[논문]갱년기 변증 진단 도구 CaPSPI(Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification) 임상적용 결과 분석 연구

박영희; 이인선

doi:10.15204/jkobgy.2021.34.4.078

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Objectives: It is a statistical study to examine the data of CaPSPI (Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification), developed for diagnosis of menopause disorders and to record the status of treatment of it. Methods: From November 1, 2020 to June 19, 2021, 36 ...

Objectives: It is a statistical study to examine the data of CaPSPI (Diagnostic System for Climacteric and Postmenopausal Syndrome Pattern Identification), developed for diagnosis of menopause disorders and to record the status of treatment of it. Methods: From November 1, 2020 to June 19, 2021, 36 cases of data of 33 respondents of the CaPSPI were analyzed. For the use of the basic data of the clinical menopausal disorder, we investigated frequency of menopausal symptoms and the difference between them depending on the period of menopause, and the presentation of usage prescriptions. And the diagnostic results for three kinds' diagnosis [for examination (D1), for treatment (D2), by doctors (D3)] were compared. The diagnostic consistency of D1 and D3 and the statistical significance between DT and disease elements (證素) was investigated. Results: 1. Hot flush was the highest in the symptom survey of the menopause that the subjects complained of, followed by insomnia. There was no significant difference in symptom expression according to menopausal period. 2. The diagnostic consistency of D1 and D2 showed significant diagnostic consistency only in liver depression, and the diagnostic consistency of D1 and D3 showed significant consistency in liver depression and Dual Deficiency of Heart and Spleen. 3. D3' diagnosis and disease elements had statistical significance for cases of P<0.1 was found to be related to the theory of oriental medicine. Conclusions: It is needed to continue to accumulate diagnosis and treatment results through CaPSPI in the future to strengthen the basis for patten identification and treatment of menopause disorders.

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표/그림 (15)

표 Table 1. The Menopausal Status and Period of the Questionnaire Respondents
표 Table 2. Demographic Characteristics of Respondents
표 Table 3. Parity of Respondents
표 Table 4. Frequency and Degree of Menopausal Disorder in Respondents
표 Table 5. Comparison of Symptom Distribution according to Menopause Period
표 Table 6. Frequency of Diagnostic Patterns of CaPSPI’s
표 Table 7. Frequency of Diagnosed More than 2 Patterns
표 Table 8. The Diagnostic Consistency between D1 and D2
표 Table 9. The Diagnostic Consistency between D1 and D3
표 Table 10. Statistical Comparison between D3 and Syndrome Element
표 Table 11. Frequency and Pattern Identifications of Prescriptions by Doctors
그림 Fig 1. The wordcloud of prescription.
표 Table 12. Frequency and Pattern Identifications of Prescriptions for Sasang Constitutionby Doctors
표 Table 13. Symptoms Change in Case 1
표 Table 14. Symptoms Change in Case 2

참고문헌 (12)

Statistics Korea. Estimating the future population 2019. 2019:24, 41.
Kim JS, et al. The Characteristics of Menopausal Women. Obstetrics & Gynecology Science. 1998;41(8):2201-6.
The Society of Korean Medicine Obstetrics and Gynecology. Korean Obstetrics & Gynecology (volume 1). 4th rev. ed. Seoul:Euiseongdang. 2021:246, 268.
Lee IS, et al. Development of a Guideline for the Application of a Diagnostic Tool for Menopausal Syndromes Based on the Use of Systemic Review and Delphi Method. J Korean Obstet Gynecol. 2017;30(4):175-202.

원문보기 상세보기
Lee IS, et al. Reliability and validity of a pattern identification diagnostic tool for climacteric and postmenopausal syndrome pattern identification: A clinical study of a newly developed questionnaire. European J of Integrative Medicine. 2019;32:100986.

상세보기
Available from:URL:http://climacterium.medicalstudy.or.kr/user/login.php
Lee IS, et al. A Clinical Study on the Pattern-Specific Cut-Point for the Pattern Identification Diagnostic Tool for Climacteric and Postmenopausal Syndrome. J Korean Obstet Gynecol. 2019;32(2):29-49.

원문보기 상세보기
Lee IS, et al. A Study on Aadjustment of the Patterns, and the Correlation between the Diagnostic Tool for Climacteric and Postmenopausal Syndrome Pattern Identification (CaPSP) and Korean Medicine Doctors' Diagnosis. J Korean Obstet Gynecol. 2021;34(1):1-14.

원문보기 상세보기
Kang CW, Cho JS, Choi SB. Introduction to big data analysis using R and RStudio. 1st rev. ed. Seoul:Freedom Academy INC. 2018:261.
Park JE, et al. The effect of acupuncture on hot flushes : A study protocol of multi-center randomized controlled clinical trial. Journal of Meridian & Acupoint. 2007;24(3):33-45.
Yu HK. Hot Flushing and Sweating: Latest Pathogenesis, Diagnosis, Treatment. Journal of Menopausal Medicine. 1996;2(2):132-45.
Lee IS, Kim KK. Diagnosis System of Oriental Medicine (c) 2005-01-122-004154. Dongeui University. 2005. Available from:URL:http://kmdb.re.kr/login.php.

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