감모변증도구 개발에 관한 예비 연구

Primary Study to Develop the Instrument of Pattern Identification for Common Cold

  • 변준섭 (대전대학교 한의과대학 내과학교실) ;
  • 양수영 (대전대학교 한의과대학 내과학교실) ;
  • 강위창 (대전대학교 경영대학 응용통계학과) ;
  • 박양춘 (대전대학교 한의과대학 내과학교실)
  • Byun, Jun-Seop (Division of Respiratory System, Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Yang, Su-Young (Division of Respiratory System, Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Kang, Wee-Chang (Department of Information Statistics, College of Business Administration, Daejeon University) ;
  • Park, Yang-Chun (Division of Respiratory System, Department of Internal Medicine, College of Oriental Medicine, Daejeon University)
  • 발행 : 2009.12.25

초록

Common cold occurs frequently and occupies an important position in medical treatment however obvious treatment is not suggested. There has been no agreement of pattern identification for common cold in oriental medicine. The purpose of this study is to develop a standard instrument of pattern identification for common cold which will be applied to clinical research. The items and structure of the instrument were based on review of published literature. The advisor committee on this study was organized by 9 oriental respiratory internal medicine professors of 11 oriental medical colleges nationwide. The experts attended 3 consultation meetings and discussed developing the instrument, and we also took professional advices by e-mail. The results were as follows; First, we divided the pattern identification of common cold into nine pattern: Wind-cold type, Wind-heat type, Contain summerheat type, Contain dampness type, Qi deficiency type, Blood deficiency type, Yang deficiency type, Yin deficiency type, Influenza. Second, we got the mean weights to each symptom of nine pattern identification which had been scored on a 5-point scale - ranging from 0 to 4 by the 9 experts. Third, we made out the Korean instrument of the pattern identification for common cold. It was composed self reporting questionnaire and researcher reporting questionnaire. Though this study is not proved about validity, reliability, the instrument of pattern identification for common cold is meaningful and expected to be applied to the subsequent research. And also, we hope to improve the instrument and make up for this study through various research and discussion.

키워드

참고문헌

  1. 대한결핵 및 호흡기학회. 호흡기학. 서울, 군자출판사, pp 695-697, 2004
  2. 건강보험심사평가원. 2008년 진료비통계지표. http://www.hira.or.kr.
  3. Dolin, R. Chapter 179. Common viral respiratory infections and severe acute respiratory syndrome(SARS). In: Kasper, D.L., Braunwald, E., Fauci, A.S., Hauser, S.L., Longo, D.L., Jameson, J.L. editors. Harrison's principles of internal medicine. 17th ed. New York, McGraw-Hill Co, Inc., p 1120, 2008
  4. Gonzales, R., Malone, D.C., Maselli, J.H., Sande, M.A. Excessive antibiotic use for acute respiratory infections in the United States. Cli Infect Dis 33: 757-762, 2001 https://doi.org/10.1086/322627
  5. 張仲景. 傷寒論. 서울, 대성문화사, p 12, 1993
  6. 김구영. 병인론. 서울, 도서출판 선, p 5, 2001
  7. 김봉교. 한방진단학. 서울, 성보사, p 25, 42, 1986
  8. 김규곤, 강창완. 한의학에서의 변증점수개발에 대한 가중주성분분석의 응용. 한국통계학회 12(1):17-28, 1999
  9. 양수영, 변준섭, 황지호, 안정조, 홍권의, 강위창, 이용구, 박양춘. 감기 임상연구의 동향 및 평가도구에 관한 연구. 대한한의학회지 29(2):165-181, 2008
  10. 임도희, 배한호, 박양춘. 중의잡지에 보고된 감모에 대한 고찰. 대전대학교한의학연구소 논문집, 13(2):231-249, 2004
  11. 박미연, 김대준, 김종대. 감모이후 나타난 해수에 청폐별갑산을 통한 증례보고. 대한본초학회지 18(4):1-5, 2003
  12. 박양춘. 풍한형 및 풍열형 감모에 대한 소청룡탕의 효과 - 이중맹검, 위약대조군연구. 동의생리병리학회지 19(2):524-529, 2005
  13. 배한호, 강위창, 박양춘. 감기에 대한 연교패독산의 유효성 평가를 위한 community-based 이중맹검 위약대조군 연구. 동의생리병리학회지 22(1):234-245, 2008
  14. 전국한의과대학폐계내과학교실 편저. 동의폐계내과학. 서울, 한문화사, pp 136-142, 2002
  15. 張伯臾 주편. 중의내과학. 북경, 인민위생출판사, pp 55-64, 1986
  16. 洪素蘭 陳永輝 裵曉華 주편. 實用中醫呼吸病學. 북경, 중국중의약출판사, pp 56-65, 1995
  17. 歐陽忠興 柯新橋 주편. 中醫呼吸病學. 북경, 중국의약과기출판사, pp 435-436, 1994
  18. 金實 주편. 肺臟病學. 태원, 산서과학기술출판사, pp 44-57, 1997
  19. 陳貴廷 楊思澍 주편. 實用中西醫結合診斷治療學(上冊). 북경, 중국의약과기출판사, p 135, 246, 1991
  20. 楊思澍 張樹生 傅景華 주편. 中醫臨床大全. 북경, 북경과학기술출판사, p 1182, 1991
  21. 신현규. 식약청 용역연구개발사업 연구결과보고서, '한약제제등의 임상시험가이드라인 제정연구(Ⅱ)'. 서울, 식품의약 품안전청, p 15, 2005
  22. 馮維斌 劉偉勝 주편. 呼吸科專病中醫臨床診治. 북경, 인민위생출판사, pp 5-7, 2000
  23. Lowenstein, S.R, Parrino, T.A. Management of the common cold. Adv Intern Med 32: 207-233, 1987
  24. Heikkinen, T., Jarvinen, A. The common cold. Lancet 361(9351):51-59, 2003 https://doi.org/10.1016/S0140-6736(03)12162-9
  25. Dixon, R.E. Economic costs of respiratory tract infections in the United States. Am J Med 78: 45-51, 1985
  26. Stolley, P.D., Becker, M.H., McEvilla, J.D., Lasagna, L., Gainor, M., Sloane, L.M. Drug prescribing snd use in an American community. Ann Intern Med 76: 537-540, 1970
  27. Chretien, J.H., McGarvey, M., deStwolinski, A., Esswein, J.G. Abuse of antibiotics, q study of patients anttending a university clinic. Arch Intern Med 135: 1063-1065, 1975 https://doi.org/10.1001/archinte.135.8.1063
  28. 이영성, 김명기, 김용익, 신영수, 이환종, 안형식. 개원의의 소아 급성호흡기질환에 대한 항생제 처방양상에 관한 연구. 대한보건협회지 17: 3-19, 1991
  29. 김병조. 감모. 대한한방내과학회지 13(2):111-1125, 1992
  30. 김정제 편저. 동양의학진료요감. 동양의학연구원, pp 70-71, 1974