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Clinical Features of Electrogastrogram in Dyspeptic Patients with Stomach Qi Deficiency

위기허증으로 진단된 소화불량 환자의 임상적 특징; 위전도 검사를 중심으로

  • Jeong, Hae-in (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Dong-yoon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Baek, So-young (Dept. of Digestive Diseases, Kyung Hee University Korean Medicine Hospital) ;
  • Lee, Ha-nul (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Hyun-jin (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Cho, Yun-jae (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ha, Na-yeon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Kim, Jin-sung (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 정해인 (경희대학교 대학원 임상한의학과) ;
  • 김동윤 (경희대학교 대학원 임상한의학과) ;
  • 백소영 (경희대학교한방병원 위장소화내과) ;
  • 이하늘 (경희대학교 대학원 임상한의학과) ;
  • 이현진 (경희대학교 대학원 임상한의학과) ;
  • 조윤재 (경희대학교 대학원 임상한의학과) ;
  • 하나연 (경희대학교 대학원 임상한의학과) ;
  • 김진성 (경희대학교 대학원 임상한의학과)
  • Received : 2020.04.02
  • Accepted : 2020.05.28
  • Published : 2020.06.30

Abstract

Objectives: This study investigated the cutaneous electrogastrogram (EGG) and other clinical characteristics of dyspeptic patients who have been diagnosed with Stomach Qi Deficiency (SQD) using the Scale for Stomach Qi Deficiency (SSQD). Methods: This study reviewed the clinical records of 38 patients with dyspepsia who were evaluated with SSQD and EGG at the Department of Digestive Diseases of Kyung Hee University Korean Medicine Hospital in Seoul, Korea from November 1, 2019 to February 29, 2020. We evaluated the EGG and other clinical characteristics of the SQD patients to determine if there was an association between the SSQD scores and the EGG. Results: In terms of the EGG, the SQD patients showed no significant increase in the percentage of normal slow wave after a meal and a slightly decreased power ratio at Channel 1 and Channel 2. We also found an association between the SSQD scores and the EGG parameters at Channel 1 and Channel 3. The average Ryodoraku score of the patients was 33.00±14.90 (μA). In the Heart Rate Variability (HRV) test, the average Total Power (TP) and Low Frequency/High Frequency (LF/HF)) ratio was 1356.60±13 6.41(ms2) and 1.68±2.25, respectively. Conclusions: The results of this study suggest that clinicians can use Electrogastrography to enhance accuracy when diagnosing the SQD pattern.

Keywords

References

  1. Committee of Digestive Diseases, National Korean Medicine College. Gastroenterology. Seoul: Koonja publisher; 2009, p. 67-9.
  2. Lee JH, Park JW, Ko SJ, Kim JS. Development and validation of a new pattern identification scale for Stomach Qi Deficiency. European Journal of Integrative Medicine 2018;17:56-63. https://doi.org/10.1016/j.eujim.2017.11.009
  3. Haa SY, Kim MY, Park YJ, Park YB. A review on Recent Study of Electrogastrography - for Oriental Medical Application. Journal of the Korea Institute of Oriental Medical Diagnostics 2006;10(2):5-66.
  4. Haa SY, Kim MY, Park YJ, Park YB. A study on the characteristics of electrogastrography according to the heat-cold patternization. Journal of the Korea Institute of Oriental Medical Diagnostics 2008;12(1):131-41.
  5. Ryu JM, Lim JH, Han SY, Jang SY, Lee HK, Lee JS, et al. The Usefulness of Electrogastrography on the Differential Diagnosis of Deficiency or Excess Condition in Patients with Functional Dyspepsia. The Journal of Korean Oriental Internal Medicine 2004;25(4):346-55.
  6. Jeong HD, Kim JS, Ryu BH, Ryu KW, Yoon SH. Relationship between Gastric Motility and Health Condition Graded by Total Symptom Scores in Comprehensive Diagnosis of Qui Xue Shui in Functional Dyspeptic Patients. Korean J Orient Int Med 2004;25(4):158-66.
  7. Kim SH, Park YB, Park YJ, Oh HW. Co-relation between Questionnaire for Buzhongyiqi-Tang and Electrogastrography. Journal of Korean Institute of Oriental Medical Diagnostics 2009;13(2):34-44.
  8. Nam SW, Park JW, Kim JS. Correlation Analysis Between Stomach Qi Deficiency Pattern and Gastric Emptying Measured by Abdominal Ultrasonography in Patients with Functional Dyspepsia. Journal of Korean Oriental Internal Medicine 2018;39(3):405-25. https://doi.org/10.22246/jikm.2018.39.3.405
  9. Yin J, Chen JDZ. Electrogastrography: Methodology, Validation and Applications. J Neurogastroenterology Motility 2013;19(1):5-17. https://doi.org/10.5056/jnm.2013.19.1.5
  10. Koch KL, Stewart WR, Stern RM. Effect of barium meals on gastric electromechanical activity in man. A fluoroscopic-electrogastrographic study. Dig Dis Sci 1987;32(11):1217-22. https://doi.org/10.1007/BF01296369
  11. Kim SW, Kim TH, Choi SC, Nah YH. Clinical Correlation between Scintigraphic Measurement of Gastric Emptying and Electrogastrography in Dysmotility Like Functional Dyspepsia. Korean Journal of Gastroenterology 2001;37(4) :240-6.
  12. Parkman HP, Hasler WL, Barnett JL, Eaker EY. Electrogastrography: a document prepared by the gastric section of the American Motility Society Clinical GI Motility Testing Task Force. Neurogastroenterol Motil 2003;15(2):89-102. https://doi.org/10.1046/j.1365-2982.2003.00396.x
  13. Department of Physiology. National Korean Medicine College. Oriental Medical Physiology. Seoul: Jipmoondang publisher; 2008, p. 258-62.
  14. Park YI, Kang YW. The Changes of Electrogastrographic Findings and Gastric Fullness before and after Rice Soup in Patients with Dysmotility-like Functional Dyspepsia. The Korean journal of gastroenterology 1998;32(6):709-16.
  15. Choi IT, Nah YH. Effect of Meal on Electrogastrogram. Korean Journal of Internal Medicine 1988;43(4):527-32.
  16. Sha W, Pasricha PJ, Chen JD. Rhythmic and spatial abnormalities of gastric slow waves in patients with functional dyspepsia. Journal of Clinical Gastroenterology 2009;43(2):123-9. https://doi.org/10.1097/MCG.0b013e318157187a
  17. Kim YS, Rhu BH, Kim JS, Hong IA, Park YS, Jung YJ, et al. Changes in Multi-channel Electrogastrography after Acupuncture Treatment in Patients with Functional Dyspepsia. Journal of Physiology & Pathology in Korean Medicine 2010;24(1):152-7.
  18. Baek SY, Hwang MN, Ko WH, Kim DY, Lee HN, Jeong HI, et al. Comparison of the Clinical Characteristics of Patients with Gastroesophageal Reflux Disease According to Globus Sensation. Journal of internal Korean medicine 2019;40(3) :287-94. https://doi.org/10.22246/jikm.2019.40.3.287
  19. Lim DJ, Hwang GH, Hwang JS, Cho HS, Kim KH, Kim KS. Study of the Relation of Autonomic Nerve System and Peripheral Facial Palsy by the Heart Rate Variability. Journal of Korean Acupuncture & Moxibustion Society 2005;22(6):51-60.
  20. Choi WS. Heart Rate Variability and the Measurement of Stress. Korean J of Stress Research 2005;13(2):59-63.