한방안이비인후피부과학회지 (The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology)

  • 제32권3호
  • /
  • Pages.77-86
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  • 2019
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  • 1738-6640(pISSN)
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  • 2234-4020(eISSN)
대한한방안이비인후피부과학회 (The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology)
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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

  • 김경준 (가천대학교 한의과대학 안이비인후피부과)
  • Kim, Gyung-Jun (Dept. of Ophthalmology & Otolaryngology & Dermatology, College of Korean Medicine, Gachon university)
  • 투고 : 2019.07.02
  • 심사 : 2019.07.24
  • 발행 : 2019.08.25
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초록

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.

키워드

Table 1. Results of Classification by Visceral Pattern Identification for 52 Subjects

OOBHC1_2019_v32n3_77_t0001.png 이미지

Table 2. Persistence of Tinnitus and Feeling of Ear Occlusion in High-narrow Tone Group and Low-wide Tone Group

OOBHC1_2019_v32n3_77_t0002.png 이미지

Table 3. Changes in THI Scores after Treatment, according to Sound Type of Tinnitus and Causes of Tinnitus

OOBHC1_2019_v32n3_77_t0003.png 이미지

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