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KMID : 0363320180390030405
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Journal of Korean Oriental Internal Medicine
2018 Volume.39 No. 3 p.405 ~ p.425
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Correlation Analysis Between Stomach Qi Deficiency Pattern and Gastric Emptying Measured by Abdominal Ultrasonography in Patients with Functional Dyspepsia
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Nam Seong-Uk
Park Jae-Woo
Kim Jin-Sung
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Abstract
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Objective: The purpose of this study was to analyze the correlation between Stomach Qi Deficiency and gastric emptying as measured by abdominal ultrasonography in postprandial distress syndrome (PDS), a subgroup of functional dyspepsia (FD).
Methods: Ten patients who met the RomeⅢ diagnostic criteria for PDS and ten healthy controls participated in this study Gastric emptying shown as the half-life of gastric volume (T1/2) was measured by abdominal ultrasonography. The degree of Stomach Qi Deficiency was assessed using the scale for Stomach Qi Deficiency pattern (SSQD). In addition, functional dyspepsia-related quality of life (FD-QoL), Nepean dyspepsia index-Korean version (NDI-K), and visual analogue scale (VAS) of distention and fullness were conducted on all subjects.
Results: The scores of SSQD, FD-QoL, NDI-K, and VAS of distention and fullness in the patient group were significantly higher than those in the control group (p<0.05). T1/2 was also higher in the patient group than in the control group. The SSQD score significantly correlated positively with T1/2 in the patient group (r=0.640, p=0.046). However, there was no significant correlation between T1/2 and other questionnaire scores in the patient group.
Conclusions: Our results suggest that the gastric emptying measured by abdominal ultrasonography could be a quantitative indicator to diagnose Stomach Qi Deficiency in FD patients, especially the PDS subtype.
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KEYWORD
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functional dyspepsia, postprandial distress syndrome, stomach Qi deficiency, gastric emptying, abdominal ultrasonography
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