난청을 동반한 이명 환자의 임상적 특성
Clinical Characteristics of Patients with Tinnitus Accompanied Hearing Loss
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Background : Tinnitus is common disorder with many possible causes and a symptom of many different diseases but has no effective treatment. Most of tinnitus patients experience the disorder to a degree that their quality of life and productivity are impaired. Especially tinnitus accompanied hearing loss causes severe discomfort in patients. Objectives : 1. Through symptoms of tinnitus, we tried to find out the relationship of Heo-sil(虛實) and Zuang fu bian zheng(臟腑辨證) among tinnitus patients accompanied Hearing Loss. 2. By testing THI, we tried to evaluate the quality of life of tinnitus patients group and tried to compare the quality of life between high-narrow tone and low-wide tone tinnitus patients group. 3. In the future, this study was planned to help monitor the prognosis and determine the progress of treatment for tinnitus patients who also have hearing loss. Methods : 43 patients were recruited in this study who was ill with tinnitus accompanied hearing loss. They wrote out the questionnaire about tinnitus and the Tinnitus Handicap Inventory(THI). Results : 1. In tinnitus patients, there were more men than women accompanied hearing loss. The rate of visits was higher as the age increased. 2. Most of the patients who visited the hospital had sensitive hearing loss. 3. In high–narrow tone tinnitus group, phlegm fire congesting-type are more uncomfortable than spleen-stomach weakness-type. 4. In low-wide tone tinnitus group, liver qi depression was the most uncomfortable. Conclusions : The present study suggests that tinnitus pattern may be helpful in differentiating patients with tinnitus, and the effectiveness of treatment can be predicted through differentiation. Zuang fu bian zheng(臟腑辨 證) and Distinguishing between Heo(虛) and Sil(實) is expected to have positive effects on tinnitus accompanied hearing loss treatment.
Abstract
Background : Tinnitus is common disorder with many possible causes and a symptom of many different diseases but has no effective treatment. Most of tinnitus patients experience the disorder to a degree that their quality of life and productivity are impaired. Especially tinnitus accompanied hearing loss causes severe discomfort in patients. Objectives : 1. Through symptoms of tinnitus, we tried to find out the relationship of Heo-sil(虛實) and Zuang fu bian zheng(臟腑辨證) among tinnitus patients accompanied Hearing Loss. 2. By testing THI, we tried to evaluate the quality of life of tinnitus patients group and tried to compare the quality of life between high-narrow tone and low-wide tone tinnitus patients group. 3. In the future, this study was planned to help monitor the prognosis and determine the progress of treatment for tinnitus patients who also have hearing loss. Methods : 43 patients were recruited in this study who was ill with tinnitus accompanied hearing loss. They wrote out the questionnaire about tinnitus and the Tinnitus Handicap Inventory(THI). Results : 1. In tinnitus patients, there were more men than women accompanied hearing loss. The rate of visits was higher as the age increased. 2. Most of the patients who visited the hospital had sensitive hearing loss. 3. In high–narrow tone tinnitus group, phlegm fire congesting-type are more uncomfortable than spleen-stomach weakness-type. 4. In low-wide tone tinnitus group, liver qi depression was the most uncomfortable. Conclusions : The present study suggests that tinnitus pattern may be helpful in differentiating patients with tinnitus, and the effectiveness of treatment can be predicted through differentiation. Zuang fu bian zheng(臟腑辨 證) and Distinguishing between Heo(虛) and Sil(實) is expected to have positive effects on tinnitus accompanied hearing loss treatment.
참고문헌 (22)
- Korean Society of Otolaryngology-Head and Neck Surgery, "Otolaryngology (Otology)", pp.877~879 (2018), Koonja
- 김경준, "장부변증에 따른 이명 양상과 변증유형별 치료효율 분석", 한방안이비인후피부과학회지, 32(3), pp.77~86 (2019), 대한한방안이비인후피부과학회[DOI]
- Kim GJ, "A Clinical analysis on the Treatment efficiency of Tinnitus by types of bianzheng", J Korean Med Ophtahlmol Otolaryngol Dermatol, 12(2), pp.182~188 (1999)
- Wang DK, "Chinese Otolaryngology", pp.75~87 (1999), Zhiyin Publication
- Kim HJ, "Review of Tinnitus", J Korean Med Ophtahlmol Otolaryngol Dermatol, 3(1), pp.99~107 (1990)
- JastreboffPJ, "Neurophysiological approach to tinnitus patients", The American Journal of Otology, 17(2), pp.236~240 (1996)
- Back MJ, "Handicap of Tinnitus and Quality of Life in Tinnitus Patients", J clinical Otolaryngology, 13, pp.50~55 (2002)
- Langguth B, "Tinnitus and headache", Biomed Res Int, 2015, pp.797416~ (2015)
- Lemke U, "Oral communication in individuals with hearing impairmentconsiderations regarding attentional, cognitive and social resources", Frontiers in Psychology, 6, pp.998~ (2013)
- Lim FR, "Hearing loss and cognitive decline in older adults", JAMA Internal Medicine, 173(4), pp.293~299 (2013)
- Zhang YP, "Curative observation on Modified Bushen Tongqiao Decoction in the Treatment for Presbycusis", Western Journal of Traditional Chinese Medicine, 9, pp.66~68 (2019)
- "Korean statistical information service" (2019)[URL]
- Spitzer JP, "Development of the Tinnitus Handicap Inventory", Arch Otolaryngology Head and Neck Surgery, 122, pp.143~148 (1996)
- The Society of Korean Medicine, "Ophthalmology, Otolaryngology and Dermatology", pp.24~94 (2019), Globooks
- 정인채, "이명에 대한 추나요법의 효과 : 체계적 문헌고찰과 메타분석", 척추신경추나의학회지, 14(1), pp.13~23 (2019), 척추신경추나의학회[DOI]
- 조형래, "돌발성난청으로 인한 耳鳴환자 4례에 大陷胸湯을 투여한 증례보고", 한방안이비인후피부과학회지, 28(3), pp.145~160 (2015), 대한한방안이비인후피부과학회[DOI]
- Hong WS, "Hwangjenaegyeong", pp.109~185 (1985), Institute of Oriental Medicine
- Langguth B, "Tinnitus and Headache", Biomed Res Int, 2015, pp.797416~ (2015)
- Gates GA, "Presbycusis", Lancet, 366, pp.1111~1120 (2005)
- 김지혜, "한국어 번역판 Tinnitus Handicap Inventory의 신뢰도 및 타당도 연구", 대한이비인후-두경부외과학회지, 45(4), pp.328~334 (2002), 대한이비인후과학회
- Ahn KS, "Dongeui Pathology", pp.72~75 (1998), Euiseongdang
- Kwak BO, "Zhongyi Erbihoukexue", pp.82~85 (2015), Renmenweisheng Publish