Article Detail

Home > Article Detail
  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

A Study on the East-West Medicine Clinical Aspect of Climacteric Women Focusing on Hot Flush

Journal of Korean Medicine / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2008, v.29 no.4, pp.180-193




  • Downloaded
  • Viewed

Abstract

Objectives: We intended to identify factors related to the severity of hot flush of climacteric women from an East-West medical point of view. Methods: We surveyed 446 climacteric women who had received Korean oriental medical questionnaires about clinical symptom patterns and health medical examinations at Kyung-Hee University Medical Center over 1 year, from June 2007 to May 2008. Then, we compared hot flush with clinical symptom pattern and health medical examination result. Results: As the severity of hot flush increased, hypnagogic disorder in sleep pattern, abdominal gaseous distention in digestion pattern, tenesmus in evacuation pattern, yellow or reddish urine in voiding pattern, spontaneous sweating in sweating pattern, chest oppression in psychologic pattern, not-pulling-bedclothes in cold-heat pattern and mouth dryness in craniocervical symptom increased (p<0.05). In relation to digestion pattern, the severity of hot flush showed statistical significance according to prevalence of gastritis diagnosed by gastroscopy and upper GI series(p<0.01). In relation to voiding pattern, the severity of hot flush showed statistical significance according to prevalence of urine protein diagnosed by urinalysis (p<0.05). In relation to sweating, psychologic & cold-heat pattern, triiodothyronine (T3) increase and thyroid stimulating hormone (TSH) decrease were significantly correlated as the severity of hot flush increased (p<0.01). Conclusions: The result showed that hot flush of climacteric women had to be considered in respect of digestion disorder related to gastritis and sweating․psychologic․cold-heat disorder related to thyroid hormone.

keywords
Hot flush, climacteric women, Korean oriental medical questionnaires, clinical symptom, medical examination., Hot flush, climacteric women, Korean oriental medical questionnaires, clinical symptom, medical examination.


Reference

1

1. 최유덕. 새임상 부인과학 2판. 서울:고려의학. 2001:305-326.

2

2. 한의부인과학 편찬위원회. 한의부인과학. 서울:정담. 2002:221-248.

3

3. Jonathan S. Berek. Novak’s Gyne cology, 12th. Williams&Wilkins. 1996:981-1003.

4

4. 대한산부인과학회. 부인과학 제3판. 서울:칼빈서적. 1997:716-765.

5

5. Heather G. Miller, MFS, Rose Maria Li. Measu- ring Hot Flashes: Summary of a National Institutes of Health Workshop. Mayo Clinic Proceedings: Jun 2004;79, 6: ProQuest Medical Libray pg. 777.

6

6. 허준. 대역동의보감 1판. 서울:법인문화사. 1999: 510-520, 1099-1125.

7

7. 송병기. 한방부인과학 2판. 서울:행림출판. 1998: 193-6.

8

8. 최정은, 김로사, 한지영, 조정훈, 장준복, 이경섭. 갱년기 증후군 여성 환자 50인의 임상 양상 분석. 대한한방부인과학회지. 2002;15(2):144-154.

9

9. Randolph JF Jr et al. The relationship of longitu- dinal change in reproductive hormones and vasomotor symptoms during the menopausal transition. J Clin Endocrinol Metab. 2005 Nov; 90(11):6106-6112.

10

10. Casper RF, Yen SS, Wilkes MM. Menopausal flushes: a neuroendocrine link with pulsatile luteninizing hormone secreation. Science. 1979 Aug 24;205(4408):823-5.

11

11. Tait D. et al. Pathophysiology and treatment of Hot flashes. Mayo Clin Proc 2002;77:1207-1218.

12

12. 김동일, 노진주, 정수경, 성준호, 이승덕, 안홍엽, 오달석, 최선미. 안면홍조에 대한 임상시험 참가자의 증상 발현 양상에 관한 연구. 대한한방부인과학회지. 2006;19(4):205-215.(772)

13

13. Macpherson. K.I. Menopause as Disease : The Social Construction of a Metaphor. AJS. 1981; 3(2).

14

14. Benson R.C. Current OB & Gynecologic Diagn- osis & Treatment. Lange medical publication. 1978.

15

15. 강길전. 여성생식의학. 서울:대관출판사. 1998:3- 66.

16

16. Blatt MH et al. Vitamin E and climacteric syndrome. Arch Intern Med. 1953;91:792-9.

17

17. Alder E. The Blatt-Kupperman menopausal index: a critique. Maturitas. 1998 May 20;29(1):19-24.

18

18. J. G. Grenne. Constructing a standard climacteric scale. Maturitas. 1998;29:25-31.

19

19. Rodstrom K, Bengtsson C, Lissner L, Milsom I, Sundh V, Bjorkelund C. A longitudinal study of the treatment of hot flushes: the population study of women in Gothenburg during a quarter of a century. Menopause. 2002 May-Jun ;9(3):156-61.

  • Downloaded
  • Viewed
  • 0KCI Citations
  • 0WOS Citations

Other articles from this issue

Recommanded Articles

상단으로 이동

Journal of Korean Medicine