대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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타액분비저하에 따른 구강작열감증후군 환자의 임상적 특징 비교

Comparison of the Clinical Characteristics of Patients with Burning Mouth Syndrome due to Hyposalivation

  • 이하늘 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 김동윤 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 백소영 (경희대학교한방병원 위장소화내과) ;
  • 정해인 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 이현진 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 조윤재 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 하나연 (경희대학교 대학원 한의과대학 비계내과학교실) ;
  • 김진성 (경희대학교 대학원 한의과대학 비계내과학교실)
  • Lee, Ha-nul (Dept. of Gastroenterology, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Dong-yoon (Dept. of Gastroenterology, College of Korean Medicine, Kyung Hee University) ;
  • Baek, So-young (Dept. of Gastroenterology, Kyung Hee University Korean Medicine Hospital) ;
  • Jeong, Hae In (Dept. of Gastroenterology, College of Korean Medicine, Kyung Hee University) ;
  • Lee, Hyun-Jin (Dept. of Gastroenterology, College of Korean Medicine, Kyung Hee University) ;
  • Cho, Yunjae (Dept. of Gastroenterology, College of Korean Medicine, Kyung Hee University) ;
  • Ha, Na-yeon (Dept. of Gastroenterology, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Jinsung (Dept. of Gastroenterology, College of Korean Medicine, Kyung Hee University)
  • 투고 : 2020.09.11
  • 심사 : 2020.11.02
  • 발행 : 2020.10.30
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초록

Objectives: The aim of this study was to investigate the clinical characteristics of patients with Burning Mouth Syndrome (BMS) due to hyposalivation (HS). Methods: We reviewed the clinical records of 39 BMS patients who visited the Department of Digestive Diseases of Kyunghee Korean Medicine Hospital from March 1st, 2020 to July 31st, 2020. The subjects were classified according to the presence or absence of hyposalivation and both groups were compared for the proportion of coated tongue, heart rate variability (HRV), Ryodoraku, and the numeral rating scale (NRS) score of tongue pain results. Results: The BMS with Hyposalivation (HS group) and the BMS without Hyposalivation (Non-HS group) showed a significant difference in the proportion of coated tongue and the NRS score for tongue pain. The NRS score was significantly higher in the Non-HS group and the proportion of coated tongue was lower. However, no significant differences were noted in several HRV parameters between the two groups. The most frequent accompanying symptoms were xerostomia and dyspepsia. Conclusions: The results of this study suggest that hyposalivation might be one of the main causes of tongue pain, the key complaint in BMS patients. Sympathetic/parasympathetic imbalance might not be a main contribution of hyposalivation in BMS. Instead, factors such as the number of medications taken seem to correlate with hyposalivation in BMS. This results could be useful in the management of BMS patients with hyposalivation in clinical practice.

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