정상 성인에서 총콜레스테롤의 분별치와 관련 요인 : 전북지역 한 종합병원의 정기검진자를 중심으로

김지식,여영규,홍인선 THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCIEN 1996 Journal of biomedical laboratory sciences Vol.2 No.2

정상 성인에서 혈청 총 콜레스테롤의 분별치 및 관련된 제요인을 파악하기 위하여 1995년 3월부터 10월까지 8개월 동안 전주 예수병원에서 의료보험 피보험자와 피부양자를 대상으로한 정기 건강 검진을 받은 대상자 중 성별, 연령별, 혈압, 체중, 기타 생화학적 검사 결과를 분석하였으며, 이들 중 고혈압 등 질병이 없는 건강한 집단으로 1,818명을 분석하였다. 혈청 총 콜레스테롤의 분별치를 산정 하기 위한 75th percentile값을 보면, 21∼30세군에 191 mg/dl, 31∼40군에서 195 mg/dl, 41∼50세군에서 214 mg/dl, 51∼60세군에서 227 mg/dl, 그리고 61세 이상 군에서 222 mg/dl이었다. 90th percentile값을 보면, 21∼30세군에서 214 mg/dl, 31∼40군에서 214 mg/dl, 41∼50세군에서 239 mg/dl, 51∼60세군에서 253mg/dl, 그리고 61세 이상군에서 248 mg/dl 이었다. 혈청 총 콜레스테롤과 각 변수간의 상관관계는 연령과는 남.여 모두 유의한 관계를 보였고(p<0.001), 특히 여자에서 높은 상관성을 보였다. 비만지수인 PIBW, BMI와도 유의한 상관성을 보였고, 수축기혈압과 이완기혈압과도 관련성을 보였다. 대상자들의 흡연 여부와 혈청 총 콜레스테롤과의 관계는 흡연군이 191.6±35.0 mg/dl 이었고, 비흡연군이 194.9±35.9 mg/dl였으며 두 집단간에는 유의한 차이를 보이지 않았다. 음주에 따른 혈청 총 콜레스테롤의 측정치는 비음주군에서는 196.0±36.0 mg/dl 이었고, 음주군에서는 188.9±34.5 mg/dl로 두 군간에는 유의한 차이를 보였다. 운동 습관과 혈청 총 콜레스테롤의 관계는 규칙적으로 운동을 하는 군은 192.1±33.3 mg/dl이었고, 운동을 하지 않는 군은 195.8±37.0 mg/dl였으며 두 군간에는 유의한 차이를 보였다. The cut-off values and related factors for total cholesterol of serum in normal Korean adults were studied from March to October, 1995, based on the data of 1,818 healthy adults of human involved the male and female. The comparisons of the serum total cholesterol levels were analyzed by sex, age, systolic blood pressure, diastolic blood pressure, body weight, height, PIBW, BMI and other biochemical tests. 1. The serum total cholesterol level were 194.4 mg/dl in total group, 186.9 mg/dl for male, and 197.6 mg/dl for female. 2. There was no significant differences by sex among the 21 to 50 ages group, but significantly higher in women than in men over 51 years old. 3. In general, the levels of serum total cholesterol were increased with age, the highest level in men was 192.7 mg/dl in 51 to 60 years old, and 210.5 mg/dl in more than 60 years old in women. 4. The cut-off values of serum total cholesterol for moderate risk were 191 mg/dl in 21 to 30 years group, 195 mg/dl in 31 to 40 years, 214 mg/dl in 41 to 50 years, 227 mg/dl in 51 to 60 years, and 222 mg/dl in more than 61 years. The cut-off values of serum total cholesterol for high risk were 214 mg/dl in 21 to 30 years group, 214 mg/dl in 31 to 40 years, 239 mg/dl in 41 to 50 years, 253 mg/dl in 51 to 60 years, and 248 mg/dl in more than 61 years. 5. The mean values of serum total cholesterol were showed positive correlation with age, PIBW, BMI, systolic blood pressure and diastolic blood pressure. 6. Serum total cholesterol level of drinking group(188.9±34.5mg/dl) was showed lower than those of non-drinking group(196.0±36.0mg/dl). 7. Serum total cholesterol levels of regular excercise group(192. 1±33.3 mg/dl) was significantly lower than those of non regular excercise group(195.8± 37.0 mg/dl).

제주도의 주요 습지에 도래하는 도요·물떼새류의 현황

오홍식,임인추,김병수,김완병,박행신 경희대학교 한국조류연구소 2002 연구보고 Vol.8 No.1

본 연구는 제주도 주요 습지에 도래하는 도요ㆍ물떼새류의 지소적인 연구의 일환으로, 1998년 3월부터 2000년 2월까지 2년간 매월 2회씩, 1) 동부지역(하도리 양어장, 종달리 해안 및 성산포 양어장)과, 2)서부지역(용수리 저수지, 금등리 해안 및 대정읍 일과리 해안)으로 나누어 조사하였다. 조사기간 중 2개 지역에서 관찰된 도요ㆍ물떼새류는 총 45종 5,117개체였으며, 지역별로는 동부지역에서 40종 4,910개체, 서부지역에서 38종 927개체로 나타났다. 계절별로는 봄철 2,821개체, 가을철 1,229개체로 봄철에 도래하는 개체수가 가을철보다 많았다. 우점종은 제1차 조사기간인 봄철에는 민물도요 Calidris alpina 2,024개체(88.5%), 흰물떼새 Charadrius alexandrinus 84개체(3.7%), 흰목물떼새 Charadrius placidus 11개체(2.4%)의 순으로 나타났으며, 가을철에도 민물도요 384개체(82.9%), 흰물떼새 20개체(4.3%), 흰목물떼새 11개체(2.4%)의 순으로 나타났다. 제2차 조사기간에는 봄철에 좀도요 Calidria ruficollis 116개체(21.8%), 민물도요 67개체(12.6%), 청다리도요 Tringa nebularia 58개체(10.9%)의 순으로, 가을철에는 민물도요 191개체(24.9%), 노랑발도요 T. brevipes 156개체(20.4%), 삑삑도요 T. ochropus 104개체(13.6%)의 순으로 나타났다. 동부지역은 서부지역에 비하여 우점도는 높았으나, 종다양도와 균등도는 낮게 나타났다. 동부지역과 서부지역간의 유사도는 0.85였다. 본 연구를 통해 물꿩 Hydrophasianus chirurgus, 검은머리물떼새 Haematopus ostralegus, 바늘꼬리도요 Gallinago stenura, 흰꼬리좀도요 Calidrius temminckii 등 4종의 제주도 미기록종과, 검은머리물떼새, 흰목물떼새, 넓적부리도요 Eurynorhynchus pygmeus, 알락꼬리마도요 Numenius madagascariensis 등 3종의 환경부 지정 보호조류가 관찰되었다. This study was part of a continuous research project on the status of migrating shorebirds on major wetlands in Cheju Island. This study was conducted twice every month for two years, from March 1998 to February 2000. The investigated location are mainly two areas. The first census areas were Hado-ri fishfarm and the coast of Jongdal-ri in Kujaw-up and Sungsan-po fishfarm in Sungsan-up, all located in the eastern part of Cheju Island. The second census areas were Yongsu-ri reservoir and the coast of Kumdung-ri in Hangyoung-myon and the coast of Ilgwa-ri in Dejong-up, all located in the western part of Cheju Island. In total, 45 species consisting 5,117 individuals were observed during the census period. There were 40 species and 4,910 individuals in the eastern area, 38 species and 927 individuals in the western area. The number of individuals of shorebirds in the spring migratory season was greater than in the autumn. The dominant species researched during the first census period were 2,024 individuals of Calidrius alpina (88.5%), 84 individuals of Charadrius alexandrinus (3.7%), 59 individuals of Charadrius placidus (2.6%) in spring and 384 individuals of Calidrius alpina (82.9%), 20 individuals of Charadrius alexandrinus (4.3%), 11 individuals of Charadrius placidus (2.4%) in autumn. The dominant species researched during the second census period were 116 individuals of Calidrius ruficolis (21.8%), 67 individuals of Calidrius alpina (12.6%), 58 individuals of Tringa nebularia (10.9%) in spring and 191 individuals of Calidrius alpina (24.9%), 156 individuals of Tringa brebipes (20.4%), 104 individuals of Tringa ochropus (13.6%) in autumn. Dominance index were recorded better in the eastern area than the western area, but species diversity and evenness index were recorded lower in the eastern area than the western area. Similarity index were 0.85 between the eastern area and the western area. Hydrophasianus chirurgus, Haematopus ostralegus, Gallinago stenura and Calidrius temminuckii, which are observed during the census period are previously unrecorded species on Cheju Island. Rare and endangered species were observed such as Haematopus ostralegus, Charadrius placidus, Numenius madagascariensis, and Eurynorhynchus pygmeus.

응집공정에 적합한 In-Line 정적혼화기를 이용한 혼화공정의 개선

정철우,강민수,최시환,정수일,손인식,강임석 대한상하수도학회 2003 상하수도학회지 Vol.17 No.3

The rapid mixing process for coagulation is a critical component in a water treatment plant. However, at the present time a detailed understanding of the rapid mixing by in-line mixer or generally accepted criteria for the design of in-line static mixer are not available. The aim of this work is therefore to improve the understanding of how the in-line static mixer works and how to better utilize it in coagulation process in water treatment. To investigate the performance of static mixer, coagulation experiments were conducted to compare the static mixer to the traditional backmixer under several coagulation conditions. Experiments were also performed to compare the coagulation efficiency of different mixing type of static mixer which were made using different flow rates and the number of elements equipped in a pipe. The static mixer performed better than the backmixer for all coagulation and mixing conditions tested. Especially, the static mixer was very effective in the surface charge neutralization, as showing higher reduction of negative charge with increasing mixing intensity. However, little difference was observed in the performance of the static mixer equipped with 2, 3, and 5 elements. Also, in a series of bench-scale studies of rapid mixing, the in-line static mixer performed better than the traditional backmixer for both adsorption and charge neutralization (A/N) mechanism and sweep coagulation mechanisms. Especially, the static mixer was more efficient at producing A/N mechanism conditions as a result of its fast and uniform dispersion of the coagulant.

한국산 꿩 정세관 상피와 Testosterone, LH 및 FSH 혈청농도의 계절적 변화에 관한연구

양홍현,김인식,이영훈,백영기 대한해부학회 1997 Anatomy & Cell Biology Vol.30 No.3

중학교 과학과 수업 개선을 위한 학급수업과정 분석

박행신,정충덕,오홍식,노인화 濟州大學校 師範大學 科學敎育硏究所 1992 科學敎育 Vol.9 No.1

The purpose of this study is to find ways for the improvement of science instruction by describing and analyzing the schooling process in the class-room of the middle school through the participant observation. Four differ-ent middle schools and four different science teachers were selected. And intensive participant observations were made about total 18 hours' school-ing process concerned to the instruction of ' Photosynthesis' and 'Digestion' which are two units in the science textbook of the middle school. The documentary records of the results of field research on schooling the classroom were made. On the basis of these data analytical diagrams of each hour's schooling process were made and each teacher's teaching type, instrucion process type and teaching method about the same teaching contents were comparatively analyzed. Through this analysis, the following conclusions could be obtained. 1. Teaching type was divided largely into two different kinds, such as laboratory lessons in the laboratory and lecture lessons in the classroom. Laboratory lessons were conspicuously grouping lessons, and the lessons in the classroom were lecture lessons practiced by the lead of the teacher. 2. Instrucion process model stood out as an 'Inquiring Model' in the the-oritical model in case of laboratory grouping lessons, that is, in which 'inquiry learning process' was dominant, and stood out as 'Concept Model' explained by the teacher or 'Discovery Model' by suggesting teaching materials in case of lecture lessons. 3. Teaching method, even in case of the same teaching contents, showed various styles according to the different teachers. such as structur-izing lesson, providing instructional cues, questioning and reacting to stu-dents 'response, explanation and writing on the blackboard, student con-trol in class. But in case of the' same teacher the same styles were found in suggesting teaching aims, teaching arrangements, turning over in teach-ing. explanation and writing on the blackboard, of every class hour. 4. In order to make a qualitative improvement for the science instruc-tion, the inquiring instruction process, that is the greatest aim of science education, should necessarily be practiced in each class, and through this teaching process the present limits of science instruction should be over come. Therefore, the exploring attitude of each teachers own to renew the instruction stratege, Comparing the existing instruction process model, and teaching methods of individual teacher's, is thought to be nessessary. For this, through the teacher's training program or the teacher's retrain-ing course, the various ways to improve the science instruction quality should be provided by using ethnographic data on schooling as a tool for the indirect experience about other's schooling process.

하지 절단자 보행의 운동역학적 분석

임규찬,박윤서,배성제,정철수,신인식,김복영 師範大學 體育硏究所 1994 서울大學校 體育硏究所論集 Vol.15 No.2

This study was conducted to investigate the biomechanical characteristics of the gait pattern in an amputee for the purpose of improving the proper gait posture and designing the prosthetic. The subjects were six males amputees and one normal person. The ground reaction force was measured using AMTI force platform. The conclusions were as follows; 1. In case of amputee group, the ground reaction force was revealed in specific figure according to position in which they used the prosthetic, whereas in case of normal person the ground reaction force was revealed in the figure of two humps in regard of vertical axis. 2. In case of amputee group, the ground reaction force in time between fight foot contact and left foot contact was deviated from a figure of rectangle, whereas in case of normal person the ground reaction force was revealed in the figure of rectangle. 3. In case of amputee group, the ground reaction force referred to both feet angle point of view was revealed in irregular figure, whereas in case of normal person the ground reaction force was revealed about 47。

The Effect o f the Owner CEO on t he R elati on b etween CEO Compensati on and F i rm P erformance: Korean C ase

Yong Shik Kim,Sun A Kang,In shik Seol 사람과세계경영학회 2018 Global Business and Finance Review Vol.23 No.3

In the study, we examine whether the owner CEO affects the relation between CEO compensation and firm performance. There is a positive relation between CEO compensation and firm performance in general. More in-depth analysis shows, however, that such positive relation diminishes in the owner CEO firms, specifically when the CEO is the largest owner. Firm performance also improves as the level of CEO ownership increases in the non-owner CEO firms; no significant results are found in the owner CEO firms. We conclude that the convergence-of-interests effect dominates in the non-owner CEO firms, the entrenchment effect dominates in the largest CEO firms, and both the convergence-of-interests and the conflict-of-interest effects exist together in the family CEO firms.

IL-β의 인슐린 분비 자극효과와 그 과정에 관여하는 인자들

정인경,오승훈,강동묵,정재훈,민용기,이명식,이문규,김광원 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.24 No.4

연구배경: IL­1β는 용량과 노출시간에 따라 인슐린분비에 대해 상반되는 효과를 가지고 있다. IL­1β의 인슐린 분비 억제효과는 제1혁명 당뇨병의 자가면역 기전과 관련되어 잘 알려져 있으나 인슐린 자극효과에 대해서는 아직 명백히 밝혀지지 않았다. 이에 저자 등은 IL­1β의 다양한 농도에 따라 백서의 췌도세포에서 인슐린 분비에 미치는 영향을 살펴보고, 그 기전으로 인슐린 생합성, iNOS의 발현, 칼슘통로의 활성도 변화여부를 알아보고자 하였다. 방법:200∼300g인 수컷 Sprague­Dawley 백서의 췌도를 변형된 Lacy&Kostianovsky's 방법으로 분리한 후 IL­1β의 다양한 농도(0, 0.5, 5, 50, 500pmol/L)에 2, 6, 24시간 노출시켜 췌도세포의 형태, 생존능을 관찰하고 인슐린 분비능 및 췌도세포내 인슐린 함량을 측정하였으며, 전전구 인슐린 mRNA발현, iNOS mRNA발현을 RT­PCR을 통해 확인하였고, 세포의 칼슘 통로 활성도 변화 여부를 측정하였다. 결과:1) IL­1β에 노출되 췌도의 생존능:2시간 노출시는 대조군과 차이가 없었으나, 6시간 고농도군과 24시간 모든 군에서 생존능이 감소되었다. 2)인슐린 분비능은 IL­1β를 2시간 5poml/L이상의 고농도와 6시간 0.5pmol/L 저농도 처리시 대조군에 비해 의미있게 증가하였으나, 6시간과 24시간 5poml/L이상의 고농도에서는 의미있게 인슐린의 분비가 억제 되었다. 3)췌도내 인슐린양의 변화는 IL­1β의 시간과 농도에 따라 배지내의 인슐린 변화와 비슷한 경향을 보였으나 통계학적으로 의미있는 차이는 없었다. 4)전전구인슐린의 mRNA발현은 2시간 50pmol/L이상 고농도의 IL­1β에서 의미있게 증가하였고, 6시간 처리군에서는 의미있는 차이는 없었으나, 24시간에서 IL­1β의 용량의존적으로 억제되었다. 5)iNOS mRNA는 IL­1β 처리 후 2시간부터 발현되기 시작하여, 6시간에 최고에 달한 후 24시간에는 점차 감소하였다. IL­1β의 처리시간과 무관하게 5poml/L이상의 고농도에서 용량에 따라 발현이 증가하였다. 6)칼슘통로 활성도는 IL­1β의 농도나 시간에 따라 유의한 차이가 없었다. 결론: IL­1β는 단시간 고용량이나 장기간 저용량에서 인슐린 분비와 생합성을 증가시키며, 이런 효과는 iNOS나 칼슘 통로 활성도 변화와는 무관한 것으로 생각된다. Background : The inhibitory effort of IL-1β on the insulin secretion has been validated in pathogenesis of type 1 diabetes, but complex results about the stimulatory effect of IL-1β have been reported. The aims of this study are to clarify the effects of IL-1βon insulin secretion of pancreatic islets and to investigate the mechanisms in terms of preproinsulin synthesis, inducible NOS expression, and calcium channel activity. Method : Islets were isolated from male Sprague-Dawley (SD) rat by modified Lacy-Kostianovsky's method. After islets were treated with different concentrations (0, 0.5, 5, 50, 500 pmol/L) and exposure time (2, 6, 24 hours) of IL-1β, morphology, viability, static stimulation of insulin to glucose, insulin content, preproinsulin mRNA expression, iNOS mRNA expression and calcium channel activity were measured. Results : 1) Viability o islets was reduced in high concentrations of long term exposure of IL-1β. 2) Insulin secretion was stimulated in islets treated with 5, 50, and 500 pmol/L of IL-1β for 2 hours. 3) Insulin content was not significantly different regardless of concentration and exposure time of IL-1β. 4) Preproinsulin mRNA expression increased in islets treated with 50, 500 pmol/L of IL-1β for 2 hours. After 24 hours, it decreased in dose dependent manner. 5) iNOS mRNA expression was detectable after 2 hours in the presence of IL-1β, peaks at 6 hour and decreased after 24 hours. It was increased above 5 pmol/L of IL-1β in dose dependent manner. 6) Activities of the voltage-dependent Ca^2+ channels were not different among groups. Conclusion : IL-1β plays a positive role in terms of insulin secretion and insulin synthesis in high concentration of short term or low concentration of long term. These effects of IL-1β might be neither dependent of iNOS pathway nor Ca^2+ channel activity (J Kor Diabetes Asso 431~443, 2000).

西洋音樂을 專攻한 韓國 作曲家가 國樂的 思想을 表現한 作品의 分析的 硏究

崔寅植 경성대학교 1985 부산수산대학 논문집 Vol.6 No.2

-Conclusion- The purpose of this treatise is to suggest the future of our music through an analytic study on the idea of Korean classical music works by a Korean composer who has majored in Western Music. As results of this study, we get the condusions as below. 1. The idea of Korean classical music means the Korean people's unique, traditional spirits in their music which were formed before the influx of the western music. 2. In historical points, ① Lost of Koreans have put more emphasis on the western music than on the Korean classical music. ② But we should look upon these trends as transitional phenomena and rebuild the the western music with identity, just as the old Korean music accepted and developed 'Tarngak' & 'Aahak' in 'Hyangak', Korea's original music. 3. In educational Points, we have to solve the problems as follows. Suggestions Remarks Theory All Kinds of music activities should °Establishing more institutions for be done on the theoretical basis. Korean Music °Recansidering musical curriculum Camposition The integration of 'Korean Music' & Aveiding seperate education of Western music Korean Music & Western music Performance °Peforming newly-made Korean works Avoiding the preference of perform- °Invention of new musical manual ing western music Education °Education for the sake of 'korean We have to put more emphasis on of music Music 'Korea Music' than on Western music in Korea Masscommu °Building the mood for the fixation of Aveiding the generalization of nication 'Korean Music' Western music 4. In analytical study, we can reach these conclusions ① The ideas of Korean classical music generally contain Buddism, Taoism and Shamanism ② In comparison with the western music, the characteristics of Korean classical music are as follows. Korean Music Section Western Music Spontaneous genesis Origin Artificial genesis (constructive) Obedience to nature(philosophic) Idea Challenge to nature (scientific) Integrated Classification Analytical Largo-Allegro-Largo Form Allegro-Largo-Allegro 'Samboonsonikbob'(三分損盆法) Tuning Temperament Poly-rhythm, natural Rhythm Meter-rhythem, mechanical Pentatonic scale and others Scale Heptatonic scale ③ We can get these conclusions after examining thoroughly the works by 'Yoon I Sang', 'Kang Suk-Hee' and 'Choi In-Sik'. ⅰ) One of the urgent problems that 'Korean Musik' faces, lies with the creation of 'Korean Style' by Korean composers. And the Commom thing of the above three composers is that they have been creating the new 'Korea Style' on the basis of their firm ideas. ⅱ) They have been making their works which show 'the universe' on the basis of ideas of Taoism, Buddism and Shamanism. ⅲ) For works with 'the universe', they are ready to take all kinds of musical instruments such as western musical instruments, electronic music, etc. Therefore, We can reach the important conclusione as follows. Ⅰ. Whenever we accept the western music, We have to hold up our identity with potential energy. Ⅱ. After all, the most important thing is the settlement of 'Korean Style' by Korean composers.

제2형 당뇨병 환자에서 Voglibose와 Acarbose의 비교임상연구

정인경,정재훈,민용기,이명식,이문규,김광원,정윤이,박중열,홍성관,이기업 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.26 No.2

연구배경:아카보스와 보글리보스는 ­glucosidase inhibitors로써 비록 약리학적 작용이나 부작용에 있어서 두 약물간에 차이가 있다는 것은 잘 알려져 있으나 당뇨병 환자를 대상으로 아직 이에 대한 두 약물간에 직접적인 비교에 대해 연구된 바는 없었다. 이에 저자등은 국내 2형 당뇨병 환자에 대해 유효성과 부작용 발현에 대해 두 약제를 비교하고자 무작위법에 의한 위약 대조군의 이중 맹검법 연구를 시행하였다. 방법:시험 약제 투여 4주간의 관찰기를 설정하여 공복혈당의 변화가 30㎎/dL 이하이고, 식후 혈당이 200㎎/dL 이상인 환자로 기타 제외 기준에 해당하지 않은 환자 53명을 대상으로 하여 보글리보스 군(24명)과 아카보스 군(29명)으로 무작위로 나누었다. 치료기간은 총 8주로 하였으며, 4주간 간격으로 혈청학적 검사와 부작용을 분석하여 치료 효과가 부작용을 평가하였다. 결과:1)혈당 변화:보글리보스군은 식후 1시간 혈당이 치료 후 4주, 8주째 의미 있게 감소하였도, 아카보스군은 식후 1시간과 2시간 혈당이 치료 후 4주, 8주째 의미있게 감소하였다. 또한 관찰기 혈당에 대한 치료 4주째 감소량은 아카보스군에서 더 큰 경향을 보였으나, 치료 8주째에는 두 군 간의 강하정도에 의미있는 차이가 없었다(p=0.569). 2)인슐린 치의 변화:보글리스 군은 식후 1시간 인슐린 치가 치료 전에 비해 치료 4주, 8주째 감소하는 경향을 보였고, 공복 인슐린이나 식후 2시간 인슐린치는 치료전 후에 의미 있는 차이가 없었다. 아카보스군에서는 치료 전후로 공복 인슐린, 식후 1시간과 2시간 인슐린치에 의미 있는 차이를 보이지 않았다. 두약제 간에 치료 전과 치료 8주사이의 식후 2시간 인슐린의 감소량이 보글리보스 군에서 의미있게 높았다(p=0.040). 3)당화혈색소:보글리보스 군은 치료 전에 비해 치료후 당화혈색소가 감소하는 경향을 보였고, 아카보스군은 치료 전에 비해 의미있게 감소하였다. 당화혈색소 변화량은 두 군간에 의미 있는 차이는 없었다(p=0.412). 4)지질대사의 변화:중성지방, 콜레스테롤, 고밀도 진단백 콜레스테롤에 대해 두 군간에 의미 있는 차이는 없었다. 5)부작용:소화기계 부작용의 빈도는 치료 4주째 보글리보스 군에서 의미 있게 낮았으나(p=0.028), 치료 8주째 부작용의 빈도는 두 군간에 의미 있는 차이가 없었다(p=0.215). 결론:2형 당뇨병 환자에서 보글리보스와 아카보스의 두 약제의 임상적 유효성과 부작용발현에 대해 비교한 결과 치료 후 8 주 후 혈당강화효과는 두 약제간에 유사한 효과를 보였으나 보글리보스군에서 4주째의 초기 위장관 부작용이 적었다. Background : Acarbose and voglibose are alpha-glucosidase inhibitors. Although different pharmacological effects and adverse abdominal events associated with the two drugs have been reported, no study directly compared acarbose and voglibose in diabetes has been undertaken. To compare the pharmacological effects and gastrointestinal adverse events between two drugs, a randomized, placebo-controlled, double-bind study was performed in type 2 diabetes patients. Methods : The period of study was 12 weeks(observation period: 4 weeks; treatment period: 8 weeks). Fifty-three patients were randomized into two groups(the acarbose group: 24 patients; the voglibose group: 29 patients). The serum glucose, insulin, fructosamine, HbA_1c, cholesterol, triglyceride and the incidence of adverse events were measured. Results : 1) The reduction of glucose from before treatment to 4 weeks after treatment was significantly higher in the acarbose group, but the change before treatment and 8 weeks after treatment in the two groups was similar(p=0.569). 2) The insulin significantly decreased after voglibose treatment(p=0.040). 3) HbAa_1c level tended to decrease in voglibose group, and there was a significant decrease after acarbose treatment. However, the change in HbA_1c level before and after treatment was similar between the two groups(p=0.412). 4) The two drugs did not cause any other changes in the total, HDL-cholesterol and triglyceride. 5) The number of patients with gastrointestinal adverse events was significantly low 4 weeks after voglibose treatment (p=0.049), but the incidence in the two groups was similar after 8 weeks(p=0.215). Conclusions : Acarbose and voglibose significantly improved postprandial hyperglycemia in diabetes. The incidence of gastrointestinal adverse events was low 4 weeks after voglibose treatment(J Kor Diabetes 26:134~145, 2002).