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장부변증에 따른 이명 양상과 변증유형별 치료효율 분석

Analysis of Tinnitus Pattern by Visceral Pattern Identification and Treatment Efficiency by Pattern Identification Type

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Objectives : By analyzing symptoms of tinnitus, we tried to find out the relationship between deficiency and excess(虛實) and visceral pattern identification(臟腑辨證). By testing Tinnitus Handicap Inventory(THI), we evaluated the quality of life of people suffering from various aspects of tinnitus, as well as comparing treatment efficiency. Methods : 52 patients were recruited in this study who was ill with tinnitus. They wrote out the questionnaire about tinnitus and the THI. Results : The vast majority of high-grade tiny noise patients are deficiency type(虛症). The vast majority of low-grade roar patients are excess type(實症). Tinnitus persistence and feeling of ear occlusion were prominent in low-grade roar patients. low-grade roar patients suggest that overall quality of life is lower than high-grade tiny noise patients. In terms of treatment efficiency, spleen-stomach weakness(脾胃虛弱)-type, stomach heat(胃熱)-type and phlegm-fire(痰火)-type was higher than kidney essence depletion(腎精虧損)-type and liver qi depression(肝氣鬱結)-type regardless of the aspect of tinnitus. 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.

Abstract

Objectives : By analyzing symptoms of tinnitus, we tried to find out the relationship between deficiency and excess(虛實) and visceral pattern identification(臟腑辨證). By testing Tinnitus Handicap Inventory(THI), we evaluated the quality of life of people suffering from various aspects of tinnitus, as well as comparing treatment efficiency. Methods : 52 patients were recruited in this study who was ill with tinnitus. They wrote out the questionnaire about tinnitus and the THI. Results : The vast majority of high-grade tiny noise patients are deficiency type(虛症). The vast majority of low-grade roar patients are excess type(實症). Tinnitus persistence and feeling of ear occlusion were prominent in low-grade roar patients. low-grade roar patients suggest that overall quality of life is lower than high-grade tiny noise patients. In terms of treatment efficiency, spleen-stomach weakness(脾胃虛弱)-type, stomach heat(胃熱)-type and phlegm-fire(痰火)-type was higher than kidney essence depletion(腎精虧損)-type and liver qi depression(肝氣鬱結)-type regardless of the aspect of tinnitus. 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.

참고문헌 (15)

  1. Kim GJ, "A Clinical analysis on the Treatment efficiency of Tinnitus by Types of bianzheng", J Korean Med Ophthalmol Otolaryngol Dermatol, 12(2), pp.182~188 (1999)
  2. Wang DK, "Chinese Otolaryn-gology", pp.75~87 (1999), Zhiyin Publication
  3. Jastreboff PJ, "Neurophysiological approach to tinnitus patients", The American Journal of Otology, 17(2), pp.236~240 (1996)
  4. Marks NJ, "A controlled trial of acupuncture in tinnitus", J Laryngol Otol, 98(11), pp.1103~1109 (1984)
  5. Hong WS, "Hwangjenaegyeong", pp.109~185 (1985), Institute of Oriental Medicine
  6. No SS, "Primary color Ophthalmology and Otolaryngology", pp.83~88 (1999), Iljung Publishing
  7. Jung CH, "A Study on Causes and Remedies of Tinnitis in Chinese Medical Journals", J Korean Med Ophthalmol Otolaryngol Dermatol, 8(1), pp.39~49 (1995)
  8. Kim HJ, "Review of Tinnitus", J Korean Med Ophthalmol Otolaryngol Dermatol, 3(1), pp.99~107 (1990)
  9. Baek MJ, "Handicap of Tinnitus and Quality of Life in Tinnitus Patients", J Clinical Otolaryngol, 13, pp.50~55 (2002)
  10. 조은희, "타각적 이명 환자에 대한 임상적 고찰", 동의생리병리학회지, 19(3), pp.826~829 (2005), 한의병리학회
  11. Newman CW, "Development of the Tinnitus Handicap Inventory", Arch Otolaryngol Head Neck Surg, 122, pp.143~148 (1996)
  12. Newman CW, "Psychometric Adequacy of the Tinnitus Handicap Inventory(THI)for Evaluation Treatment Outcome", J Am Acad Audiol, 9, pp.153~160 (1998)
  13. Elbert T, "Reorganization of auditory cortex in tinnitus", Proc Natl Acad Sci, 95, pp.10340~10343 (1998)
  14. Korean Society of Otorhinolaryngology-Head and Neck Surgery, "Otorhinolaryngology-Head and Neck Surgery", pp.938~950 (2009), Iljogag
  15. Kim JH, "Reliability and validity studies of Tinnitus Handicap Inventory", Korea ENT Journal, 45, pp.328~334 (2002)

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