한의 치료로 호전된 이명 동반 돌발성 난청 환자 1례
A Case Report of Korean Medicine Treatment for Sudden Hearing Loss Accompanied by Tinnitus
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초록
Objectives : This study reports a 61-year-old man with sudden hearing loss and tinnitus whose symptoms improved remarkably after treatment with Korean medicine. Methods : The patient was treated with herbal medicine(gamisoyo-san, samul-tang gagambang, gongjindan, and yukmijihwang-hwan), acupuncture and moxibustion. Puretone audiometry(PTA), speech audiometry(SA), Korean tinnitus handicap inventory(K-THI), patient self-report, numeric rating scale(NRS) 11, and review of system(ROS) were performed. Results : After a month of treatment, PTA was improved from profound to mild and audiometric findings were improved in speech reception threshold and word recognition score. After 2 months of treatment, K-THI decreased from 92 to 28 and NRS 11 score decreased more than 6 in every item. Conclusions : These results demonstrate that Korean medicine could be effective sudden hearing loss and tinnitus.
Abstract
Objectives : This study reports a 61-year-old man with sudden hearing loss and tinnitus whose symptoms improved remarkably after treatment with Korean medicine. Methods : The patient was treated with herbal medicine(gamisoyo-san, samul-tang gagambang, gongjindan, and yukmijihwang-hwan), acupuncture and moxibustion. Puretone audiometry(PTA), speech audiometry(SA), Korean tinnitus handicap inventory(K-THI), patient self-report, numeric rating scale(NRS) 11, and review of system(ROS) were performed. Results : After a month of treatment, PTA was improved from profound to mild and audiometric findings were improved in speech reception threshold and word recognition score. After 2 months of treatment, K-THI decreased from 92 to 28 and NRS 11 score decreased more than 6 in every item. Conclusions : These results demonstrate that Korean medicine could be effective sudden hearing loss and tinnitus.
참고문헌 (17)
- Chandrasekhar SS, "Clinical practice guideline : sudden hearing loss(update)", Otolaryngol Head Neck Surg, 161(1), pp.1~45 (2019)
- 강우석, "돌발성 난청의 치료 원칙", 대한이비인후-두경부외과학회지, 54(10), pp.675~682 (2011), 대한이비인후과학회
- Nadel DM, "The use of systemic steroids in otolaryngology", Ear Nose Throat J, 75(8), pp.502~505 (1996)
- Rauch SD, "Oral vs intratympanic corticosteroid therapy for idiopathic sudden sensorineural hearing loss : a randomized trial", JAMA, 305(20), pp.2071~2079 (2011)
- Battaglia A, "A prospective, multi-centered study of the treatment of idiopathic S41sudden sensorineural hearing loss with combination therapy versus high-dose prednisone alone : a 139 patient follow-up", Otol Neurotol, 35(6), pp.1091~1098 (2014)
- The Society of Korean Medicine Ophthalmology, Otolaryngology and Dermatology, "Otolaryngology", pp.97~100 (2019), Globooks
- 이유리, "돌발성 난청의 한방치료 치험례에 대한 고찰", 동의생리병리학회지, 32(1), pp.62~69 (2018), 한의병리학회[DOI]
- 강유정, "열다한소탕의 삼차신경초종 수술후 돌발성 난청 및 이명 치험 1례", 사상체질의학회지, 33(4), pp.23~31 (2021), 사상체질의학회[DOI]
- 김지원, "돌발성 난청의 침치료에 대한 최근 임상 연구 동향", 한방안이비인후피부과학회지, 30(4), pp.131~141 (2017), 대한한방안이비인후피부과학회[DOI]
- 고혜연, "특발성 돌발성 난청으로 오인된 청신경 종양 1례", 한방안이비인후피부과학회지, 34(3), pp.80~91 (2021), 대한한방안이비인후피부과학회
- Kim GS, "Pure tone assessment", Korean J Occup Health Nurs, 13(3), pp.16~23 (2006)
- Clark JG, "Uses and abuses of hearing loss classification", Speech Lang Hear Assoc, 23(7), pp.493~500 (1981)
- Siegel LG, "The treatment of idiopathic sudden sensorineural hearing loss", Otolaryngol Clin North Am, 8(2), pp.467~473 (1975)
- Newman CW, "Development of the tinnitus handicap inventory", Arch Otolaryngol Head Neck Surg, 122(2), pp.143~148 (1996)
- Joint Compiling Committee for Herbal Formula, "Herbal formula science in Korean medicine", pp.584~586 (2020), Gunja
- Atay G, "Prognostic factors in sudden sensorineural hearing loss", Balkan Med J, 33(1), pp.87~93 (2016)
- Choung YH, "The effects of intratympanic steroid injection for the patients with refractory sudden sensorineural hearing loss", Korean J Otorhinolaryngol-Head Neck Surg, 48(6), pp.706~712 (2005)