(29 articles), regression(9 articles), chi-square test(5 articles), nonparametic test(4 articles), Fisher's exact test(3 articles), and other test(9 articles) were chosen to analyze the data. SAS and SPSS statistical softwares(82.50%) were mostly used to analyze the data. Nonparametic tests were used to 4 articles(6.97%) of 67 articles and parametic tests were used to 63 articles(93.03%) of 67 articles. Among 29 articles used analysis of variance, duncan(8 articles), dunnet(4 articles), bonferroni(4 articles), turkey(3 articles), scheff(1 article) were used to do multiple comparison. 9 articles did not carry out the multiple comparison. Conclusions : It was found that the frequencies of statistical package used and statistical analysis used were not much by now. High level statistical analyses were not used most for oriental medicine research.

중풍환자의 습담변증 진단지표에 관한 연구

강병갑(Byeongkab Kang),고호연(Hoyeon Go),강경원(Kyungwon Kang),박세욱(Saewook Park),김정철(Jeongchul Kim),고미미(Mimi Go),김보영(Boyoung Kim),설인찬(Inchan Seol),이인(In Lee),조현경(Hyunkyung Jo),최선미(Sunmi Choi) 한국한의학연구원 2007 한국한의학연구원논문집 Vol.13 No.2

Background and Purpose : The purpose of this study was to investigate that which symptoms are adequate indicator of the Dampness-Phlegm pattern in the stroke patients. Methods : In the time period Jul. 2005 to Sep. 2006, 136 patients with a first-ever stroke admitted in the department of Internal Medicine of Daejeon University Oriental Medical Hospital in Daejeon city, Wonkwang Oriental Medical Hospital in Iksan, JeonJu city were included. Patients were hospitalized within 3 months after the onset of stroke. Stroke patients had been interviewed by resident who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. Gi-deficiency patients was confirmed by medical specialist diagnosis, resident diagnosis, case report form analysis without a dissenting voice. Results : Dampness-Phlegm group included 37 case, Non Dampness-Phlegm group 45 case out of 136 patients. white tongue coating, slippery purse, yellowish complexion, enlarged tongue, swollen tongue were higher among Dampness-Phlegm group. Dampness-Phlegm and Non Dampness-Phlegm patients do not significantly differ in heavy sensation in the head, voice with sputum, teeth printed tongue, borborygmus, dizziness with nausea. Conclusions : This study was insufficiency because sample size is very small. More data from prospective cohort studies will help to Korean Standard Differentiation of the Symptoms and Signs for the Stroke.

중풍 발생 위험인자에 대한 환자-대조군 연구

강경원(Kang Kyungwon),강병갑(Kang Byunggab),차민호(Cga Minho),고미미(Go Mimi),박세욱(Park Saewook),방옥선(Bang Oaksun),조기호(Cho Kiho),김윤식(Kim Yoonsik),최선미(Sunmi Choi) 한국한의학연구원 2007 한국한의학연구원논문집 Vol.13 No.2

Background and Purpose : The purpose of this case-control study was to show the relationship between risk factors(past medical history, BMI, WHR, smoking, drinking), warning signs(dyscinesia, sightless, dysarthria, sensory disorder, numbness, blephalospasm, facial spasm, tension) and the incidence of stroke in korean adults. Methods : 455 stroke patients were enrolled as the case group and 180 non-stroke patients as control group from Oct. 2005 to Feb. 2006. Patients were hospitalized within 2 weeks after the onset of stroke. Obesity were defined as BMI≥25㎏/m2, WHR≥0.9 in male and WHR≥0.8 in female. Risk factors and warning signs were obtained from personal interview. The analysis of the data was done by chi-square test, Fisher's exact test and two-sample t-test. Results : The percentage of current smokers(or current drinkers) of case group is higher significantly than that of control group. The past medical history of risk factors were found to be transient ischemic attack(p=0.0698), facial palsy(p=0.406l), hypertension(p<0.0001), hyperlipidemia(p=0.l484), DM(p<0.0001), ischemic heart disease(p=0.0093). migraine(p=0.0014) and hypochondria(p=0.2370). WHR≥0.9 in male had a 6.696 (3.711-12.082) odds ratio, WHR≥0.8 in female had a 1.567 (0.659-3.726) odds ratio. BMI≥25㎏/m2 had a 2.017(1.263-3.222). The dyscinesia and sensory disorder of warning signs were found to be statistical difference between case and control group. Conclusions : According to the above results, it was found that smoking, drinking, BMI, WHR, hypertension, DM, ischemic heart disease, migraine affected to the incidence of stroke.

중풍의 변증 진단을 위한 판별모형

강병갑(Byeongkab Kang),강경원(Kyungwon Kang),박세욱(Saewook Park),김보영(Boyoung Kim),김정철(Jeongchul Kim),고미미(Mimi go),설인찬(Inchan Seol),조현경(Hyunkyung Jo),이인(In Lee),최선미(Sunmi Choi) 한국한의학연구원 2007 한국한의학연구원논문집 Vol.13 No.2

The purpose of this study was to diagnosis that what patterns identification using the statistical method. Discriminant analysis using the medical specialist and resident pattern identification agree case in stroke patients within 1 month of onset. The agreement rate of dificiency of Gi(75%), heat-transformation(74%), dampphlegm syndrome(69%), deficiency of Eum(51 %) and syndrome of blood stagnation(43%) are respectively 0.75, 0.74, 0.69, 0.51 and 0.43 in medical specialist and using linear discriminant function pattern identification are same. The study of inspection, pulse feeling and palpitation will be continued to evaluate concordance rate. Discrimination model will be make to get higher Accuracy and prediction, it means becomes the help in pattern identification diagnosis objectivity and scientific.