• 대한핵의학회지
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• 제26권2호
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• pp.299-306
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• 1992

당뇨병 환자에서 $^{99m}Tc-colloid$ labeled scrambled egg와 hamberger를 이용한 고형식의 위배출 양상의 변화를 동위원소를 이용하여 고찰한 결과 당뇨병성 신경증의 정도, 특히 자율신경계 침습 유무, 이환기간 및 망막증의 정도와 관련이 있었고 혈당농도 및 조절상태와는 무관한 것으로 나타나 당뇨병 환자에서 신경장애가 심할수록 이환기간이 길수록 위장운동 장애가 심한 것을 나타내있다. 당뇨병성 위마비증도 자율신경계 침습이 있는 경우에 잘 발생하였고 Cisapride는 당뇨병 환자의 위 배출시간 및 위저류율을 호전시켰다. $^{99m}Tc-colloid$ labeled scrambled egg와 hamberger를 이용한 고형식의 핵의학적 정사 방법은 barium을 이용한 방사선학적 청사보다 정량화하기 쉽고 생리 식염수 부하검사보다 비침습적이며 당뇨병 환자의 실재 일회 식사량과 비슷한 500kCal의 열량으로 임상상을 잘 반영한다고 사료된다.

• 대한한방내과학회지
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• 제29권1호
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• pp.67-79
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• 2008

Backgrounds & Objectives : The aims of this study were to observe how morphology was changed and whether gastric motility was impaired in streptozotocin(STZ)-induced diabetic rats(DR), and whether Yijin-tang(YJT) was able to restore their impaired gastric motility. Methods : We investigated the change of body weight, feed intake and blood glucose between normal rats (NR) and DR for 12 weeks after induction of diabetes. At the time of 12 weeks after induction of diabetes, gastric surface area, gastric slow wave and gastric emptying rate were measured. Results : Decreased body weight, increased feed intake and increased gastric surface area were observed in DR, compared with NR. The percentage of normogastria decreased but that of bradygastria increased in DR, compared with NR. YJT 90mg/kg had no effect on the correction of gastric slow wave. YJT 90mg/kg and 270mg/kg had a significant effect on improvement of gastric emptying, more than normal saline (NS) in both NR and DR but the gastric emptying rate of DR was significantly lower than that of NR when YJT 90mg/kg and YJT 270mg/kg were administered. Conclusions : We can expect that administration of YJT would be effective on the improvement of gastric emptying and upper gastrointestinal symptoms as a juvantia.

• 대한한방내과학회지
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• 제31권2호
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• pp.212-223
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• 2010

Objectives : The aims of this study were to evaluate whether gastric contractility could be measured by bowel sound of rats, and whether gastrointestinal side effect of any herbal restoratives would be related with their inhibition of gastric contraction. Methods : Streptozotocin (STZ)-induced diabetic rats were used as a gastric hypocontraction model. At the time of 6 weeks after induction of diabetes, 2mL of normal saline (NS) and 2mL of extract solution each containing 125mg/kg of Bojoongikki-tang (BJ), Sipjeondaebo-tang (SJ), Youngkaechulgam-tang (YG) were given to Normal (NR) and diabetic rats (DR), respectively. Bowel sound was recorded for 30 minute in fasting, and 120 minute of their administration. Gastric motility index was serially calculated with the ratio of accumulated potentials of post-administration/fasting state every 10 minutes. Results : Gastric contractility between NR and DR could be significantly distinguished by bowel sound auscultation. BJ had a decreasing effect, SJ had a bidirectional effect, and YG had an increasing effect on gastric contractility measured by bowel sound auscultation. Conclusions : BJ showed the possibility of inhibitory effects on gastric contraction. So, before administration, a gastric motility test should be recommended to prevent possible side effects in patients with gastric hypocontractility.