대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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전립선비대증 변증도구의 신뢰도 평가 및 IPSS, 요속과의 상관관계에 대한 탐색적 연구

A Pilot Study to Evaluate the Reliability of a Pattern Identification Tool for Benign Prostatic Hyperplasia and to Analyze Correlations between Pattern Identification Tools and International Prostate Symptom Score (IPSS) and Uroflowmetry

  • 전천후 (대전대학교 한의과대학 신계내과학교실) ;
  • 구지향 (대전대학교 한의과대학 한방재활의학교실) ;
  • 강위창 (대전대학교 리버럴아츠칼리지 통계학과) ;
  • 장은수 (대전대학교 한의과대학 진단학교실) ;
  • 이은정 (대전대학교 한의과대학 한방재활의학교실) ;
  • 정인철 (대전대학교 한의과대학 신경정신과학교실) ;
  • 조충식 (대전대학교 한의과대학 신계내과학교실)
  • Jeon, Cheon-hoo (Dept. of Internal Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Gu, Ji-hyang (Dept. of Korean Medicine Rehabilitation, College of Korean Medicine, Dae-Jeon University) ;
  • Kang, Wee-chang (Dept. of Statistics, H-Liberal Arts College, Dae-Jeon University) ;
  • Jang, Eun-su (Dept. of Diagnosis, College of Korean Medicine, Dae-Jeon University) ;
  • Lee, Eun-jung (Dept. of Korean Medicine Rehabilitation, College of Korean Medicine, Dae-Jeon University) ;
  • Jung, In-chul (Dept. of Oriental Neuropsychiatry, College of Korean Medicine, Dae-Jeon University) ;
  • Cho, Chung-sik (Dept. of Internal Medicine, College of Korean Medicine, Dae-Jeon University)
  • 투고 : 2020.11.06
  • 심사 : 2020.12.14
  • 발행 : 2020.12.30
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초록

Objectives: To evaluate the reliability of a pattern identification tool for benign prostatic hyperplasia and to examine the relationship between pattern identification tool readings and IPSS and uroflowmetry. Methods: We analyzed 56 patients diagnosed with benign prostatic hyperplasia from December 27th, 2017 to December 26th, 2018 by two different Korean medical doctors and followed with a pattern identification tool and by IPSS and uroflowmetry. One week later, the patients were retested to analyze the reliability of the pattern identification tool, determined with the intraclass correlation coefficient (ICC) using the test-retest method. The correlation between IPSS and uroflowmetry was analyzed with the Pearson coefficient. Result: The reliability of the pattern identification tool for benign prostatic hyperplasia was evaluated as "poor agreement beyond chance" (ICC=0.349). The reliability of each pattern identification score was evaluated as "good" for Yang Deficiency of Kidney, Yin Deficiency of Kidney, Deficiency of Middle Qi, and Dampness-heat of Lower Energizer. The internal consistency was evaluated as "good" for Yang Deficiency of Kidney, Yin Deficiency of Kidney, and Dampness-heat of Lower Energizer, and as "excellent" for Deficiency of Middle Qi. The correlation between pattern identification and IPSS was evaluated as a "moderate positive correlation" for all pattern identifications. The average flow rate and maximum flow rate using uroflowmetry was evaluated with "moderate negative correlation" for Yang Deficiency of Kidney and Dampness-heat of Lower Energizer. Conclusion: The reliability of a pattern identification tool for benign prostatic hyperplasia was evaluated as "poor agreement beyond chance." Further research is needed.

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참고문헌

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